Associate
A serious and genuine question. Because I don't know the answer; are there people with mental health issues in a permanent delusional state?
It depends whether or not they have received a correct diagnosis and are taking effective medication. If they lack either intervention then many of them are in a permanently delusional state.
Indoctrination of the young is more insidious and alarming to me.
Most of the mass-shootings that occur in the USA are done by people under 21-years-old. Once indoctrinated young people are more likely to act out violently.