of 42, he had what was perceived at the time as an acute mental breakdown. Moved by the sermon, he soon engaged in a public beating of himself, begging mercy and wildly repenting for his past life. He was incarcerated in the area of the Royal Hospital reserved for the mentally ill and received the treatment of the day, which was to be segregated, chained, flogged, and starved. Cidade was visited by John of Avila, who advised him to be more actively involved in tending to the needs of others rather than in enduring personal hardships. John gained peace of heart, and shortly after left the hospital to begin work among the poor. Around this time, he made a pilgrimage to the shrine of Our Lady of Guadalupe in Extremadura, where it is said he experienced a vision of Mary, who encouraged him to work with the poor. Cidade expended all his energy in caring for the neediest people of the city. He established a house where he wisely tended to the needs of the sick poor, at first doing his own begging. When John began to put into effect his dream, because of the stigma attached to mental illness, he found himself misunderstood and rejected. For some time he was alone in his charitable work, soliciting by night the needed medical supplies, and by day attending to the needs of his patients and the hospital; but he soon received the cooperation of charitable priests and physicians. Many stories are related of the heavenly guests who visited him during the early days of his immense tasks, which were lightened at times by the archangel Raphael in person. To put a stop to his custom of exchanging his cloak with any beggar he chanced to meet, Sebastian Ramirez, Bishop of Tui, had a religious habit made for him, which was later adopted in all its essentials as the religious garb of his followers, and the bishop imposed on him for all time the name given him by the Infant Jesus, John of God. Brothers Hospitallers Slowly John drew to himself a dedicated circle of disciples who felt called to join him in this service. He organized his followers into the Order of Hospitallers, who were approved by the Holy See in 1572 as the Brothers Hospitallers of Saint John of God, who care for the sick in countries around the world.