Answer the question.

Q. A 45-year-old woman with no previous psychiatric history is admitted to neurology for treatment of an acute multiple sclerosis flare. She does not smoke, drink alcohol, or use other illicit drugs. She is started on appropriate therapy and by the third day her initial lower extremity weakness has resolved. However, she also begins to act strangely, and asks you to change her room to prevent the “ninjas outside from creeping in and stealing my soul.” She also tells you the nurses have been poisoning her medicine, and that the president of the United States has ordered the nurses to make her death look like an accident. Which of the following diagnoses would be most likely?
A) Adjustment disorder
B) Bipolar disorder
C) Psychotic disorder due to multiple sclerosis
D) Schizophrenia
E) Substance-induced psychotic disorder

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