A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been...

Comprehensive and Detailed Explanation:

This patient is likely experiencing extrapyramidal symptoms (dysphagia/dystonia) due to haloperidol. Switching to an atypical antipsychotic (like quetiapine), which has a lower risk of EPS, is appropriate. Dysphagia in the context of antipsychotic use requires prompt medication review.

Toronto Notes 2023 – Psychiatry, “Antipsychotics and Extrapyramidal Effects”:

“Dysphagia can be a sign of extrapyramidal side effects. Consider switching to an atypical antipsychotic with lower EPS risk.”

MCCQE1 Objectives (Psychiatry > 71-5: Antipsychotic Adverse Effects):

“Candidates must recognize and manage EPS, including drug-induced dysphagia.”

Dantrolene (C) is for neuroleptic malignant syndrome, not isolated dysphagia. Laryngoscopy (B) may be useful later but not first-line. Reassurance (D) is unsafe. Lorazepam (E) may help in dystonia but doesn ' t address the root cause.