Mikoto hasn't been well, he was voted innocent and his innocence was backed up, but it didn't make him feel relaxed after finding out that he indeed kill without being aware
As he grew depressed, John started appearing more, to the point that Mikoto doesn't have the control most of the time. Eventually Mikoto just disappeared, forever asleep in his own head as his other personality took over his life
He was sent to a psychiatric hospital, in hopes of getting the original personality back. John was unusually cooperative with this plan, since he wanted Mikoto back to, after all his original plan was to disappear if Mikoto is voted innocent
John sat in his confinement, glaring at seemingly nothing. As much as he understands why he needed to be here, he does not like how he's being put in this pure white room that will surely drive him insane soon enough. He very much has so little trust in the doctors and his trust issues make it hard for him to comply when they would do check ups on him and have him do a therapy session with one of their psychiatrist