A girl with increased writing and painting activities associated with Turner's syndrome and autistic spectrum disorder

Authors
Shohreh Mohseni Ahouee 1
Mitra Hakim Shooshtari 1
Reza Bidaki 2
1 Child and Adolescent Psychiatrist, Associate Professor of Iran University of Medical Science, Mental Health Research Center of Tehran Psychiatric Institute, Tehran, Iran
2 Department of Psychiatry, Research Center for Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract
This report describes the findings on the evaluation of a 9-year-old girl with disabling and pronounced increased writing and painting activities associated with Turner's syndrome and autistic spectrum disorder. She spent most of the time doing these activities which affected not only her academic performance, but also social relationships. A comprehensive treatment plan consists of both biological and psychological aspects, is the main point of this case. Low dose of risperidone (0.5 mg/day) was started to decrease the patient's stereotypic behaviors. Sertraline (12.5 mg/day) was prescribed for her phobia. She was also referred to an occupational therapist in order to improve her social skills.

Keywords

1.
Marco EJ, Skuse DH. Autism-lessons from the X chromosome. Soc Cogn Affect Neurosci. 2006;1:183-93.  Back to cited text no. 1
    
2.
Mazzocco MM, Thompson L, Sudhalter V, Belser RC, Lesniak-Karpiak K, Ross JL. Language use in females with fragile X or Turner syndrome during brief initial social interactions. J Dev Behav Pediatr. 2006;27:319-28.  Back to cited text no. 2
    
3.
Mazzocco MM. The cognitive phenotype of Turner syndrome: Specific learning disabilities. IntCongr Ser. 2006;1298: 83-92.  Back to cited text no. 3
    
4.
Burnett AC, Reutens DC, Wood AG. Review: Social cognition in Turner's syndrome. J Clin Neurosci 2010; 17:283-6.  Back to cited text no. 4
    
5.
McCauley E, Feuillan P, Kushner H, Ross JL. Psychosocial development in adolescents with Turner syndrome. J Dev Behav Pediatr. 2001;22:360-5.  Back to cited text no. 5
    
6.
Schmidt PJ, Rubinow DR, Bondy CA. Adult women with Turner syndrome: A systematic evaluation of current and past psychiatric illness, social functioning, and self-esteem. IntCongr Ser. 2006;1298:100-7.  Back to cited text no. 6
    
7.
Miwa H, Kondo T. Increased writing activity in Parkinson's disease: A punding-like behavior? Parkinsonism Relat Disord 2005;11:323-5.  Back to cited text no. 7
    
8.
van Vugt P, Paquier P, Kees L, Cras P.Increased writing activity in neurological conditions: A review and clinical study. J Neurol Neurosurg Psychiatry 1996; 61:510-4.  Back to cited text no. 8
    
9.
Anschel DJ, Pike B, Dolce S, Schwartzman A.Analysis of writing in an epilepsy center population: A prospective blinded study. Epilepsy Behav. 2006;9:464-8.  Back to cited text no. 9
Advanced Biomedical Research
Volume 2015, May
May 2015
Pages 1-3