Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.
This episode covers catatonia with Dr. Patricia Rosebush. Dr. Rosebush is a Professor in the Department of Psychiatry & Behavioural Neurosciences at McMaster University. She is the distinguished author of numerous articles on clinical neuroscience, including considerable work on mitochondrial disorders in mental illness and over 30 papers on catatonia, and practices consultation-liaison psychiatry at St. Joseph’s Healthcare Hamilton.
The learning objectives for this episode are as follows:
By the end of this episode, the listener will be able to…
Guest: Dr. Patricia Rosebush
Hosts: Dr. Alastair Morrison (PGY1), Dr. Angad Singh (PGY1)
Audio editing: Dr. Angad Singh
Show notes: Dr. Alastair Morrison
Interview content:
(01:20) Clinical features of catatonia (high level overview)
(04:15) Clinical anecdote - an index case of catatonia
(06:00) History of approaches to catatonia
(10:00) Approach to different catatonia phenotypes
(15:00) Categorization and ideas of mechanism
(18:00) Assessing clinical signs of catatonia
(24:00) Preserved awareness in catatonia
(27:00) Investigations and differential diagnosis
(30:00) First interventions: benzodiazepines and benzodiazepine withdrawal
(41:30) Managing medical considerations in catatonia
(45:00) Treating other psychiatric illnesses in the catatonic patient
(49:00) Acute, chronic, and refractory treatments
References:
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