Question

A 21-year-old man arrives at A&E with acute psychosis. Urine drug screen is positive for cannabis. He is paranoid, agitated, and has auditory hallucinations. First-line management?

Accepted Answer

Oral risperidone (or another antipsychotic) and supportive care

Answer

IV benzodiazepines to sedate him immediately

Answer

High-dose haloperidol IV

Answer

ECT (Electroconvulsive therapy)

Answer

Psychodynamic psychotherapy immediately

Practice question

A 21-year-old man arrives at A&E with acute psychosis. Urine drug screen is positive for cannabis. He is paranoid, agitated, and has auditory hallucinations. First-line management?