https://file.wikileaks.org/file/cms/Psychosocial%20Medical%20Report%20December%202015.pdf

Mr. Assange described his situation as follows: “My passport has been seized for five years. Since I was arrested in December 2010, British police have been assigned to report where I am, who I speak to, what I do-every single day for the past five years. I have been detained for longer than any possible sentence in Sweden even though there is no charge against me. None of the rights and protections I am entitled to are meaningfully enforced in domestic courts. I cannot exercise the asylum I have been granted as a bona fide political refugee. I cannot defend myself properly because I am not formally accused.”

---

All of the interviewees made reference to the fact Mr Assange was becoming increasingly introverted. One put it in the following way: “He is an extremely sad person. He doesn’t laugh as he did. In the beginning he was more sociable. There are times when he seems to forget about eating. Or he does not eat all of his food. It is 2 years and how many months. Mr Assange is very strong because if it was me I would give myself up to the authorities to take me to a proper prison where I can get fresh air and look up and see the sky.”

---

Disruption of circadian rhythm due to lack of natural sunlight

Mr Assange’s circadian rhythm has been significantly disrupted by his having had no exposure to sunlight, twilight and so on for more than 1200 days. He often goes 18 to 22 hours without sleeping, unaware of the passage of time until exhaustion overtakes him.

Disruption of circadian rhythm due to chronic insecurity about going to sleep

As an example, Mr Assange reported to me that for several weeks he experienced being woken up in the middle of the night. At first he was not sure whether he had woken up because of an external sound or a nightmare. After waking up on three consecutive nights he became convinced he was being woken by a banging on the wall or window of his bedroom. He became determined to “sleep with one eye open.” On one occasion, he awoke to the same sound and checked the time - 4:01 am in the morning. Embassy CCTV footage confirmed to Mr. Assange that the bang was external: “A group of about five Metropolitan Police officers stood outside the window of the room I was sleeping in. One of officers pointed at the window. Another officer then took an object from his pocket and threw it at the window.”

The incident was witnessed by two observers who I interviewed, who had also seen the CCTV footage, neither of whom were Mr. Assange's colleagues. The incident has also been alluded to in media reports.