Problem on history of schizoaffective disorder


Problem: A 33-year-old woman with a history of schizoaffective disorder, depressive type is admitted to the hospital for a suicidal attempt via cutting her wrist. The patient reports auditory hallucinations telling her to kill herself and that she is worthless. Her previous medication trials include aripiprazole, risperidone, and quetiapine. Another antipsychotic is added to her regimen to reduce her suicidal ideation. After two weeks, her complete blood count (CBC) shows an absolute neutrophil count (ANC) of 1829/microliter. Which of the following is the next best step in managing this patient's psychiatric symptoms? A. Continue the medication and monitor blood counts every month B. Continue the medication and monitor blood counts 3 times per week C. Continue the medication and monitor blood counts every week D. Switch the new medication back to quetiapine

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