Talk:Catatonia

message: This part seems a little odd to me, suggesting a typo: "Benzodiazepines are the first line of treatment and high doses are often required. A test dose of 1-2 mg intramuscular lorazepam will often result in marked improvement within half an hour." I'm not a doctor, but I know 2 mg is not very much. --Snaxe920 16:39, 8 October 2006 (UTC)
thread_title:  Treatment dosage 

message: If anyone feels like bulking up the article, I found a fantastic source of medical information on catatonia at eMedicine.  
:Here's a link: http://www.emedicine.com/neuro/topic708.htm -- 03:47, 26 October 2006 (UTC)
thread_title:  Article with Extensive Clinical Information on Catatonia 

message: In the first paragraph i read the following:
They may show specific types of movement known as "waxy flexibility" in which they maintain positions after being placed in them by someone else or geggenhalten, in which they resist movement in proportion to the force applied by the examiner.
There is a german word "gegenhalten" (holding against) but I'm not sure what is meant in the article. —The preceding unsigned comment was added by Jemocri (talk • contribs) 06:42, 10 February 2007 (UTC)
thread_title:  Is geggenhalten a word? 

message: I deleted links to a private hypnotherapist's web page.  I don't think the links are appropriate, although they do discuss catatonia.  Let me know if I'm wrong on this one.
GB77 18:50, 29 March 2007 (UTC)
thread_title:  Links 

message: Derren Brown claims to have put people into a catatonic state in at least two instances ("zombie" and "trick or treat - marrakesch"). if that is true, should it be mentioned? isn't that harmful? i know they have to sign contracts and stuff, but you can't really put someone into what is described in this article and get away with it, can you?--ExplicitImplicity 23:33, 13 June 2007 (UTC)
replies: text: A catatonic state is not one associated with hypnotism nor is it a coma. I doubt very much whether the catatonic state he claims has anything to do with the medical term.cheers,  Cas Liber | talk  |  contribs 23:59, 13 June 2007 (UTC)
thread_title:  derren brown 

message: Karl Kleist described at least eight types of catatonia, differing in symptoms, family history and outcome. An account of this work was published by Frank Fish in the Journal of Mental Science of July 1957. A summary might be worth adding to the main article. Karl Leonhard and Helmut Beckmann carried on with this line of study.
NRPanikker (talk) 22:55, 17 December 2008 (UTC)
thread_title:  Karl Kleist's classification

message: Catatonia can be caused by medical illness, and it can cause medical complications. Emerg Med J doi:10.1136/emermed-2011-200896 JFW | T@lk 18:18, 24 October 2012 (UTC)
thread_title: Acute assessment

message: I have three times found myself in a situational catatonic state that lasted until the situation changed. Without giving too much detail, each instance involved distress due to feeling emotionally threatened. Not knowing how to deal with the threat (consisting essentially of input from other people who were present), I withdrew inside and became rigid and unable to move or to speak. 
The position was very tense and quite tiring. What I wanted while I was in that state, and what the people around me didn't know to provide (nor could they have, I imagine), was "safety" from the things that had been said. Fortunately, rather than trying to get me out, they decided to leave me on my own. In leaving, they took the "danger" with them and I was able to I was relax and emerge. 
The experience strikes a chord with descriptions of " tharn", the fear-based freezing in a car's headlights that rabbits do, as named by Richard Adams in Watership Down. As nobody tried to touch me or persist in getting me to respond, let alone get anybody medical involved, I don't know how the situation would have progressed. My feeling is that I'd only have responded to someone who knew that the key to unlock me was the provision of safety.
Although there are similarities, I couldn't say that it's anything like the catatonia that the article talks about.
92.29.18.107 (talk) 23:15, 15 August 2013 (UTC)
thread_title:  Temporary catatonic state 

message: This section is missing some information in that individuals in this state usually experience delusions or hallucinations. I believe this is an important aspect of this condition and should not be overlooked. Cweiner1993 (talk) 23:52, 18 April 2014 (UTC)
replies: text: Good addition!  Lova Falk talk 08:50, 14 May 2014 (UTC)
thread_title:  Catatonic Excitment 

message: Substituted at 11:03, 29 April 2016 (UTC)
thread_title: Assessment comment

message: Hello, I am a 4th year medical student participating in a Wikiproject Medicine course. The purpose of this course is to chose one article related to medicine and edit, update, and expand the current article. 
A general outline of my work plan is below:
 
