Problem:
A 33-year-old woman with schizophrenia is hearing voices commenting on her actions. She has previously stubbed cigarettes out on her arm when commanded to do so by these voices. She doesn't drink alcohol or take illegal substances. She is concordant with medication but her symptoms continue despite taking olanzapine and now amisulpiride at optimum doses, each for 2 months. What is the single most appropriate next step for her treatment? Question Select one: a. Prescribe oral risperidone at optimum dose for 6 weeks b. Prescribe a trial of clozapine c. Other informal hospital admission for further assessment of her mental state d. Prescribe a trial of depot antipsychotic e. Refer to psychology CBT