Description and Diagnosis
Catatonic disorders are classified under the DSM-5 Schizophrenia Spectrum and Other Psychotic Disorders section. These disorders are defined by abnormalities in one or more of the following five domains. They include delusions, hallucinations, disorganized thinking, grossly disorganized or abnormal motor behavior (including catatonia), and negative symptoms. Catatonia is a condition that can occur in the situation of several disorders, including neurodevelopmental, psychotic, bipolar, depressive disorders, and other medical conditions (e.g. rare autoimmune disorders). The DSM-5 does not treat catatonia as an independent class, but recognizes catatonia as being associated with other mental disorders (e.g., psychotic
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The DSM-5 also recognizes catatonia as due to another medical condition and unspecified catatonia. Catatonia is characterized by a psychomotor (mental processes and physical movement) disturbance that may involve decreased motor activity, dismissiveness during an interview or physical examination, or excessive or strange motor activity. The psychomotor disturbance in an individual may range from being unresponsive to agitated. Motor immobility and dismissiveness may be severe or moderate. Excessive and strange motor behaviors may be simple or complex. In some cases, an individual may alternate between decreased and excessive motor activity. The opposing clinical features of this diagnosis contribute to a lack of awareness and decreased recognition of catatonia. Individuals exhibiting severe stages of catatonia may need supervision from a caretaker to avoid harming themselves or others. Furthermore, catatonia has potential risks, which include exhaustion, …show more content…
Catatonia associated with another mental disorder (catatonia specifier) may be applied when criteria are met for catatonia during the course of a psychotic, neurological, depressive, bipolar, or other mental health disorders. The catatonia specifier is appropriate to use when the individual has characteristics of psychomotor disturbance and involves at least 3 of the 12 diagnostic features indicated in the DSM-5. Some of the diagnostic features include not actively relating to the environment, motionlessness maintained over a long period of time, resistance to positioning by the examiner, opposition to instructions, and inappropriate posture maintained over a long period of time. Individuals with this disorder may alos exhibit a detailed caricature of normal actions, repetitive movements, agitation, disapproving facial expressions, and mimicking another individual’s speech and movements. The majority of catatonia cases involve individuals with bipolar and depressive disorders. However, up to 35% of individuals with catatonia have schizophrenia and are usually diagnosed in inpatient settings. Catatonia can occur as a side effect of medications. Before any of the disorders related to the catatonia specifier can be diagnosed, a variety of other medical conditions need to be ruled out. More information on this condition is found in the Medication-Induced Medical Disorders and Other Adverse Effects
“We live in a dangerous world and we have a few good options, but the worst option is to do nothing.” Allan Trumbull. From the year 50 BCE till the year 200 CE, the empire prospered, as it slowly began to fall apart. Some of the reasons for the “Fall of Rome” were because of its internal problems due to Rome itself as others were external.
Schizophrenia is a severe, disabling and chronic disorder that affects people. Schizophrenia is diagnosed as a psychotic disorder. This is because a person suffering from schizophrenia cannot tell their own thoughts, perceptions, ideas, and imaginations from the reality. There is continuing debate and research as to whether schizophrenia is one condition or a combination of more than one syndrome that have related features. People suffering from schizophrenia may seem perfectly fine until the time they talk actually talk about they are thinking. People with schizophrenia rely on others for help since they cannot care for themselves of hold a job. There is no cure for schizophrenia, but there is treatment that relieves some of the symptoms. People having the disorder will cope with the symptoms all their lives. There have been cases of people suffering from schizophrenia leading meaningful and rewarding lives. There are five types of schizophrenia namely paranoid, disorganized, residual, undifferentiated, and catatonic schizophrenia. This paper will discuss paranoid schizophrenia.
