The phrase is informal and often used in casual conversations or humorous contexts. When Steve wore socks with sandals, his sister said he was off his trolley.
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British Origin
It’s a British phrase, so it's more common in the UK than other English-speaking countries. After hearing his bizarre plan, his friends chuckled and remarked, 'You're off your trolley, mate!'
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Emotional Exaggeration
Often used to exaggerate for effect, not literally calling someone insane. She bought all the concert tickets - she’s completely off her trolley!