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A 47-year-old woman is brought to the emergency room after she jumped off an overpass in a suicide attempt. In the emergency room she states that she wanted to kill herself because the devil had been tormenting her for many years. After stabilization of her fractures, she is admitted to the psychiatric unit, where she is treated with risperidone and sertraline. After 2 weeks she is no longer suicidal and her mood is euthymic. However, she still believes that the devil is recruiting people to try to persecute her. In the past 10 years, the patient has had three similar episodes prior to this one. Throughout this time, she has never stopped believing that the devil is persecuting her.

Which of the following is the most appropriate diagnosis for this patient?

a. Delusional disorder
b. Schizoaffective disorder
c. Schizophrenia, paranoid type
d. Schizophreniform disorder
e. Major depression with psychotic features

bb

C is the best answer

i think a

delusion only
no hallucination
no diorganized speech...
no catatonic behavior
no negative sx

hints for depression - suicide attempt ------ which resolved when Pt took Sertraline. And remember there is 2 week period of clear psychotic sx that Pt still has. This fits Dx of Schizoaffective Disorder

Ans is B

Correct answer BB

examb4 ,excellent