Catatonia
- Recognize quickly; search for medical causes
- Lorazepam challenge/treatment is first-line
- Repeat/titrate BZD to clinical response
- ECT if severe, malignant or BZD failure
- Support hydration, nutrition + DVT prevention
- Avoid reflex antipsychotic escalation
- Malignant catatonia is a medical emergency
Use at a glance
- Recognize quickly; search for medical causes
Treatment options
- Lorazepam challenge/treatment is first-line
Practical pearls
- Repeat/titrate BZD to clinical response
- Malignant catatonia is a medical emergency
Choosing treatment
- ECT if severe, malignant or BZD failure
Escalation / refractory disease
- Support hydration, nutrition + DVT prevention
- Avoid reflex antipsychotic escalation
Self-check
- What is first-line treatment for catatonia?
Lorazepam challenge/treatment.
Drugs used for this (1)
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