Skip to main content
Top
Published in: International Journal of Mental Health and Addiction 2/2019

01-04-2019 | Clinical Case Studies

Catatonia in Dual Diagnosis: a Case Report

Authors: Suet Kee Ong, Francesco Piacenza, Barkat Masood

Published in: International Journal of Mental Health and Addiction | Issue 2/2019

Login to get access

Abstract

Catatonia is a syndrome resulting in both severe motor and speech disturbances. Catatonia in a dual diagnosis of cannabis dependence and depressive disorder is presented. A 28-year-old male, who had background diagnoses of cannabis dependence and moderate depressive episode, was admitted involuntarily to a psychiatry unit due to aggressiveness. A diagnosis of catatonia was made (Bush-Francis Catatonia Rating Scale score = 19/69). Routine blood profile, CT scan brain, anti-NMDA, anti-potassium channel and anti-glutamic acid decarboxylase (GAD) antibodies were all normal. He was treated with lorazepam. His symptoms resolved completely after 5 days.
Literature
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Pub.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Pub.CrossRef
go back to reference Bajaj, V., Pathak, P., Mehrotra, S., Singh, V., Govil, S., & Khanna, A. (2011). Cannabis induced periodic catatonia: a case report. International Journal of Mental Health and Addiction, 9(2), 162–164.CrossRef Bajaj, V., Pathak, P., Mehrotra, S., Singh, V., Govil, S., & Khanna, A. (2011). Cannabis induced periodic catatonia: a case report. International Journal of Mental Health and Addiction, 9(2), 162–164.CrossRef
go back to reference Bush, G., Fink, M., Petrides, G., Dowling, F., & Francis, A. (1996). Catatonia. I. Rating scale and standardized examination. Acta Psychiatrica Scandinavica, 93(2), 129–136.CrossRefPubMed Bush, G., Fink, M., Petrides, G., Dowling, F., & Francis, A. (1996). Catatonia. I. Rating scale and standardized examination. Acta Psychiatrica Scandinavica, 93(2), 129–136.CrossRefPubMed
go back to reference Caudron, M., Rolland, B., Deheul, S., Geoffroy, P. A., Thomas, P., & Amad, A. (2016). Catatonia and cannabis withdrawal: a case report. Substance Abuse, 37(1), 188–189.CrossRefPubMed Caudron, M., Rolland, B., Deheul, S., Geoffroy, P. A., Thomas, P., & Amad, A. (2016). Catatonia and cannabis withdrawal: a case report. Substance Abuse, 37(1), 188–189.CrossRefPubMed
go back to reference Chalasani, P., Healy, D., & Morriss, R. (2005). Presentation and frequency of catatonia in new admissions to two acute psychiatric admission units in India and Wales. Psychological Medicine, 35(11), 1667–1675.CrossRefPubMed Chalasani, P., Healy, D., & Morriss, R. (2005). Presentation and frequency of catatonia in new admissions to two acute psychiatric admission units in India and Wales. Psychological Medicine, 35(11), 1667–1675.CrossRefPubMed
go back to reference Fink, M., Shorter, E., & Taylor, M. A. (2009). Catatonia is not schizophrenia: Kraepelin’s error and the need to recognize catatonia as an independent syndrome in medical nomenclature. Schizophrenia Bulletin, 36(2), 314–320.CrossRefPubMedPubMedCentral Fink, M., Shorter, E., & Taylor, M. A. (2009). Catatonia is not schizophrenia: Kraepelin’s error and the need to recognize catatonia as an independent syndrome in medical nomenclature. Schizophrenia Bulletin, 36(2), 314–320.CrossRefPubMedPubMedCentral
go back to reference Francis, A., & Lopez-Canino, A. (2009). Delirium with catatonic features. Psychiatric Times, 26, 32–36. Francis, A., & Lopez-Canino, A. (2009). Delirium with catatonic features. Psychiatric Times, 26, 32–36.
go back to reference Grover, S., Ghosh, A., & Ghormode, D. (2014). Do patients of delirium have catatonic features? An exploratory study. Psychiatry and Clinical Neurosciences, 68(8), 644–651.CrossRefPubMed Grover, S., Ghosh, A., & Ghormode, D. (2014). Do patients of delirium have catatonic features? An exploratory study. Psychiatry and Clinical Neurosciences, 68(8), 644–651.CrossRefPubMed
go back to reference Guggenheim, F. G., & Babigian, H. M. (1974). Catatonic schizophrenia: epidemiology and clinical course: a 7-year register study of 798 cases. Journal of Nervous and Mental Disease., 158, 291–305.CrossRefPubMed Guggenheim, F. G., & Babigian, H. M. (1974). Catatonic schizophrenia: epidemiology and clinical course: a 7-year register study of 798 cases. Journal of Nervous and Mental Disease., 158, 291–305.CrossRefPubMed
go back to reference Healy, D. (2013). Catatonia from Kahlbaum to DSM-5. Australian & New Zealand Journal of Psychiatry, 47(5), 412–416.CrossRef Healy, D. (2013). Catatonia from Kahlbaum to DSM-5. Australian & New Zealand Journal of Psychiatry, 47(5), 412–416.CrossRef
go back to reference Kleinhaus, K., Harlap, S., Perrin, M. C., Manor, O., Weiser, M., Harkavy-Friedman, J. M., & Malaspina, D. (2010). Catatonic schizophrenia: a cohort prospective study. Schizophrenia Bulletin, 38(2), 331–337.CrossRefPubMedPubMedCentral Kleinhaus, K., Harlap, S., Perrin, M. C., Manor, O., Weiser, M., Harkavy-Friedman, J. M., & Malaspina, D. (2010). Catatonic schizophrenia: a cohort prospective study. Schizophrenia Bulletin, 38(2), 331–337.CrossRefPubMedPubMedCentral
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRefPubMedPubMedCentral Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRefPubMedPubMedCentral
go back to reference Roy, K. (2016). Catatonia and delirium: a challenge in general hospital psychiatry. American Journal of Psychiatry Residents’ Journal, 11(11), 2–2.CrossRef Roy, K. (2016). Catatonia and delirium: a challenge in general hospital psychiatry. American Journal of Psychiatry Residents’ Journal, 11(11), 2–2.CrossRef
go back to reference Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.CrossRefPubMed Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.CrossRefPubMed
go back to reference Trzepacz, P. T., Baker, R. W., & Greenhouse, J. (1988). A symptom rating scale for delirium. Psychiatry Research, 23(1), 89–97.CrossRefPubMed Trzepacz, P. T., Baker, R. W., & Greenhouse, J. (1988). A symptom rating scale for delirium. Psychiatry Research, 23(1), 89–97.CrossRefPubMed
go back to reference Webster, R., & Holroyd, S. (2000). Prevalence of psychotic symptoms in delirium. Psychosomatics, 41(6), 519–522.CrossRefPubMed Webster, R., & Holroyd, S. (2000). Prevalence of psychotic symptoms in delirium. Psychosomatics, 41(6), 519–522.CrossRefPubMed
Metadata
Title
Catatonia in Dual Diagnosis: a Case Report
Authors
Suet Kee Ong
Francesco Piacenza
Barkat Masood
Publication date
01-04-2019
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 2/2019
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-018-0031-5

Other articles of this Issue 2/2019

International Journal of Mental Health and Addiction 2/2019 Go to the issue