Abstract

This case report presents a 23-year-old male with a six-month history of persistent delusions, emotional in stability, and mild perceptual disturbances consistent with a primary psychotic disorder. The patient exhibited referential, persecutory, and somatic delusions without overt hallucinations. A comprehensive mental status examination revealed intact memory and cognitive function but significant emotional instability and limited social engagement. The patient was diagnosed with a primary psychotic disorder, likely schizophrenia or delusional disorder. Management included initiation of risperidone, cognitive behavioral therapy (CBT), and psychoeducation. At the three-month follow-up, the patient demonstrated a 50% reduction in delusional think ing and significant improvement in emotional stability, with no notable side effects from treatment. This case highlights the importance of early diagnosis, a multidisciplinary treatment approach, and the role of psycho education in managing psychotic disorders. It also underscores the need for longitudinal follow-up to ensure sustained recovery and functional improvement.

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