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this post was submitted on 01 Jun 2026
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This seems really relaxed for Capgrass. Plus they're including themselves in the mix of imposters, and no one's really an imposter?
This could just be a bit?
I'm not seeing relaxed at all. This immediately flagged for me because of the timeline which I see as anxious/desperate. There's that 29 minute interval where they're sending disjointed follow-up texts and going through multiple emotions about it. In general receiving a text like that is some kind of crisis.
If it is a bit, I don't see the punchline yet. Especially in the follow-up text they say it in a way that I see as casually stated. That's psychosis in my experience. Those patients are confused by their delusions and disoriented, but sometimes it's described in an extremely eerie way where they're just matter-of-factly telling you about an entire second reality you can't perceive. I'm very stereotypically male-presenting and I had a patient calmly tell me that I was their mother. There's a disconnect there where that's more real than reality and the hospital/ambulance itself is what drives their anxious and aggressive responses.
In the delusion there's body-switching between their family members, and also depersonalisation from their own body/identity. That latter is also a classic feature of psychosis. The way they phrase it with "We all confused bro" after a 7 minute pause is too ambiguous for me to make sense of it. I just know that if someone sent me these texts I'd be getting them to a hospital. The emergency medicine part of my brain immediately flagged it as concerning.
I'm deferring to your expertise on this for sure. I just saw the "We all confused bro" as hard to read and that's where I was getting the more "relaxed" part since they weren't upset with anyone.