Question

A 36-year-old woman presents with new onset psychosis characterized by auditory hallucinations, disorganized speech, and negative symptoms for 8 months. Substance use has been excluded, and there is no mood episode of sufficient duration to meet criteria for schizoaffective disorder. According to schizophrenia treatment guidelines, which is the most appropriate first-line pharmacologic treatment?

Accepted Answer

Second-generation oral antipsychotic such as risperidone or olanzapine

Answer

Haloperidol decanoate long-acting injection

Answer

Clozapine

Answer

Benzodiazepines alone

Answer

Electroconvulsive therapy as monotherapy

Practice question