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Possession of a firearm by the mentally ill is regulated by both state and federal laws.
Federal Law
Under 18 U.S.C. § 922(d), it is unlawful for any person to sell or otherwise dispose of any firearm or ammunition to any person knowing or having reasonable cause to believe that such person has been adjudicated as a mental defective or has been committed to any mental institution.
State Laws (see link below)
Possession of a Firearm by the Mentally Ill
Note the word "ajudicated" which means a judge says you are mentally defective in a legal sense. It is the same as a conviction.
Most judges aren't qualified to rule on anyone's mental competence without input from trained mental health professionals.