In a county psychiatric emergency clinic, you are asked to evaluate a 19-year-old woman for unspecified psychotic behavior. She is accompanied by her parents, who brought her to the clinic. Upon contact you note she is disheveled and unkempt in grooming and hygiene. In talking with you she often pauses inexplicably, rambles about something unrelated, laughs to herself, and then turns her face away. Episodically attending to you, she spontaneously claims that you are controlling her mind, and indicates that she sees odd objects floating around you. There is no recent history of substance abuse (though remotely positive for amphetamines), and her symptoms have been prominent for most of the past year, though particularly acute this evening when she attacked her mother claiming that she was a clone and trying to pull her “real mom” out of the clone’s body. The most likely diagnosis for this presentation is:

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The Association of Social Work Boards Masters Exam, formerly known as the ASWB Intermediate exam, is a licensure examination designed by the Association of Social Work Boards (ASWB). The ASWB exams measure skills and knowledge in social work-specific content areas, such as human development and behavior, social and economic justice, and intervention processes.  Each ASWB exam consists of 170 multiple choice questions, including 150 scored questions and 20 questions used for data collection regarding the effectiveness of the exam. The 10 sections of the ASWB Masters Exam include: Human... Show more

In a county psychiatric emergency clinic, you are asked to evaluate a 19-year-old woman for unspecified psychotic behavior. She is accompanied by her parents, who brought her to the clinic. Upon contact you note she is disheveled and unkempt in grooming and hygiene. In talking with you she often pauses inexplicably, rambles about something unrelated, laughs to herself, and then turns her face away. Episodically attending to you, she spontaneously claims that you are controlling her mind, and indicates that she sees odd objects floating around you. There is no recent history of substance abuse (though remotely positive for amphetamines), and her symptoms have been prominent for most of the past year, though particularly acute this evening when she attacked her mother claiming that she was a clone and trying to pull her “real mom” out of the clone’s body. The most likely diagnosis for this presentation is: