Mrs. Warren, Rule/Out Schizophrenia demonstrating symptoms of paranoia, Part 3

A middle-aged woman with a very flat affect reports her friends brought her to the emergency department. She answers in a concrete, non-elaborative manner. She becomes guarded, exhibiting paranoid, hostile thinking, suggesting the interviewer should know what she is talking about. Her symptoms are suggestive of schizophrenia and more history should be obtained.

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OFF CAMERA: [00:00:30] Hi Mrs. Warren Nice to see you again.

OFF CAMERA: [00:00:33] How are you.

MRS. WARREN: [00:00:36] OK.

OFF CAMERA: [00:00:37] Can you tell me why you came to the emergency department tonight.

MRS. WARREN: [00:00:44] My friends brought me.

OFF CAMERA: [00:00:46] Your friends brought you. Tell me about why they brought you.

MRS. WARREN: [00:00:51] You can ask them.

OFF CAMERA: [00:00:53] OK I’ll do that. How are things been going.

MRS. WARREN: [00:00:59] Can you be more specific.

OFF CAMERA: [00:01:02] How are you getting along with other people.

MRS. WARREN: [00:01:07] OK.

OFF CAMERA: [00:01:11] That’s all I’m going to say about that. are we going to be much longer.

MRS. WARREN: [00:01:24] No not much longer.

MRS. WARREN: [00:01:25] How much longer.

OFF CAMERA: [00:01:26] Well that depends.

MRS. WARREN: [00:01:27] Depends on what.

OFF CAMERA: [00:01:29] Well I need to ask some more questions. I hope you’ll answer them should be fairly quick.

MRS. WARREN: [00:01:38] These sorts of things are never quick.

OFF CAMERA: [00:01:41] You appear more uncomfortable than the last time I saw you.

MRS. WARREN: [00:01:46] Why shouldn’t it be.

OFF CAMERA: [00:01:48] What do you mean.

MRS. WARREN: [00:01:49] You know.

MRS. WARREN: [00:01:52] I don’t have to tell you.

OFF CAMERA: [00:01:56] Well it helps me if I know what you are thinking.

MRS. WARREN: [00:01:59] Can I get a drink of water.

OFF CAMERA: [00:02:02] What about if you stay here and I’ll get the nurse to get some water for you.

OFF CAMERA: [00:02:08] Is that OK.

MRS. WARREN: [00:02:11] I don’t have much of a choice.

OFF CAMERA: [00:02:14] Oh I’ll be back in just a moment.