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Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder

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, schizophr...

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Autores principales: Das, Soumitra, Prasad, Sakshi, Fichadia, Palak Atul, Shrestha, Abhigan Babu, Amuk Williams, Ozge C., Bachu, Anil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681564/
https://www.ncbi.nlm.nih.gov/pubmed/36425076
http://dx.doi.org/10.1155/2022/2022474
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author Das, Soumitra
Prasad, Sakshi
Fichadia, Palak Atul
Shrestha, Abhigan Babu
Amuk Williams, Ozge C.
Bachu, Anil
author_facet Das, Soumitra
Prasad, Sakshi
Fichadia, Palak Atul
Shrestha, Abhigan Babu
Amuk Williams, Ozge C.
Bachu, Anil
author_sort Das, Soumitra
collection PubMed
description 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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spelling pubmed-96815642022-11-23 Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder Das, Soumitra Prasad, Sakshi Fichadia, Palak Atul Shrestha, Abhigan Babu Amuk Williams, Ozge C. Bachu, Anil Case Rep Psychiatry Case Report 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. Hindawi 2022-11-15 /pmc/articles/PMC9681564/ /pubmed/36425076 http://dx.doi.org/10.1155/2022/2022474 Text en Copyright © 2022 Soumitra Das et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Das, Soumitra
Prasad, Sakshi
Fichadia, Palak Atul
Shrestha, Abhigan Babu
Amuk Williams, Ozge C.
Bachu, Anil
Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder
title Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder
title_full Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder
title_fullStr Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder
title_full_unstemmed Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder
title_short Recurrent Catatonia due to Episodic Obsessive-Compulsive Disorder
title_sort recurrent catatonia due to episodic obsessive-compulsive disorder
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681564/
https://www.ncbi.nlm.nih.gov/pubmed/36425076
http://dx.doi.org/10.1155/2022/2022474
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