A 25-year-old man presents with a 1-year history of auditory hallucinations, paranoid delusions and social withdrawal. Urine drug screen is negative. ...

Question

A 25-year-old man presents with a 1-year history of auditory hallucinations, paranoid delusions and social withdrawal. Urine drug screen is negative. What is the most appropriate initial management?

Accepted Answer

Start a second-generation antipsychotic and refer to an early psychosis service

Answer

Prescribe benzodiazepines only

Answer

Start antidepressant monotherapy

Answer

No treatment; monitor for another year

Answer

Admit involuntarily in all cases

au-amc MCQ (SBA): Schizophrenia first episode

A 25-year-old man presents with a 1-year history of auditory hallucinations, paranoid delusions and social withdrawal. Urine drug screen is negative. What is the most appropriate initial management?