What is catatonic schizophrenia?
Catatonic schizophrenia is a set of symptoms that might develop in some schizophrenia patients. In such cases, the individual does not react to instructions and moves very little.
On the other extreme, the individual can display excessive and unusual motor activity, such as echolalia (impersonating other people’s sound or movement) or Echopraxia (impersonating other people’s movement). The condition is known as catatonic excitement.
The purpose of this article is to provide a list of symptoms, their causes, diagnosis and treatment for catatonic schizophrenia.
Facts about catatonic schizophrenia
Catatonic schizophrenia can be summarized by these key points. In the main article, you can find more details and supporting information.
- Schizophrenia only causes catatonia in some individuals
- Flipping between hyperactivity and inactivity can be a symptom
- Catatonic schizophrenia is at risk for the same factors as schizophrenia in general
- Treatments for catatonic schizophrenia are now available in many forms
Catatonic schizophrenia risk factors
A number of factors contribute to the development of catatonic schizophrenia, as they do for other schizophrenia subtypes, including:
- Genetics – Families with histories of schizophrenia are at greater risk of developing it themselves, as well.
- Viral infection – The development of schizophrenia may be predisposed to by viral infections in children.
- Fetal malnutrition – There is a greater risk of schizophrenia developing in the fetus if it suffers from malnutrition during pregnancy.
- Stress during early life – Schizophrenia may be caused by severe stress at a young age. Schizophrenia is often preceded by stressful experiences.
- Trauma or abuse during childhood.
- Age of parents at birth – A child raised by older parents is more likely to develop schizophrenia.
- Drugs – During adolescence, using substances that affect the mind dramatically increases the risk of schizophrenia.
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Causes of catatonic schizophrenia
Catatonic schizophrenia has no known cause. According to research, mental disorders are generally caused by a malfunctioning of the brain. However, we do not currently understand exactly why this malfunction occurs. Stress, genetics, and environmental factors are likely to play a part in its development.
Schizophrenia is thought to be caused by an imbalance of dopamine, a neurotransmitter. Genes that make someone susceptible to the illness are believed to be behind this imbalance. According to some researchers, serotonin may play a role, as well as other neurotransmitters.
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Symptoms of catatonic schizophrenia
A better understanding of treatment has made catatonic schizophrenia much less common compared to the past. Catatonic states are now more common in mental illnesses other than schizophrenia, such as neurodevelopmental illnesses (which affect children’s nervous systems during the development stage), psychotic bipolar disorders, and depressive disorders.
When people suffer from catatonia, their motor activity fluctuates between decreased and excessive.
The latest treatments for catatonic schizophrenia help patients manage their symptoms more effectively, improving their chances of living a happier and healthier life.
There are at least three catatonic schizophrenia symptoms present in catatonic patients:
- Stupor – inactivity, and inability to interact with the environment
- Catalepsy may lead to abnormal postures
- Waxy Flexibility – if an area is placed on a patient, the area will stay in this position until the area is moved again
- Mutism – limited ability to communicate verbally
- Negativism – little or no response to external stimuli or instructions
- Posing – holding a posture actively against gravity
- Mannerism – the act of performing odd, exaggerated actions
- Stereotypy – the act of repeating a sequence of movements in the same way without any apparent reason
- Agitation – with no known cause
- Echolalia – mimicking the speech of another
- Echopraxia – the imitation of the movement of another
It is a fact that a catatonic episode can last days or weeks without treatment.
Schizophrenia is also characterized by the following symptoms, among others:
- Delusions: There may be an overwhelming sense of persecution among the patient. Alternately, they may believe they possess extraordinary abilities.
- Hallucinations: A hallucination is a sense of hearing voices (audible hallucination), but can also involve visions (seeing things you don’t see) or any other sensory experience.
- Thought disorder: The person can talk about several subjects at once without a logical reason. A patient’s speech may be difficult to understand and muddled.
- Absence of motivation (abolition): This can result in the patient losing their drive. They stop doing everyday things, like washing and cooking.
- Poorly expressed emotions: If a happy or sad event happens, they may not respond appropriately.
- Social withdrawal: Psychosis patients often withdraw from social interactions because they think that someone is going to hurt them.
- A lack of awareness of illness (“poor insight”): The patient does not realize they are ill due to the hallucinations and delusions they see.
