Trina is a 26-year-old woman. Six months ago, after weeks of “strange behavior,” Trina was taken by the police

Trina is a 26-year-old woman. Six months ago, after weeks of “strange behavior,” Trina was taken by the police to the local psychiatric hospital. This time she was found wandering around the neighborhood at 3 a.m. with aluminum foil wrapped around her head. She reported receiving messages from “the forces” that they were coming for her. It has been six months since her last hospitalization. She was on Risperdal 4 mg and it stopped the voices and allowed her a full night’s sleep after she got out of the hospital six months ago. She thinks she has been taking the medication but not quite sure. She reports that she has missed three periods, and her breasts have been leaking “white stuff.” • Family History: Aunt with the diagnosis of Schizophrenia who committed suicide • Current medications: Risperdal 4 mg and multivitamins • Medical History: negative • Substance use: 2 packs of cigarettes per day

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