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A psychotic breakdown is a major plot element in Persona 5.
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A psychotic breakdown occurs an unspecified amount of time after Goro Akechi's Persona, Loki, does something to a person's Shadow Self in the Metaverse. Unlike with mental shutdowns, a psychotic breakdown is not fatal by itself, resulting in the victim displaying abnormal behavior. Akechi would use this ability on various people such as by targeting subway conductors in an attempt to put pressure on the Ministry of Transportation and by creating scandals for opponents of Shido and his allies, and create situations for him to "solve" after they are discredited.
Akechi may also apply a psychotic breakdown to himself to significantly increase his battle prowess.
