A 22-year-old man presents with a first episode of psychosis with auditory hallucinations and persecutory delusions over 1 month. There is no substanc...

Question

A 22-year-old man presents with a first episode of psychosis with auditory hallucinations and persecutory delusions over 1 month. There is no substance use. Which is the MOST appropriate initial management plan?

Accepted Answer

Start an antipsychotic and arrange urgent specialist mental health team review

Answer

Prescribe benzodiazepines alone and send home

Answer

Arrange only psychological therapy without medication

Answer

Detain under mental health legislation in all cases regardless of risk

Answer

No treatment is required until symptoms persist for 6 months

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

A 22-year-old man presents with a first episode of psychosis with auditory hallucinations and persecutory delusions over 1 month. There is no substance use. Which is the MOST appropriate initial management plan?