A 29-year-old man with a history of schizophrenia is evaluat…
A 29-year-old man with a history of schizophrenia is evaluated during a routine outpatient follow-up visit. His sister reports that although his hallucinations have improved with medication, he continues to spend most of the day sitting quietly at home and shows little interest in socializing, hobbies, or personal goals. During the interview, he answers questions briefly and states, “I just don’t feel motivated to do anything.”
Read DetailsA 27-year-old woman presents to the emergency department aft…
A 27-year-old woman presents to the emergency department after suddenly developing right-sided weakness and difficulty speaking while at work. Neurological examination reveals inconsistent effort, and imaging studies including CT and MRI of the brain are normal. Symptoms fluctuate during the exam and improve with distraction. She reports high levels of stress related to recent interpersonal conflict but denies intentional symptom production. Which of the following is the most appropriate initial management strategy?
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