TABLE 1.

Diagnostic impression of the primary percipient per independent assessment (dated 20 March 2020).

Diagnostic impression	Diagnosis given as Delusional Disorder (F 297.1), persecutory type, with bizarre (implausible content) continuous. Does not meet criteria for: chronic psychosis, schizophrenia, psychotic disorders, psychotic related mood disorders, substance induced psychoses, delirium, organic cases of acute paranoia, major minor neurocognitive disorders, malingering, factitious disorder, and personality disorders
Contextual observations/etiological opinions	Opines phenomena as likely hypnopompic and hypnogogic hallucinations, citing relationship between times of rest and phenomena as a potential explanation. States, “the subjective belief that they were experienced [the phenomena] as she recounts them is itself delusional”. Opines with regards to family experience of phenomena as a case of shared delusional disorder. Cites cognitive memory error as explanation for early childhood paranormal experiences of daughter and mother and misinterpretation of experiences. Notes no pharmacologic treatment. Anti-psychotics not recommended due to lack of cognitive symptoms, or psychotic symptomology beyond reported paranormal experience
Recommendations	Recommends counseling, with subject open to possibility of hypnopompic/hypnogogic experience, and culturally sanctioned supernational beliefs with confabulatory memories, and a debriefing. Notes belief system is entrenched, but overall functioning is deemed “good”