Schizophrenia and related disorders Quiz: Ace Your Exams

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A 28-year-old woman comes to the psychiatry office to establish care. She recently moved to the area and needs a new psychiatrist. She cannot recall her previous diagnoses but reports being on a stable dose of aripiprazole, which was started 8 years ago due tauditory hallucinations involving the FBI and delusions of thought insertion. Although she is mostly asymptomatic, her residual symptoms impair her ability to work. She does not have a history of mood episodes consistent with mania, hypomania, or depression. Her temperature is 37.0 °C (98.6 °F), pulse is 80/min, respirations are 15/min, and blood pressure is 135/85 mmHg. Cardiopulmonary examination is normal. On mental status exam, she appears her stated age with a flat affect and demonstrates linear, logical thought processes. Which of the following is the most likely diagnosis? 

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