In context, what does the question "Am I mad? Or am I given over utterly to the fiend?" mean?

Question

That he has become a fiend
That God has given him over to his sin
That he is imagining things

Answer 1

The question "Am I mad? Or am I given over utterly to the fiend?" suggests that the person is questioning their own sanity or whether they have completely succumbed to evil influences or temptations. It implies a sense of internal conflict and uncertainty about their actions or state of mind.