Foreign Accent Syndrome Secondary to Medication Withdrawal: A Case Report

Schuh, Michael J.

doi:10.24926/iip.v8i3.530

Cited by 1 publication

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, abnormal emotional regulation has been identified among those with FAS (Berthier et al, 2016). In addition, links have been established between FAS and the withdrawal of medication, specifically high-dose dopamine or anticholinergic agents (Schuh, 2017) and antipsychotic drugs (Keulen et al, 2016). The term psychogenic FAS is considered by some to be problematic, particularly in instances where there is neither a neurogenic cause nor a presence of any psychiatric conditions (Mariën et al, 2019).…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

“…Patients often experience protracted difficulties, frequently presenting to medical services (Rancourt & Darkes, 2019), yet derive limited benefit from treatment (Woolfolk & Allen, 2012). Although there is now greater awareness of psychogenic FAS, as evident in the growth in publications of single FAS case studies (e.g., Ashgar & Whitty, 2020; Asogwa et al, 2016; Reddy et al, 2016; Schuh, 2017), there is no clear guidance on how best to treat individuals with psychogenic FAS. As such, psychogenic FAS remains a syndrome rather than a disorder, and is not included in diagnostic manuals in its own right.…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Cognitive Behavioral Therapy for Foreign Accent Syndrome: A Single-Case Experimental Design

Birdsey

Millar

2020

Clinical Case Studies

View full text Add to dashboard Cite

Foreign accent syndrome (FAS) has historically been attributed to a neurological etiology. However, recent research has identified psychogenic causes of FAS, where patients present to health care services with medically unexplained FAS symptomology. Due to the rare nature of psychogenic FAS, there is currently no evidence-based psychological treatment for this syndrome. Although patients with psychogenic FAS do not meet the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) or the International Classification of Diseases (ICD)-10 diagnostic criteria for a diagnosis of somatization disorder, there are some similarities in presentation between psychogenic FAS and the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) criteria for somatic symptom disorder (SSD). These include the presence of distressing and disruptive symptoms that result in increased health care utilization. Given the emerging evidence for cognitive behavioral therapy (CBT) for SSDs, it is arguable that CBT could help patients with psychogenic FAS to manage the psychological distress they experience. This paper aims to explore the use of CBT in reducing the psychological distress of a patient with no organic explanation for FAS using a single-case (A-B) experimental design. The results suggest that CBT was effective in reducing distress, as measured using the Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE-OM). This paper highlights the value in using an individualized formulation-driven CBT approach for presentations that do not yet have evidence-based guidelines. In this case, cognitive restructuring, activity scheduling, and stress management appear to be key mechanisms of change in reducing psychological distress associated with FAS.

show abstract