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Published online by Cambridge University Press: 19 October 2021
Patient Intake
• 48-year-old man diagnosed with schizophrenia, disorganized type, has a 31-year history of psychotic illness
• Referred by his treating psychiatrist for consideration of augmentation of clozapine with another agent because he continues to have breakthough symptoms of threatening behavior to himself and to others with a history of acting upon these threats
• Hospitalized in a forensic unit with hallucinations, ideas of reference, bizarre behavior, severe psychomotor agitation and self destructive behavior, including numerous suicide attempts in the past such as swallowing razor blades and jumping from a motorcycle; also elopement from psychiatric facilities and assault on others, including murdering his friend by hammering him in the head because he thought he was a vampire
• Found mentally incompetent to stand trial and now resides in a forensic facility
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