While introducing the relevance of Philip K. Dick and his mammoth writing project the Exegesis to discussions on the nature of madness encapsulated within written language, this chapter delves into a series of critical debates pertaining to Dick’s work and legacy. Brief examination of the postmodern milieu in which Dick’s works sits will be covered to emphasize how his cultural-historical moment is already heavily infused with concepts such as schizophrenia and paranoia. Following a detour via Dick’s own relation to aspects of psychopathology, the Exegesis is then (psycho-)analyzed according to Lacan’s tripartite system of reality; Imaginary, Symbolic, Real to demonstrate how psychotic structure can be detected at the level of text. I argue that Lacan’s ‘sinthome’ is directly relatable to the Exegesis and draw parallels with both Lacan’s engagement with Schreber as well as with his reading of James Joyce.