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Catatonia Beyond the Frozen Statue
Most people picture catatonia as someone frozen like a statue—completely unresponsive. But this misunderstood syndrome actually spans a spectrum from stupor to agitated, purposeless movement, and it's most common in mania, not schizophrenia. We break down the clinical signs using the Bush-Francis Catatonia Rating Scale, explore the GABA-glutamate-dopamine hypothesis of what's going wrong in the brain, and explain why a simple dose of lorazepam can reverse symptoms in minutes. We also cover malignant catatonia, the connection to neuroleptic malignant syndrome, and why recognizing catatonia…
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