Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

1 results

  • Chapter 7 - Picking, Hoarding, and Elopement in Prader-Willi Syndrome

  • Edited by Deepan Singh
  • Book:
    Neuro-behavioral Manifestations of Prader-Willi Syndrome
    Published online:
    26 May 2022
    Print publication:
    16 June 2022, pp 58-67

  • Summary

    Skin or rectal picking, hoarding of nonfood items, and elopement are common behavioral manifestations in PWS. Early recognition and management of excoriation behaviors by redirection and distraction can help reduce picking behavior. If behavioral interventions including habit-reversal training are ineffective, medication management should be considered. N-Acetyl Cysteine (NAC), topiramate, guanfacine extended-release, and naltrexone are some of the medicines used to manage picking behaviors. Hoarding of nonfood items is another common behavior in PWS that can lead to significant distress to caregivers. The evidence of medications in the management of hoarding in PWS is limited but behavioral management strategies are discussed. Medications may be considered when attempts to limit hoarding leads to aggressive outbursts. Finally, elopement or runaway behavior can be dangerous and potentially life threatening in PWS. In addition to ensuring security and preventing the act of running away, the underlying causes of the behavior whether psychosocial or psychiatric should be explored and treated appropriately.