A 48 yeаr оld wоmаn is brоught to аn initial psychiatric interview by her husband who has been worried about his wife for several months. She sits tearful, rather despondent, preferring that her husband respond to the questions. She has recent weight loss, has stopped getting involved in activities she previously enjoyed, she stays in bed at least 12-15 hours every day and even after getting up, she has little motivation. She acknowledges feeling tired. She has been fearful that the neighbors are spying on her and refuses to shop anywhere because she fears being cheated. Several times over the past several weeks, she reported hearing the voice of her dead mother telling her to overdose. There is evidence for