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The onset of repetitive behaviors was not associated with changes in antiparkinsonian medications, the behavior did not improve after reductions in dopaminergic therapy, and thus they seem to be part of the underlying illness. The disabling cleaning\/rearranging\/ordering behaviors had associated features of hypomania, occurred exclusively during motor <jats:italic>on<\/jats:italic> periods, and often occurred nocturnally. The repetitive behavior responded poorly to serotonin reuptake inhibitors. 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