Use of First-Generation Antipsychotics in an Adolescent Male with Catatonic Schizophrenia

PRESENTING PROBLEMA 15-year-old male with a psychiatric history of schizophrenia, but no other significant medical history, presented to the pediatric emergency department with decreased interactivity, reduction in self-care, stereotypies, and suspected perceptual disturbances in the setting of 10 days of medication nonadherence at a residential treatment center (RTC).Staff at the RTC reported refusal to engage in conversation, neglect of self-care tasks, and hypersexual behaviors such as excessive self-stimulation.The patient's mother noted that his ability to follow commands had progressively declined in the days leading up to admission.She stated that during previous periods of medication nonadherence the patient had demonstrated poverty of speech, paranoid delusions, and increased disorganization, but