Sue Anne Brinkley is an eighteen-year old college freshman enrolled at Camyron State
University. She presents herself at the campus counseling center following the
unexpected death of her best friend. She exhibits the following symptoms --- disturbance
in her thought process (tangential thinking) as well as delusions of grandeur (she believes
herself to be Joan of Arc) and bizarre behaviors (repeatedly cleaning her sorority house
stove with a toothbrush). According to her roommate, Alison, these symptoms started
about eight or nine days ago (approximately 36 hours after hearing the news of her best
friend's death). Sue Anne has no prior history of mental illness and her level of
premorbid functioning was noted as "excellent." Based on this information, what do you
believe is Sue Anne's most likely diagnosis?
a) Hypomania, with psychotic features
b) Schizoaffective disorder, bipolar type
c) Brief psychotic disorder, with marked stressors
d) Schizophrenia, first episode currently in acute episode
c)
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