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Chapter 52 - Psychiatric Movement Disorders

from Section 4: - Dyscoordinative and Otherwise Inappropriate Motor Behaviors

Published online by Cambridge University Press:  07 January 2025

Erik Ch. Wolters
Affiliation:
Universität Zürich
Christian R. Baumann
Affiliation:
Universität Zürich
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Summary

This chapter deals with abnormal, spontaneous and reactive motor behavior as part of the clinical expression of some psychiatric disorders, including abnormal motility, locomotion, gestures, mimic, and speech. Here, the differentiation of the abnormal motor behavior motor dysfunction as an integral part of a psychiatric condition or as a side effect of its treatment is critical for the management but often remains difficult to differentiate. Iatrogenic movement disorders, as might be seen in the treatment of specific psychiatric disorders, for instance with neuroleptics, are discussed in Chapter 51. In this chapter, we focus on the signs and symptoms of movement disorders as an integral, genuine part of the clinical manifestation, sometimes even in prodromal states, in psychiatric diseases, such as in schizophrenia, catatonia, and stereotypies, as well as in major depressive disorders, attention deficit hyperactivity disorders, obsessive-compulsive disorders, and impulse control disorders. Psychogenic (functional or somatoform) motor behavioral abnormalities, the result of conversion, somatization and/or factious disorders (malingering), are described in Chapter 53.

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Publisher: Cambridge University Press
Print publication year: 2025

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