Schizophrenia can be diagnosed in adults and requires treatment with antipsychotic medication. Clozapine is used effectively in adults with treatment-resistant schizophrenia but little is published on the use of clozapine in children.

Supported by parental consent and a second opinion, standardised observations were used to chart the progress of treatment with clozapine in a child in-patient detained under mental health legislation with severe drug-resistant schizophrenia and tardive dyskinesia.

Sixteen months of clozapine treatment led to significant reduction of symptomatology with marked improvement in social functioning and diminished tardive dyskinesia.

This case illustrates the successful use of clozapine in treatment-resistant childhood schizophrenia.

A case is presented describing an association between obsessive–compulsive disorder, tattooing and unusual sexual practices.

A single case report.

Tattooing and unusual sexual practices are compulsive behaviours associated with the subject's obsessive–compulsive disorder. Such associations have not previously been described in the literature.