Interesting case last night in the OPD. I saw a mother who appeared well at first but was actually psychotic. She thought her husband implanted listening devices in her hear, she was hearing disparaging voices, non-command, and felt old friends and characters in her life was after her. These symptoms are context of long hx of opioid use, PTSD, and some genetic loading of psychosis. What makes this case a bit hairier is the fact she had a 7 year old with her, who she lives alone with. I thought long and heard about calling child's protective services but I couldn't justify any neglect or abuse. I opted not to call. I still wonder whether that was the right call. Thoughts?