Motor behaviour

A number of motor abnormalities that may have psychiatric significance may be observed. The most common examples are the restlessness, fidgetiness, and distractibility of hyperactivity, which needs to be distinguished from manic motor excitement. Depression may be accompanied by motor slowness and underactivity, and in very rare cases primary obsessional slowness may occur in severe obsessive- compulsive disorder. Obsessive-compulsive disorders may manifest as compulsive acts or rituals (which must be distinguished from motor stereotypies, tics, and mannerisms). The clinician should also be on the alert for medication-induced movement disorders (such as the tremor of lithium intoxication or the choreo-athetoid movements of tardive dyskinesia).

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