Many of those included are probably only affected in minor ways.
Those with serious mental illness are unlikely to survive the early stages of the war, and most of those that do are almost certain to be either nuked, or die within weeks of the first strategic strikes.
Imagine a depressed person in a post nuclear world without the meds and an abundance of military weapons just laying about next to the corpses of the soldiers who were carrying them...
Imagine a schizophrenic with access to those same automatic weapons - end result is the same, they just take more people with them before somebody else puts a hole in them.
Personally I think the "primitive" encounter is under utilised by GMs. Those who do survive, somehow, are going to be extremely unhinged and it's possible some of the apparently sane might take to hunting them down to "put them out of their misery". Of course that latter group could well be composed of some of the more homicidal types...
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If it moves, shoot it, if not push it, if it still doesn't move, use explosives.
Nothing happens in isolation - it's called "the butterfly effect"
Mors ante pudorem
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