Except for extreme cases such as paranoid schizophrenia, or conditions with sympathetic social connotations (Down syndrome; severe autism), there is a tendency in media to regard mental disorders as some kind of put-on or character flaw that is at best amusing, at worst annoying. (Not that the extreme illnesses are exactly treated like cancer-victims; in fact they can be treated ''worse'' than milder forms.) The two most "comical" conditions are [[SuperOCD Obsessive-Compulsive Disorder]] and [[TourettesShitcockSyndrome Tourette's Syndrome]], both of which can be significant, sometimes disabling problems in real life.

At the very worst, a person is portrayed as being completely able to break out of their illness if they were to simply try hard enough -- in other words they're just plain ''lazy'' in addition to the behavior itself. Depressive? Cheer up! Manic? Just take a deep breath and calm down. Obsessive-compulsive? Relax already. Delusional? Get a grip on that overactive imagination. An eating disorder? Please. You look fine! Hyperactive? Control yourself, my God. Paranoid? It's not all about you, you know! Anxiety with panic disorder? Suck it up, coward!

A genuinely ''good'' character will, however, treat the mentally disturbed with kindness and will nicely ask whether [[NoMedicationForMe they went off their meds]] and that's why they're acting up again.

This prejudice contributes to the mentally disturbed being [[AcceptableTarget Acceptable Targets]] for the most merciless cruel humor and parodization. This pertains to sociological stereotypes that most people will tend to blame the victims of misfortunes, in order to take credit for their own ''good'' fortune, rather than owning it up to plain luck of the draw (often because luck runs out, and this means that it's only a matter of time for them).

Note that this also pertains to the illusion of control that society presents regarding one's mental state, vs. one's physical state; i.e. few, if any, will blame victims of cancer (except for lung cancer), leukemia, or similar organic physical illnesses or injuries, telling the person to "toughen up and get over it," or otherwise calling them "weak" or "lazy."

See also: HollywoodPersonalityDisorders, InsaneEqualsViolent, FunnySchizophrenia, CategorismAsAPhobia, BlackAndWhiteInsanity, AcceptableTarget. If the exact nature of the disturbance isn't spelled out it may be a case of AmbiguousDisorder.

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!!Examples:

[[folder: Anime and Manga]]
* ''SayonaraZetsubouSensei'' takes this one to its logical extreme. Half the cast, or more, suffers from some form of severe mental disorder, which is usually played for laughs (albeit intentionally dark and disturbing laughs).
* Alphonse and Edward from ''Manga/FullmetalAlchemist'' display all signs of PTSD when confronted with their old teacher, who was a firm believer in TrainingFromHell. Naturally, we're supposed to laugh. Meanwhile the trauma from the botched resurrection of their mother, which resulted in the loss of Al's entire body and two of Ed's limbs, is portrayed with the weight it deserves.
* Sakon Daimaru from ''{{Gamaran}}'' used to be sane, but became mentally disabled after the TrainingFromHell he suffered. Add his incredible martial arts to the lot and you get an HandicappedBadass and a ScreamingWarrior in battle.
* Yukishiro Enishi of ''RurouniKenshin'' is ''severely'' disturbed because he witnessed the death of his older sister Tomoe [[spoiler:at the hands of the protagonist Kenshin, who killed her by accident]] and the trauma is very apparent. His hair went [[LockedIntoStrangeness white]] soon after, he hallucinates seeing Tomoe, and if he tries to harm young women he becomes physically ill. To say nothing of [[AxCrazy his violent behavior]].
* One could make a very good case for [[MobileSuitGundam Char Aznable]] qualifying as clinically insane during the events of ''CharsCounterattack''. He's having constant flashbacks, he sees things and hears voices, and his cognitive dissonance has become so strong that he can somehow mentally reconcile dropping a meteor on the planet with his end game of "saving the world."
* ''Anime/MobileSuitGundamSEEDDestiny'' has Stella Loussier. Experimented on as a child, and subjected to massive quantities of mind-altering drugs, Stella is an IdiotSavant who can fly a HumongousMecha, but otherwise functions at the mental and emotional level of a five year old. Terrified of the world around her, she lashes out at anything that her superiors tell her is going to hurt her, burning down most of Berlin in a panicked effort to "make the scary things go away."
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[[folder:Comic Books]]

