my 26 yr. old daughter is being treated for schizoaffective disorder,bipolar type.experienced jaw tightness, fine tremor,lactation with perphenazine and was being tapered down and saphris initiated a little over 1 week ago.3 days ago with increasing confusion, muscle rigidity/heaviness, increased tremor, increased fatique/sedation, but no fever. her nurse practitioner stopped the saphris on 8/13 and put her perphenazine bach to 2mg@noon and 4mg @ HS. she is on routine cogentin 1mg tid, paxil 60 mg am, depakote 750 @ HS. I am worried for neuroleptic malignant syndrome and asked her husband to take her to ER where her CK is 790 and CKMB is 8.4 valproate level 55.. they gave her a shot of benafryl and sent her home and her husband says she s not much better. I am 3600 miles away and I am worried...any suggestions?