I have this very rich and fantastical reality in which I (whoever or whatever I am) sometimes reside. I am a super hero. I am god-slayer. I have the power to destroy whole worlds and tear apart the very fabric of reality. I have a dragon that eats fascists alive. If I were to share too much of my internal reality with a psychiatrist, I would likely be labeled as having "delusions of grandeur." People have been thus psychiatrized for less.