A 23-year-old man is brought by his family with a 3-month history of social withdrawal, hearing voices commenting on his actions and firm beliefs that...

Question

A 23-year-old man is brought by his family with a 3-month history of social withdrawal, hearing voices commenting on his actions and firm beliefs that neighbours are spying on him. There is no substance misuse. What is the most appropriate management plan?

Accepted Answer

Urgent referral to early intervention in psychosis services for assessment and initiation of antipsychotic therapy

Answer

Start an antidepressant only in primary care

Answer

Reassure the family and arrange review in 6 months

Answer

Prescribe benzodiazepines alone for agitation and send home

Answer

Detain under the Mental Health Act without further assessment

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

A 23-year-old man is brought by his family with a 3-month history of social withdrawal, hearing voices commenting on his actions and firm beliefs that neighbours are spying on him. There is no substance misuse. What is the most appropriate management plan?