The mother of Charles, 17 y/o, has come to the clinic to get a psychiatric consult for her son. She explained that she often hears him talking to someone who is not there. She adds that he is spending a lot of time in his room by himself and has accused her of tampering with his things. In the past he took his own medicines (risperidone) and gained some weight. Now he looks disheveled, preoccupied, and doesn’t speak to anyone in the clinic. Choose an appropriate treatment for this case. *
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His story reflects a common case, in which a high-functioning young adult goes through a major decline in day-to-day skills. Although family and friends may feel this is a loss of the person they knew, the illness can be treated and a good outcome is possible.
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