Psychogenic tremor in a patient with a major depressive episode.
Psychogenic tremor is a variant of psychogenic movement disorder. Psychogenic tremor often starts in an abrupt manner and affects voluntary motor function, rapidly reaching maximum impairment for the patient. Patients often present with comorbid psychiatric disorders, including depression, anxiety and personality disorders. Overall prognosis is poor, with 80 to 90 percent of patients symptomatic after one year. The authors present the case of a 33-year-old woman who experienced an acute episode of psychogenic tremor. They review the literature on psychiatric and neurologic manifestations of psychogenic tremor, consider diagnostic and treatment implications and discuss overall prognosis of recovery for patients afflicted with psychogenic tremor.
Harlow
Michael C
MC
The University of California Davis Department of Psychiatry, USA.
Davidson
Christopher M
CM
Bourgeois
James A
JA
D000328:Adult; D000928:Antidepressive Agents / Q000008:administration & dosage; D014150:Antipsychotic Agents / Q000008:administration & dosage; D001569:Benzodiazepines / Q000008:administration & dosage; D015928:Cognitive Behavioral Therapy; D003865:Major Depressive Disorder / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004359:Drug Therapy, Combination; D000068736:Duloxetine Hydrochloride; D005260:Female; D006760:Hospitalization; D006801:Humans; D000077152:Olanzapine; D011602:Psychophysiologic Disorders / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D013876:Thiophenes / Q000008:administration & dosage; D014202:Tremor / Q000150:complications / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*
D000928:Antidepressive Agents; D014150:Antipsychotic Agents; D013876:Thiophenes; D001569:Benzodiazepines; D000068736:Duloxetine Hydrochloride; D000077152:Olanzapine