Neuroleptic malignant syndrome from aripiprazole in an agitated pediatric patient.

Objective: Neuroleptic malignant syndrome was induced by aripiprazole in a 12 1/2-year-old boy. The patient had a history of reactive airway disease, pervasive developmental disorder, and learning disability.

Method: The patient was interviewed and examined, and additional history was taken from the medical records.

Dystonic rabbit syndrome from citalopram.

Objective: Two cases are described of dystonic rabbit syndrome induced by citalopram. This syndrome is a movement disorder with a 5-Hz rhythmic vertical motion of the mouth and lips without involvement of the tongue.

Method: The patients were interviewed and examined, and additional history was taken from the medical records.

Patient education by electroconvulsive therapy-experienced volunteer.

By diminishing the patient's attention, concentration, motivation, and decisiveness, melancholic depression makes the process of informed consent for electroconvulsive therapy more difficult. With such interference, obtaining informed consent can be a slow and lengthy process, despite the use of patient brochures, videotape programs, and heartfelt educational discussions. A case is presented of an impasse in the informed consent process despite protracted and lengthy efforts, with lengthened hospital stay.