Patient History: An 18-year-old adolescent male presents to a psychiatrist insisting, “I have schizophrenia and need to be admitted.” For the past several days, he has heard voices telling him to kill himself. He says that he is possessed by the devil. The patient denies feeling depressed but thinks he will hurt himself if he is not admitted to a hospital immediately. However, he denies having any specific suicide plan. He has no prior history of psychiatric treatment or complaints, no medical problems, and is not taking any medication.
He drinks one or two beers a week and denies using drugs. At the end of the interview, he again requests hospitalization. He then adds that he is currently on leave from the Navy and is due back on his ship, which is leaving in 2 days. Mental Examination: The patient is initially cooperative and forthcoming but becomes increasingly irritated when asked…
