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January 19, 1970

Psychotherapy in Torsion Dystonia

Author Affiliations

Mid-Fairfield Child Guidance Center Norwalk, Conn

JAMA. 1970;211(3):502. doi:10.1001/jama.1970.03170030094023

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To the Editor:—  In response to the communication by Eldridge et al, "The Limited Role of Psychotherapy in Torsion Dystonia" (210:705, 1969), I was very pleased to see myself quoted.The psychiatrist, after one visit, advised that our son's problem was not psychological but related to the nervous control of muscles. His words at that time were "If we work at it we could also make it a psychological problem"...I believe it is of great importance for psychiatrists to be aware of dystonia because a great deal of time, effort, and misery is associated with the delayed diagnosis. For example, a 15-year-old boy was in psychotherapy because his symptoms were considered hysterical. Even after I saw him in consultation and made a diagnosis of torsion dystonia, the family was not convinced. My immediate referral to Dr. Cooper was not followed, instead they wanted an additional neurological examination. This