A 24-year-old accountant believes angels have instructed him to embezzle from his company and give the money to the poor. He believes the doctor who prescribed medication is under orders from demons to poison him. The most likely diagnosis for this man is

Question

Quizplus · Accepted Answer

The man is exhibiting delusions (believing in angels and demons) and hallucinations (hearing voices instructing him), which are hallmark symptoms of schizophrenia. Dissociative identity disorder involves the presence of two or more distinct personality states, obsessive-compulsive personality disorder involves a pervasive pattern of preoccupation with orderliness and control, and bipolar disorder involves significant mood swings between depression and mania. None of these diagnoses fully capture the symptoms presented in the scenario.

A 24-Year-Old Accountant Believes Angels Have Instructed Him to Embezzle