A 19-year-old man presents with first-episode psychosis, hearing voices, and paranoid delusions for 3 months with declining functioning. According to ...

Question

A 19-year-old man presents with first-episode psychosis, hearing voices, and paranoid delusions for 3 months with declining functioning. According to Canadian schizophrenia guidelines, what is the most appropriate initial management?

Accepted Answer

Trial of a second-generation oral antipsychotic with early referral to an early psychosis intervention programme

Answer

Immediate long-acting injectable antipsychotic without discussion

Answer

Benzodiazepines alone

Answer

No treatment until illness duration exceeds 6 months

Answer

Electroconvulsive therapy as first-line

ca-mccqe1 MCQ (SBA): First-episode psychosis

A 19-year-old man presents with first-episode psychosis, hearing voices, and paranoid delusions for 3 months with declining functioning. According to Canadian schizophrenia guidelines, what is the most appropriate initial management?