Only Fragmented Recall Of in Medicine / Internal Medicine — 27yo Man | Psychiatry | SMLE Q#964

SMLE Question #964

Medicine / Internal Medicine Psychiatry
Last updated: February 2026
A 27-year-old man develops sudden mutism followed by undressing, running in the street, and shouting that his deceased father is giving him commands. Symptoms began immediately after he learned that his father died suddenly in a motor vehicle collision 3 days ago. He has no past psychiatric history and denies alcohol or illicit drug use. Over the next 3 days, his behaviour gradually returns to baseline, with only fragmented recall of the episode. He is now calm, oriented, and without perceptual disturbances. What is the most likely diagnosis?

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