A 36 year-old man presents to the emergency room asking for removal of software implanted in his body by his neighbor. He tells you that his x-wife is hiring this neighbor to spy on him. For the last 6 years he has been hearing them talking about him and all details of his life. He lives alone and he does not have any friends. He has no kids and one sister who do not visit him anymore since he accused her of spying on him. His physical examination and laboratory studies are unremarkable. Drug test is negative. What is the most likely diagnosis?
A-Brief psychotic disorder
B-Bipolar disorder
C-Major depressive disorder
D-Schizophrenia
E-Schizophreniform disorder
Answer:
This patient has psychosis in the form of delusions and hallucinations for 6 years. Duration of these symptoms suggests the diagnosis of schizophrenia. Brief psychotic disorder has a time limit of 1 day to 1 month. Schizophreniform disorder is considered if symptoms continue from 1 month to 6 months.
The correct answer is D
This is correct. Thank you Dr. Swanson
The right answer would be is D
1 generation antiphychotic use
Chlorpromazine
Fluphenazine
Haloperidol
Thioridazine
Trifluoperazine
Or 5-HT RECEPTOR AFFINITY NEW DRUGS
CLOZAPINE
OLANZAPINE
QUETIAPINE
RISPERIDONE
ZIPRASIDONE
ARIPIPRAZOLE
Hi Dr Azam
This is paranoid schizophrenia. A straight forward scenario shows that he is worried that his wife is doing bad thing to him. It is also diagnosed as schizophrenia because it lasts for 6 years. It is a great question. Thank you for visiting our website.
What type of schizophrenia is this kindly explain thanks
Correct ans is D but what should be the treatment protocols for such patient?
” choices D and E are incorrect.
The correct answer is D”