Question 14 (part 2) · LEK · Primary psychotic disorders
A 37-year-old male presents to the doctor after a nervous breakdown. The patient reports that after a recent bankruptcy, loss of house and business he fell into deep depression. He started hearing voices telling him he was useless and should kill himself. The patient claims that the symptoms resolved after a week. He has never had similar episodes before and there are no mental disorders in his medical history. On physical examination no abnormalities are detected and laboratory tests are within normal limits. The correct diagnosis is:
- A. borderline personality disorder.
- B. acute and transient psychotic disorder.
- C. major depressive episode with psychotic symptoms.
- D. schizophrenia.
- E. schizophrenic disorder.
Hint
Look at the total duration of the episode and its link to a severe stressor — is it long enough for a mood episode or schizophrenia?
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