Stressor in the patient's life that disrupts sleep. There is usually a history of sleepwalking and a family vulnerability to the disorder. The parasomnia usually occurs in the first part of the night in a NREM stage. After the event the patient is utterly amnestic for the episode and attempts no cover-up of the deed. There is grief, remorse and efforts to cooperate in the investigation. Cartwright sees it as an obligation of the scientist that when he or she has
Code based on predominant symptom: - With Delusions: if delusions are the predominant symptom - With Hallucinations: if hallucinations are the predominant symptom Diagnostic criteria for Substance-Induced Psychotic Disorder: A. Prominent hallucinations or delusions. Note: Do not include hallucinations if the person has insight that they are substance induced. B. There is evidence from the history, physical examination, or laboratory findings of either (1) or (2): (1) the symptoms in Criterion A developed during, or within a month of, Substance Intoxication or Withdrawal (2) medication use is etiologically related to the disturbance C. The disturbance is not better accounted for by a Psychotic Disorder that is not substance induced. Evidence that the symptoms are better accounted for by a Psychotic Disorder that is not substance induced might include the following: the symptoms precede the onset of the substance use (or medication use); the symptoms persist for a substantial period of time (e.g., about a month) after the cessation of acute withdrawal or severe intoxication, or are substantially in excess of what would be expected given the type or amount of the substance used or the duration of use; or there is other evidence that suggests the existence of an independent non-substance-induced Psychotic Disorder (e.g., a history of recurrent non-substance-related episodes). D.
According the fourth edition diagnostic manual of mental disorders (American Psychiatric Association, 2000), the category psychotic disorders (Psychosis) include Schizophrenia, paranoid (Delusional), disorganized, catatonic, undifferentiated, residual type. Other clinical types include Schizoaffective Disorder, Bipolar Affective Disorder/Manic depression, mania, Psychotic depression, delusional (paranoid) disorders. These are mental disorders in which the thoughts, affective response or ability to recognize reality, and ability to communicate and relate to others are sufficiently impaired to interfere grossly with the capacity to deal with reality; the classical and general characteristics of psychosis are impaired reality testing,
The poster is going to outline the definition of abnormality and describe two diagnostic classification systems whilst referencing the diagnostic criteria for Schizophrenia and an overlook of its subtype catatonic schizophrenia.
Undifferentiated schizo. Is usually given when a patient has been exhibiting symptoms of schizophrenia. However, the symptoms do not meet the criteria for diagnosed, catatonic, or paranoid schizophrenia. Undifferentiated is the “not otherwise specified” version of schizophrenia (Schizophrenia, Undifferentiated). Residual schizophrenia is the mildest of all the subtypes. “Individuals who are diagnosed with residual schizophrenia are often in a transitional stage of the disorder.” (Residual). Disorganized based on the individuals disorganized behavior, speech, and disturbances in emotional expression (Schizophrenia, Disorganized). Disorganized behavior can be expressed in many ways. Varying from as simple as starting or finishing a small task to as major as not being able to function on their own. Catatonic Schizophrenia involves disturbances in a person’s movement, exhibit a dramatic reduction in activity, to the point where voluntary movement completely stops (Catatonic). A person with Catatonic Schizophrenia can show considerable physical strength in resistance to repositioning attempts, even though they appear to be uncomfortable. Paranoid Schizophrenia is the most common subtype. Patients are likely to experience paranoid delusions that are unreasonable such as the thought of strangers trying to harm them. Patients with Paranoid Schizophrenia may feel angry and/or
It is a cluster of disorders characterized by disorganized and delusional thinking, disturbed perceptions and inappropriate emotions and behaviors. The clusters of schizophrenia can present as positive or negative symptoms. The positive symptom patients experience hallucinations, talk in disorganized and deluded way and exhibit inappropriate tears or rage. Those with negative symptoms have toneless voices, expressionless faces, or mute and rigid bodies. Schizophrenia has subtypes within it: paranoia (preoccupation with delusions or hallucinations these often have themes of persecution or grandiosity), disorganization (disorganized speech or behavior, or flat/inappropriate behavior), catatonia (immobility, extreme negativity, or repeating another person’s speech or movement), undifferentiated (many and varied symptoms), and residual (withdrawal after hallucinations or delusions have disappeared). Studies have shown that people who suffer from schizophrenia have excess receptors of dopamine in the brain hinting that the symptoms might have biochemical roots. They also have abnormal brain activity in multiple brain
