So here is this panic-stricken soul, psychotic and in terrible distress. And what does modern policing do for him? The cops tell him to “stay away from the individuals that are following him.” Then they leave.

But the three “individuals” were imaginary, for God’s sake. This is how a civilized society deals with a man in such a state of terror?

Had this happened 35 years ago in Boston, Alexis would have been brought to me as the psychiatrist on duty at the ER of the Massachusetts General Hospital. Were he as agitated and distressed as in the police report, I probably would have administered an immediate dose of Haldol, the most powerful fast-acting antipsychotic of the time.

This would generally relieve the hallucinations and delusions, a blessing not only in itself, but also for the lucidity it brings on that would allow him to give us important diagnostic details — psychiatric history, family history, social history, medical history, etc. If I thought he could be sufficiently cared for by family or friends to help him receive regular oral medication, therapy, and follow-up, I would have discharged him. Otherwise, I’d have admitted him. And if he refused, I’d have ordered a 14-day involuntary commitment.