Question

A patient has had MDD for 3 years and reports hearing voices telling him he is worthless and to kill himself. Diagnosis? Treatment?

a) Schizophrenia; Antipsychotics
b) Major Depressive Disorder with Psychotic Features; Antidepressants and antipsychotics
c) Bipolar I Disorder; Mood stabilizers
d) Delusional Disorder; Psychotherapy

Answer 1

The patient's symptoms indicate Major Depressive Disorder with Psychotic Features. Treatment involves a combination of antidepressant and antipsychotic medications.

Step-by-step explanation:

The patient's symptoms of hearing voices telling him he is worthless and to kill himself are indicative of a condition known as Major Depressive Disorder with Psychotic Features (MDD with psychotic features).

The recommended treatment for MDD with psychotic features includes a combination of antidepressant medications and antipsychotic medications. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can help alleviate depressive symptoms, while antipsychotics, such as risperidone or olanzapine, can help manage the psychotic symptoms.