Catatonia Case in LTE: ECT Quickly Resolved Mutism

 Out on PubMed, from clinicians in India, is this LTE:




This is an interesting case report in which ECT quickly resolved longstanding mutism. No details of the ECT are given, other than treatment number and outcome. While some experts believe that antipsychotic medications are contraindicated in catatonia, the reality is that they are almost always tried in clinical situations with psychotic symptoms. Here, the authors believe they were very helpful for some symptoms; it is hard to know if they might possibly have prevented other catatonia symptoms from resolving...

It is very interesting that despite being catatonic, the patient processed what was going on around him, including current events.The revelation of the delusion about his tongue is fascinating.

All catatonia scholars and students will want to read this LTE in full, ~6 minutes.


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