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He has been through traumatic events during the war, including the death of his commanding officer and friend, Evans. Upon his return to England he suffers from hallucinations, he hears voices (especially Evans’), and he believes that the trees have a special message to convey to him. Rezia attempts to get Septimus help by taking him to several doctors. Ultimately Septimus commits suicide rather than let the doctors get to him.
Based on the textual evidence it seems that Septimus Smith is afflicted with schizophrenia. According to the American Medical Association schizophrenia is characterized by apparently disconnected remarks; blank looks; sudden statements that seem to spring to the speaker’s mind; hearing voices (often hostile); having hallucinations; having odd physical sensations; creating fantasy worlds; and exaggerated feelings of happiness, bewilderment, or despair...
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