11-23-2009, 12:57 PM
A 24 yo male was brought to MD by mother bec he has heard voice over past telling him to hurt himself.Hi smom says that her son has no friends and lifelong loner,since graduating fr HS.he has been unable to hold a job.He admits smoking marijuana occassionaly and drinking 6 beers wekly.Exam shoes poorly groomed man with poor eye contact.He has a flat affect and limited facial expression.He says he has no intention of harming himself or othes.Which is most appropriate next step management?
1.schedule ff up visit in 4 weeks
2.prescribe oral Risperidone and sched ff up visits in 2 weeks
3.admit him to partial hosp program and prescribe oral Lithium
4.admit him to psych unit for detox
45.admit him to pscyh ward and prescribe oral Imipramine
1.schedule ff up visit in 4 weeks
2.prescribe oral Risperidone and sched ff up visits in 2 weeks
3.admit him to partial hosp program and prescribe oral Lithium
4.admit him to psych unit for detox
45.admit him to pscyh ward and prescribe oral Imipramine