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Case Reports in Psychiatry - Volume 2015 2015, Article ID 423025, 3 pages -

Case ReportCary Behavioral Health P.C., 160 NE Maynard Road, Suite 200, Cary, NC 27513, USA

Received 10 December 2014; Revised 11 February 2015; Accepted 12 February 2015

Academic Editor: Liliana Dell’Osso

Copyright © 2015 Waheed K. Bajwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Autor: Waheed K. Bajwa, Ali Rastegarpour, Omar A. Bajwa, and Jessica Babbitt



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