Inpatient Setting | Scenario 3

Scenario Details

• Susan is a 25-year-old woman living with her parents and 2 younger brothers and works as a cashier at the local supermarket
• She was initially diagnosed with schizophrenia 18 months prior when she had her first psychotic episode
• She responded to treatment with a second-generation oral antipsychotic and had been doing reasonably well, with a decrease in the intensity and frequency of her auditory hallucinations (a man and woman talking to each other) and a reduction in the intensity and intrusiveness of her paranoid delusions (the neighbors who were speaking Russian were following her)
• In the past 3 weeks she began to appear distracted and has been missing her shifts at her job. Her parents report that Susan remains in her room and plays music on her stereo at a very high volume. When seen by her psychiatric specialty care provider, she appears preoccupied with internal stimuli