- Cognitive difficulties: Patients have difficulty concentrating, remembering things, planning ahead, and communicating.
Catatonic schizophrenia sufferers are not generally able to get medical treatment on their own. Family members and friends often seek medical assistance.
Diagnosis of catatonic schizophrenia
The doctor who suspects the patient of catatonic schizophrenia will order a number of medical and psychological tests to further assist him in diagnosing the illness. These tests may include:
- Physical exam – Checks are made on the patient’s height, heart rate, weight, temperature, and blood pressure. Doctors will check the abdomen, heart, and lungs.
- Complete blood count (CBC) – A thyroid function test is also performed – to check for alcohol and drug use.
- MRI or CT scan – An attempt is made to determine if the brain structure is abnormal.
- EEG (electroencephalogram) – to determine if the brain is functioning properly.
- Psychological assessment – In general, a psychiatrist will question the patient (if possible) about his or her thoughts, feelings, and behaviors. It will be discussed when the symptoms began, their severity, and the impact they have on the patient. If they ask the patient whether he or she is contemplating harming himself or others, they will be more likely to believe so.
The diagnosis of catatonic schizophrenia can be difficult. As with catatonic schizophrenia, it is important to rule out other conditions first. These include mania, seizure disorder, drug abuse, and severe depression.
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Treatment options for catatonic schizophrenia
A person with schizophrenia may experience catatonic symptoms for the entirety of their life, even though the condition may last throughout their lifetime. The symptoms of schizophrenia must be treated on an ongoing basis, even when the patient believes the symptoms have disappeared and that they are better than before.
All forms of schizophrenia are treated essentially the same way. The diagnosis and treatment methods differ depending on the type and severity of symptoms, the patient’s health, and age.
- Benzodiazepines – It is typically used for catatonic schizophrenia and acts as a tranquilizer. An intravenous (injection into a vein) dose of the drug is fast-acting. Long-term use can lead to dependency. It may take several days or weeks for the patient to complete the course of this medication.
- Barbiturates – A depressant or sedative is a medication that produces similar effects. The central nervous system is suppressed by these drugs. Depending on their strength, they can sedate or anesthetize you. Barbiturates quickly relieve catatonia symptoms. It is possible to become dependent on something if it is used for a long time. Barbiturates are used less frequently for treating catatonic schizophrenia with this drug.
- Mood stabilizers and antidepressants – Catatonic schizophrenia patients are often suffering from other mental health problems, such as depression.
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Other catatonic schizophrenia treatments
ECT (electroconvulsive therapy) – this is a method that uses an electrical current to control seizures (convulsions) in the brain. When medications and other treatments do not work, ECT can be used to treat catatonic patients. There is a possibility of short-term memory loss as a side effect.
Hospitalization – When a severe episode occurs, this may be needed. Hospitals provide a safer environment for patients. They provide them with healthy nutrition, rest, and hygiene, in addition to providing the right treatment.
Psychotherapy – Psychotherapy may be helpful for patients with catatonic schizophrenia, but psychotherapy may not be appropriate if symptoms are severe. Medication is the primary means for treating cats with catatonic schizophrenia.
Occupational and social skills training – one of the most important steps in the recovery process for the patient is the ability to live independently. By teaching good hygiene habits, preparing nutritious meals, and communicating better, the therapy can help patients. In addition, you may receive help finding a job, finding housing, or joining a self-help group.
Compliance (adherence) – Complying or adhering to the appropriate dosage and timing of medication is considered compliance in medicine. Patients with schizophrenia often lack compliance with their treatment plans. The patient may stop taking the medication for a prolonged period of time, affecting the patient’s life as well as the lives of others around him or her.
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Complications of catatonic schizophrenia
Symptoms of untreated catatonic schizophrenia often affect the patient across all areas of his or her life; these problems may have a financial, behavioral, and legal impact. Here are some of the complications that can occur:
- A significant proportion of patients with schizophrenia have depressive episodes, suicidal thoughts, and suicidal behavior.
- Hygiene problems.
- Substance abuse. A variety of drugs and alcohol may be available.
- Poverty and homelessness result from inability to find or maintain employment.
- Conflicts within the family.
- Unable to study or go to school.
- A victim of crime or a criminal.
- Smoking-related diseases.
The symptoms of schizophrenia are often long-term, but an experienced psychiatric team can treat catatonic episodes associated with the condition.