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Published online by Cambridge University Press: 19 October 2021
Patient Intake
• 65-year-old man with a psychotic disorder since age 26 currently diagnosed as paranoid schizophrenia, with multiple hospitalizations for auditory hallucinations, ideas of reference, persecutory delusions, disorganization of thinking and aggressive behavior
• He has exhibited episodes of psychomotor agitation and aggressive behavior but has never met full criteria for either mania or major depression, but has carried the diagnosis of schizoaffective disorder at times in the past
• About 18 years ago stabbed the manager of his board and residential care facility during an argument and was convicted of attempted murder but found not criminally responsible by reason of insanity and admitted to a forensic facility
• Now developing deficits in cognition and short term memory consistent with early Alzheimer's disease and confirmed on neuropsychological testing
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