With regards to her past medical history, she was diagnosed with PANDAS and was treated for tics with some psychotropic medications as a young child. She has a previous history of viral meningitis, MRSA abscesses, and an unusual seizure history for which she was treated with antiepileptic drugs. She also has a history of sexual abuse dating back 6 years ago, around the same time that her sister tried to suffocate her brother and social services became involved. She has experienced bullying at school, and 6 months ago she had been engaging in cutting behaviours, for which she received counselling. In the last 3-4 months her mother reports that she has displayed disturbing writings, drawings, and conversations with others. She has no psychiatric diagnoses, nor does she have a history of suicide attempts or psychiatric hospitalizations.
Can you come up with a diagnosis or treatment plan?
"A teen with seizures, amnesia, and troubled family dynamics" by Shephali Sharma and Julie Alonso-Katzowitz (Current Psychiatry)