A 52-year-old man comes to the physician with the chief complaint of feeling depressed for the past 2 months. He notes that he is not sleeping well, has lost 5 kg in the last 6 weeks, and is having anergia and anhedonia. In addition, in the past 4 weeks he has begun to hear the voice of his dead father telling him that he is a failure and he has begun worrying that his organs are rotting away. Which of the following statements is true?
The patient should be staed on an SSRI and an antipsychotic The patient is having an acute schizophrenic episode The patient is likely suffering from a factitious disorder with psychological symptoms The patient is likely abusing alcohol