A young Asian female in her early twenties suffered selective mutism, emotional lability, and delusions during a period of personal crisis. The patient experienced brief intermittent periods of clarity during her psychosis of unknown origin, and wrote “Please save me” on a piece of paper during her first meeting with the author of this report. Her confabulations and delusions are analyzed, along with the family and social circumstances that prevented her from receiving adequate treatment.

A woman with a complicated past psychological history presented with a paradox of refractory emesis despite the continual usage of numerous anti-emetic pharmaceuticals. The patient had sought help repeatedly from others in the past. Laboratory results were inconclusive. Eventually, taking a thorough patient history led to the discovery of the obscure reason behind the patient's condition.