A 58-year-old woman with a chronic mental disorder comes to the physician with irregular choreoathetoid movements of her hands and trunk. She states that the movements get worse under stressful conditions. Which of the following medications is most likely to have caused this disorder?
A. FluoxetineB. Clozapine
C. Fluphenazine
D. Diazepam
The
Answer is. (D). Diazepam
Catatonic
schizophrenia is characterized by marked psychomotor disturbances including
prolonged immobility, posturing, extreme negativism (the patient actively
resists any attempts made to change his or her position) or waxy flexibility
(the patient maintains the position in which he or she is placed), mutism,
echolalia (repetition of words said by another person), and echopraxia
(repetition of movements made by another person). Periods of immobility and
mutism can alternate with periods of extreme agitation (catatonic excitement)
and the treatment of choice is E.C.T.
