15th February 2025

A 19-year-old gentleman is being seen by the Early Intervention Service due to paranoid delusions regarding his neighbours.

A 19-year-old gentleman is being seen by the Early Intervention Service due to paranoid delusions regarding his neighbours. He has already been started on olanzapine. He appears elated in mood and describes his thoughts as racing. He speaks quickly and excitedly about recent bitcoin investments he has made, describing himself as a “financial genius”. His speech is, at times, incoherent. He denies illegal drug use. Which medication might you consider adding as treatment?

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