I don't think it is uncommon, but not as common as nuts, or Looney Tunes. On the other hand "mad" is hardly ever used except to mean angry.

Not playing with a full deck, doesn't have both oars in the water, there are a few lights missing from the marquee, could substitute.

Sorry Rik. I have hijacked your thread.

My cousin, who is schizophrenic, before his onset of schizophrenia, used to respond to questions, "One or the other, both, or neither." Reminds me of the coin toss options.