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Asked by JudgeWorldWolf37
Johan, a 65-year-old man, was recently admitted to an inpatient psychiatric unit after concerned passers-by found him wandering, disoriented and alone, down the middle of a busy street. Upon admission, hospital staff found a number of controlled substances in Johan’s possession, and toxicology results indicated a blood alcohol concentration that confirmed alcohol intoxication. Late the next day, hospital staff conducted a clinical interview with Johan. Johan reported that he was the third coming of Jesus and that he had come to Earth to save it from nuclear annihilation at the hands of flying monkeys. During the assessment, Johan appeared to believe he was speaking directly to agents of the flying monkeys but exhibited no negative psychotic symptoms. Hospital staff managed to contact Johan’s sister, who reported that Johan had lost his job a week ago after assaulting a coworker in a drunken rage. Several months prior to that, Johan’s wife of almost 30 years had asked for a divorce, citing his frequent binge drinking and its detrimental impact on their relationship. Johan’s sister reported that Johan had no prior history of psychotic symptoms. what is his diagnosis?
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