It's rare, but sometimes I do wonder with some patients.
It's obviously somewhat unarguable if it's just the more ideological "they're listening to all of us and generally invading our privacy." Usually then I'm just like, "TRUTH, but also please either put the pants back on or go to your room."
But then there'll be a woman who says the voices telling her to wash her hands until she bleeds are a symptom of the black magic her ex is using to track her. And I'm like: girl, u crazy about the black magic thing. All they need is a fuckin' AirTag, and he probably is tracking you. So then you call the cops to take down the report, and they're like, "We can't arrest the dude for black magic." And it's like, no shit, she's bonkers. But could you at least double-check that the dude isn't stalking her?
There are so many patients who tell me super fractured stories. They're impossible to untangle in a way that could even approach a formal pursuit of justice. But based on the details they're able to express coherently, I genuinely wonder if the story is true.