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Catatonia
Psychotic Features of Bipolar I Disorder

By Kimberly Read & Marcia Purse, About.com

Updated July 27, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Catatonia is a condition characterized by psychomotor disturbance, an interruption of normal movement. Catatonic features can occur with major depression, bipolar disorder I and II, schizoaffective disorder and schizophrenia. In some cases, catatonia may also be an extreme side effect of a medication.

Possible symptoms of catatonia

  • Stupor - lack of response to external stimuli - e.g., no response to being spoken to or prodded

  • Catalepsy - muscular rigidity, so that the limbs remain in whatever position they are placed.

  • Excessive motor activity with no purpose

  • Extreme negativism - resistance to movement or instruction

  • Mutism - being unable or unwilling to speak

  • Inappropriate postures and grimacing

  • Echolalia - parrotlike repetition of a word or phrase just spoken by another person

  • Echopraxia - repetitive imitation of the movements of another person

Possible complications of catatonia

  • Malnutrition
  • Exhaustion
  • Hyperpyrexia - an extremely high fever
  • Self-inflicted injury
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