A 24-year-old man is admitted to the psychiatric ward from home, where he lives alone. His neighbours have been increasingly concerned about rubbish piling up inside his flat and sometimes he isn’t seen for days. His family tell you that over the last year he has become very odd and isolated. On examination, he is withdrawn and quiet and you find it difficult to understand his answers as he frequently wanders off the point, as if he is answering a different question. Although spontaneous movements are reduced, there are no neurological signs and he is not on any medication, prescribed or illicit. His mother and two older brothers have both had episodes of major depression. Are there any features that suggest a favourable outcome from this episode? Young age Insidious onset No favourable features Quiet speech Family history of depression
Posted on: Sat, 09 Aug 2014 20:44:00 +0000
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