• real insanity possessed me It is easy to overlook the weight of this statement, but "real" should be given its
    due meaning. Following the accounts of Victor's attempted suicide (III:4:46) and his
    father's questioning earlier in this chapter whether his son was not actually mad,
    (III:5:5) these symptoms, an alteration between violent rage and withdrawn lethargy,
    point to a serious manic-depressive condition. For Elizabeth this has to be extraordinarily
    trying: the depressed state Victor was in when he had left her, both upon undertaking
    the excursion to Chamounix (II:1:10 and II:1:14) and in the aftermath of his encounter
    with the Creature (III:1:1), had been serious enough, but the extremity into which
    it has developed hardly bodes well for her future with him. Even so, Elizabeth reverts
    to her characteristic vocation of nurse.