Has he been seen only by psychiatrists? no neurologists?
re "determined not to be of behavioral origin"--HOW was this
Has he been (THOUROUGHLY) evaluated for possible psychomotor epilepsy?
New York Neuropsychology Group
In <19970520172200.NAA20205 at ladder02.news.aol.com> felicia950 at aol.com
>>I'm hoping someone can offer suggestions concerning my nephew's
>>>Eric is 28 years old and has a severe speech handicap which prevents
>from adequately expressing any symptoms he may be experiencing. He
>also been classified as autistic.
>>Apart from the difficulties associated with his speech, he is
>to have a condition similar to Tourette's Syndrome, or a variation on
>same, beginning when he was about nine years of age. The symptoms
>seemingly involuntary shouting and self-abuse, mostly hitting himself
>the leg with his hand or his fist, or hitting himself in the head with
>hand or fist.
>>He has been on Haldol since that time, and although it has served to
>relieve some of his distress, in recent years the episodes have
>albeit changing slightly (the shouts have changed to other vocal
>such as loud hooting noises). The episodes seem to happen almost
>completely at random and are accompanied by extreme distress along
>some distinct symptoms of anxiety (cold hands, fixed stare with
>pupils). The spells seem to be aggravated or sometimes brought on by
>stressful situations (crowds, loud voices, a break in routine such as
>transition from one activity to another, etc.) but it has been
>that the condition is not of behavioral origin.
>>He is currently on a combination of Haldol, Tegretol, and Klonopin. In
>addition, various SSRI medications (most recently, Effexor, which he
>currently on at 175 mg/day) have been tried with only temporary
>alleviating his distress only for a period of weeks. After that he
>to build up a tolerance of sorts to the drug. A hiatus from an SSRI
>renew the drug's effectiveness, but only for a matter of days, after
>the effectiveness shelves off abruptly again.
>>>He presently resides at a group home where he is under the care of the
>agency psychiatrist as well as other physicians provided by the
>but so far no one has encountered a similar case to his and therefore
>find this situation baffling. Nonetheless, we are still hopeful that
>someone may have seen or heard of a similar situation, and may have
>advice as to possible treatment.
>>Any advice that you could offer would be appreciated beyond measure.
>>Please respond via email if possible to Felicia950 at aol.com.>>>Many thanks in advance.