A 30-year-old man attends a daily psychiatric partial-hospitalization program. At the age of 18, he began hearing the voices of a man and a woman telling him that he is "no good." The patient, despite medication treatment, still hears these voices approximately 3-4 times a week. He is "used to the voices" and they do not particularly distress him any longer. He was hospitalized 2 years ago because of what he describes as a 10-day period of being "out of control". He says that at the time he had "too much energy, was spending lots of money, and talkingreallyfast.I alsostartedreadingtheBible,which is somethingInever do." Whichof the following is the most likely diagnosis?
| A. | Bipolar disorder, type I |
|---|---|
| B. | Brief psychotic disorder |
| C. | Major depressive disorder |
| D. | Schizoaffective disorder, bipolartype |
| E. | Schizophrenia, paranoid type |