Long-term Neuroleptic Therapy in Chronic Anorexia Nervosa Complicated by Tardive Dyskinesia

Described is the case of a 47yr. old woman with a 25yr. histfory of anorexia nervosa alternating with major depression associated with suicidal ideation. Repeated relapse occurred despite a variety of treatments until the institutution of high-dose neuroleptic therapy together with supportive psychotherapy. Recently the S has exhibited signs of tardive dyskinesia. The characteristics of a subgroup of chronic anorexics, in whom the risk-to-benefit ratio may justify such a regime, are outlined.