This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Schizophrenia Spectrum and Other Psychotic Disorders, Subject name: Psychiatry
A 16 year old boy does not attend school because of the fear of being harmed by school mates. He thinks that his classmates laugh at him and talk about him. He is even scared of going out of the market. He is most likely suffering from: 
Select and explain. 
A. Anxiety disorder, B. Manic depressive psychosis (bipolar disorder), C. Adjustment reaction, D. Schizophrenia
D: Schizophrenia
Answer: D: Schizophrenia 
Explanation: The history is suggestive of delusion of persecution (fear that schoolmates may "harm" him) and delusion of reference (belief that classmates laugh at him and talk about him). Had they not used the term "harm" and "scared" a diagnosis of social anxiety disorder could have been enteained.