Question
Based on the 2 vignettes identified as Robin and Becky what type of psychotic disorder would be appropriate for each? What would be the justifications
Based on the 2 vignettes identified as Robin and Becky what type of psychotic disorder would be appropriate for each? What would be the justifications for each diagnosis? And what would the potential differential diagnoses that could be considered and discarded?
Robin
Robin is a 29-year-old Caucasian female who was referred to counseling from an emergency room doctor. Per the doctor, Robin was extremely distraught when she came into the ER as evidenced by her bizarre behavior and frantic attempts to receive medical help. She informed the ER doctor that she needed to undergo surgery to remove an implant that was in her abdomen. Robin further stated that her television had spoken to her and told her that the implant had been put into her body by aliens during the abduction. The doctor assessed Robin for drugs and alcohol and found no evidence of intoxication or withdrawal. Robin commented to the doctor that "nothing like this has ever happened before" and that she felt "fine until 2 weeks ago," when she started receiving messages from the television.
Becky
Becky is a 43-year-old Caucasian female who attends counseling regularly. Recently, the focus of counseling has been focused on Becky's relationship with her boss; she has informed her counselor that her boss is madly in love with her even though he is married with several children. Becky is trying to determine what course of action to take in convincing her boss to leave his family so that they can start one of their own. Becky tells her counselor that her boss has never discussed these matters with her outright, but she knows how he feels by the way he looks at her. Additionally, Becky states that she is able to infer his love messages from the work emails that he sends to her regularly. She has been working at her current job for approximately 2 years and believes that her boss has been in love with her for about 6 months.
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