Lead
-Will edit the current lead, shorten some of what has already been written as it is a bit verbose, and add some high-yield information.  
Etiology/Causes
-I will add this section to the beginning as I believe the article will flow better if we start by understanding the disease, and then moving on to clinical features, assessment and diagnosis, treatment, and differential diagnosis.
Epidemiology
Pathogenesis/Mechanism                                                                         
-I will add this section to the current article as this is an important feature that could help readers better understand catatonia. 
Clinical Features 
-Subtypes: including signs and symptoms for each
-Associated disorders
Assessment/Diagnosis
-Current article has a pretty complete DSM-V diagnosis criteria. 
Treatment
-Will make some edits and expand on the treatments of both malignant and none-malignant catatonia. Will include an algorithm.
Outcomes/Prognosis/Recurrence
-Will add this section as well. 
Differential Diagnoses
-I will include differential diagnosis and links providing information about each.
Additional Images
-Although the article already has some great images, it is my goal to find a couple more to add to the article. 
During this 4-week course I will try my best to be as complete as possible with this article and accomplish everything listed above. It is my goal to make this article complete but also succinct, providing the most important information for readers to know in order to educate and empower them with knowledge. Please feel free to comment on my edits and offer suggestions.
Gonzalezmabit (talk) 22:08, 7 January 2021 (UTC)
thread_title:  Wikiproject Medicine; UCF College of Medicine 

message: @GonzalezMabit
Overall the changes to this article are fantastic and make it completely brand new. I believe that a regrading would be in order. Going section by section:
Introduction: The overall content is well explored with a quick definition, disease associations, and treatment. However, it does read a little choppy to me and I believe that a reorganization would help with clarity. Just as an example:
"Catatonia is a neuropsychiatric behavioral syndrome that is characterized by abnormal movements, immobility, abnormal behaviors, and withdrawal. Onset can be acute or subtle with symptoms waxing, waning, and changing during episodes. There are several subtypes of catatonia: retarded catatonia, excited catatonia, malignant catatonia, and other forms."
I personally believe that while the content is the same, combining small paragraphs when possible and linking them can help retain information better.
Citations appear to be appropriate.
Etiology: I appreciate the DSM definition as it provides direct clinical ideas about catatonia. Overall content is excellent. I would recommend organizing into a list the different causes and expanding on them individually. Sub-heading with "psychiatric causes", "infectious/autoimmune", and "withdrawal" might allow for more information in an organized way. Please feel free to disagree.
Link to review article for benzo withdrawal inducing catatonia - doi: 10.1038/s41398-018-0192-9
I have been unable to find one for alcohol. Other citations appear appropriate
Epidemiology: Information and citations seems appropriate. Expansion on prevalence and incidence and comorbidity with other illness would be great if numbers exist. Citations appear to be appropriate.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319219/ - This resource seems promising in their prevalence section however I did not read it in depth.
Pathogenesis/Mechanism: I feel a picture of a brain pointing to the implicated areas might help for explanation. Citations appear appropriate.
Signs and Symptoms: Excellent in-depth review. I appreciate how the subtypes are separated and explained individually. Citations appear appropriate.
Diagnosis: DSM-5 diagnosis included. Assessment/Physical accurate and thorough. Would it be possible to include the Bush-Francis Catatonia Rating Scale? Citations appear appropriate.
Treatment: Seems correct and well summarized. I like how each class of drugs is sectioned off and explained individually. Citations appear appropriate.
Complications, Outcomes, and Recurrence: I feel there is an over-reliance on statpearls as a single resource here. While the information may not be inherently wrong it might be worthwhile to gather other resources.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319219/ - This link has some discussion on complications.
Differential diagnosis: Highlight of the article! Truly amazing job walking through each one and discussing the differences between them. Citations appear appropriate.
GREAT JOB OVERALL!!!
Jbobet830 (talk) 19:41, 25 January 2021 (UTC)
thread_title:  WikiProject Medicine UCF Peer Review 

message: Whilst I agree this is almost certainly true, the sentence "Catatonic excitement is commonly cited as one of the most dangerous mental states in psychiatry" in the "Excited Catatonia" section requires a citation which explicitly says. The sentence literally states 'commonly cited' without providing any.  — Preceding unsigned comment added by 103.106.90.52 (talk) 12:36, 15 December 2021 (UTC)
replies: text: That would be "lethal catatonia" or "malignant catatonia," or possibly "mania" or "hypermania." The latter two are concepts which have been excluded from the DSM classification and are therefore no longer mentioned in peer-reviewed American psychiatric literature. NRPanikker (talk) 19:27, 6 June 2022 (UTC)

text: Perhaps a rephrasing is in order. Rather than seek out-of-date citation, consider changing the phrasing to "Due to the potential for a patient to injure others during a period of hyperactivity and hallucination, catatonic excitement is considered one of the more dangerous conditions in psychiatry." Phrasing such as this might communicate the idea as a logical conclusion based on the previously mentioned information in the paragraph. Knighthsilgne (talk) 00:08, 31 October 2022 (UTC)
thread_title:  An important missing citation