Is there a place for placebo in management of psychogenic movement disorders?

Abstract

Introduction: The management of psychogenic movement disorders is fraught with difficulties. Empathy and a non-judgemental manner are essential in dealing with patients, and a neurobiological explanation of the symptoms may help to foster trust, acceptance, understanding and recovery. Clinical Picture: We report a 17-year-old Chinese girl with psychogenic blepharospasm. Her parents refused psychotherapy and pharmacotherapy. Treatment and Outcome: Placebo therapy (with parental consent) was prescribed with favourable results. Conclusion: We examine the ethical considerations for and against placebo therapy, and explore the role of placebo therapy in the management of psychogenic movement disorders.