* Most comic book villains are ''not'' this trope, with Arkham Asylum in particular standing as a tribute to the fact that most people do not understand insanity or the insanity defence.
* Flash villain Hunter Zolomon/Zoom is a legitimate example of a mentally disturbed individual. Traumatised by, among other things, discovering his father was a SerialKiller (whose last victim was his mother), being crippled in the same shootout that killed his father-in-law, and being crippled again by Gorilla Grodd a short time after learning to walk, Zoom believes that MiseryBuildsCharacter, and that he is helping the DC Universe's heroes by hurting them. Delusional, paranoid, holding a view of the world that is fundamentally at odds with reality, and verging on suicidal, Zoom is badly in need of institutionalisation and therapy.
* Flash Rogue Heat Wave is a {{pyromaniac}} who burned down his childhood home and killed his parents in the process because he just couldn't help it. He's disturbed by his own insanity and has attempted therapy, albeit unsuccessfully.
* Killer Croc is another legitimate example. Having suffered massive amounts of abuse growing up and burdened with an increasingly monstrous set of deformities, Croc's mind was broken even ''before'' his condition started to eat away at his sentience. Nowadays he's more animal than man, and it's an open question whether he can be held accountable for his actions.
* ComicBook/TwoFace may not have a real mental disorder, but there is no doubt that he is mentally ill. With a fractured psyche that leaves him totally dependent on coin tosses to make decisions, Two-Face is void of moral agency, and is one of the few patients at Arkham to actually belong there.
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[[folder: Film]]
* ''Film/MrJones''
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[[folder:Literature]]
* ''TheBelgariad'''s [[TheBrute Taur Urgas]], who in addition to being an AxeCrazy psychopath is also prone to fits in which he foams at the mouth, chews on furniture, and otherwise completely loses touch with reality. This is actually played for a degree of sympathy when Eriond notes that Taur Urgas' madness was so severe as to excuse him from responsibility for his crimes, something that the rest of the cast had not considered.
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[[folder: Live Action TV]]
* ''{{Scrubs}}'' usually plays right into this one for a cheap laugh but takes a long look at individual characters to find some genuine problems. This ranges from the psychologist's two o'clock client running into a shot just long enough to inform characters that "they've landed" to a surgeon [[strike: unwilling]] ''unable'' to leave the operating room hours after performing surgery because he's still washing his hands.
** This latter scene developed into a serious, very well done, and poignant scene in which the main character sees just how much the surgeon with OCD actually suffers because of his condition, while prior to this it had been played mostly for laughs.
* As a kid watching ''SesameStreet'', Forgetful Jones is quite funny. [[FridgeHorror But when you look back at it as an adult]], you are wondering what person thought it would be great to make fun of a man suffering from advanced dementia, who appears no longer be able to do anything unsupervised.
* In a throwaway joke in ''{{Series/Extras}}'', Andy balks at the prospect of being set up with a woman with bipolar disorder and says something like, "She'll forget to take her lithium [[InsaneEqualsViolent and kill me]]." Granted, he is an UnsympatheticComedyProtagonist, but [[UnfortunateImplications still]].
* In {{Glee}}, Emma Pilsbury's OCD is mostly shown as a strange character quirk instead of the debilitating mental illness that it is. The show also keeps making jokes about how Emma's OCD and germphobia has caused her to be a virgin at her age, as she can't make herself get intimate with people. It took until the end of season 2 for the show to actually treat her OCD seriously, by having her go to a therapist to get help, at which point she admits that she's actually ashamed of it and that it's basically destroying her life.
* In one episode of ''{{CSI}}'', Grissom befriends the schizophrenic sister of the victim, who was driven insane by the same circumstances that led to the vic's death and is now a rambling bag lady. The end of the episode shows Gris walking next to the sister as she pushes her cart, having a lovely and surprisingly philosophical conversation with her regarding her delusions (she believes she's searching for something important, and when she finds it she can finally rest).
