A 22-year-old man presents with a 6-month history of auditory hallucinations, social withdrawal and reduced self-care. He believes the television is s...

Question

A 22-year-old man presents with a 6-month history of auditory hallucinations, social withdrawal and reduced self-care. He believes the television is sending him messages. There is no substance use. What is the most appropriate initial management?

Accepted Answer

Begin an antipsychotic and refer to an early psychosis intervention programme

Answer

Benzodiazepines alone

Answer

Long-term psychotherapy without medication

Answer

Urgent ECT

Answer

Discharge with reassurance and review in 6 months

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

A 22-year-old man presents with a 6-month history of auditory hallucinations, social withdrawal and reduced self-care. He believes the television is sending him messages. There is no substance use. What is the most appropriate initial management?