An insane person has lost touch with reality and can't think clearly.
You might hear someone say that a situation or movie was so crazy and unrealistic that it's almost as if they've gone insane - but that's not really what the word means. When we use "insane" to describe something, like a comedy film or a wild party, we're being somewhat dramatic and exaggerating for effect. But in a serious sense, someone who's truly insane is struggling with their mental health and might be experiencing severe anxiety, depression, paranoia, or even psychosis. This can affect how they think, feel, and behave on a daily basis.
Exhibiting unsoundness or disorder of mind; not sane; mad
