Eighteen year-old Patricia Wilson was taken to the North Shore emergency room by her

family after she complained that she couldn't sleep because of the “voices” she heard.
She couldn't really say what the voices were saying but the family reported that Patricia
went on rambling and they could not understand her conversations. For the past six
months Patricia's family tried to ignore these symptoms but became more worried as the
symptoms continued. Their concerns became more emergent when Patricia started
talking gibberish, giggled inappropriately, made silly faces, and neglected her hygiene
and appearance.



a) Schizophrenia, first episode currently in acute episode
b) Schizoaffective disorder, depressive type
c) Schizophreniform, without good prognostic features
d) Schizophrenia, multiple episodes currently in acute episode


a)

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