They are asking me to do things.”

Chief Complaint:
Jane Doe is a 29-year-old white female presenting to the clinic with a report of “I heard people talking, but no one else can hear them. They are asking me to do things.”
History of Present Illness:
• Inpatient and outpatient psychiatric/mental health care
• Diagnosis (es) Schizophreniform d/o
• Treatments: inpatient treatment, education of client and family
• Medications-Seroquel 50 mg BID, PO
• Therapy-individual CBT psychotherapy and social skills training
• Outcomes substantial improvement of symptoms within 5 weeks on last admission and continued outpatient check-in monthly.
• Onset:
Diagnosed 1 year ago after first psychotic break, voices returned recently as well as tactile and visual hallucinations—spiders on legs and feet. Presents with disheveled appearance, flat affect, tangential speech, reports auditory, visual, and tactile hallucinations daily, some audio hallucinations as well and states her thoughts are being told to others aloud.
Instructions
Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.