* Canadian television series ''Series/{{Cracked}}'' deals with a team of police officers and psychiatrists assembled to deal with crimes involving the mentally ill--whether as perpetrators, victims, or witnesses. Main character Aiden Black is himself suffering from symptoms of Post-Traumatic Stress Disorder and undiagnosed anxiety and mood disorders, stemming from his involvement in two fatal shootings, and as such has a great deal of sympathy for the victims of mental disorders. In the main, the show treats the mentally unwell as people, with a strong emphasis on treatment; one Season 1 episode, "No Traveller Returns", focuses on Aiden and resident psychiatrist Daniella Ridley having to make the case to a review board that [[ImAHumanitarian cannibal]], murderer, and paranoid schizophrenic Mandar Kush is fit for release from the mental ward he has been in for the past eleven years. They turn out to be entirely right--Kush has not had an episode in a decade, deeply regrets what he did, and is looking to make amends and reintegrate into society.
* ''Series/{{Justified}}'': Season 3 BigBad Robert Quarles spent his formative years being raped and abused by his heroin addict father's clients. As an adult he's deeply angry, prone to fits of irrational behaviour, dependent on pain-killers in order to remain mentally functional, and prone to reenacting the abuse he suffered, typically taking it out on male prostitutes. Damaged on a fundamental level, Quarles comes off as a very disturbed man trying to figure out why anybody would want to ''do this'' in the first place.
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[[folder:Pinball]]
* ''Pinball/{{Metallica}}'' has Sparky, who's clearly insane, merrily strapped into an electric chair, and played entirely for laughs.
-->'''Sparky:''' “Hmmmm, smells like fried chicken!” \\
'''Robert Trujillo:''' “Smells like little crazy bastard to me.”
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[[folder:Video Games]]
* ''FinalFantasyVII'' protagonist Cloud Strife is an emotionally fragile young man who suffers from bouts of depression, low self-esteem, and delusions, remembering things that never happened to him, and subconciously appropriating his friend Zack's life for his own. Couple this with his tendency towards [[HeroicBSOD shutting down]] when overloaded with stress, and it's clear that Cloud is seriously in need of professional help. He eventually does come to terms with a lot of his problems after his friend Tiffa takes a jaunt through his mind, and manages to be an effective hero nonetheless.
* Despite being a survival horror game set in a mental hospital, ''TheEvilWithin'' has a suprisingly sympathetic portrayal in the form of [[MacGuffinGirl Leslie Withers]]; he's clearly suffering from ''something'' severe enough that he can barely form a sentence or hold a thought, but he's certainly not violent or aggressive and tries desperately (as best he can) to warn you when something bad is about to happen.
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[[folder: Web Original]]
* In ''WebVideo/TheLizzieBennetDiaries'', the trope is maybe criticized with Lizzie's views about Mrs. Bennet. Lizzie sees her as this, but everyone else insists that she is pleasant and kind, whatever annoying opinions and form of interest she takes in her daughters's current love life, which makes clear that Lizzie may be actually projecting her anxiety over her life on her mother, the only one to share it. The best example is the spinster/witch costume, leading to much AlternateCharacterInterpretation.
* On the humor website ''SomethingAwful'', Asperger's Syndrome is apparently considered a great punchline, and this is starting to catch on in other places around the web. At least some of the humor is derived from the tendency of non-professional internet denizens to self-diagnose for the condition, as a way of stating that social ineptness is not their fault. Obviously, it takes more than just social ineptness to be diagnosed with Asperger's, but that doesn't stop the self-diagnosed from leaping to conclusions.
* In the WhateleyUniverse, there's a disease that some mutants have. Diedrick's Syndrome. It makes the sufferers sometimes break down into 'crazed supervillain' ranting and such. The best-known case at [[SuperheroSchool Whateley Academy]] is a popular target of the school bullies and elitists.
* Frequently averted and deconstructed on ''Website/{{Cracked}}'' which has many articles that point out how reductive a viewpoint this is, and how it completely ignores genuine mental anguish that needs to be addressed. In particular John Cheese, who himself suffers from Depression, seems to be angered by it and wrote that [[HeartwarmingMoments going to see a counselor or feeling depressed doesn't make you crazy, and urged young people to seek help if they're going through a crisis]].
