1/5. triazolam-induced nocturnal bingeing with amnesia.A combination of behavioural and cognitive adverse effects is illustrated in this case report of a recurrent triazolam-induced eating disorder. The co-occurrence of bingeing, irritability and anterograde amnesia is suggestive of a drug-induced kleine-levin syndrome.- - - - - - - - - - ranking = 1keywords = behaviour (Clic here for more details about this article) |
2/5. Modification of severe behaviour problems following herpes simplex encephalitis.Violent and sexually disinhibited behaviour together with poor self-care developed in a 38-year-old teacher following herpes simplex encephalitis. These behaviours were sufficiently severe to make rehabilitation difficult and return to the community impossible. Initially, only violent behaviour was treated, both by medication and a behaviour programme, and sexual disinhibition subsequently by the latter. In order to implement the programme a special (psychiatric) nurse was required on a 24 h basis. The incidence of violent behaviour was reduced from up to 55 times per day to zero over a period of 2 months. Whether this was affected by medication or behaviour management, or by spontaneous recovery, is discussed. Sexual disinhibition was eliminated in supervised settings, but continued to occur if left unsupervised and this improvement resulted from behaviour management. Poor personal hygiene also improved markedly over the 6-month period. The goal of returning the patient home to live with her family was achieved and she remained there at follow-up. This intervention was carried out in a rehabilitation unit that does not specialize in the treatment of such cases; clearly this has implications for cost and quality of care.- - - - - - - - - - ranking = 11keywords = behaviour (Clic here for more details about this article) |
3/5. kleine-levin syndrome: a case report.The case of a 10 yr old boy suffering from kleine-levin syndrome is described. The diagnosis was originally obscured by symptoms which suggested a primary depressive disorder. Unusual features included bizarre crying behaviour and unfounded allegations of sexual assault. Although the syndrome is rare, the need to be aware of the diagnosis is stressed, particularly in pre-pubertal children suffering from significant episodic depressive symptoms.- - - - - - - - - - ranking = 1keywords = behaviour (Clic here for more details about this article) |
4/5. anorexia nervosa at normal body weight!--The abnormal normal weight control syndrome.Disgust with "fatness" and a consequent preoccupation with body weight, coupled with an inability to reduce it to or sustain it at the desired low level, characterizes the abnormal normal weight control syndrome. Individuals remain sexually active in a biological sense and often also socially. Indeed their sexual behaviour may be as impulse ridden as is their eating behaviour, which often comprises phases of massive bingeing coupled with vomiting and/or purgation. The syndrome is unlike frank anorexia nervosa in that the latter involves a regression to a position of phobic avoidance of normal body weight and consequent low body weight control with inhibition of both biological and social sexual activity. In abnormal normal weight control there is a strong and sometimes desperate hedonistic and extrovert element that will often not be denied so long as body weight does not get too low. Individuals nevertheless feel desperately "out of control" and insecure beneath their bravura. The syndrome is much more common in females than in males. There is a clinical overlap with anorexia nervosa and obesity in many cases as the disorder evolves. depression, stealing, drug dependence (including alcohol) and acute self-poisoning and self-mutilation are common complications. Clinic cases probably only represent the tip of the iceberg of the much more widespread morbidity within the general population. Like anorexia nervosa and for the same reasons the disorder is probably more common than it used to be.- - - - - - - - - - ranking = 2keywords = behaviour (Clic here for more details about this article) |
5/5. Case report: treatment of a woman with alcohol and binge eating problems.The prevalence of eating disorders generally, and bulimia symptomatology in particular, in problem female drinkers has been consistently reported. According to an addictive behaviour model, these two disorders share common features, in particular a compulsion to engage in the behaviour and a sense of loss of control. However, there has been no attempt to treat sufferers of both conditions with a similar treatment approach. The present case study illustrates how a cognitive behavioural and exposure-based approach successfully treated a woman with a history of bulimia and alcohol problems. At 12 months follow up, there was a significant reduction in alcohol consumption and an absence of bingeing and purging episodes.- - - - - - - - - - ranking = 3keywords = behaviour (Clic here for more details about this article) |