ABSTRACT

CASE PRESENTATION A 41-year-old African-American woman presented with a ‘nervous condition’ that had begun approximately 2 years previously. Her family described her as constantly moving, fidgety, jerky, and unable to sit still. The abnormal jerks also complicated her gait. They also reported a gradual personality change over 2 years, citing new episodes of impulsivity and rage. She was a college graduate and had worked in a supervisory position. She reported that her job performance had deteriorated because of difficulties with memory and multitasking. She eventually had to move into her mother’s apartment and relinquish control of her finances because of multiple mistakes she had made with bills.