A 20-year-old male college student has been referred for evaluation by his family. They note that over the last six to seven months he has increasingly avoided contact and/or talking with family members and friends, that he often seems intensely preoccupied, and that his hygiene and grooming have become very poor. In speaking with him the counselor notes that he seems very guarded, that his affect is virtually expressionless, and that he resists talking. When able to coax him to speak, his speech is very tangential, disorganized, and even incoherent at times. He seems to be responding to internal stimuli (hallucinations and/or intrusive thoughts). The family and he deny substance abuse. Which would be the MOST likely diagnosis?

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The National Counselor Examination (NCE) is a 200-item multiple-choice examination designed to assess knowledge, skills and abilities determined to be important for providing effective counseling services. The NCE is a requirement for counselor licensure in many U.S. states. It is also one of two examination options for the National Certified Counselor (NCC) certification. Education Requirements: You must hold a counseling degree with at least 48 semester hours or 72 quarter hours of graduate-level coursework from a CACREP-accredited program or a counseling program administered by a... Show more

A 20-year-old male college student has been referred for evaluation by his family. They note that over the last six to seven months he has increasingly avoided contact and/or talking with family members and friends, that he often seems intensely preoccupied, and that his hygiene and grooming have become very poor. In speaking with him the counselor notes that he seems very guarded, that his affect is virtually expressionless, and that he resists talking. When able to coax him to speak, his speech is very tangential, disorganized, and even incoherent at times. He seems to be responding to internal stimuli (hallucinations and/or intrusive thoughts). The family and he deny substance abuse. Which would be the MOST likely diagnosis?