girl Q

[GFLIP]

14 yo white F grunts and clears her throat several times in an hour. During conversation, she often randomly shouts :mad:. She does idiosyncratic, complex motor activities such as turning her head to the right while she shuts her eyes and opens her mouth. She can prevent these movements for a brief period of time, with effort :oops:. What’s the most affective TX for her disorder?

a. individual psychodynamic psychotherapy
b. Lorazepam
c. Methylphenidate
d. haloperidol
e. imipramine
f. carbamazepine

[GFLIP]

follow up Q: what other class of drugs could you use to treat this PT?

[evans9279]

haloperidol has been used for tourette's syndrome... You can also use clonidine.

[GFLIP]

right again evans.... vocal tics (grunting, throat clearing, shouting) are characteristic of Touretttes. TX include neuroleptics and alpha 2 agonists (clonidine, guanfacine)