I would suggest four terms:
Total durchgeknallt (Totally wacky/unhinged)
Völlig bekloppt (Totally crazy/nuts)
Völlig bescheuert (Totally insane/stupid)
Komplett irre (Completely insane/out of their mind....considered a nice term and wouldn't normally get someone angry)
Now.....you could use: Wahnsinnig (Insane) or Gaga (Colloquial for "nuts")....but I don't consider them as useful/effective.
If the German is in front of you (male or female)....I'd consider not uttering anything, unless it's not really their own fault. Also....if you use batshit-crazy....don't anticipate them understanding the English phrase.
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