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Message: <blockquote data-quote="nittanytbone" data-source="post: 2778040" data-attributes="member: 35709">Mental illness is serious and debilating.  It shouldn't offer any meaningful benefits, especially in combat.  Perhaps allow an occasional (once per day or week) reroll of a failed knowledge check as a "flash of insight."  Otherwise, I would consider prolonged mental illness to be a disease which does 1d2 damage to all mental stats.  Eventually he'll fail enough saves and drop to 0 and lose it all the way.From a Gygaxian point of view, such a character should be killed off by the harsh laws of the jungle or expelled by the group.  Afterall, he is becoming an increasing liability and hazard to group survival.  The player will eventually learn to be cooperative and not dysfunctional.If you want to seriously explore mental illness in your game, be careful how you do it.  It can change the focus on the campaign, can bring up sensitivities to your players (maybe one has a relative with alzheimers or schizophrenia), and be a charged topic.One idea is to give the PC a cursed item which is causing the insanity.  Maybe he's wielding a power but cursed weapon.  Now it is up to the other PCs to figure out what's going on, get a Remove Curse cast, and figure out what to do with the item.  Now you've given the problem a definite reason, a solution, and can move on, while still allowing your player to have his fun for a bit.</blockquote>