Harlaar J, Gelderblom I L, van der Sijde A, Bastiaansen D
Yulius Autisme, Dordrecht.
Tijdschr Psychiatr. 2013;55(5):375-9.
An 18-year-old adolescent with an autism spectrum disorder was on antipsychotic medication for anxiety and aggressive behaviour. From a physical examination and the patient’s family medical history there emerged a high-risk profile for the metabolic syndrome. Because the patient refused blood tests the doctors were faced with the dilemma of whether to continue the patient’s medication with the risk of severe side effects or whether to stop medication, which could lead to the recurrence of severe behavioural problems and aggressive behaviour. The dilemma is discussed and some recommendations are given.
一名患有自闭症谱系障碍的18岁青少年正在服用抗精神病药物来治疗焦虑和攻击性行为。通过体格检查和患者的家族病史，发现其具有代谢综合征的高危特征。由于患者拒绝进行血液检查，医生面临两难境地：是继续让患者服药并承担严重副作用的风险，还是停药，而停药可能导致严重行为问题和攻击性行为复发。本文对这一两难困境进行了讨论并给出了一些建议。
