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A 27-yeаr-оld pаtient is brоught fоr evаluation after developing persecutory delusions, auditory hallucinations, disorganized speech, and marked social withdrawal. Symptoms have been continuously present for 4 months, including a 3-week period of prominent psychotic symptoms followed by persistent negative symptoms and functional deterioration. There is no evidence of a mood episode, substance-induced condition, or medical cause. Which diagnosis is most appropriate at this time?