I admitted a 66 year old bipolar woman last night. As her daughter and I talked, the patient interjected comments as she thought appropriate. For example:

Daughter – “Mom has been having stronger narcissic impulses lately.”

Patient, interupting the above comment, – “I LOVE ME, WHO DO YOU LOVE?”

Daughter – “Mom has been bursting in to other people’s rooms…”

Patient – “FEE, FI, FO, FUM, I smell the blood of an Englishman”

Patient, seeing my uniform “Do you fly on the helicopter?”

Me – “Yep”

Patient – “I saw you flying over my house yesterday at 6. I see ducks flying in the sky too.”