Catatonia on the Consultation Liaison Service and Other Clinical Settings



Series: Neuroscience Research Progress
BISAC: MED057000

Catatonia is an interesting neuropsychiatric syndrome. It resides at the intersection of psychiatry and neurology. For far too long it has been a curious subtype of schizophrenia or an infrequent observation; but catatonia is not rare. It can be found within the clinical domains of many branches of medicine. Catatonia is misunderstood. Catatonic signs and symptoms are often interpreted as volitional when they are not. These patients are given attention because they often respond favorably to treatment.

It can be found in historical cohorts, Catatonia liaison settings, developmental disorder clinics and medical units. Now with the advent of DSM-5, Catatonia has a home of its own. DSM-5 and ICD-10 now identify Catatonia as a primary psychiatric disorder, a primary medical disorder and the primary presentation of a long list of psychiatric, neurological and medical conditions. The screening and identification of catatonia is very important in consultation liaison and other clinical settings. This book offers new methods to detect and diagnose Catatonia.

The authors have brought together researchers, clinicians and trainees from a variety of clinical disciplines to contribute to this book. In fact, this book is not a perfunctory review of catatonia. It brings forth new ideas: the screening of Catatonia, new cases of Catatonia and new ways of conceptualizing Catatonia in DSM-5 and ICD-10. This is the theme presented for a fresh approach to the diagnosis and treatment of Catatonia in non-psychiatric settings for the clinical syndrome that has been described since antiquity.

This book is recommended to any clinician, nurse, research student or team member who will encounter patients with Catatonia. This includes most of those working in emergency rooms, medical and surgical units, child and adolescent clinics and nursing homes. The authors think that the reader will find this book intriguing, straightforward and offering promise to the care of patients with Catatonia.


Table of Contents

Table of Contents


Brendan T. Carroll, MD

Chapter 1. The Nosology of Catatonia on the Consultation-Liaison Service
Francisco Appiani, MD and Brendan T. Carroll, MD (University of Buenos Aires, Argentina, Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA, and others)

Chapter 2. Catatonia, a 100 Year Cohort
James Allen Wilcox, DO, MD, PhD (University of Arizona, Staff Psychiatrist, Tucson VAMC)

Chapter 3. Catatonia on the Consultation-Liaison Service
David R. Spiegel, MD and Jennifer Hawken, MA (Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School Norfolk, Virginia)

Chapter 4. Are Catatonia and Autism Spectrum Disorders Alternative Expressions of a Shared Underlying Pathology?
Charmaine G. Silva, Nikita K. Patel, Maria R. Urbano and Stephen I. Deutsch, MD, PhD (Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School Norfolk, Virginia, and others)

Chapter 5. ECT for Catatonia on the Consultation-Liaison Service
W. W. McDaniel MD, P. V. Vaidya MD and B. T. Carroll, MD (Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk, VA, and Hampton Roads VAMC, Hampton, VA, and others)

Chapter 6. Treatment of Catatonia
David R. Spiegel, MD, Susrutha Thanam, MD and Ubha Rayamajhi, MD (Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School
Norfolk, Virginia)

Chapter 7. Catatonia Screening in the General Medical Setting
Lex Denysenko,MD and Priya Joshi, BS (Assistant Professor, Department of Psychiatry and Human Behavior, Thomas Jefferson University Hospital, Philadelphia, PA, and others)

Chapter 8. Case Report and Review: Catatonia in CJD – Failure of Lorazepam and Memantine
T. L. Turner, PharmD, B. T. Carroll, MD, K. B. Rowe, DO and W. Resch, DO (Pharmacy Service, Chillicothe VA, Chillicothe Ohio)

Chapter 9. Unspecified Catatonia: 3 Cases
B. T. Carroll, MD and J. Bottoms PsyD (Assistant Clinical Professor, Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, and Psychiatry Service, MHCL, Chillicothe VA Medical Center, Chillicothe, Ohio)

Chapter 10. Detecting Catatonia Using Nursing Diagnoses: A Research Proposal
V. Pinson, RN and B. T. Carroll, MD (Assistant Clinical Professor, Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, and others)

Editors’ Contact Information



“Dr. Carroll and Dr. Spiegel are to be congratulated for editing this authoritative book on catatonia. While this mysterious syndrome was identified in 1874, it continues to baffle psychiatrists unfamiliar with its symptoms, etiology, and treatment. The book was written specifically for C-L psychiatrists, who probably see the majority of cases. Not only does the book discuss its history and nosology (recently changed in DSM-5), but fully describes its assessment. Algorithms are provided that provide a carefully stepped approach to treatment. Because the syndrome is uncommon (though individual symptoms are not), and patients are often unresponsive, it is unlikely that controlled trials can ever be performed. With that in mind, the book provides the best observational data available to help guide treatment planning. Hats off to Dr. Carrol and Dr. Spiegel.” – Donald W. Black, MD, Professor, Residency Training Director, Vice Chair for Education, Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, IA

“After reading the fascinating history of this disorder from Greek mythology to DSM-5, I was hooked. Many medical books are dry. This one is not! You will understand patients you have treated much better and be well prepared for those that may come your way in the future. Although patients with catatonia are generally mute, this book will serve as their voice. Our patients want us to have the most up to date information on screening, assessment, and treatment. This book delivers just that and it reads very well. If I were ever to have catatonia, I would pray that my doctors will have read this gem.” – Kathleen Franco, MD, Professor of Medicine & Psychiatry, Cleveland Clinic Lerner College of Medicine, Ohio

Click here  to read the book review by – Sanjay Gupta, MD, Professor, Departments’ of Psychiatry, SUNY at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY and SUNY UPstate Medical University, Syracuse, NY, Consultant DENT Neurologic Institute, Amherst, NY , and Mi-Erie Clinic, Buffalo, NY

Click here  to read the book review by – Marijo Tamburrino, MD

“Because catatonia occurs in various settings and—contrary to some beliefs, is not rare—it could present a diagnostic and management problem for those not familiar with this syndrome/disorder. Consultation liaison psychiatrists could be called to evaluate patients with catatonia in a medical or surgical setting, in the emergency room, nursing homes, or even at child and adolescent clinics. Brendan Carroll and David Spiegel, the editors of this small volume, gathered a group of clinicians to put together a comprehensive and useful text on catatonia. As they write, this book is not supposed to be another perfunctory review of catatonia; it also intends to bring forth some new ideas about this entity and its conceptualization…To read more, click here.” – Richard Balon, MD, Wayne State University, Detroit, Michigan, USA, published in Annals of Clinical Psychiatry, November 2015, Vol. 27, No. 4

Additional Information

Audience: Physicians, Registered Nurses, Licensed Practical Nurses, Advanced Practice Nurses, Academic and Post-Doctural Nurses, Clinical Pharmacists, Pharmacologists, Physician Assistants, Physical Therapists, Nutritionists and Dieticians, Neuroscience Researchers, Psychologists, neuropsychologists, Health Professions Students, Industries include: medical device makers, pharmaceutical manufactures, nutrition manufacturers.

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