A 17-year-old student is brought to the ED by his parents. He is irritable with friends and family and has no energy and appetite. He doesn’t go to bed until 1 AM.

His grades suddenly dropped in last year's examination. He also has auditory hallucinations in which a man’s voice tells him that he is a "lazy bastard" and that his family "would be better off with him dead." *This case is from the Editorial team of Docplexus and is meant for educative purposes only.