This case reports on a restless leg syndrome mimic that has responded to antipsychotic medication.
Treatment strategies are that patients not to be confronted with their diagnosis. The fosus of treatment strategies should involve empathic listening ( not validating the delusion but rather their suffering and expereince), and how to improve their quality of life. Providing adjunctive therapy to reduce prutritis and insomia (hydroxyzine and doxepin) might be warranted. The use of antipsychotics and antidepressants (quetiapine, risperidone, haloperidol, sertraline, fluoxetine and duloxetine) has been reported in the literature with variable results.