8 Months Of Odd in Medicine / Internal Medicine — 16yo Child | Psychiatry | SMLE Q#1021
SMLE Question #1021
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 16-year-old boy is brought by his parents for 8 months of odd behavior. He reports hearing voices commenting on him and believes television characters are talking directly to him and sending special messages. His school performance has declined, and he has withdrawn from friends. He denies low mood, excessive worry, and substance use. What is the most likely diagnosis?
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