JosieJo
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If there was doubt as to whether the illness was genuine, I imagine the defendant could be held in contempt of court if they kept refusing to resume testimony .
If we are talking full on mental breakdown meaning that they are now unfit to stand trial , I think the judge then sends them off to inpatient psychiatric hospital for treatment until such time as they are better .
It must be a very difficult decision to assess the genuineness of the situation and presumably in a first instance like this the judge has to air on the side of caution