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Case Lab · Type C · Developing

F25 · Stage 1

Voices and a mood that's hard to read

Kwame, 35, has a three-week history of hearing voices commenting on his actions and a belief that he is being followed. His family also mentions he has 'seemed a bit up and down' during this time — sometimes unusually cheerful and talkative, other times quiet — but they are not sure how severe this really is or whether it started at the same time as the voices. This is his first such presentation.

Based on this description alone, what is the best classification decision?