TY - JOUR T1 - Clozapine in the management of persistent destructive behaviour in a 17-year-old boy with intellectual disability JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-235346 VL - 13 IS - 11 SP - e235346 AU - Navin Dadlani AU - Jacqueline Small AU - Jean Starling AU - Stewart Einfeld Y1 - 2020/11/01 UR - http://casereports.bmj.com/content/13/11/e235346.abstract N2 - The management of challenging and refractory destructive behaviour in young patients with intellectual disability (ID) is a major issue faced by families, carers and healthcare professionals who support them. Often, paediatricians and psychiatrists use various behavioural and psychopharmacological approaches, including polypharmacy. We report on one such patient who benefitted greatly from a trial of clozapine, resulting in less aggression, improved quality of life and potentially huge cost savings. We conclude that clozapine may represent a beneficial though seldom-used option for severe, destructive behaviour in young people with ID. ER -