Step 1

Behavioral 9

A 21-year-old man presents to the clinic because he has been hearing voices in his head for the past 3 months. He reports that the voices have been telling him that he is ugly and worthless, causing him to quit his job and isolate himself in his room. He also reports that over the past 3 months the television has started to send him cryptic messages that the world's major cities will collapse soon due to a natural disaster. When asked more about this natural disaster, the patient switches conversation from the natural disaster to dogs, cats, his mother's cooking, and the nice red car he would like to buy. He has no significant past medical history, takes no medications, and denies any illicit drug use.

Which of the following is the patient's most likely diagnosis?

  • A) Brief psychotic Disorder
  • B) Delusional Disorder
  • C) Schizoaffective Disorder
  • D) Schizophrenia
  • E) Schizophreniform Disorder

Authors

Anastasiya Haponyuk

Editor

Dr. Ted O'Connell

Last updated

Jun 13, 2022

Source

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