Therapeutic management of catatonia

Udangiu, Lidia Nica; Moldovan, Mona; Roventa, C.

doi:10.5233/mih.2010.0021

Cited by 4 publications

(4 citation statements)

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“…Including in the questionnaire a question about the possible diseases of their life partners, 19 of the respondents indicated to us that their husbands do not have any kind of ailments, but 11 of them confirmed to us that they have a known pathology: high blood pressure (O'Hara and Swain 1996), gastritis, obesity (Udangiu et al 2010), bringing more stress to the life of the new mother and through possible depressive symptoms of fathers. A study published in The Lancet Psychiatry showed that the impact of paternal depressive symptoms is independent of the impact of maternal depressive symptomatology, which emphasizes the importance of the mental health of both parents for the health of their child.…”

Section: Author's Own Conceptionmentioning

confidence: 96%

The Impact of Postpartum Depression on Socio-professional Integration

Stan,

Marina,

Ciubara

et al. 2023

BRAIN

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The modern woman nowadays is subjected to more and more challenges. Whether it is due to her work, her appearance or her marital status, she must always show that she is coping in the most efficient way. This constant measurement and confrontation of the performance achieved in a certain field leads to the perception of otherwise normal, physiological actions as stressful. The mother who raises her child wants to face the multiple challenges, even when she is being subjected to pressures from the family, her own requirements, values and beliefs and at the same time from the micro group she belongs to or from society. That's why her slip into depression is extremely easy. The support she might receive from family, friends, professionals can save her from further complications such as deepening depression, job loss, long-term loss of self-esteem, child neglect and child abuse, the transition to a suicidal act in a moment of imbalance or the transition to alcohol misuse, sometimes witnessed by the child. Identifying factors involved in the onset and maintenance of postpartum depression can help prevent it and provide early intervention within vulnerable families with the aim of making women stronger and children healthier and happier. Postpartum depression is a fairly common phenomenon in the female population, the cumulative forms giving a percentage of 31%, of which minor forms occupy 19% and moderate and severe forms 12%. Among the factors that have an important influence we list: a weaker support of the mother by her support group, problems related to the mother's low self-esteem, the more difficult temperament of the child who can be more agitated and disrupts the mother's sleep-wake rhythm, but also the existence of other previous episodes of postpartum depression of the mother and the number of previous births.

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Section: Author's Own Conceptionmentioning

confidence: 96%

The Impact of Postpartum Depression on Socio-professional Integration

Stan,

Marina,

Ciubara

et al. 2023

BRAIN

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“…[ 1 ] Catatonic states occur in the context of a wide variety of both psychiatric and medical conditions. [ 2 ] This syndrome is a significant clinical problem and in certain situations it represents a psychiatric and even vital emergency because it is associated with dehydration, inter current infection, and pulmonary embolism). [ 3 ] Systemic lupus erythematous (SLE) is a chronic autoimmune disease characterized by multisystem involvement and can affect the central nervous system resulting in a broad range of psychiatric syndromes such as psychosis, mood disorders, acute confusion and cognitive dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Systemic Lupus Erythematous Presenting as Catatonia and its Response to Electroconvulie Therapy

Hussain

Mir²,

Dar

et al. 2015

Indian Journal of Psychological Medicine

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Neuropsychiatric systemic lupus erythematous (SLE) encompasses various psychiatric and neurological manifestations that develop in SLE patients, secondary to involvement of central nervous system. Neuropsychiatric SLE, presenting as catatonia is very uncommon, and treatment of this condition is not well defined. Previously the role of benzodiazepines, immunosuppression, plasma exchange, and electroconvulsive therapy (ECT) has been described in its management. Here we describe a case of neuropsychiatric lupus presenting as catatonia that did not respond to benzodiazepines or immunosuppression. The symptoms of catatonia showed improvement with ECT. Furthermore, we have discussed the pathology of the disorder and the role of ECT in the treatment of cases of catatonia associated with SLE, who do not respond to benzodiazepines.

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“…[1] Catatonia is a syndrome characterized by several psychomotor abnormalities and encompasses a broad range of organic and non-organic causes. [2] There are several postulated causes of catatonia, e.g., “top down modulation” of basal ganglia due to deficiency of GABA,[3] hypoactivity of excitatory neurotransmitter glutamate[4] or sudden blockage of dopamine. [5] The current frequency of catatonia in psychiatric hospitals of India is 13.5%.…”

mentioning

confidence: 99%

“…[8] Other options include treatment with other atypical antipsychotic (e.g., olanzapine, quetiapine, clozapine), carbamazepine, memantine (NMDA antagonist), amantadine (decreases glutamate). [2] Catatatonia has a recovery rate of 12-40% regardless of treatment administered. [10] Adolescents and delay in treatment carry poorer prognosis.…”

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confidence: 99%

Clozapine responsive catatonia: A series of five cases

et al. 2012

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The main objective of presenting the case series is that despite dramatic symptomatic response by intra venous lorazepam or electro convulsive therapy irrespective of primary diagnosis in catatonia cases some cases remain difficult to treat by conventional treatment. Here, we present five catatonia cases who did not respond to conventional treatment even when treated for primary psychiatric diagnosis along with treatment for catatonia. They ultimately responded partially or completely to clozapine only, which explains the multi-factorial causation of catatonia syndrome as postulated by different scientific research.

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Therapeutic management of catatonia

Cited by 4 publications

References 0 publications

The Impact of Postpartum Depression on Socio-professional Integration

The Impact of Postpartum Depression on Socio-professional Integration

Systemic Lupus Erythematous Presenting as Catatonia and its Response to Electroconvulie Therapy

Clozapine responsive catatonia: A series of five cases

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