Mrs. Wang is a 69 year-old Asian American woman presenting with a chief complaint of being “infested with parasites” for the past 5 months. She described crawling, stinging and biting sensations that occurred spontaneously all over her body. There were a few plastic zip-lock bags containing what she believes to the parasites and their eggs. From her expressions and demeanor, the patient appeared deeply worried about and quite preoccupied with her infestation. However, upon further questioning Mrs. Wang stated that she was not entirely convinced about the existence of live organisms in her skin. She was open to other explanations, but above all, just wanted to receive a good treatment.