31st January 2024

A 34-year-old gentleman presents to GP with a 2-month history of hearing voices

A 34-year-old gentleman presents to GP with a 2-month history of hearing voices. He describes hearing a male voice that appears to be talking about him all the time. Sometimes, the voice is pleasant; other times, it can be nasty and say derogatory things about him. On occasion, the voice tells him to kill himself. He is particularly stressed because he feels like the voice is choking him. He is extremely distressed and worried that he has no control over his own body. Which of the first rank symptoms has NOT been described by this gentleman?

Select the SINGLE most appropriate option from the list below. Select ONE option only.