Catatonia: Assessment and Treatment
Assessment of catatonia combines observation, physical examination and a history of the changes in movement, speech and responsiveness. Clinicians may use a structured rating scale to document signs and follow response. They investigate possible causes…Continue Reading
Catatonia: Agitation and Repetitive Movements
Catatonia can involve excessive movement as well as immobility. Excitement may appear purposeless and not clearly driven by the surrounding situation. Repetitive movements, unusual mannerisms or repeated speech may occur. Echolalia involves repeating another person’s…Continue Reading
Catatonia: Posturing and Rigidity
Posturing in catatonia involves maintaining a position for an unusually long time, sometimes against gravity. Rigidity refers to increased resistance to movement. Other examination findings include catalepsy and waxy flexibility, in which a position imposed…Continue Reading
Catatonia: Mutism
Mutism means an absence or marked reduction of speech. In catatonia, a person may stop speaking despite apparently intact speech organs and may also show changes in movement or responsiveness. Silence alone does not establish…Continue Reading
Catatonia: Reduced Movement
Reduced movement in catatonia can range from unusual stillness to stupor, in which the person shows very little spontaneous activity or response to the environment. Someone may remain in one position for a long time…Continue Reading
Disorganised Behaviour: Everyday Functioning
Everyday functioning describes how someone manages the activities that make up ordinary life. These include self-care, household responsibilities, relationships, education, employment and community participation. Disorganisation can make these activities harder even when individual skills remain…Continue Reading
Disorganised Behaviour: Disrupted Self-Care
Disrupted self-care can involve difficulties with washing, dressing, meals, household tasks or attending to physical health. In schizophrenia, several factors may contribute: disorganisation, reduced motivation, depression, suspicious beliefs, cognitive impairment or adverse medication effects. Limited…Continue Reading
Disorganised Behaviour: Inappropriate Responses
An inappropriate response is one that appears mismatched to the situation, such as laughing during a serious discussion or showing little visible reaction to important news. The mismatch may reflect disorganisation, an internally experienced event…Continue Reading
Disorganised Behaviour: Unpredictable Behaviour
Behaviour may appear unpredictable when a person’s actions change abruptly or do not seem connected to the situation. They may stop an activity, leave unexpectedly or react to an experience others cannot perceive. From the…Continue Reading
Disorganised Behaviour: Difficulties Sequencing Actions
Sequencing is the ability to organise individual steps into an effective order. Preparing a meal, taking public transport or paying a bill requires holding a goal in mind and moving through several actions. During disorganisation…Continue Reading