A 17-year-old is brought to the general practitioner by his father, whose own brother has schizophrenia. Over…

Question

A 17-year-old is brought to the general practitioner by his father, whose own brother has schizophrenia. Over eight months the boy's grades have fallen, he has given up football and he spends most of the day in his room. Three months ago he told his father over four days that his phone was broadcasting his thoughts, then stopped mentioning it and has not raised it since; he now calls that period a weird patch. He uses no substances and urine toxicology is negative. He is not suicidal, and examin…

Accepted Answer

Refer to an early psychosis service

Answer

Admit for inpatient assessment

Answer

Commence fluoxetine 20 mg daily

Answer

Commence olanzapine 10 mg nightly

Answer

Reassure and review in twelve months

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