A 23-year-old female presents with a six-month history of increasingly disorganized behavior, unprovoked aggression, and odd beliefs, such as thinking that her thoughts are being controlled by an external entity. What could be the potential diagnosis, and what are the next steps?
The symptoms described—disorganized behavior, aggression, and delusions of thought control—point towards a psychotic disorder, with schizophrenia being a strong possibility. Next steps would include conducting a thorough psychiatric evaluation, considering other differential diagnoses (like bipolar disorder, drug-induced psychosis, etc.), and ruling out medical conditions that could cause similar symptoms. Antipsychotic medication would likely be indicated.