A 30-year-old man with schizophrenia reports having trouble sleeping, difficulty concentrating, and feelings of hopelessness. He denies any current suicidal ideation. How would you manage his situation?
These symptoms suggest the presence of depression, which is not uncommon in individuals with schizophrenia. Depression in schizophrenia can significantly affect the quality of life and is associated with a higher risk of suicide. It's important to monitor the patient closely and consider adding an antidepressant to his treatment regimen, as well as providing access to psychotherapy or counseling.