system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 19-year-old male college student is admitted to an inpatient psychiatric unit with a chief complaint of “thoughts about killing my girlfriend.” The patient explains that throughout the day he becomes suddenly overwhelmed by thoughts about strangling his girlfriend and hears a voice saying “kill her.” He recognizes the voice as his own, though it is very distressing to him. After having such thoughts, he feels anxious and guilty and feels compelled to tell his girlfriend about them in detail, which temporarily relieves his anxiety. He also worries about his girlfriend dying in various ways but believes that he can prevent all of this from happening and “keep her safe” by repeating prayers out loud several times in a row. The patient has no personal history of violence but has a family history of psychotic disorders. He has been on haloperidol and fluoxetine for his symptoms in the past but neither was helpful. In addition to psychotherapy, which of the following medications is the most appropriate treatment for this patient?
assistant
Clomipramine