“and then comes to his office to pick up her prescriptions which are held for her at the desk.”
She is probably doing what my mother in law does which is pick up the “paper” script and take it to the drug store for her arthritis pain medicine, which can’t be phoned in and has to be physically delivered to the pharmacist.
OK, that makes sense (must be my own ME/CFS brain fog again). Controlled RXs can't even be mailed and must be picked up in person.
My point to all is that you can't rely on what folks say if they appear to have “bipolar mania with psychotic features” or perhaps schizophrenia or schizoaffective disorder (a mash-up of schizophrenia and either bipolar or depressive disorders). That last one is my wife's latest diagnosis.
When she is having a relapse, I can't rely on anything she says as she confuses times, dates, places and persons as well as names of things. Yesterday she was talking about a blue penguin at the beach when she meant a blue heron, for example. The friend under discussion in the thread may actually have a psychiatrist prescribing those meds, but may be confused and say the MD was "only" a GP, for example.