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what is catatonia?
neuropsychiatric condition where the individual becomes unreactive to the environment
what are the psychiatric causes of catatonia?
- bipolar disorder
- schizophrenia
- depression
- OCD
- PTSD
- autism
what are the non-psychiatric causes of catatonia?
- infections
- autoimmune disorders
- side effect or withdrawal from benzos or antipsychotics
- substance abuse
- withdrawal from alcohol or cocaine
what are the clinical features of catatonia?
- sitting or standing in sam position for hours
- holding odd positions
- resisting movement of extremities
what are the features of severe (malignant) catatonia?
- fever
- psychomotor agitation
- autonomic dysfunction - life-threatening
how do you treat catatonia?
benzodiazepines - IV lorazepam
or ECT