ABSTRACT
This chapter presents a case of a 26-year-old man who is referred to the crisis intervention home treatment team by his community psychiatric nurse. He is interviewed at home in the presence of his wife and 3-year-old child. There was concern about the possibility of him missing medication, and he was switched to risperidone long-acting depot. This was continued for over 12 months but without a significant response. Risperidone was replaced with olanzapine but this also did not produce a significant response and was associated with weight gain of 3 stones. Olanzapine was discontinued 3 months ago and he was prescribed aripiprazole. He appears very frightened and agitated. His eyes are darting and he is cowering on the sofa clutching his daughter, who is calm but looks frightened. He seems to be responding to unseen stimuli and occasionally mutters to himself. He says that voices describe what he is doing in a commentary.
