Approach to schizophrenia spectrum and other psychotic disorders Quiz: Ace Your Exams
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A 25-year-old woman presents to the psychiatry clinic with episodic auditory hallucinations for the past 4 weeks. The patient is unable to identify specific content in the voices but identifies them as “aliens” sending “messages from outer space.” There is no history of manic or depressive episodes. The episodic auditory hallucinations began after transitioning from aripiprazole to lurasidone, which was originally prescribed 7 months ago for similar symptoms that affected her ability to hold a job for a year. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 15/min, and blood pressure is 118/76 mmHg. Cardiopulmonary examination is unremarkable. Mental status exam reveals an adult who appears age-appropriate, with flat affect, increased response latency, and intermittent glances around the room as if responding to unseen stimuli. Which of the following is the most likely diagnosis?
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