Use of Electroconvulsive Therapy In the Treatment of Catatonia

Gih, Daniel; Ghaziuddin, Neera

doi:10.2217/fnl.14.49

“…It has been established that lorazepam and ECT are effective for treating catatonia. When given before the induction of anesthesia for ECT, a BZP receptor antagonist like flumazenil can fast reverse BZPs [ 31 ]. To conclude the findings in Table 1 , first-line choice is a medical approach with anti-OCD therapy comprising mostly of neuroleptics.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder

Das

¹

,

Prasad

²

,

Fichadia

³

et al. 2022

Case Reports in Psychiatry

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Background. Catatonia is regarded as a diverse type of motor dysregulation syndrome that includes mutism, immobility, catalepsy, negativism, stereotypies, and echo phenomena. Catatonia is known to coexist with a wide range of physical and mental health conditions, including mood disorders, schizophrenia, autoimmune disorders, and metabolic abnormalities. Albeit, the association between obsessive-compulsive disorder (OCD) and catatonia is underreported, and mechanisms are not well elucidated. Study. In this study, we present a case of a 36-year-old woman who developed episodes of catatonia during the course of her obsessive-compulsive disorder (OCD). Success rates have been recorded with both benzodiazepines and electroconvulsive therapy (ECT). Gauging the severity of her symptoms and poor drug compliance, the patient was opted for and successfully treated with ECT. She was also educated about OCD through a series of therapy sessions and exposure and response prevention (ERP) principles. She was maintained on ERP and adjunctive clonazepam upon discharge. On subsequent follow-ups, the patient seemed to be doing well and was eager to begin her job again. Conclusion. Our study shows a possible link between OCD and catatonia. Additionally, robust studies are needed in order to determine the pathophysiology of catatonia and the mechanism of ECT so that more beneficial therapeutics can be developed. A combination of ECT and antidepressants with ERP therapy for recurrent catatonia with OCD could be effective as a therapeutic modality.

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“…These symptoms include pressure ulcers, hunger, dehydration, weight loss, or thrombotic incidents. Some patient populations, such as the elderly, those with obstructive sleep apnea, or those who have a history of paradoxical responses to BZPs, may not be able to tolerate a higher dosage of lorazepam or another medication in this class; in these circumstances, ECT may be the best option (Gih & Ghaziuddin, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…When given before the induction of anesthesia for ECT, a BZP receptor antagonist like flumazenil can fast reverse BZPs (Gih & Ghaziuddin, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…According to a theory, people who also have concurrent autism or an intellectual handicap are more likely to exhibit extreme, frequently unprovoked violence and self-harming behaviors, which are another sign of catatonia. In order to improve gradually, return to baseline functionality, lower the danger of caregiver harm, and enable these patients to live in their own homes, such individuals may need continuing maintenance ECT (Gih & Ghaziuddin, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Recurrent Catatonia Due to Episodic Obsessive-Compulsive Disorder: A Case Report

Das

¹

,

Prasad²,

Fichadia

³

et al. 2022

Preprint

0

View full text Add to dashboard Cite

show abstract

“…It has been established that lorazepam and ECT are effective for treating catatonia. When given before the induction of anesthesia for ECT, a BZP receptor antagonist like flumazenil can fast reverse BZPs (Gih & Ghaziuddin, 2014).…”

Section: [This Paragraph Alters the Flow]mentioning

confidence: 99%