A 22-year-old man presents with a first episode of psychosis characterised by persecutory delusions, auditory hallucinations and disorganised behaviou...

Question

A 22-year-old man presents with a first episode of psychosis characterised by persecutory delusions, auditory hallucinations and disorganised behaviour. Substance screen is negative. Which is the most appropriate initial management plan?

Accepted Answer

Start an antipsychotic, arrange urgent early psychosis service referral and involve family

Answer

Start antidepressant alone

Answer

Discharge without treatment as symptoms will likely resolve

Answer

Start benzodiazepines only for agitation with no follow-up

Answer

Immediate ECT as first-line

au-amc MCQ (SBA): First-episode psychosis

A 22-year-old man presents with a first episode of psychosis characterised by persecutory delusions, auditory hallucinations and disorganised behaviour. Substance screen is negative. Which is the most appropriate initial management plan?