A 38-year-old male was previously in a general psychiatric ward for 2 years because he thought that the government was sending beams into his brain and trying to control his actions

A 38-year-old male was previously in a general psychiatric ward for 2 years because he thought that the government was sending beams into his brain and trying to control his actions. He is now discharged into the community and seems less bothered by those thoughts. However, he prefers to stay indoors and does nothing all day, hardly socialising with anyone. On approaching him, he shows marked poverty of speech and a restricted affect.

2. A 46-year-old female is brought to hospital as she believes that she is a divine being in the process of transforming into God. She believes that she is able to control other people’s feelings and behaviours. In the last few days, she has become increasingly aggressive to her neighbours as she thinks that they are stopping her from acquiring further powers. On examination, her speech is normal and no signs of elation or agitation are seen. Her psychiatric history is unremarkable.

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3. A 38-year-old male is described as a ‘loner’ by his family as he does not seem to have any close friends. He usually spends his time alone at home because he becomes extremely anxious around other people. When talking to others, he feels that they are being nice to his face but that there’s an alternative agenda. He likes to dress in silver clothing because he feels it brings him ‘closer to cosmic forces’. 22 Chapter 2

4. A 25-year-old male is taken to hospital by the police as he was found screaming on the streets. He had been trying to light himself with a lighter, claiming that he was invincible and had the power to fix all evil in the world. His speech was highly pressured and he complains that his thoughts are going out of control. According to hospital records, he had been admitted to hospital three times in the last year for similar episodes.

5. A 30-year-old male is brought to hospital by his family because of increasing concerns about his behaviour. In the last few months, the patient has been going through periods when his mind appears to be preoccupied, staring in space and maintaining a funny posture like a statue. On examination, he is mute and does not respond to any stimuli. His urine drug screen is negative.