olanzapine

How do you navigate chronic delusions to provide effective medical care?

Ms. Wren, an 80-year-old woman with heart failure and diabetes, was recently hospitalized for a heart failure exacerbation. She has been on your panel for a year, but you have not met her. The inpatient notes describe her as having chronic fixed paranoid delusions of a man who follows her and occasionally threatens to kill …

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When a young adult is hearing voices and psychiatry is unavailable for months, how can you help? (part 2)

The initial published case has been modified slightly in response to feedback from colleagues. We return to Juan, the 20 yo man from our last PsychSnap. He started hearing the voice of a little boy saying things like “why won’t you help me” three months ago. He now hears the voice multiple times a day, which …

When a young adult is hearing voices and psychiatry is unavailable for months, how can you help? (part 2) Read More »