Mrs. Warren, Rule/Out Schizophrenia demonstrating symptoms of paranoia, Part 4

A middle-aged woman with a suspicious, hostile affect reveals paranoid ideas, suggesting the interviewer “and your people” have been spying on her. Her answers reveal that she has delusions. Because she is so guarded, it is difficult to ascertain if she also has hallucinations, a symptom that would better confirm a diagnosis of schizophrenia.

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OFF CAMERA: [00:00:31] Hi Mrs. Warren Nice to see you again. How are you.

MRS. WARREN: [00:00:35] You’re with them.

OFF CAMERA: [00:00:37] Pardon me.

MRS. WARREN: [00:00:38] I know that you are she won’t tell me people like you never do.

OFF CAMERA: [00:00:46] I am not sure that I follow.

MRS. WARREN: [00:00:49] Sure. I just like the rest of them.

OFF CAMERA: [00:00:54] We’re on to you. Who do you mean by we.

OFF CAMERA: [00:01:02] You’re not going to tell me.

MRS. WARREN: [00:01:06] You know you have eyes and ears planted everywhere.

OFF CAMERA: [00:01:11] Everywhere.

OFF CAMERA: [00:01:13] You mean other places away from.

MRS. WARREN: [00:01:15] Everywhere.

MRS. WARREN: [00:01:17] Enough said.

MRS. WARREN: [00:01:22] Let me make sure I understand. Are you saying that you feel that I or someone else has been spying on you.

MRS. WARREN: [00:01:28] I don’t feel like I know that you have you and your people but I don’t need to explain.

MRS. WARREN: [00:01:40] You already know.

OFF CAMERA: [00:01:44] You feel safe here here in the emergency department.

MRS. WARREN: [00:01:49] There is nowhere that is safe. Don’t pretend like there is.