A 53-year-old Chinese woman with a history of migraine, transient ischemic attack, and depression presented to our clinic with a history of formication for some time. She described an itchy sensation of insects crawling all over her body. The patient was very upset and threatened suicide if no cure was found for her distressing sensation. She had a history of recent life stressors and was frightened because she had also been hearing voices in the night. She denied any history of recent travel or substance abuse.