Some people have a need for repeating religious rituals. Attending confession only once in several years is not necessarily unusual for some Roman Catholics. Attending confession ten times in one day, however, may indeed be an indication of a serious problem. Another example would be answering several altar calls over several months. It may be usual in some denominations, but if the calls are in five different churches within two weeks this behavior may be symptomatic of a mental illness.
Some people believe they have exceptional spiritual gifts.
In the context of these faith traditions this may not be out of the ordinary. Both situations can seem bizarre. Again, an understanding of the persons' faith history and current status is essential in assessing the situation. When someone claims to have seen a vision or to have heard the voice of God, a pastor cannot assume that this is evidence of mental illness. Use Ctrl-F to find text in the destination page.