Treatment of tardive dyskinesia in an agitated, depressed patient
1980; Elsevier BV; Volume: 21; Issue: 9 Linguagem: Inglês
10.1016/s0033-3182(80)73620-4
ISSN1545-7206
AutoresAlan Rosenbaum, Maureen K. O’Connor, Drake D. Duane, Raymond G. Auger,
Tópico(s)Psychosomatic Disorders and Their Treatments
ResumoIn previous reports,l.2 a relationship between suscepti bility to tardive dyskinesia (TO) and the presence of major affective disorders was described. In another study. Rosenbaum and associates 3 found that these patients also had the endocrinologic abnormalities usually associated with primary affective disorders. Rosenbaum and associates4 have reported that use of a tricyclic antidepressant agent plus lithium is effica cious in therapy of depressed patients with tardive dyskinesia with or without dysphoria. An account of this treatment in 19 such patients appears elsewhere in this issue of Psychosomatics. The following is a brief case history ofa patient who was treated for depression and dyskinesia with electroconvulsive therapy and maintained on amitriptyline and lithium therapy. C8MNPOI1 A 74-year-old married woman dated the onset of her de pressive illness and TO to the appearance of severe pain in her low back region four years previously. Muscle relaxant medication was administered at that time, and one morning after this treatment had been started she awakened with the involuntary movements of the face, trunk, arms. and legs she currently exhibited. Gradually a pa«ern of 1i«le sleep.
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