Read the case study listed below and use this table as your guide that addresses all the 6 areas (DSM 5-TR-Diagnosis, Rationale, Differential Diagnostic Considerations, Treatment Plan, Research Considerations, and Cultural considerations) listed in the table. Your response may be posted in table format with the title of each section below or maybe in paragraph format, section headers are required.

Felicia Allen is a 32-year-old, Asian American, single woman brought to the emergency room (ER) by police after she apparently tried to steal a city bus in Chicago. Because she appeared to be an "emotionally disturbed person," a psychiatry consultation was requested. According to the police report, Ms. Allen threatened the driver with a knife, took control of the almost empty city bus, and crashed it. A more complete story was elicited from a friend of Ms. Allen's who had been on the bus but who had not been arrested. According to her, they had boarded the bus on their way to a nearby shopping mall. Ms. Allen became frustrated when the driver refused her dollar bills, instead demanding exact change. She looked in her purse, but instead of finding exact change, she pulled out a kitchen knife that she carried for protection. The driver fled, so she got into the empty seat and drove the bus across the street into a nearby parked car.

On examination, Ms. Allen was a handcuffed, her appearance disheveled, with a bandage on her forehead. She fidgeted and rocked back and forth in her chair. She appeared to be mumbling to herself. When asked what she was saying, the patient made momentary eye contact and just repeated, "Sorry, sorry." She did not respond to other questions. More information was elicited from a psychiatrist who had come to the ER soon after the accident. He said that Ms. Allen and her friend were longtime residents at the state psychiatric hospital where he worked. They had just begun to take passes every week as part of an effort toward social remediation; it had been Ms. Allen's first bus ride without a staff member. According to the psychiatrist, Ms. Allen had experienced a traumatic childhood when her family immigrated from China when she was 5 years old. Specific details of her childhood are unknown as Ms. Allen never expanded on what happened. She had started hearing voices by age 17 years and she had been hospitalized almost constantly since age 18. Her auditory hallucinations generally consisted of a critical voice commenting on her behavior. In the past, Ms. Allen reported that the voiced instructed her to "kill herself". Before this incident her thinking was concrete, but when relaxed she could be self-reflective and stated her biggest goal was to "have my own room in my own house with my own friends."

The psychiatrist said that he was not sure what had caused her to pull out the knife. She had not been hallucinating lately and had been feeling less paranoid, but he wondered if she had been more psychotic than she had let on. It was possible that she was just impatient and irritated. The psychiatrist also believed that she had spent almost no period of life developing normally and so had very little experience with the real world. Ms. Allen's family stopped speaking to her after she experienced her first psychotic episode at the age of 17. Ms. Allen had been taking clozapine for 1 year but due to gaining 35 pounds on the clozapine she stopped taking it. Before this incident Ms. Allen was hoping to get a job and live more independently, and the bus trip had been intended as a step in that direction. Because of these improvements and goals, she had insisted on continuing to take the clozapine despite the weight gain.

As the counselor on call, you have been paged to conduct a biological, psychological, and social assessment of Ms. Allen and provide a DSM-5-TR diagnosis.