Interview and treatment of idiopathic hypersomnia comorbidity tics disorder
10.11886/scjsws20210302001
- VernacularTitle:嗜睡障碍共病抽动障碍的临床访谈和治疗
- Author:
Gaofei LI
1
;
Miao LI
2
;
Daolong ZHANG
2
Author Information
1. Beijing Hospital of Integrated Traditional Chinese and Western Medicine， Beijing 100039， China
2. Beijing Huayou Psychiatric Hospital， Beijing 102200， China
- Publication Type:Journal Article
- Keywords:
Idiopathic Hypersomnia;
Tics disorder;
Stimulant;
Bio-psycho-social intervention
- From:
Sichuan Mental Health
2021;34(2):172-176
- CountryChina
- Language:Chinese
-
Abstract:
The purpose of this paper is to present the diagnosis and treatment of idiopathic hypersomnia comorbidity tics disorder. The client is 15 years old， female， a senior student， with frequent blinking and a crooked mouth since childhood， diagnosed with tics disorder. She previously had consistently good academic performance. Since the COVID-19 epidemic in 2020， the client has been sleeping more， averaging 12 hours per day， accompanied by increased daytime sleep with fatigue after waking up， and a significant decline in her studies. She was diagnosed with idiopathic hypersomnia comorbidity persistent （chronic） movement or tic disorder. It was suggested that she adopt a method of comprehensive biopsychosocial intervention. Biotherapy with methylphenidate can improve her arousal， enhance attention and improve drowsiness， meanwhile， changes to tic symptoms must be monitored. Cognitive behavioral therapy was used to help the client correct cognitive biases， reshape cognitive structure， and establish confidence in rehabilitation. Mindfulness therapy was adopted to help the client adjust her emotions. In terms of social resources， the client was encouraged to explore resources actively， seek social support， and build therapeutic alliances. Through coordinating multiple resources， the client reduced symptoms of sleepiness and enhanced her adaptability to continue with her studies.
