Ingrid Melle K.G. Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo and Oslo University Hospital, Nydalen, 0424 Oslo, Norway The Breivik case and what psychiatrists can learn from it July 22, 2011 was a quiet, gray and humid day in Oslo. <...> As most Fridays in the middle of the Norwegian summer holiday, offi ces closed early and locals left the city to the tourists. <...> However, two hours later, it was reported about gunfi re at the summer camp for the Norwegian labor party’s youth organization came pouring in. <...> Breivik had traveled directly from the bombsite to the small island of Utoya and gained access to the island ferry masquerading as a police offi cer. <...> He almost immediately started shooting at the 600 persons trapped on the island and killed 69 persons, 59 of which were born in or after 1990. <...> Survivors also report that several times he was laughing and shouting while shooting. <...> In his fi rst interrogation at Utoya, Breivik presented himself as the commander of the Knights Templars of Norway, an organization he claimed consisted of 15–80 “Knights” in Europe in 2008, with himself having a central position in the Norwegian branch. <...> They married quickly before his birth and moved abroad, where his father worked for the Norwegian foreign services. <...> His parents divorced in 1980 and he grew up with his mother and half-sister in Oslo, with limited contact with his father outside holiday visits. <...> His mother asked for help from the Child Welfare Services twice because she found him a diffi cult child, and in 1983 Breivik was examined by the Child Psychiatric Services. <...> However, the Child Welfare Services decided against his mother, and after a short period of home supervision they closed the case in 1984. <...> As a teenager he was preoccupied with his physical appearance, worked out frequently, used anabolic steroids and had cosmetic nose surgery in his early twenties. <...> In addition to his outlining extreme views on multicultural societies, Islam and Marxism, Breivik presents here an edited version of his own development. <...> There is also a signifi cant doubt about the existence of the Knights <...>