The Guardians by Sarah Manguso

Author:Sarah Manguso [Manguso, Sarah]
Language: eng
Format: epub, mobi
Published: 0101-01-01T00:00:00+00:00

Case 1: A man with chronic schizophrenia, who developed command hallucinations, received two 5 mg intramuscular injections of haloperidol over a thirty-minute period and, because of other activity in the emergency room, was left alone in a room to relax.

Within an hour he became acutely agitated and felt that he would jump out of his skin. He tried pacing around the room, then eloped from the emergency ward and ran home in the hope that talking with his roommates would calm the unbearable inner restlessness.

When this did not yield any relief, he went up to his third-floor apartment and leaped out of the window, breaking his leg and arm. After he was taken back to the hospital by ambulance, the symptoms of akathisia were recognized and he received an intravenous injection of diphenhydramine, which soon relieved his distress. The patient stated that he did not intend to die but would have done anything to escape the intolerable feelings induced by haloperidol. He has since steadfastly attributed his suicide attempt to the unbearable restlessness.

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