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Missed Diagnosis of Major Depressive Disorder with Catatonia Features

Catatonia is often a presentation of extreme anxiety and depression. Missing the diagnosis of catatonia would lead to improper treatment, which could be life-threatening. A thorough physical and psychiatric assessment is required for detecting the catatonic symptoms, especially, mutism and negativis...

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Autores principales: Jhawer, Harry, Sidhu, Meesha, Patel, Rikinkumar S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406932/
https://www.ncbi.nlm.nih.gov/pubmed/30717321
http://dx.doi.org/10.3390/brainsci9020031
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author Jhawer, Harry
Sidhu, Meesha
Patel, Rikinkumar S.
author_facet Jhawer, Harry
Sidhu, Meesha
Patel, Rikinkumar S.
author_sort Jhawer, Harry
collection PubMed
description Catatonia is often a presentation of extreme anxiety and depression. Missing the diagnosis of catatonia would lead to improper treatment, which could be life-threatening. A thorough physical and psychiatric assessment is required for detecting the catatonic symptoms, especially, mutism and negativism in patients with depression. We discuss the case of a 58-year-old female that was incorrectly diagnosed and treated for major depressive disorder (MDD). The patient was then correctly diagnosed with MDD with catatonic features and improved once benzodiazepine (BZD) was started. The preferred BZD was lorazepam, with a success rate of complete remission of up to 80% in adults. Treatment was started with lorazepam 1–2 mg and improvement was seen within the first ten minutes. We believed the addition of BZD in a psychotropic regimen could improve both catatonia and depression, and should be continued for 3–6 months to prevent relapses and recurrences.
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spelling pubmed-64069322019-03-13 Missed Diagnosis of Major Depressive Disorder with Catatonia Features Jhawer, Harry Sidhu, Meesha Patel, Rikinkumar S. Brain Sci Case Report Catatonia is often a presentation of extreme anxiety and depression. Missing the diagnosis of catatonia would lead to improper treatment, which could be life-threatening. A thorough physical and psychiatric assessment is required for detecting the catatonic symptoms, especially, mutism and negativism in patients with depression. We discuss the case of a 58-year-old female that was incorrectly diagnosed and treated for major depressive disorder (MDD). The patient was then correctly diagnosed with MDD with catatonic features and improved once benzodiazepine (BZD) was started. The preferred BZD was lorazepam, with a success rate of complete remission of up to 80% in adults. Treatment was started with lorazepam 1–2 mg and improvement was seen within the first ten minutes. We believed the addition of BZD in a psychotropic regimen could improve both catatonia and depression, and should be continued for 3–6 months to prevent relapses and recurrences. MDPI 2019-02-02 /pmc/articles/PMC6406932/ /pubmed/30717321 http://dx.doi.org/10.3390/brainsci9020031 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Jhawer, Harry
Sidhu, Meesha
Patel, Rikinkumar S.
Missed Diagnosis of Major Depressive Disorder with Catatonia Features
title Missed Diagnosis of Major Depressive Disorder with Catatonia Features
title_full Missed Diagnosis of Major Depressive Disorder with Catatonia Features
title_fullStr Missed Diagnosis of Major Depressive Disorder with Catatonia Features
title_full_unstemmed Missed Diagnosis of Major Depressive Disorder with Catatonia Features
title_short Missed Diagnosis of Major Depressive Disorder with Catatonia Features
title_sort missed diagnosis of major depressive disorder with catatonia features
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406932/
https://www.ncbi.nlm.nih.gov/pubmed/30717321
http://dx.doi.org/10.3390/brainsci9020031
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