Review Question - QID 213478

A 24-year-old woman presents to the emergency department when she was found yelling and screaming outside a bowling alley. The patient was found smoking marijuana and eating pizza while stating “if I'm going to die I'm going to die happy.” She was brought in by police and has been compliant since her arrival. Upon questioning, the patient states that she has had technology implanted in her for quite a while now, and she knows she will die soon. Any attempts to obtain further history are not helpful. The patient’s parents are contacted who provide additional history. They state that the patient recently started college 3 months ago. Two months ago, the patient began complaining about “technology” and seemed at times to converse with inanimate objects. On physical exam, you note a healthy young woman whose neurological exam is within normal limits. The patient is fixated on her original story and does not offer any information about her past medical history or current medications. Which of the following is the most likely diagnosis?