A 52-year-old man comes to the physician with the chief complaint of feeling depressed for the past 2 months. He notes that he is not sleeping well, has lost 5 kg in the last 6 weeks, and is having anergia and anhedonia. In addition, in the past 4 weeks he has begun to hear the voice of his dead father telling him that he is a failure and he has begun worrying that his organs are rotting away. Which of the following statements is true?
Sodium valproate is drug of choice in rapid cycling
The patient should be staed on an SSRI and an antipsychotic
The patient is having an acute schizophrenic episode
The patient is likely suffering from a factitious disorder with psychological symptoms
The patient is likely abusing alcohol