Catatonic schizophrenia, once considered a distinct subtype, is now understood as a part of the broader spectrum of schizophrenia. Although it’s no longer recognized as a separate diagnosis, catatonia remains an essential syndrome to consider and treat, especially when it coexists with schizophrenia.

Here are key points regarding catatonic schizophrenia and its management:

1. Symptoms of Catatonic Schizophrenia:
– Stupor: A state close to unconsciousness.
– Catalepsy: Trance-like rigidity of the body.
– Waxy flexibility: Limbs remain in positions set by others.
– Mutism: Lack of verbal response.
– Negativism: Ignoring external stimuli or instructions.
– Posturing: Holding unusual positions.
– Mannerism: Odd and exaggerated movements.
– Stereotypy: Repetitive movements without reason.
– Agitation: Uninfluenced by external stimuli.
– Grimacing: Contorted facial movements.
– Echolalia: Meaningless repetition of others’ words.
– Echopraxia: Meaningless repetition of others’ movements.

2. Causes:
– Catatonia: Irregularities in dopamine, GABA, and glutamate neurotransmitter systems.
– Schizophrenia: Combination of genetic, brain chemistry, and environmental factors.

3. Treatment Options:
– Medications: Give symptomatic and causative based Homoeopathic medication. Sedatives are commonly used to manage catatonia associated with schizophrenia.
– Electroconvulsive Therapy (ECT): Sends electrical impulses to the brain through electrodes on the head.
– Psychotherapy: May be helpful in some cases.