

Delusional disorder is a thing but that requires belief flying in the face of evidence. Can’t ascertain that without a good faith 1:1 convo.
beyond that, clinical significance is a matter of what harm comes from it. People are allowed to choose idiotic things. we gotta assess harm based on outcomes and we don’t know anything about her, so.
Id say this, if i were her doc and she came in reporting that stuff, it’d be hard to stay unbiased
crisis counseling is really fun. had to do a course on it in grad school. there’s a whole ad hoc assessment process where you’re monitoring everyone at the shelter and a whole triage process for who to give what services to.
very fulfilling work for people who like chaos, esp all you ADHD brains who can’t focus until someone’s missing a fucking arm