He speaks somewhat unclear/indirect in terms of responses to basic questions and makes inconsistent eye contact with you though he appears to be somewhat cooperative during the exam.

Image result for santa claus on a roof
I have a colleague who has moonlighted as an on call clinician in the Emergency Room of a local hospital for about three decades and has seen it all but he is now training you to take over for him so he can retire to Florida and be assured that you are able to handle all situations that may crop up once he is gone. Imagine it is the evening of December 24th and the police bring in a man- with rosy cheeks and a long white beard, dressed in a red suit with a red cap, thick black belt and black boots- for evaluation, as he was found on the roof of a house near its chimney. He tells the two you that his name is Santa Claus and that he was planning to climb down the chimney of the house he was found at to deliver gifts for the children in the home. According to the police, he was carrying a huge bag filled with wrapped gifts but no burglary tools. He claims to be from the North Pole and is very fuzzy about his age and background though he is quite pleasant. He speaks somewhat unclear/indirect in terms of responses to basic questions and makes inconsistent eye contact with you though he appears to be somewhat cooperative during the exam. In spite of your attempts to provide him a reality check, he absolutely insists and believes he is Santa and that he needs to leave so that he can continue to deliver gifts around the world with his flying reindeer. When you question him about how he can do this all in one night, he smiles and tells you that it works through the magic of Santa.
After (not before) you have read Chapters 15 and 16 and reviewed any relevant Powerpoint slides, answer the following:
If there is no Santa (I know you will have to make believe there is not), what preliminary psychiatric/psychological diagnosis would you suggest to my colleague for this man and what would his specific symptoms be to justify/back up your diagnosis? Remember, you are trying to impress him so be thorough.
What specific biomedical treatment (for example a particular drug), if any, would you consider based on your preliminary diagnosis and why would you choose this one based on his symptoms?
What other therapeutic interventions would you consider?
Based on what you’ve learned, what would you say to my colleague if he asks you what you think would happen to this man if he was found on someone’s roof in the 1500’s claiming the same?