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The Treatment Of Psychiatric Disorders, 3rd Edition by Beverly J. Sutton, George U. Balis, William H. Reid

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CHAPTER 7

 

CATATONIC DISORDERS DUE TO A GENERAL MEDICAL CONDITION OR SUBSTANCE

 

 

 

This is a newly introduced DSM-IV disorder that corresponds to the organic catatonic disorder of ICD-10. It presents with stupor (immobility, mutism, waxy flexibility), excitement, or alternating stupor and excitement, which are judged to be etiologically related to a general medical condition (e.g., neurological, systemic, toxic) or a substance. Associated features include negativism, posturing, and occasionally echolalia or echopraxia.

GENERAL TREATMENT PRINCIPLES

Sedative challenge has been used for the transient resolution of the catatonic syndrome, although the therapeutic response has been inconsistent (Fink et al., 1993). A modern procedure involves ...

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