Question 13 (part 2) · LEK · Schizophrenia
A 19-year-old female student is brought to a clinic by her flatmate, who has been worried about her unusual behaviour for 6 months. In the last month the patient has kept describing how other people’s thoughts entered her mind. In addition, her grades have become worse and she is not as talkative a she used to be. Her flatmate reports that in conversation she often digresses and it is difficult to understand what she means. On examination the patient says that a TV reporter told her that the government had a special task for her and that she should listen to the radio for further instructions. Which of the following conditions is the most likely cause of her symptoms?
- A. acute stress disorder.
- B. delusional disorder.
- C. schizoaffective disorder.
- D. schizophrenia.
- E. schizotypal disorder.
Hint
Count how long the illness has lasted and identify thought insertion, ideas of reference, disorganised speech and functional decline.
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