After reading the articles, it is clear that article 3 resonates with me. One reason is that in paragraph 5 Blanton said,” Being honest all the time is what’s radical—and rare. Many people think they tell the truth, but they don’t because they withhold information. Have the courage, to be honest, and have a relationship with others based on reality. Don’t avoid the issues.” For example, Blanton says to have the courage, to be honest, but I am not courageous enough to tell my parents if I lied because I would get my butt yelled at. The article also points out that in paragraph 11 Blanton says Yes, but we shouldn’t manipulate the truth except for rare times—if you’re hiding Anne Frank in your attic because her life is in danger.” This is important
There are four kinds of schizophrenia, including paranoid schizophrenia, disorganized schizophrenia, catatonic schizophrenia, and undifferentiated schizophrenia. Causes are not clear, and biological, psychological and environment factors are being investigated. It is certain that there is a genetic component. (Passer and Smith, 2004)
Oppositely, catatonic schizophrenia manifests as voluntary bizarre movements, repetitive nonsensical words and/or sounds. Basically, an individual gets 'stuck' either in a trance-like state or in a hyper-excited state. Both types are serious, but treatable.
There are three major types of schizophrenia, Paranoid, disorganized, and catatonic. Paranoid schizophrenia is when an individual develops absurd or suspicious ideas and beliefs. Their hallucinations and delusions typically revolve around an organized theme or "story" which consists over time. Disorganized schizophrenia generally appears at an earlier age than other types. It causes those to have disorganized speech, behavior, and have inappropriate emotions. These patients usually have trouble taking care of them and are unable to perform simple tasks. They sometimes suffer hallucinations and delusions, but their fantasies and imaginings aren’t consistent or organized like those who suffer from paranoid schizophrenia. Catatonic schizophrenia in general is a disturbance in movement with two different states (Veague 24). Stuporous state is when there is a decrease in motor activity. During this state, a patient can cease
A person diagnosed with schizophrenia typically struggles with cognitive, behavioral and emotional, occupational and social dysfunction. The essential features of schizophrenia must include at least two symptoms for a considerable amount of time during one month. These symptoms include delusions, hallucinations, disorganized speech, highly disorganized/catatonic behavior and negative symptoms (diminished emotional expression). In conjunction with the symptoms, continuous signs of the disturbance must carry on for at least six months as well, along with the inability to function in one or more major areas (work, self-care, interpersonal relationships). Lastly, the indicators of the disorder is not caused or linked
Sleep disorders have always surrounded me through family and friends. though I never suffered with any sort of sleeping disorder, I was well aware of how unnerving it can be toothless who suffer from it. I did not know all of the different types there were, and was intrigued when reading chapter three of my psychology book. I had assumed that nigh terrors, which I used to think were the same as nightmares, were over exaggerations of a person’s scary dream. Sleepwalking also held interesting facts that I didn’t know prior. Having a best friend who occasionally sleepwalks, I was always interested in why she would seldom remember both walking and talking. I also appreciated learning about sleep apnea because my father used to struggle with it and would worry my mom about his breathing when he was asleep.
Metaphor is one of the most commonly used and important stylistic devices. It is defined by McRae (1998/2003:140) as ‘a word or phrase which establishes a comparison or analogy between one object or idea and another’. In other words, if one finds that certain features or characteristics of two otherwise completely different and unrelated objects are similar in some way, a metaphor can be created (Galperin, 1977:140). These are not comparisons like similes, however, as metaphors are constructed in a way that clearly states that object A is object B, rather than object A is similar to object B (ibid.). As a result, we may regard these objects differently than before.