David Carlone, MD; Nicholas Delva, MD
Affiliations: From the psychiatry residency program, Queen’s University (Carlone); and the Department of Psychiatry, Queen’s University (Delva), Kingston, Ont., Canada.
Competing interests: N. Delva reports personal fees from Janssen Canada, outside the submitted work. No other competing interests were declared.
Details of the case were changed to protect the patient’s privacy.