A key feature and obstacle to this defense is that the defendant must prove insanity by “clear and convincing” evidence, a very high standard of evidence. Even more, facts showing that a defendant might have been influenced by something else other than a mental infirmity will often make the defense very difficult to prove. For example, it is not uncommon for a person to be both be suffering from mental illness and under the influence of a substance. In such a situation, it is difficult, if not impossible, for a mental health professional to determine whether the conduct was caused by the mental illness or the substance(s).
Even in cases of pure mental illness, often there is some evidence that a person knew what he or she was doing was wrong. For example, a person’s attempt to run from police after the criminal act could show that the person was, at least, marginally aware that his or her conduct was unlawful.
Finally, under Florida Statute 916.15, if a person is found Not Guilty By Reason of Insanity, the State may still commit that person involuntarily to a mental institution until such time as that person does not pose a threat to themself or others. In some cases, this type of commitment could last for years, decades, or a lifetime. Notably, there is no time limit on this type of commitment. A person could be found Not Guilty By Reason of Insanity on an Aggravated Assault, a five-year crime, but remain committed in a facility for well over five years.
As mentioned, every case and every person is different. It is a difficult decision to defend a case on the theory of Insanity.