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Chemically-Induced Insanity

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Despite being perfectly sane, a character is given drugs that make people around him think that he is insane. This is usually done maliciously and without the character's knowledge. Frequently done to get a character out of the way when killing them would be too messy, or simply to discredit them.
Often this would be maintained by having a caregiver giving the patient "medicine" to treat their mental illness, but in reality is dosing them to keep them insane. May be administered by Slipping a Mickey and/or Water Source Tampering. Can overlap with Go Mad from the Revelation if Higher Understanding Through Drugs opens the mind to secrets not meant for mortals to perceive.
Compare Psycho Serum where a character intentionally takes a drug to enhance himself, but it induces insanity as a side effect; also compare Infectious Insanity where insanity is induced by contact with an already insane person, and Mushroom Samba for cases where a character is under the influence of hallucinogens (voluntarily or otherwise). See also Gaslighting, another way in which one character can make another seem insane.
See also Münchausen Syndrome and the "by proxy" variant.
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DBTropes
 Chemically-Induced Insanity / int_10401be7
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Chemically-Induced Insanity
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Batman: The Telltale Series: In the backstory, Thomas Wayne used drugs to drive Mrs. Cobblepot insane so that he could seize her assets. Oswald Cobblepot/the Penguin, seeking revenge on everyone involved, drugs Harvey Dent and Mayor Hill with an unstable truth serum on national television (which is what turns Dent into Two-Face). Vicki Vale drugs Bruce with steroids to make him maul the Penguin in public.
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Law & Order: Special Victims Unit:
One episode has a villain of the week who has a girl she was abusing (who witnessed her murder another child in her care) committed and drugged (she managed to convince the staff that the girl was legitimately insane, but the trope was otherwise in effect).
Another episode inverts it by having a corrupt nursing home take a patient off his meds to prevent him from telling anyone about a patient who died due to negligence. This makes them legally responsible for the patient's subsequent episode that led him to kidnap a child and kill two people.
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An episode of The Pretender has Jarod investigating a woman with a psychological condition. She's on medication, but it doesn't seem to help. At one point, she accidentally drops one of the pills into a glass of water. When the water turns red as a result, he realizes that the medication is not what she thought which leads him to discover that it's what's causing her condition.
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In Hitman: Blood Money, Agent Smith is given drugs to make him look as The Alcoholic.
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In Dragonheart: A New Beginning, the king's apparent senility proves to be caused by drugs administered by the Big Bad.
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In John D. MacDonald's Travis McGee novel Nightmare in Pink, McGee has a hallucinatory drug slipped into his drink. When he loses control, he's taken into custody by the bad guys and sent to a mental hospital so he can be interrogated and lobotomized.
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In A Caribbean Mystery, this turned out to be the chief cause of Molly Kendal's mental instability. The guilty party kept drugging her for a long while so that her eventual murder would look like suicide.
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Used a few times in Psych:
In "Not Even Close... Encounters", a law firm has a man dosed so that people think he's an insane conspiracy nut to discredit them when he is building a case against them when he finds that they've had some shady dealings.
In "Shawn, Interrupted", Shawn goes into a mental ward to try to prove that a crime lord is faking insanity to get an Insanity Defense. It turns out that this trope is at play instead, and he is being continually dosed by one of the nurses.
This happens to Lassiter in "Heeeeere's Lassie", where the killer is putting a chemical in the air vents to drive certain residents insane.
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The second The Ship Who... book, Partnership, has an amoral medical student keep a man who wants to testify on one of her Royal Brat colleagues on a dose of "Blissto" for months, in a vague happy cloud unable to do much at all, to both get him out of the way and use him as leverage against said colleague - if he moves against her, all she has to do is taper the dose and let the man say his piece. Naturally, when more heroic characters take her in for unethical medical experiments he immediately rats both of them out.
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In It's Always Sunny in Philadelphia, Frank ODs on a number of mental medications, leading to him wandering the street in soiled pants. He then gets taken to a mental ward (an Actor Allusion, as Danny DeVito was in One Flew Over the Cuckoo's Nest). Once the medication wears off, he breaks out.
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The Simpsons: In one "Treehouse of Horror" story, Kodos and Kang spray Homer with rum so people will dismiss his alien-abduction story as drunken ravings.
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The Labours of Hercules: The titular 'bull' from "The Cretan Bull" is a huge and energetic young man named Hugh who is suffering from hallucinations and sometimes wakes up with bloodied hands and the news that animals have been found butchered nearby. As his family has a history of congenital madness, he's afraid of going off the deep end and resolves to commit suicide when he thinks he's close to harming his fiancé. He's perfectly sound in mind, the hallucinations being produced by drugs in his shaving cream. The actual madman is his father- or rather, his mother's husband, who does suffer from the family insanity and resolved to drive Hugh to suicide in revenge, having murdered his wife years ago. He shoots himself once found out.
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SCP Foundation: Dr. Clef once held an orientation meeting with new researchers on the subject of Reality Warpers. He'd spiked the food and drink with hallucinogens so that when he started yelling at them that reality was being changed, they believed it, driving home just how helpless you are against such SCPs.
