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Case 22 - “He Just Won’t Get Up”

Catatonia

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
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Summary

Catatonia is a severe neuropsychiatric condition characterized by a state of immobility, stupor, and unresponsiveness to the environment. Signs and symptoms can be thought of in terms of motor signs, affective features, and cognitive-behavioral features. Common symptoms of catatonia can include stupor, rigidity, posturing, mutism, or prolonged excitement and agitation. Benzodiazepines and electroconvulsive therapy are the most commonlly used treatments for catatonia. Both treatments have shown similar efficacy.

Keywords

Type
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Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 106 - 110
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Bush, G., Fink, M., Petrides, G., Dowling, F., & Francis, A. (1996). Catatonia. I. Rating scale and standardized examination. Acta Psychiatrica Scandinavica, 93 (2), 129136.CrossRefGoogle ScholarPubMed
Ariza-Salamanca, D. F., Corrales-Hernández, M. G., Pachón-Londoño, M. J., & Hernández-Duarte, I. (2021). Molecular and cellular mechanisms leading to catatonia: An integrative approach from clinical and preclinical evidence. Frontiers in Molecular Neuroscience, 15. https://doi.org/10.3389/fnmol.2022.993671Google Scholar
Francis, A. Catatonia: diagnosis, classification, and treatment. Curr Psychiatry Rep. 2010 Jun;12(3):180185. doi: 10.1007/s11920-010-0113-y. PMID: 20425278.CrossRefGoogle ScholarPubMed
Pelzer, A. C., van der Heijden, F. M., & den Boer, E. (2018). Systematic review of catatonia treatment. Neuropsychiatric Disease and Treatment, 14, 317–326.CrossRefGoogle Scholar
Lloyd, J. R., Silverman, E. R., Kugler, J. L., & Cooper, J. J. (2020). Electroconvulsive therapy for patients with catatonia: Current perspectives. Neuropsychiatric Disease and Treatment, 16, 21912208. doi: 10.2147/NDT.S231573. eCollection 2020.CrossRefGoogle ScholarPubMed

Further Reading

Denysenko, L., Sica, N., Penders, T. M., Philbrick, K. L., Walker, A., Shaffer, S., & Francis, A. (2018). Catatonia in the medically ill: Etiology, diagnosis, and treatment. The Academy of Consultation-Liaison Psychiatry Evidence-Based Medicine Subcommittee Monograph. Annals of clinical psychiatry: official journal of the American Academy of Clinical Psychiatrists, 30 (2), 140155.Google ScholarPubMed
Narayanaswamy, J. C., Tibrewal, P., Zutshi, A., Srinivasaraju, R., & Math, S. B. (2012). Clinical predictors of response to treatment in catatonia. General Hospital Psychiatry, 34 (3), 312316.CrossRefGoogle ScholarPubMed
Rogers, J. P., Oldham, M. A., Fricchione, G., Northoff, G., Wilson, J. E., Mann, S. C., Francis, A., Wieck, A., Wachtel, L. E., Lewis, G., Grover, S., Hirjak, D., Ahuja, N., Zandi, M. S., Young, A. H., Fone, K., Andrews, S., Kessler, D., Saifee, T., & David, A. S. (2023). Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology (Oxford, England), 37 (4), 327369. https://doi.org/10.1177/02698811231158232CrossRefGoogle ScholarPubMed
Vaquerizo-Serrano, J., De Pablo, G. S., Singh, J., & Santosh, P. (2022). Catatonia in autism spectrum disorders: A systematic review and meta-analysis. European Psychiatry, 65 (1), e4.CrossRefGoogle Scholar

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  • “He Just Won’t Get Up”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.023
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • “He Just Won’t Get Up”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.023
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • “He Just Won’t Get Up”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.023
Available formats
×