Often the security services routinely surreptitiously break into your house and rearrange shit in your fridge, or other head-fuckery, just to intimidate you, and just to show they can.
It's extremely difficult for people who aren't prepared for that environment. The ones that crack are usually civil servants overseas for the first time for domestic agencies like IRS, Social Security, FBI, Commerce, etc. Most larger embassies and consulates have a State Department shrink working there, for good reason. People lose their shit all the time. It's not particularly rare.
Additionally, in the more difficult countries, you are essentially living with the people you work with. That can induce some particularly cruel claustrophobia.
So, it's no wonder people are driven mad, either by each other, the environment or just crickets.