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Biomedical subjects

T L Tan

Publications and source records attributed to T L Tan.

At least 37 records · Page 2Linked to original sources

Anorexia nervosa in a young man with Tourette's syndrome.

Successful treatment of Tourette's syndrome in a young man seemed to precipitate anorexia nervosa. The obsessional behaviors associated with Tourette's syndrome and the social isolation incurred by his illness may have predisposed this patient to the development of anorexia nervosa in response to the heightened anxiety of adolescence. The association between obsessive-compulsive behavior and Tourette's syndrome is described, as is the diagnostic difficulty posed by the somatic obsessiveness of males with anorexia nervosa. The importance of using the biopsychosocial model to integrate pharmacologic therapy and psychotherapy in treating complicated conditions, as illustrated by the patient, is emphasized.

Adolescent↗

Biopsychobehavioral correlates of insomnia. IV: Diagnosis based on DSM-III.

DSM-III diagnoses were established for 100 patients with chronic insomnia. Principal and additional diagnoses on axis I and II (psychiatric and personality disorders) were extremely prevalent. Only five patients had a principal diagnosis on axis III (physical disorders). The most common diagnoses on axis I were dysthymic, anxiety, somatoform, and substance use disorders. Compulsive personality disorder or trait was the most common axis II diagnosis. Ninety-five patients had multiple diagnoses. This study confirms that patients with chronic insomnia have a high prevalence of psychopathology and characteristic internalizing patterns of anxiety, depression, obsessive-compulsiveness, phobia, and excessive somatic concerns.

Adjustment Disorders↗

Successful treatment of narcolepsy with propranolol: a case report.

A patient with severe narcolepsy and cataplexy had been treated with a high dosage of methylphenidate hydrochloride, but the drug was not effective. To relieve the patient's cardiac arrhythmia, which was assumed to be secondary to drug therapy, we withdrew methylphenidate therapy and started propranolol hydrochloride therapy. When the dosage of propranolol was increased to a level consistent with maximum beta-adrenergic receptor blockade, the attacks were eliminated.

Female↗