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Wir berichten hier \u00fcber ein 14-j\u00e4hriges M\u00e4dchen mit \u00c4ngsten, Depressivit\u00e4t, Schulvermeidung, sozialem R\u00fcckzug sowie sehr h\u00e4ufigen imperativen Schlafanf\u00e4llen tags\u00fcber mit Kataplexie. <\/jats:p><jats:p> Im Kindes- und Jugendalter gibt es gegenw\u00e4rtig f\u00fcr die Indikation Narkolepsie kein zugelassenes Medikament. Unsere Patientin profitierte signifikant und z\u00fcgig von einer off-label medikament\u00f6sen Therapie mit dem Wirkstoff Methylphenidat in Verbindung mit Psychoedukation, Verhaltens- und Familientherapie. <\/jats:p><jats:p> Narkolepsie ist eine sehr seltene, aber m\u00f6glicherweise untersch\u00e4tzte Differentialdiagnose bei unklarer Tagesm\u00fcdigkeit und \u00c4ngsten bzw. Depressivit\u00e4t im Kindes- und Jugendalter. Die Kern- und komorbiden Symptome sprachen in diesem Fall gut auf eine allerdings h\u00f6her dosierte Stimulanzientherapie an <\/jats:p>","DOI":"10.1024\/1422-4917\/a000461","type":"journal-article","created":{"date-parts":[[2016,9,26]],"date-time":"2016-09-26T12:56:19Z","timestamp":1474894579000},"page":"149-157","source":"Crossref","is-referenced-by-count":0,"title":["Narkolepsie im Kindes- und Jugendalter: Symptome, Diagnostik und                     Therapie. Ein Fallbericht"],"prefix":"10.1024","volume":"45","author":[{"given":"Jochen","family":"Gehrmann","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Kinder- und                     Jugendpsychiatrie und Psychotherapie, Ludwigshafen a. Rh., Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Siegler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und                     Jugendpsychiatrie und Psychotherapie, Ludwigshafen a. 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