30th January 2024

Lucy, a 21-year-old university student, is brought to the GP by her mother, who is concerned by her recent behaviour

Lucy, a 21-year-old university student, is brought to the GP by her mother, who is concerned by her recent behaviour. Her mother thinks that she seems very excitable, full of energy and more chatty than usual. She recently failed her philosophy exam but frequently engages anyone who will listen in conversations about philosophy and believes that her ideas are very important, stating that she is more advanced than her professors and that they are too ignorant to understand her ideas.

She denies the consumption of alcohol or recreational drugs, stating that she doesn’t need them to feel a great ‘zest for life’.

Which of the following is the most appropriate first step in treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.