Psychosocial Support During School in Medicine / Internal Medicine — Case | Psychiatry

A 22-year-old university student is brought by his roommate for 3 months of social withdrawal and odd behavior. He hears multiple voices commenting on his actions when no one is present. He believes professors send him coded messages through classroom announcements. Mental status examination shows flat affect, auditory hallucinations, and persecutory/referential delusions without prominent mood symptoms, substance use, or cognitive deficits. He has never taken antipsychotics. Symptoms fully remitted after about 3 months with psychosocial support during a school break. What is the most appropriate diagnosis?

Psychosocial Support During School in Medicine / Internal Medicine — Case | Psychiatry | SMLE Q#1007

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