Mini Quiz: New Patient Consult

Author(s):

A 19-year-old new patient comes to you wanting to discontinue all his childhood psychiatric medications. What is the best next step?

A. State you cannot work with him if he discontinues his medication

B. Contact his parents to bring them into the next session to discuss concerns about medication nonadherence

C. Review indications and informed consent for each medication to understand his history of treatment and current ambivalence

D. Agree to discontinue medications if he appears stable and keep close clinical watch while building a therapeutic alliance