ABSTRACT
This chapter presents a case of a 15-year-old girl who is presented by her mother. The girl has a 6-month history of becoming increasingly withdrawn and irritable. She is barely eating and wants to sleep all the time, complaining of being tired. She is no longer attending school as she cannot concentrate and cannot cope with having to deal with other people. She has psychomotor retardation but no waxy flexibility. She is dishevelled with uncombed hair and is wearing her bed clothes. She is socially detached. Her speech is slow and almost retarded. Electroconvulsive therapy (ECT) is rarely considered in people under the age of 18. She is likely to need some supportive therapy during the acute stage and as her psychosis settles. Cognitive behaviour therapy would also be of benefit. On recovery, therapies and support that allow her to return to normal living are crucial and involvement of the early intervention psychosis team will ensure follow-up and relapse prevention.
