Patient is a 56 year old Caucasian male who was admitted via the emergency room after a 24 hour history of insomnia, delusion of persecution and auditory hallucination. He heard voices telling him different things though could not make out distinctly what they were saying. Also he feels everyone was against him. A week prior to admission, he had presented to his Primary care physician with a history of progressively worsening dizziness and facial asymmetry. CT scan of the brain was negative and he was prescribed prednisone 20 mg daily for 5 days.