A 58-year-old man with recently diagnosed schizophrenia presents with persistent persecutory delusions and auditory hallucinations. He has been starte...

Question

A 58-year-old man with recently diagnosed schizophrenia presents with persistent persecutory delusions and auditory hallucinations. He has been started on risperidone 1 mg daily 5 days ago. He is distressed but not suicidal and lives with family. What is the most appropriate next management step?

Accepted Answer

Increase antipsychotic dose gradually and maintain close community follow-up with early psychosis service

Answer

Switch immediately to clozapine

Answer

Add an SSRI antidepressant

Answer

Discharge without follow-up as he is living with family

Answer

Arrange ECT as first-line

au-amc MCQ (SBA): Schizophrenia - early management

A 58-year-old man with recently diagnosed schizophrenia presents with persistent persecutory delusions and auditory hallucinations. He has been started on risperidone 1 mg daily 5 days ago. He is distressed but not suicidal and lives with family. What is the most appropriate next management step?