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“I was sleeping in laundromats, and I was depressed, I think to the point of almost being psychotic. So I figured, ‘That’s it.

Mr Little told the court Mr Monzo's behaviour was triggered "by self-induced intoxication in the form of drugs" which led to a psychotic disorder.

Accordingly, for voice hearers with serious psychotic disorders, it might be that their brains struggle to process noisy sensory information that is somehow being corrupted or degraded, thus, they update their expectations less readily.

The panel also gave evidence at the inquest that Cauchi was "floridly psychotic" - in the active part of a psychotic episode – when he walked into the shopping centre.

Chavez: No, I think that it had largely been left alone, and I didn’t see any other psychotic actors doing what I was doing, but ...