ABSTRACT
Mr. R is a 19-year-old, single, White, college freshman who began outpatient psychotherapy 2 months after entering college. His parents made arrangements for this treatment after he told them about troubles he was having adjusting to college life, including feelings of social isolation, distress, and marked problems with motivation. His parents were concerned about him and immediately arranged outpatient treatment with a psychiatrist who recommended individual psychotherapy. The psychiatrist also prescribed Loxitane, an antipsychotic medication, after the second session. Two months later, Mr. R’s father asked for a consultation with a second psychiatrist because he was concerned about the slow rate of improvement in his son’s condition. A psychological evaluation was requested by the second psychiatrist to assist in determining whether Mr. R’s presentation was consistent with Schizophrenia or an affective disorder with psychotic features.
