Catatonia

Catatonia, a state of unresponsiveness characterized by motoric immobility or excessive activity, can be a symptom of various psychiatric disorders. Understanding its causes, manifestations, and treatments is crucial. The Journal of Clinical Psychiatry provides comprehensive insights into catatonia, emphasizing evidence-based diagnostic and therapeutic approaches. Our expert editors ensure that content is clinically relevant and actionable, equipping psychiatrists to recognize and address catatonia effectively.

The latest

ECT for Catatonia With NPSLE, Epilepsy, and Cerebral Palsy

Case Report

ECT for Catatonia With NPSLE, Epilepsy, and Cerebral Palsy

The authors discuss a case of NPSLE in a patient with epilepsy and cerebral palsy who developed protracted catatonia refractory to benzodiazepines and immunosuppression with complete resolution of symptoms...

Breaking Down Emerging Research on Catatonia in Schizophrenia

News

Breaking Down Emerging Research on Catatonia in Schizophrenia

Emerging research has convinced modern psychiatry to reconsider catatonia as a symptom of schizophrenia rather than a standalone condition.

When Lorazepam Worsens Delirium in Your Catatonic Patient

Case Report

When Lorazepam Worsens Delirium in Your Catatonic Patient

The authors present 2 cases detailing effective alternative strategies in treating co-occurring catatonia and delirium.

Commentary on Catatonia and Competency to Stand Trial

Letter to the Editor

Commentary on Catatonia and Competency to Stand Trial

N. A. Uvais, MBBS, DPM, comments on a recent publication in the PCC.

Catatonia and Psychosis With Hyperthyroidism

Case Report

Catatonia and Psychosis With Hyperthyroidism

Catatonia is a rare manifestation of hyperthyroidism. This report describes a case of catatonia and psychosis resulting from hyperthyroidism in a woman with no previous psychiatric history.

Complex Long-Term Catatonia

Case Report

Complex Long-Term Catatonia

This is a case of an inpatient with catatonic schizophrenia with multiple systemic repercussions and complex etiology.

Recent JCP Articles on Catatonia

Comparison of Catatonia Risk of 30 Antipsychotics

Original Research

Comparison of Catatonia Risk of 30 Antipsychotics

In this postmarketing study, first-generation antipsychotics were associated with a greater risk of catatonia syndromes compared to second-generation antipsychotics.

Prevalent Gaps in Understanding Catatonia

Original Research

Prevalent Gaps in Understanding Catatonia

Underdiagnosis of catatonia may occur because of its heterogeneous phenotypes and a lack of harmony between the DSM-5 and the Bush-Francis Catatonia Rating Scale.

Letter to the Editor

Azithromycin and Catatonic Symptoms

Recent PCC Articles on Catatonia

Catatonia After Withdrawal of Quetiapine

Case Report

Catatonia After Withdrawal of Quetiapine

A 66-year-old woman treated in the inpatient unit for severe psychotic depression developed severe catatonia after stopping quetiapine.

ECT in Children With Lupus Cerebritis and Catatonia

Case Report

ECT in Children With Lupus Cerebritis and Catatonia

A 13-year-old girl with neuropsychiatric systemic lupus erythematosus presenting with psychosis and persistent catatonia unresponsive to immunosuppressive agents and a benzodiazepine was successfully treated with ECT.

Low-Dose Lorazepam in the Treatment of Catatonia

Case Report

Low-Dose Lorazepam in the Treatment of Catatonia

This report highlights a case of catatonia treated with low-dose lorazepam.

Featured Catatonia Research

Case Series

Dexmedetomidine for Agitation With Excited Catatonia

The α2-receptor agonist dexmedetomidine is generally used for short-term analgesia and sedation. This report describes several cases in which dexmedetomidine was used to treat agitation that accompanied excited catatonia.

Case Report

Metronidazole-Induced Leukoencephalopathy Presenting as Catatonia

The diagnosis of hypoactive delirium versus catatonia versus encephalopathy can be challenging. Here, read about a patient with metronidazole-induced leukoencephalopathy whose diagnosis was delayed due to the assumption his...

Case Report

When Nothing Stops Catatonia Except ECT and Clozapine

Here, the authors present a case of catatonia that failed treatment with several antipsychotics, resulting in the development of neuroleptic malignant syndrome and rhabdomyolysis. Read on to find out...

The remaining

Catatonia Secondary to Anti–NMDA-Receptor Encephalitis

Case Report

Catatonia Secondary to Anti–NMDA-Receptor Encephalitis

While it may signify a primary psychiatric etiology, catatonic presentations often develop secondary to substance exposure or medical illnesses.

Catatonia and Competency to Stand Trial

Case Report

Catatonia and Competency to Stand Trial

This report investigates issues surrounding catatonia and competency to stand trial.

Catatonia in the Context of Cerebral Venous Sinus Thrombosis

Rounds in the General Hospital

Catatonia in the Context of Cerebral Venous Sinus Thrombosis

This is the case of an elderly woman who presented with symptoms of catatonia that were refractory to traditional treatment and was found to have a cerebral venous sinus...

Quetiapine-Induced Acute-Onset Catatonia

Case Report

Quetiapine-Induced Acute-Onset Catatonia

This report describes a rare occurrence of catatonia following administration of quetiapine and a possible mechanism by which quetiapine-induced catatonia may have arisen.

Malignant Catatonia in Opioid and Benzodiazepine Withdrawal

Case Report

Malignant Catatonia in Opioid and Benzodiazepine Withdrawal

Malignant catatonia can occur during simultaneous benzodiazepine and opioid withdrawal.

Reversal of Symptoms of Catatonic Coma With Lorazepam

Case Report

Reversal of Symptoms of Catatonic Coma With Lorazepam

In this case of catatonic coma, which precipitated a palliative care consult, full-dose lorazepam challenge changed the clinical course.

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