一个患有自闭症谱系障碍的女性青少年的青春期开始的选择性沉默症
Tiago Soares1, Joana Coelho Santos1, Daniela Couto1
1Department of Child and Adolescent Psychiatry, Local Health Unit of Western Lisbon, Lisbon, PRT.
Cureus
|May 16, 2025
概括
选择性沉默症 (SM),是一种罕见的焦虑障碍,可以在青春期出现,特别是在患有自闭症谱系障碍 (ASD) 的个体中. 早期的联合治疗对这种非典型的呈现有效.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 焦虑症 焦虑症 焦虑症
背景情况:
- 选择性沉默 (SM) 通常是一种儿童焦虑障碍,其特点是在特定的社会环境中始终无法说话.
- 青少年发病的MS不常见,但可能表明非典型的焦虑表现,可能与自闭症谱系障碍 (ASD) 相关.
研究的目的:
- 描述一个新诊断出ASD的女孩青少年发病的SM病例.
- 突出认识到ASD青少年非典型焦虑表现的重要性.
主要方法:
- 一个11岁的女孩在青春期和生活过渡期间呈现SM的案例报告.
- 多学科治疗包括认知行为疗法和药物治疗 (fluoxetine,pregabalin).
主要成果:
- 患者在SM开始后被诊断出ASD.
- 通过多式联络干预,MS完全缓解,学术和社会功能得到了显著改善.
- 关于隐蔽药物的伦理考虑也得到了注意.
结论:
- 非典型的焦虑表现,如青少年发病的SM,在患有ASD的个体中需要考虑.
- 早期,个性化和多模式干预对于成功的治疗结果至关重要.
- 这一案例强调了在复杂的儿科病例中需要量身定制的治疗策略.
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