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The Kingkiller Chronicle: Ambrose doses Kvothe with an alchemical concoction that leaves him The Sociopath for a few hours, intending him to embarrass himself at an important moment. Although Kvothe runs his mouth in front of a younger student and has to be restrained from nonchalantly murdering Ambrose when Kvothe learns what's been done, his friends manage to get him to privacy before he does any real damage.
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Kushiel's Legacy: In Kushiel's Mercy, Imriel has a spell cast on him, in the form of being stuck with a steel needle soaked in the sweat of a madman, to drive him insane for several weeks so that he isn't affected by a Fake Memories spell that another party cast on the entire city.
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In The Celebrated Cases of Judge Dee, a woman who murdered her husband to have an affair with a neighbor gave her daughter a drug that rendered her unable to speak comprehensibly to keep her from exposing her. During the trial, Judge Dee cures the daughter so she can testify.
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In Red (2010), Marvin is clearly shown to be a bit insane. Frank reveals to Sara (and the audience) that he'd been secretly fed LSD for eleven years.
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In Crash Deluxe, Parrish Plessis is nearly driven insane by Glorious and her powerful pheromone blends.
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Star Wars: The Clone Wars: In "Orders", Nala Se drugs Fives, who has found out that all the clone troopers have mysterious chips in their heads, with something that makes him ultra-paranoid. This, combined with Palpatine telling him the truth about the chips' purpose, has Fives acting more and more deranged until he is killed by Commander Fox, with no one seeming to believe him. Sequel Series Rebels reveals that Rex eventually realized he was telling the truth.
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In the Stingray (1985) episode "Playback", this turns out to be the cause of the violent deaths of most participants in an isolation experiment: A fire burnt some piping in the backup ventilation system, causing madness-inducing fumes to be ventilated throughout the building during a test of said backup system. The Sole Survivor was unaffected because he was doing a space walk simulation at the time, and thus on an independent air supply.
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Hurog: In Dragon Blood, the protagonist is given drugs as part of a plot to make him seem unfit to rule. The reader gets to know what he thinks his surroundings look like (people talking to him are monsters, etc.).
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In Jonathan Strange & Mr. Norrell, Mr. Strange Invokes this on himself: realizing that The Fair Folk are visible to madmen even when they're making themselves Invisible to Normals, he creates an alchemical distillation of insanity and spends a few days wandering around Venice in a hallucinatory stupor. It even lets him find the Gentleman with Thistledown Hair, to the Gentleman's considerable surprise, though he's too loopy to realize it until after the fact.
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Alien Abduction Role Play: Acktreal Domma is slowly driven insane over the course of the entire series. The rest of the crew hypothesizes that the hormones or some other chemical found in the two human test subjects is the cause.
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The X-Files: In the second season finale, it is revealed that Mulder's erratic behavior of late was due to drugs in his water supply, presumably done by the Conspiracy to discredit him.
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Dungeons & Dragons supplement Unearthed Arcana. The Elixir of Madness is a magical liquid that causes anyone who drinks it to go insane. If it is slipped into someone's drink, it will cause them to go mad when they drink it. The victim can be restored to normal by one of three high-level spells: Heal, Restoration, or Wish.
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Inverted in one Lord Peter Wimsey short story in which the villain withholds a drug that the victim needs to stay mentally healthy.
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The Night Howler extract serum from Zootopia, which causes mammals to revert to their primal forms.
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Batman:
Professor Milo's schemes have included subjecting Batman to a drug that made him afraid of anything bat-shaped and gassing Batman with a compound that made him lose his will to live.
One of the more common backstories for the Joker has him fall into a vat of chemicals that bleached his skin, turned his hair green, and permanently damaged his mind.
The Scarecrow's fear gas, depending on the formula, can actually give people specific phobias, rather than just inducing sourceless panic.
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The Cosby Mysteries: A Victim of the Week is poisoned with mercury placed on his desklamp; the heat of the lightbulb vapourised the mercury and he inhaled the fumes, making him as mad as the proverbial hatter.
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In We Happy Few, the entire populace of Wellington Wells is addicted to "Joy", which causes people to forget their troubles (especially the "Very Bad Thing") but also causes hallucinations and erratic behavior. Those who are not on Joy are brutally attacked by users until they either give in and take the drug or are killed.
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Servant of the People: Nina Yegorovna, Vasiliy's pick for head of State Security, is slipped a drug by her underlings, who resent the new administration's anti-corruption stance (and also probably hate taking orders from a woman). It goes into effect when she visits a bar after work, and they videotape her dancing and singing in the rain like she's in a musical. She flees the country in disgrace. Later, Mikhail, her replacement, discovers what happened to her and does the same thing to the security agents.
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This is Sierra's backstory in Dollhouse. After spurning the advances of a rich man, he is so angered that he doses her and has her put into a mental ward. She is then turned into an Active, a programmable love slave hired out to rich clients, which includes the man responsible for her state.
