3 Months Of Progressively in Medicine / Internal Medicine — Case | Psychiatry | SMLE Q#1024
SMLE Question #1024
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 20-year-old university student is brought by his roommate for 3 months of progressively odd behavior. He has become socially withdrawn, neglects personal hygiene, and his academic performance has declined. He reports hearing voices commenting on his actions and believes classmates are plotting to get him expelled. There is no history of substance use, major depressive or manic episodes, or known medical illness. Symptoms have been continuous for 3 months and markedly impair his functioning. What is the most likely diagnosis?
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