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Low-Dose Risperidone for an Autistic Child with Comorbid ARFID and Misophonia
Ahmed Naguy1, Abdul-Mohsen Al-Humoud1, Saxby Pridmore1
1Naguy, MBBch, MSc, Child/Adolescent Psychiatrist, Al-Manara CAP Centre, Kuwait Centre for Mental Health (KCMH), Jamal Abdul-Nassir St, Shuwaikh, State of Kuwait. Al-Humoud, MD, MJ, FRCPC, Consultant Adult and Forensic Psychiatrist, Head of Forensic Psychiatry and General Adult Psychiatry Units , KCMH. Pridmore, MD, Professor of Psychiatry, University of Tasmania, Hobart, Australia. Y. Abuzeid, MD, PhD, Professor of Psychiatry, Ain Shams Institute of Psychiatry, Ain Shams Faculty of Medicine, Egypt, and Consultant Psychiatrist, KCMH, Kuwait. Singh, MBBch, MD, Mrcpsych (UK), Speciality Doctor, Learning Disabilities, Exeter, Devon NHS partnership Trust, UK, and Assistant Professor, Psychiatry, Saraswati medical college, Lucknow, India. Elsori, MD, ABP, Developmental Pediatrician, Rhode Island Hospital, Brown University, Providence, Rhode Island, United States.
None:
Avoidant/Restrictive Food Intake Disorder and misophonia seem to be overrepresented in autism spectrum disorder. Literature is mute on psychopharmacotherapy in these complex presentations. Here, authors report on a challenging case of low-functioning ASD child with comorbid ARFID and misophonia that responded favorably to a low-dose risperidone. This is followed by a brief discussion of purported pharmacodynamic mechanisms and relevant literature.
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