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Vatta's Peace: In Into the Fire, the people who survived Miksland with Ky Vatta in the previous book have been quarantined and drugged into a stupor by The Conspiracy for fear that what they saw on the supposedly uninhabitable continent could derail their Evil Plan.
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In the Tintin album Cigars of the Pharoah, the Egyptologist Dr. Sarcophagus is given drugs to make him insane, so as to cover up an opium-smuggling ring that was running through Egypt. The Rajaijah Juice or "poison of madness" then pops up again in next album, The Blue Lotus, in which Tintin is dosed with a placebo, though at the end of the album, Dr. Fang (who was kidnapped by the drug ring because they feared his research on madness) develops a cure for its effects.
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BoBoiBoy: Adu Du makes "Chemical Emotive X", a serum to toy with the emotions of anyone who consumes it. Sure enough, anyone who eats Yaya's biscuits containing the chemical acts crazy; getting emotional over flat tires, forlorn over having money, or in Gopal's case, a compelling urge to sing and dance. The more BoBoiBoy Wind eats them, the more joyous he gets, even to the extent of Laughing Mad while surrounding himself in a violent Tornado Move. Wind's unbridled joy unlocks his Next Tier Powerup, Cyclone.
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In Oddworld: Abe's Exoddus, several levels feature large tanks of laughing gas, which is used to pacify Mudokon slaves by making them mindlessly run around laughing. Most notably, the gas features prominently in the Slig Barracks level "Bombing Range", where Mudokons are apparently used as target practice and are all dosed on laughing gas to keep them ignorant of their brutal fate. Thankfully, the player can save them.
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Joe Pickett: The bad guys in Out of Range use psychoactive drugs added to his drinking water and psychological trickery to turn game warden Will Jensen's depression into paranoia, which ultimately drives him to suicide.
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Nightbreed: Dr. Decker convinces his patient Aaron Boone that he is responsible for a horrible series of murders that have plagued the city for the past several months, then he prescribes him some antipsychotic drugs. It turns out that the drugs were actually intended to make Boone psychotic: Decker is the real killer and is trying to cover up his own crimes by framing Boone.
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In an episode of Get Smart, Max gets a Tap on the Head and is diagnosed with amnesia. He's given some pills which are supposed to help. However, the doctor is actually working for KAOS, and the pills cause amnesia. Every hour, just as he's starting to remember things, he has to take a pill which sets him back to square one.
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The Endeavour episode "Canticle" has the murderer giving massive doses of LSD to their victims in order to make killing them easier or even having them get themselves killed in a delirious state. One of the intended victims does survive but is left in an insane state from which we are told they may never recover.
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In Assassin's Creed: Brotherhood, Ezio is able to give drugs to make the target assault passers-by, much like a spree killer.
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Tiger Fangs: The Nazi Dr. Lang and his accomplice, Henry, drug tigers to make them attack humans.
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Comic Cavalcade: Protus Plasm developed his "moron hormone", which makes people act like toddlers, to drug government officials into apparent mental breakdowns.
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In The Stainless Steel Rat, Jim has trouble predicting a psychopathic murderer's next move, so he takes a drug combination temporarily giving him the same kind of insanity.
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One of the viewpoint characters of Rule 34 is a Professional Killer who ended up with a form of paranoid schizophrenia due to medical experiments on him, and now has to take drugs to remain lucid. He's fortunate in one case that Scotland still has a National Health System (England has apparently gotten rid of theirs) which supplies it for free.
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In Pokémon Sun and Moon, UB-01's venom apparently has this effect on humans, removing the victim's moral and behavioral inhibitions and inflicting emotional extremes, and is also addictive. Lusamine's abusive Yandere obsession stems from years of exposure to the stuff, and after her stint as Mother Beast she needs long-term medical care to recover.
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In Blood Angels: Deus Encarmine, the traitorous Inquisitor Stele drugs a Blood Angel who stumbled onto his plot to trigger the Black Rage in him.
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Flavia the Heretic: After capturing the convent, Flavia feeds the nuns a potion made by the Muslim herbalist to drive them into a Bacchanalian frenzy.
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Diagnosis: Murder: In the season 6 episode "Alienated", in a possible Shout-Out to The X-Files and its "Anasazi" episode, a doctor is poisoned by a pharmaceutical company inducing paranoia regarding a secret military base to destroy his credibility in respect to a new drug.
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In the opening of the Venus Prime series, Sparta has spent several years of her life being drugged into oblivion by the Free Spirit.
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In Maniac (1934), a guy turns into a bombastic, crazy apeman after the Mad Doctor Don Maxwell injects him with super adrenaline.
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In Captain America, the very first appearance of the Psycho Psychologist villain Doctor Faustus has him driving Captain America insane with a combination of psychoactive drugs and gaslighting.
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The following is a list of statements referring to the current page from other pages.

 Chemically-Induced Insanity
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Adverbly Adjective Noun
 Chemically-Induced Insanity
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Madness Tropes
 Chemically-Induced Insanity
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This Is Your Index on Drugs
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