A 24‐Year‐Old Male Adult With a Severe Intellectual Developmental Disorder and Intractable Challenging Behaviors: A Case Report
Edouard Guez, Nicolas Turin, Filippia Doulou, Yoann Beigheldrut, Pia El Kossaifi, Frank Ferrari, Michèle Levy-Soussan, David Cohen, Marianna Giannitelli · 2026
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Description
Edouard Guez and team reported in 2026 the recovery of Nathan, a 24-year-old man with autism and severe intellectual developmental disorder. His challenging behaviors had led to two years of non-stop restraint and five antipsychotic drugs at once. He also suffered recurrent aspiration pneumonia from tube feeding and drug side effects. A special unit took over, with psychiatry, ICU, and ethics staff at one table.
The team chose a conservative plan: drugs cut down to clozapine, with an antidepressant added later. They added feeding support, speech help, and personal education, movement, and work in a set daily routine. Oral feeding returned step by step until the feeding tube came out, and restraints were dropped bit by bit. His behavior, self-control, mobility, and quality of life all improved a lot despite a grim first outlook.
Catalog record
| CREATOR | Edouard Guez, Nicolas Turin, Filippia Doulou, Yoann Beigheldrut, Pia El Kossaifi, Frank Ferrari, Michèle Levy-Soussan, David Cohen, Marianna Giannitelli |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 30 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |