My husband has been diagnosed with non epileptic disassociative attacks but looking at this video I am convinced that he has catatonia and has been misdiagnosed. He is getting worse and his attacks are lasting more than an hr at a time. Can you advise doctor thanks
@@adadove6380 Hi ada it's my husband that's suffering from these attacks. He's a lot worse than hr was a year ago. Doctor or hospital have not seen him in 3 yes since diagnosing him and previously told him that he's got to live with it. His whole personality has changed and not the bubbly cheerful person he used to be. I just don't know who to turn to anymore as no one seems to care anymore. Hope you are under some medical observation with your gp. What are they saying about you is there any cure?
First is to confirm the diagnosis (look for any neurological or medical causes) to look for etiology by admitting in ICU and investigating . If no organic cause is established. Please ensure the adequate supportive care bcos broad range of complications of catatonia can occur, such as aspiration pneumonia, dehydration, muscle contractures, pressure ulcers, nutritional deficiencies, severe weight loss, thiamine deficiency, electrolyte disturbances, urinary tract infections, and venous thromboembolism A positive Lorazepam Challenge Test validates the diagnosis of catatonia. After the patient is examined for signs of catatonia, 1 or 2 mg of lorazepam is administered intravenously. After 5 minutes, the patient is re-examined. If there has been no change, a second dose is given, and the patient is again reassessed . A positive response is a marked reduction (e.g., at least 50%) of catatonic signs and symptoms, as measured with a standardized rating scale
Is catatonia also dissociative as part of Post Traumatic stress disorder from early childhood. If you are say three years old when the trauma happened, then you cannot "fight or flight"...but freeze right?
Catatonia is a syndrome of motor, behavioral and emotional symptoms secondary to psychiatric, neurological or medical causes Literature on catatonia in PTSD indicates that it is part of the emotional symptoms (depression)
My son is 19 and he has been having episodes since December. It's getting worse because he is having longer episodes and more frequently. We attempted to set up an appointment for him but they tell us he needs to call or give us authorization, Sadly he thinks he is ok. What can we do?
In a country with Rights based Mental Healthcare laws, it is difficult to treat a person with mental illness. Law prohibits treating a person with mental illness, who refuses to give consent (if he/she has capacity to consent) It is an irony but truth. Rights have been stretched too far. One need to wait until patients become severely ill and capacity to consent is impaired to treat them. In the process family members are at receiving end. Family members of persons with mental illness need to challenge such laws and bring in amendment to facilitate treatment.
Sir one of my know person is suffering from catatonia. We r been observing mutism, rigidity, posturing & eye contact. This is the present situation, Is catatonia curable? Or once cured is it repeatable.
Catatonia is treatable. Depending upon the etiology, It can be recurring. Please advise them not not stop medications without discussing with their treating doctor
I am Sorry to hear that. In few cases, finding the cause will be difficult even with the best physician. In some it is idiopathic (cause may not be known) or science has not progressed to that level to unravel the mystery of this illness. Please take second opinion or ask your doctor to take second opinion
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Best video on catatonia so far ,thanku sir
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Many thanks for informative video ..kindly upload challenge test protocols to determine each type of catatonia
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My husband has been diagnosed with non epileptic disassociative attacks but looking at this video I am convinced that he has catatonia and has been misdiagnosed. He is getting worse and his attacks are lasting more than an hr at a time. Can you advise doctor thanks
Please contact local neurologist immediately for the needful.
Ok thank you so much for your advice will do
@@adadove6380 Hi ada it's my husband that's suffering from these attacks. He's a lot worse than hr was a year ago. Doctor or hospital have not seen him in 3 yes since diagnosing him and previously told him that he's got to live with it. His whole personality has changed and not the bubbly cheerful person he used to be. I just don't know who to turn to anymore as no one seems to care anymore. Hope you are under some medical observation with your gp. What are they saying about you is there any cure?
Sir very informative lecture... delerious and malignant catatonia all respond to benzodiazepine sir ? Which bzd is preferred and in what dose ?
First is to confirm the diagnosis (look for any neurological or medical causes) to look for etiology by admitting in ICU and investigating . If no organic cause is established. Please ensure the adequate supportive care bcos broad range of complications of catatonia can occur, such as aspiration pneumonia, dehydration, muscle contractures, pressure ulcers, nutritional deficiencies, severe weight loss, thiamine deficiency, electrolyte disturbances, urinary tract infections, and venous thromboembolism
A positive Lorazepam Challenge Test validates the diagnosis of catatonia. After the patient is examined for signs of catatonia, 1 or 2 mg of lorazepam is administered intravenously. After 5 minutes, the patient is re-examined. If there has been no change, a second dose is given, and the patient is again reassessed . A positive response is a marked reduction (e.g., at least 50%) of catatonic signs and symptoms, as measured with a standardized rating scale
@@SureshBadaMath thanku sir
Sir can you tell what about hydration and nutritional management of Catatonic patient?
Sure madam
Doctor, How to differentiate between catatonic stuper, locked in syndrome, neuroleptic malignant syndrome??
Catatonia and depression an emotional disorder? I learned something new I guess.
Hydration and nutritional management is a practical challenges for the nurses.
Sir what is the mechanism of action of lorazepam or any bzd when given to relieve Catalonia.?
Is catatonia also dissociative as part of Post Traumatic stress disorder from early childhood. If you are say three years old when the trauma happened, then you cannot "fight or flight"...but freeze right?
Catatonia is a syndrome of motor, behavioral and emotional symptoms secondary to psychiatric, neurological or medical causes
Literature on catatonia in PTSD indicates that it is part of the emotional symptoms (depression)
@@SureshBadaMath I have heard that up to around 20% of people with Autism frequently have varying levels of catatonia.
@@marshmellow989 yes
My son is 19 and he has been having episodes since December. It's getting worse because he is having longer episodes and more frequently. We attempted to set up an appointment for him but they tell us he needs to call or give us authorization, Sadly he thinks he is ok.
What can we do?
In a country with Rights based Mental Healthcare laws, it is difficult to treat a person with mental illness. Law prohibits treating a person with mental illness, who refuses to give consent (if he/she has capacity to consent)
It is an irony but truth. Rights have been stretched too far. One need to wait until patients become severely ill and capacity to consent is impaired to treat them.
In the process family members are at receiving end.
Family members of persons with mental illness need to challenge such laws and bring in amendment to facilitate treatment.
How is your son?
Sir one of my know person is suffering from catatonia. We r been observing mutism, rigidity, posturing & eye contact.
This is the present situation, Is catatonia curable? Or once cured is it repeatable.
Catatonia is treatable. Depending upon the etiology, It can be recurring. Please advise them not not stop medications without discussing with their treating doctor
@@SureshBadaMath thank you Mr. Doctor for your kind reply.
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My Son has been in a Catatonic state for 4 months. The Doctor's don't know why.
I am Sorry to hear that.
In few cases, finding the cause will be difficult even with the best physician. In some it is idiopathic (cause may not be known) or science has not progressed to that level to unravel the mystery of this illness.
Please take second opinion or ask your doctor to take second opinion
Wish you spoke more clearly
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