A female young lady aged 29 years working as workplace health advisor was normal a year back except some anxiety features (gets nervous easily and during that time moving her one hand fingers). She has complained that her neighbor’s son is following her and wants to harm her. Most of the time she is quiet and less talkative but gets irritated easily, after her engagement breakup. She was taken to the emergency for agitation and examined by the psychiatrist and prescribed Quetiapine (Seroquel 200 mg) once a day and tampered to 50mg a day.
She had improved and had become more or less normal. In October 2017 suddenly again she complained the same scenario that neighbor’s son is shouting at her and telling her to harm herself and she used to say “go away, go away” and irritated. She visited the Psychiatrist and Quetiapine 250 mg at bedtime and Aripiprazole 5 mg in morning were started. She…