** The aversion is more notable considering it's comedy site. However this is not to say, there aren't jokes in their articles about mental illness. Just that they treat mental illness as a serious condition. This aversion is justified because a lot of the articles about neurological disorders are either written by people who have them or people who have interviewed mentally ill persons beforehand.
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[[folder: Western Animation]]
* Ren from ''TheRenAndStimpyShow'' is probably the most famous example from Western animation. However, unlike most examples, his psychotic freak-outs weren't always played for laughter. While he did display InsaneEqualsViolent behavior, it was always when he was being ''normal''; when his manic side was triggered, that's when he snapped into batshit terrifying, yet non-violent mode. Examples include "Stimpy's Fan Club", in which a quite long and elaborate scene is dedicated to him considering killing Stimpy (complete with rambling that "his hands are dirty, the dirt won't come off" and that "with these hands, he holds the fate of millions"), but he doesn't lay a finger on him throughout all of it. There's also "Sven Hoek", in which he becomes furious with his cousin Sven and Stimpy, leading to another disturbing monologue. It truly gives a twist to Ren's personality, at least before he was [[{{Flanderization}} flanderized]] post-season 2.
* In ''WesternAnimation/MyLittlePonyFriendshipIsMagic'', "Screwloose", a clearly insane patient in the Ponyville Hospital's mental ward, is literally barking mad. Fortunately, in later episode, Screwloose has a cameo that shows she's recovering, now living in a regular house with having a nurse to look after her.
* On ''TotalDrama Revenge of the Island,'' Mike has "[[SplitPersonality multiple personality disorder]]" that is pretty much PlayedForLaughs and a LovesMyAlterEgo-styled LoveTriangle involving Anne Maria and Zoey. It takes a much more central role in ''All Stars'', where [[spoiler:a new personality is revealed, who takes over Mike's body completely and becomes the BigBad.]]
* In ''WesternAnimation/AdventureTime'', the Ice King suffers from an Alzheimer's-like dementia and hallucinations; while he's usually PlayedForLaughs, ([[CerebusRetcon especially in the beginning]]) he has some truly heartbreaking moments.
** The Royal Tart Toter and Lemongrab, as well. Tart Toter is senile and schizophrenic, and Lemongrab was [[WordOfGod intentionally]] to come across as severely autistic.
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[[folder: Real Life]]
* For much of human history, any behavior frowned upon by the majority or elite was considered to be a sign of mental illness, and before that a sign of evil (e.g. association with the devil or demonic possession).
** Cartwright identified [[http://en.wikipedia.org/wiki/Drapetomania drapetomania]], a common mental illness among 19th century American slaves that irrationally compelled them to run away from their owners. He recommended treatment by flogging. It should be noted, however, that this was NOT widely accepted as a mental illness; contemporary people mocked the "mental illness" at the time that Cartwright proposed its existence, and noted that as European indentured servants had also run away, clearly the disease was European in origin and had been introduced to Africa in the 17th century by slave traders.
** And in the Soviet Union, being opposed to Communism was considered a sign of mental illness, as well -- and was used as a thin veil for torture in "mental hospitals," disguised as "treatment."
** And not only in the Soviet Union; Hitler's first euthanasia victims were 28 mental patients, while the United States likewise sometimes classified non-conformity to various legal requirements as mental illness-- and subjected victims to similar treatments, despite later being proven wrong.
** Oppositional Defiant Disorder is a real diagnosis that is often misapplied to any child with behavioral problems, just like ADD is often misapplied to any child who gets bad grades.
* Any term used to describe the mentally handicapped gets used as an insult. Retard is merely the latest in a long line of these - moron and idiot both were once medical terms. People sometimes use autistic to mean behaving in a socially inept manner, or say someone is ADD when they have trouble focusing. This process is known as the euphemism treadmill, and is inevitable, due to human love of simile, metaphor, hyperbole, and insulting each other.
** [[AncientGreece Even earlier than that]], "Idiot" was a political slur that meant a person who was uninterested in public affairs.
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