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Is incompetence the same as an insanity defense?

Being incompetent for trial differs from being incompetent ("insane") at the time of the offense.
Insanity is a defense to certain crimes that require proof of intent. For example, it could be
argued that one who is insane cannot commit first-degree murder because his or her mind is
incapable of premeditating and deliberating (planning the crime).
A few states have abolished the insanity defense but allow psychiatric evidence at trial on
the issue of intent. For example, a defendant in a drug case could not have formed the intent to
sell an illegal substance if he was delusional and believed that he was a doctor dispensing
medication.
Most states require formal notice of plans to raise the insanity defense. Such defendants enter a
plea of not guilty and proceed to trial. If convicted, such an individual may be found guilty, not
guilty by reason of insanity, or in a few states, guilty but mentally ill. Defendants found not guilty
by reason of insanity are placed in a mental health facility until their mental condition improves so
that they are no longer a threat to themselves or the community.