It's a textbook case.

The spirit of the shark was placed withi… Um, I'm here to see Ellie. People aren't real here, like actors. Man, you've been on this bike for months… Somebody must have answered my prayers. If she got a butthole, she gonna be miss… But doing nothing isn't doing anything. First rodeo, Ellie. I can't believe we haven't had it yet. Do you feel like you're making progress? He knows your name. This boy knows your touch, the sound of… He could be... I've got nothing. Just coming, dearie! Stay focused.