A 24 year-old woman is brought to your office by her husband because her husband thinks she is delusional. Six weeks ago, one night they watched Tom Cruise’s movie Top Gun: Maverick. In one scene, Tom Cruise smiles at a coactor. The patient told her husband that Tom Cruise actually smiled at the patient. Since that night, the patient has been watching different movies featuring Tom Cruise. From Endless Love, made in 1981 to Mission:Impossible – Dead Reckoning, made in 2023, she watched every movie which featured Tom Cruise and she believes that ‘every time he smiled it was a ‘secret signal of love’ for me’. Her husband tried to convince her that many of those movies were made before 1999, the year she was born and none of his smiles are secret codes of love to the patient. However, the patient is not convinced. He reports ‘she is perfect’ in all other areas of life. She is not interested in contacting Tom Cruise in any way because the patient said, ‘I want to stay faithful to my husband’. She hears no voices other people don’t hear, she sees no objects other people don’t see, she is oriented to place, person and time, she denies any thought of hurting herself or others. She reports that she ‘sleeps like a baby’, no loss of appetite, no fatigue. She still enjoys things she always loved to do: her work as a school nurse, her hikes, and her swimming classes. Which of the following is the most likely diagnosis in this patient?
