Chapter·PsychiatryDelusional disorder

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1

A 35-year-old woman is brought to the inpatient psychiatric unit by the police after she was found violating the conditions of her restraining order by parking on the side street of her "lover’s" home every night for the past week. Her "lover", a famous hometown celebrity, has adamantly denied any relationship with the patient over the past 6 months. The patient insists that ever since he signed a copy of his album at a local signing, she knew they were in love. Despite him having his own wife and children, the patient insists that he is in love with her and goes to his house to meet in secret. Physical examination of the patient is unremarkable. Urine toxicology is negative. Which of the following statements best describes this patient’s condition?

AThe patient will have concurrent psychotic disorders.

BThe disorder must meet 2 out of the 5 core criteria.

CSymptoms must be present for at least 4 weeks.

DThis disorder has a high prevalence rate.

EPatients may have a contributing medical condition.

2

A 26-year-old woman thinks poorly of herself and is extremely sensitive to criticism. She is socially inhibited and has never had a romantic relationship, although she desires one. Which of the following is the most likely diagnosis?

ASchizoid personality disorder

BParanoid personality disorder

CDepression

DDysthymia

EAvoidant personality disorder

3

A 20-year-old male is involuntarily admitted to the county psychiatric unit for psychotic behavior over the past three months. The patient's mother explained to the psychiatrist that her son had withdrawn from family and friends, appeared to have no emotions, and had delusions that he was working for the CIA. When he spoke, his sentences did not always seem to have any connection with each other. The mother finally decided to admit her son after he began stating that he "revealed too much information to her and was going to be eliminated by the CIA." Which of the following diagnoses best fits this patient's presentation?

ASchizophrenia

BBrief psychotic disorder

CSchizophreniform disorder

DSchizoid personality disorder

ESchizotypal personality disorder

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