Cadieux R J, Kales J D, Kales A, Biever J, Mann L D
J Clin Psychiatry. 1985 May;46(5):191-3.
The case of a 32-year-old man with schizophrenia and narcolepsy, two seemingly unrelated disorders, is discussed from the perspective of the diagnostic and therapeutic challenges raised by their coexistence. In addition, the development of tardive dyskinesia and its subsequent amelioration with a depot form of a high-potency neuroleptic are discussed in relation to these disorders. Consistent and supportive psychotherapy for such patients is recommended for maintaining compliance, for pharmacotherapy, and an optimal level of personal, occupational, and interpersonal functioning.
本文讨论了一名患有精神分裂症和发作性睡病的32岁男性病例，这两种疾病看似无关，但其共存带来了诊断和治疗方面的挑战。此外，还讨论了迟发性运动障碍的发生以及随后使用长效高效抗精神病药物治疗使其改善的情况与这些疾病的关系。建议为这类患者提供持续且支持性的心理治疗，以维持其对药物治疗的依从性，并使其在个人、职业和人际功能方面达到最佳水平。
