cc: hearing voices x 15 days hpi: 15 yo F c/o hearing voices for 15 days. Sometimes don’t understand, sometimes understand the voice give orders to kill her father with a gun (didn't buy one, don’t have money), thinks is the voice of God. It is intermittent 2-3x/day, last 6 or more hours. Affecting school performance negatively. Says mood is good, but cry sometimes. High energy level. Sleep only 2 hours day. Increased sexual desire, has multiple partners don’t use condoms. Appetite is increased, - guilty feelings, low concentration, - hair skin changes, - tremors, - headache, - fever/chills/night seats. Alls: amoxicilin causes rash Meds: none PMH: no similar episode. in the past, no injuries, surgeries, known illness SH: drinks 3-4 glass distilled occasionally CAGE 2/4, uses cocaine and extasy last use today. no acutes distress VS:WNL HEENT: PERRLA, a traumatic NEURO: AOx3, good judgement, recall 3 objects, log term memory ok, strength 5/5 all ext, CN 2-12 intact, DTR: +2 B/L, fundoscopy= no papilledema