SIB in Comorbid Tourette’s and OCD. Case Study of Adolescent. Tourette’s alone: incidence of SIB estimated at 25-50% More than half of those with Tourette’s have prominent obsessive-compulsive sympotoms or comorbid OCD.
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Case Study of Adolescent
Clonazepam O.5 mg
Clonidine 0.1 mg
Olanzapine 15mg/day 2 days prior
Quetiapine for 3 previous 3 weeks
Last several years pimozide 4mg –stopped due to “frequent oculogyric crises”
Trials of citalopram and paroxetine w/no effect
Dystonic reaction to haloperidol
Patient no longer engaged in severe SIB
Mild SIB twice a day.
She managed SIB and motor/vocal tics: decreased frequency and severity.
Discharged from psych service –two weeks partial.