A 24-year-old man with schizophrenia has had three relapses after stopping oral risperidone. He stabilizes each time in hospital and denies adverse

Question

A 24-year-old man with schizophrenia has had three relapses after stopping oral risperidone. He stabilizes each time in hospital and denies adverse effects. At follow-up he says he forgets pills but wants to stay well. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Offer a long-acting injectable antipsychotic

Answer

Switch to antidepressant monotherapy

Answer

Use benzodiazepine monotherapy

Answer

Stop antipsychotic treatment due to nonadherence

Answer

Recommend psychotherapy without medication

Schizophrenia nonadherence — USMLE Step 3 MCQ

A 24-year-old man with schizophrenia has had three relapses after stopping oral risperidone. He stabilizes each time in hospital and denies adverse effects. At follow-up he says he forgets pills but wants to stay well. Which of the following would you recommend at the follow-up visit?