Tom walked into your office and said he'd been looking forward to talking with you. He said, "I've been feeling really good lately, really good...powerful, strong." Tom, a 54-year old man, was smiling and a bit wide-eyed as he began the conversation. "I'm feeling a real sense of purpose, like I was put here to help people," he said. Tom got further into his recent revelations, going so far as to say he felt "like Jesus Christ, in a way." Tom stood up with excitement as he continued to escalate emotionally and with his gestures. At no point was he threatening, but he was far more animated than ever before. As the conversation progressed, Tom told you that he was thinking about you and how powerful you were, too. He said you were like Thor with his hammer and that the two of you could really do good in the world. Then, giggling and gleeful, he admitted that he was thinking that he actually was Jesus Christ and that he wanted you and your powerful hammer to help him save humanity from those who were trying to control him. What might you do or say next?

What are your diagnostic impressions of Tom?