Doctor insights on: Catatonic schizophrenia in children
A mental disorder with positive, negative, and cognitive symptoms. A person with positive symptoms loses touch with reality with hallucinations or delusions. Negative symptoms: lack of pleasure; failing to take care of everyday functions; losing motivation; the inability to carry out plans in isolation. Cognitive symptoms could include problems focusing, memory problems or difficulty understanding ...Read more
Catatonic Schizophre: Patient cannot move, speak or respond, on one extreme, and at opposite extreme the patient mimics sounds or movements and is over excited. They also show repetitive purposeless behaviors (stereotypy), bizarre postures. Main symptoms are termed Physical immobility, Waxy flexibility, Strange movements, Uncooperativeness, Echolalia, & Echopraxia. ...Read more
Inability to move: The key feature of catatonia, which actually occurs in more than schizophrenia, is the inability to move at times. The person can stay still in one posture for hours at a time, leading to an inability to eat or perform other activities of daily living. There are also cases of "agitated catatonia" in which the person moves around in an agitated state doing motions that are purposeless. ...Read more
Catatonia: Catatonia can take two forms, the most common being catatonic mutism where the person cannot speak. Their bodies may exhibit waxy flexibility, which is if they are posed by someone else in a certain position, they will not change that position for hours or longer. The other form of catatonia, is catatonic excitement, rarely seen and which is where the patient will literally run until they die. ...Read more
Catatonic: Catatonia, which is characterized by motoric immobility (inability to move) such as catalepsy or stupor (significant altered levels of consciousness), mutism (inability to speak), negativism, is shown in about 10-15% of patients with schizophrenia. The can respond to benzodiazepines, Abilify (aripiprazole) and electroconvulsive therapy. ...Read more
Schizophrenia: Yes "catatonic" schizophrenia is still schizophrenia. Catatonia is one possible symptom a schizophrenic person might show -- either being unmoving (waxy flexibility or catatonic "stupor") or catatonic "furor" (moving around so fast and so constantly they exhaust themselves. The most recent diagnostic manual eliminated these different "types" of schizophrenia, but people can still exhibit symptoms. ...Read more
Biopsychosocial: In the late 80's and early 90's the concept of biopsychosocial treatment became very popular. In this treatment paradigm one addressed the biological, psychological and social needs of any patient regardless of diagnosis. In the case of catatonic schizophrenia antipsychotic medications are given, and the patient is gradually reintegrated into society. For severe cases ECT has been effective. ...Read more
Yes: Ect is not a cure. Symptoms may remit, but they can and do return. ...Read more
Diagnoses do change: In my experience diagnoses do change. Sometimes a particular symptom changes or is treated by other means. ...Read more
Can barbiturates be prescribed for reasons other than the criteria stated? Such as butalbarbital for catatonic schizophrenia
No: Barbiturates are not the treatment of choice for schizophrenia. I have sometimes used low dose Ativan (lorazepam) to help severely catatonic people eat, though. With this, they would have just enough movement to be able to take in a meal. Still, this is not the overarching main treatment for their illness either -- it's symptomatic palliation only. ...Read more
Hoe does catatonic schizophrenia work? Do the patients know what's going on when they are not responding"staring out", do all of them stare out? Forget?
My son has cerebral palsy, autism, mental retardation, catatonic schizophrenia, seizures, & no lower left lope of brain what is his life expectancy?
Who knows!: So sorry about your son. All of his conditions you could think might cause a shorter life span for all sorts of reasons, but with good care one never knows. Accidents, poor nutrition (because he doesn't eat well), progressive brain deterioration if repeated seizures, infections, general stress with its harmful physical effects, all could contribute to premature death. Best of luck! ...Read more
My son has cerebral palsy, autism, catatonic schizophrenia, seizures, mental retardation, lower left lobe of brain is missing, strabismus and was born?
Needs long term treatment
periodicaly medications shall shall need adjustment. ...Read more
Schizophrenia sympto: Symptoms are disorganized thinking/speech such as loosing train of thought or words incoherent, auditory hallucinations, bizarre delusions or delusions of persecution, social withdrawal, poor hygiene, lack of motivation, poor judgement/attention/executive functions. ...Read more
What are the two types of catatonia schizophrenia and what are are the the symptoms of both, also can you have both types or just one?
Rare in general: Now, it is officially a symptom, but most drs still think of it as a subtype. The polar features of waxy statue-like stillness and unusual posturing vs the uncontrolled excessive motor activity that in the highest degree can be life threatening. They would not be concurrent, but I suppose it could be possible to have episodes of both kinds. It is all quite rare. Think "expressing: not "having". ...Read more
Odd ideas, voices: Schizophrenia usually first shows in late teens or early 20s with social withdrawal and odd ideas that don't make sense to others. Auditory hallucinations (imaginary voices) are common too, although the person may not admit to hearing them. Self-care (hygiene, grooming) suffer, as well as school or work performance. Catatonia — stupor, immobility, posturing — is not usually an early symptom. ...Read more
Catatonia, which is characterized by motoric immobility (inability to move) such as catalepsy or stupor (significant altered levels of consciousness), mutism (inability to speak), negativism, is shown in about 10-15% of patients with schizophrenia. The can respond to benzodiazepines, Abilify ...Read more