Just committed my first patient to the nuthouse

I had clinic this morning and had a well child check no-show, so they put in a lady that thought she was pregnant. Ok, I thought, this will be a real no-brainer. Instead, I got a psychotic, delusional, manic lady who was off her meds. She was absolutely convinced she was 3 weeks pregnant, despite any evidence to the contrary. When I first came into the room she said in a strong English accent, "My, aren't you a tall drink of water." Didn't know what to say to that. She then proceeded to speak a mile a minute and tell me about how the oil fields in the Middle East release toxins into the air and that they have been getting into her brain. That ain't the only thing wrong with her brain. Oh, she also broke into Yiddish and Hebrew complete with the throat-clearing and all. Needless to say, two hours later I had her on a 72 hour hold and unhappily on her way to the ED to get admitted to the psych ward.