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Psychiatry General 115d7264

A 23 year old engineering student is brought by his family to the hospital with a history of gradual onset of suspiciousness, muttering and smiling without clear reason, decreased socialization, violent outbursts, and lack of interest in studies for 8 months. Mental status examination revealed a blunt affect, thought broadcast, a relatively preserved cognition, impaired judgment and insight. He is most likely to be suffering from -

A
Delusional disorder
B
Depression
C
Schizophrenia
D
Anxiety disorder
High-Yield Explanation
This patient has:- Delusions of control (thought broad casting) Disorganized speech (muttering) Disorganized behavior (smiling without clear reason, violent outbursts) Negative symptoms (blunted affect, lack of interest, decreased socialization). Duration of 8 months Diagnostic criteria for schizophrenia:- Two or more of the following symptoms (each should be present for 1 month or more) and causing social or occupational dysfunction for 6 months or more. Delusion   Hallucinations    Disorganized speech Disorganized or catatonic behavior Negative symptoms                                                                                                                                                                      Only one of the above is required if delusions are bizarre or there are third person hallucinations.

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