For a moment, Olivia only blinks at Irish in confusion and incredulity, but eventually, she comes to realize that Adrian needing a psychiatrist may not be that far-fetched, especially with how crazier and crazier he is becoming each day.
It's not the kind of crazy where he'd go hysterical and berserk. Rather, he was one who would lock himself up all day, act like he was losing his mind by disregarding reality and staying trapped in his own world, and avoid talking with anyone as much as possible. Now, he even cries out of nowhere - they are not sure how long this has been going on, but they can tell that he is already getting to the edge of his sanity.
Adding to his emotional instability is his tendency to switch to ogre mode in a matter of seconds just like earlier.