Step 1

Behavioral 2

A 24-year-old woman is brought to the emergency department by her mother with a complaint that the patient has been acting “strange” this last month. The mother speaks to the patient almost every day and has noticed that her daughter has expressed increased anxiety surrounding graduate school and often complains of not having enough time in the day to get everything done. To her mother's knowledge, the patient has been getting around 4-5 hours of sleep every night, which is why her mother was not overly concerned when her patient seemed increasingly irritable during their recent conversations. Earlier in the night, she received a phone call from the patient in which her daughter complained of people following her and saying that “they were out to get her.” When the mother arrived at the patient's apartment, she found her with a “wild look in her eyes” and sweating. On physical examination, the patient is found to have dilated pupils, tachycardia, and diaphoresis. The rest of the examination is unremarkable.

Which of the following is the most likely cause of this patient's symptoms?

  • A) Brief psychotic disorder
  • B) Drug-induced psychosis
  • C) Schizoaffective disorder
  • D) Schizophrenia
  • E) Schizophreniform disorder

Authors

Dr. Ted O'Connell

Alicia Dillard

Editor

Dr. Ted O'Connell

Source

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