The Management of Catatonia in Bipolar Disorder with Stimulants

Catatonia, while not a rare occurrence in bipolar disorder, has not been widely discussed in the literature. We present a case of a married Caucasian male with a history of bipolar disorder, exhibiting catatonia and experiencing difficulty in day-to-day functioning. He demonstrated impairment in cog...

Full description

Saved in:
Bibliographic Details
Main Authors: Waheed K. Bajwa, Ali Rastegarpour, Omar A. Bajwa, Jessica Babbitt
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2015/423025
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550084036788224
author Waheed K. Bajwa
Ali Rastegarpour
Omar A. Bajwa
Jessica Babbitt
author_facet Waheed K. Bajwa
Ali Rastegarpour
Omar A. Bajwa
Jessica Babbitt
author_sort Waheed K. Bajwa
collection DOAJ
description Catatonia, while not a rare occurrence in bipolar disorder, has not been widely discussed in the literature. We present a case of a married Caucasian male with a history of bipolar disorder, exhibiting catatonia and experiencing difficulty in day-to-day functioning. He demonstrated impairment in cognition and an inability to organize simple activities of daily life. After exhausting a number of options for medical management, including benzodiazepines, atypical antipsychotics, and amantadine, he only displayed significant clinical improvement with the addition of a stimulant, methylphenidate. In time, the patient saw a complete return to normal functioning. The use of stimulants for catatonia in bipolar disorder may be an interesting and effective option for treatment. While this is not the first time this treatment has been suggested, there is very little data in support of it; our case confirms the discoveries of previous case reports.
format Article
id doaj-art-7f35170a46e94bcea0744d193ad1f798
institution Kabale University
issn 2090-682X
2090-6838
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Psychiatry
spelling doaj-art-7f35170a46e94bcea0744d193ad1f7982025-02-03T06:07:49ZengWileyCase Reports in Psychiatry2090-682X2090-68382015-01-01201510.1155/2015/423025423025The Management of Catatonia in Bipolar Disorder with StimulantsWaheed K. Bajwa0Ali Rastegarpour1Omar A. Bajwa2Jessica Babbitt3Cary Behavioral Health P.C., 160 NE Maynard Road, Suite 200, Cary, NC 27513, USACary Behavioral Health P.C., 160 NE Maynard Road, Suite 200, Cary, NC 27513, USACary Behavioral Health P.C., 160 NE Maynard Road, Suite 200, Cary, NC 27513, USACary Behavioral Health P.C., 160 NE Maynard Road, Suite 200, Cary, NC 27513, USACatatonia, while not a rare occurrence in bipolar disorder, has not been widely discussed in the literature. We present a case of a married Caucasian male with a history of bipolar disorder, exhibiting catatonia and experiencing difficulty in day-to-day functioning. He demonstrated impairment in cognition and an inability to organize simple activities of daily life. After exhausting a number of options for medical management, including benzodiazepines, atypical antipsychotics, and amantadine, he only displayed significant clinical improvement with the addition of a stimulant, methylphenidate. In time, the patient saw a complete return to normal functioning. The use of stimulants for catatonia in bipolar disorder may be an interesting and effective option for treatment. While this is not the first time this treatment has been suggested, there is very little data in support of it; our case confirms the discoveries of previous case reports.http://dx.doi.org/10.1155/2015/423025
spellingShingle Waheed K. Bajwa
Ali Rastegarpour
Omar A. Bajwa
Jessica Babbitt
The Management of Catatonia in Bipolar Disorder with Stimulants
Case Reports in Psychiatry
title The Management of Catatonia in Bipolar Disorder with Stimulants
title_full The Management of Catatonia in Bipolar Disorder with Stimulants
title_fullStr The Management of Catatonia in Bipolar Disorder with Stimulants
title_full_unstemmed The Management of Catatonia in Bipolar Disorder with Stimulants
title_short The Management of Catatonia in Bipolar Disorder with Stimulants
title_sort management of catatonia in bipolar disorder with stimulants
url http://dx.doi.org/10.1155/2015/423025
work_keys_str_mv AT waheedkbajwa themanagementofcatatoniainbipolardisorderwithstimulants
AT alirastegarpour themanagementofcatatoniainbipolardisorderwithstimulants
AT omarabajwa themanagementofcatatoniainbipolardisorderwithstimulants
AT jessicababbitt themanagementofcatatoniainbipolardisorderwithstimulants
AT waheedkbajwa managementofcatatoniainbipolardisorderwithstimulants
AT alirastegarpour managementofcatatoniainbipolardisorderwithstimulants
AT omarabajwa managementofcatatoniainbipolardisorderwithstimulants
AT jessicababbitt managementofcatatoniainbipolardisorderwithstimulants