Delusions and Psychosis in A 23-Year-Old Male: A Case Report

This case report presents a 23-year-old male with a six-month history of persistent delusions, emotional instability, and mild perceptual disturbances consistent with a primary psychotic disorder. The patient exhibited referential, persecutory, and somatic delusions without overt hallucinations. A comprehensive mental status examination revealed intact memory and cognitive function but significant emotional instability and limited social engagement. The patient was diagnosed with a primary psychotic disorder, likely schizophrenia or delusional disorder. Management included initiation of risperidone, cognitive behavioral therapy (CBT), and psychoeducation. At the three-month follow-up, the patient demonstrated a 50% reduction in delusional thinking and significant improvement in emotional stability, with no notable side effects from treatment. This case highlights the importance of early diagnosis, a multidisciplinary treatment approach, and the role of psychoeducation in managing psychotic disorders. It also underscores the need for longitudinal follow-up to ensure sustained recovery and functional improvement.