Cabergoline was stopped, and, without need to give an antipsychotic, all symptoms revolved within 48 hours of observation in the hospital. Review of psychiatric symptoms after resolution of psychosis uncovered some sadness, poor energy, passive suicidal thoughts, free-floating anxiety, excessive alcohol use, and a history of compulsive hoarding, with some frequent hand-washing, but no noted obsessions or other compulsions. Stressors included unemployment, social isolation, and breaking up with boyfriend of many years. She remembered feeling depressed for many years and not seeking any psychiatric treatment. She has a family history of attempted suicide in her father and completed suicide in an uncle. She accepted a referral to an intensive outpatient program and deferred starting any further treatment to that setting. The patient’s progress was monitored over 1 month after hospital discharge, and no symptoms of psychosis were noted.