Why it's reasonable to suspect that James Holmes might have paranoid schizophrenia,
and why it's important that he have a complete psychiatric examination.
Some people have the misconception that people with paranoid schizophrenia are so disabled that they wouldn't be able to carry out Holmes's well-planned actions. Cognitive problems are common for other forms of schizophrenia, but less so for the paranoid type. One famous paranoid schizophrenic is John Nash, who received a Nobel Prize in economics for work he produced while he was a grad student at Princeton, suffering from both auditory and visual hallucinations.
In the case of James Holmes, he has no criminal history -- which would be very unusual for a murderer, but is typical of a schizophrenic murderer. He is the right age for the onset of schizophrenia. And his behavior would fit with the diagnosis. He was also under the care of a psychiatrist who has specialized in the care of schizophrenics.
The vast majority of schizophrenics don't turn to violence (except against themselves). But in individual cases the delusions ARE the cause of violence.
Here's some general info from the Mayo Clinic about paranoid schizophrenia:
http://www.mayoclinic.com/health/paranoid-schizophrenia/DS00862/DSECTION=symptoms
With paranoid schizophrenia, you're less likely to be affected by mood problems or problems with thinking, concentration and attention.
Key symptoms
Delusions and hallucinations are the symptoms that make paranoid schizophrenia most distinct from other types of schizophrenia.
Delusions. In paranoid schizophrenia, a common delusion is that you're being singled out for harm. For instance, you may believe that the government is monitoring every move you make or that a co-worker is poisoning your lunch. You may also have delusions of grandeur — the belief that you can fly, that you're famous or that you have a relationship with a famous person, for example. You hold on to these false beliefs despite evidence to the contrary. Delusions can result in aggression or violence if you believe you must act in self-defense against those who want to harm you.
Auditory hallucinations. An auditory hallucination is the perception of sound — usually voices — that no one else hears. The sounds may be a single voice or many voices. These voices may talk either to you or to each other. The voices are usually unpleasant. They may make ongoing criticisms of what you're thinking or doing, or make cruel comments about your real or imagined faults. Voices may also command you to do things that can be harmful to yourself or to others. When you have paranoid schizophrenia, these voices seem real. You may talk to or shout at the voices.
= new reply since forum marked as read
schizophrenic in the trenches of the disorder.
http://en.wikipedia.org/wiki/John_Forbes_Nash,_Jr.
Sadly, the brilliant John Nash wasn't functional, while in a psychotic state.
Nash began to show signs of extreme paranoia and his wife later described his behavior as erratic, as he began speaking of characters like Charles Herman and William Parcher who were putting him in danger. Nash seemed to believe that all men who wore red ties were part of a communist conspiracy against him. Nash mailed letters to embassies in Washington, D.C., declaring that they were establishing a government.[10][11]
He was admitted to the McLean Hospital, April–May 1959, where he was diagnosed with paranoid schizophrenia. The clinical picture is dominated by relatively stable, often paranoid, fixed beliefs that are either false, over-imaginative or unrealistic, usually accompanied by experiences of seemingly real perception of something not actually present — particularly auditory and perceptional disturbances, a lack of motivation for life, and mild clinical depression.[12] Upon his release, Nash resigned from MIT, withdrew his pension, and went to Europe, unsuccessfully seeking political asylum in France and East Germany. He tried to renounce his U.S. citizenship. After a problematic stay in Paris and Geneva, he was arrested by the French police and deported back to the United States at the request of the U.S. government.
In 1961, Nash was committed to the New Jersey State Hospital at Trenton. Over the next nine years, he spent periods in psychiatric hospitals, where, aside from receiving antipsychotic medications, he was administered insulin shock therapy.[12][13][14]
... Nash dates the start of what he terms "mental disturbances" to the early months of 1959 when his wife was pregnant. He has described a process of change "from scientific rationality of thinking into the delusional thinking characteristic of persons who are psychiatrically diagnosed as 'schizophrenic' or 'paranoid schizophrenic'"[2]
I may be wrong, but I think Holmes was far too organized and thoughtful, to fall under the schizophrenic umbrella. Again, JMHO.
again that he was too organized. I may be wrong. I am sure time will tell. Re - sleep. James is said to have eaten and slept like a baby after his arrest. This - per reports from his jailers.
Welcome! 
