Wilson's disease presenting as depressive disorder.

A 11-year-old girl was admitted with abnormal movements involving the left side of the body. Her symptoms started 9 months back when her father died. She became moody, irritable and lost interest in play and activities. She developed excessive fears, crying spells and disturbed sleep. She had loss of appetite and started losing weight. Her handwriting and academic performance deteriorated. The symptoms gradually increased and she was taken to a psychiatrist. A diagnosis of reactive depression was made and she was put on fluoxetine and thioridazine. About 4 months later she developed the abnormal movements and was admitted to our hospital.