Why Did Bipolar Perpetrator Turn From Knife Attack To Aggression Despite Taking Medication? “Combination of substance abuse disorder can lead to loss of control”

On Monday evening, a 30-year-old man attacked people with a knife in the Brussels metro station Schuman. Three bystanders were injured. The perpetrator, Anwar H., was arrested for attempted murder. Meanwhile, it appears that he had already been admitted to a psychiatric institution three times because of his bipolar disorder, for which he also took medication. How is it possible that, despite taking medication, he committed such a knife attack? Psychiatrist Sabine Wyckaert explains.

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