A 22-year-old university student presents with a 3-week history of auditory hallucinations, persecutory delusions and social withdrawal. There is no s...

Question

A 22-year-old university student presents with a 3-week history of auditory hallucinations, persecutory delusions and social withdrawal. There is no substance use or mood symptoms. What is the MOST appropriate initial management?

Accepted Answer

Start antipsychotic medication and arrange early psychosis programme follow-up

Answer

Start antidepressant medication only

Answer

Provide reassurance without treatment

Answer

Delay treatment for 6 months to confirm diagnosis

Answer

Refer only for psychotherapy

ca-mccqe1 MCQ (SBA): First-episode schizophrenia spectrum psychosis

A 22-year-old university student presents with a 3-week history of auditory hallucinations, persecutory delusions and social withdrawal. There is no substance use or mood symptoms. What is the MOST appropriate initial management?