PSYCHOSIS

Question 1

19 yo M c/o receiving messages from
his television set. He reports that he
did not have many friends in high
school. In college, he started to suspect
his roommate of bugging the phone.
In the same time frame, he stopped
going to classes because he felt that his
professors were saying horrible things
about him that no one else noticed. He
rarely showered or left his room and
has recently been hearing a voice from
his television set telling him to “guard
against the evil empire.”

Answer 1

Schizophrenia Mental status exam
Schizoid or schizotypal- Urine toxicology
personality disorder TSH
Schizophreniform disorder CBC
Psychotic disorder due to a- Electrolytes
general medical condition
Substance-induced psychosis
Depression with psychotic features

Question 2

28 yo F c/o seeing bugs crawling on her
bed over the past two days and reports
hearing loud voices when she is alone
in her room. She has never experienced
symptoms such as these in the past. She
recently ingested an unknown substance.

Answer 2

Substance-induced psychosis Urine toxicology
Brief psychotic disorder Mental status exam
Schizophreniform disorder TSH
Schizophrenia CBC
Psychotic disorder due to a Electrolytes, BUN/Cr, AST/ALT
general medical condition

Question 3

48 yo F presents with a one-week history
of auditory hallucinations, stating, “I am
worthless” and “I should kill myself.” She
also reports a two-week history of weight
loss, early-morning awakening, decreased
motivation, and overwhelming feelings
of guilt.

Answer 3

Schizoaffective disorder Mental status exam
Mood disorder with psychotic features Beck Depression Inventory
Schizophrenia TSH
Schizophreniform disorder CBC
Psychotic disorder due to a- Electrolytes
general medical condition