World Schizophrenia Day

35 year old female presented with wrist Slash, telling some one told me to do so. she is married having two children.No significant stressors.History suggestive of psychotic illness for past four years which is episodic. Poor compliance with treatment.Premorbid personality well adjusted.No history of BPAD or MDD. when the patient reported she was on olanzepine 15 mg and sertraline 50 mg from a psychiatrist when she tried self harm now for first time.Mood depressed ,no depressive ideas ,percecutary and referential ideas present along with pseudohallucination commanding to commit suicide. Also complaints of palpitations,fear , running out behaviour in response to pseudohallucination. Olanzepine uptitrated to 25 mg, Sertraline changed to desvenlafaxine 50 mg along with bzd considering associated low mood which was persisting.Parient became euthymic suicidal ideation disappeared full improvement noticed in 20 days. Suddenly next day started pseudohallucination and running out behaviour,mood changes ,dsh ideation. Considering the primary diagnosis of Psychosis , possible worsening of psychotic features with SNRI desvenlafaxine stopped.Patient returned to premorbid level in one week and discharged on olanzepine 25 mg and bzd. Due to complaints of sedation bzd tapered down next visit and within two days patient attempted suicide telling commanding hallucination. How can be proceeded with the case . Please opine. @Dr. Shama Rathod @Dr. Sumi Aswin

A 23 year male with abnormal behaviour has never went to school after 5th standard and also not went out side from his home since last 5 to 6 years has always found to be engaged in online Videos game, has multiple suicide attempted whenever tried to stop him. Seen very violent with name of doctors or treatment. even not talking medicine of general illness. Parent are also not much aware about his illness ,his father came for consultation in my opdg with a note written by his son . NOTE HAS SO BIZZARE THOUGHT. file have attached kindly read and give ur valuable opinions.

20yrs female c/o intractable hiccups since 1month CBC uric acid .BL urea Srcret tsh normal what other investigations needed to diagnosis

A 72 y/o male came with the complaint of itchy blisters on his skin that have been present for 3 months. He has multiple medical conditions including diabetes, hypertension, and schizophrenia. Current medications include atenolol, atorvastatin, insulin, and haloperidol. Examination reveals multiple, tense blisters arising on normal-appearing skin as well as erythematous bases.

86 years male feeling insect crawling on his head and face line of management plz