A 22-year-old man presents with 6 months of auditory hallucinations commenting on his actions, thought insertion and social withdrawal. There is no su...

Question

A 22-year-old man presents with 6 months of auditory hallucinations commenting on his actions, thought insertion and social withdrawal. There is no substance misuse. What is the most appropriate next step?

Accepted Answer

Refer urgently to the early intervention in psychosis service

Answer

Start an antipsychotic in primary care and refer routinely

Answer

Diagnose personality disorder and discharge

Answer

Prescribe Benzodiazepines and review in 3 months

Answer

Arrange MRI brain only

uk-plab-1 MCQ (SBA): First-episode psychosis

A 22-year-old man presents with 6 months of auditory hallucinations commenting on his actions, thought insertion and social withdrawal. There is no substance misuse. What is the most appropriate next step?