There must be some middle ground to take without making value judgements about a person’s beliefs or sanity, and with all due respect I don’t think you should be looking to make a commitment one way or the other while you’re in the process of assessing their medical condition. Does it actually make a difference to way you treat them? If you arrive at the scene of an RTA where the driver was drunk does that affect the way you treat him? I doubt it. You probably keep your opinions to yourself and deal with the trauma, you remain clinical and professional but courteous - surely it’s no different if you’re called to a “possession”. As for the “where does madness end and religion begins" question, there is a very fuzzy line between the two. An atheist crashing into the World Trade Center would undoubtedly be considered mad and would be vilified by thousands of his own people. A terrorist does it in the name of God and he is a hero to his extremist cohorts. For the majority of the faithful be they Christian, Muslim, Buddhist, Jewish, whatever, religion provides guidelines for living a happy, harmonious life but when you allow it to BE your life is when you slip towards madness. Tom, just keep on doing what you obviously do so well. I'll just keep taking the tablets.