What is Catatonic Schizophrenia? Exploring Examples and Treatment Options

Catatonic schizophrenia is a little-understood subset of schizophrenia, with symptoms including extreme isolation and withdrawal. This can have potential physical and mental health risks, not to mention social ones. While medicines can help, there is no substitute for comprehensive residential treatment.

When Eloy’s younger brother Luiz was diagnosed with catatonic schizophrenia, Eloy was surprised. While he knew schizophrenia didn’t mean having multiple personalities like in bad horror movies, he didn’t know it could take many shapes and forms. He didn’t realize how complex it was.

“When I was told Luiz had catatonic schizophrenia, I was kind of taken aback,” he told us. “I thought that since he wasn’t like talking to people who weren’t there or wasn’t yelling about helicopters, he didn’t have schizophrenia. I had a lot of learning to do.”

Eloy wasn’t alone in his lack of knowledge, just as Luiz isn’t alone in his mental disorder. Catatonic schizophrenia is a rare and little-understood subset of schizophrenia, with symptoms that can lead to both physical and mental health risks. Catatonic schizophrenia is marked by intense withdrawal to the point of stupor and other unusual behavioral symptoms. It can be frightening to loved ones, but that makes getting proper help all the more important.

Just like with general schizophrenia and its other subsets, there are ways to mitigate its symptoms, but the best way to create the chance for long-term and sustainable stability in life is through comprehensive residential treatment. Through diligence and with the strength of love, Eloy helped Luiz find comprehensive and professional residential treatment that changed his quality of life for the better.

If your loved one is suffering from catatonic schizophrenia, you can do the same.

Causes of Catatonic Schizophrenia


Schizophrenia isn’t common, but nor is it unheard of. Nearly 1% of Americans suffer from schizophrenia—which doesn’t sound like a lot, but comes out to tens of millions of people. Even among that group though, catatonia is very rare.

It is not certain what causes schizophrenia to sometimes take the form of catatonia. As with other cases of schizophrenia, some of the potential factors may include:

  • Genetics and family history
  • Fetal malnutrition
  • Childhood viral infection
  • Childhood trauma
  • Childhood abuse
  • Drug abuse

There are experts who believe that a person with a disposition to schizophrenia may experience a catatonic state after drug or alcohol abuse, but that connection has not been proven positively. There are even experts who disagree that this is a distinct subset of schizophrenia, and that the diagnosis is more a matter of social and professional mores.

Regardless, it does have distinct characteristics that aren’t always recognized as schizophrenia. That’s why it is important to understand and recognize those symptoms, so that you can find a proper diagnosis and receive the right treatment.

Symptoms of Catatonic Schizophrenia


One of the reasons this disorder so often goes unrecognized or misdiagnosed is that its symptoms can often be unfortunately mistaken as signs of another illness or disorder. Some of its effects may look like nothing more than eccentricities to the untrained eye.

The symptoms of catatonic schizophrenia may include:

  • Stupor. This is the most prevalent symptom of catatonia, and the one most commonly associated with the phrase. This is extreme withdrawal, which at the far end involves a complete shutdown of psychomotor activity, including no interaction with external stimuli.
  • Mutism. Sometimes a function of stupor, this is when the sufferer lapses into essential silence, ceasing verbal communication.
  • Contortions. These involve catalepsy (the adopting of unusual positions), posturing (holding a posture against gravity), and “waxy flexibility”, where their arm or leg can be molded into shape by someone else and held in that position until it is changed.
  • Mimicry. Echolalia and echopraxia, where the schizophrenic mimics a person’s words or actions for no seeming reason.
  • Movements. Strange movements, including excessive repetition of physical actions, or strange and seemingly pointless motions.
  • Agitation. The sufferer gets upset or angry for no visible reason.

Of course, anytime we say “no apparent reason” or “seemingly pointless” it is just that way on the outside. There are no pointless actions or inexplicable reasons for the person with catatonic schizophrenia. These are logical reaction to internal stimuli. But they are no less potentially harmful for that.

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The Potential Physical, Social, and Mental Complications of Catatonic Schizophrenia


The risks of catatonic schizophrenia are many. There are physical and mental health risks that are associated with schizophrenia, complications that arise from behavior and moods. There are also social risks that are borne from the cultural stereotype that the schizophrenic is dangerous.

  • Malnutrition. Withdrawal and the internal desire to maintain unusual movements or positions can overwhelm the need to eat, which can lead to dangerous states of hunger, dehydration, and malnutrition.
  • Depression. People with schizophrenia have a 5% chance of attempting suicide in their lifetimes. While it isn’t known if this is higher or lower with catatonia, it is a clear and present risk.
  • Social repercussions. These can include a higher chance of being institutionalized or imprisoned, shunned at school, sent to detention instead of educated, difficulty finding or keeping employment, and more.
  • Isolation. Increased isolation is often a complication of an undiagnosed and untreated mental health condition.
  • Substance abuse. Increased substance abuse is often associated with mental disorders, often as a result of many other factors.

In fact, many of these factors feed into each other. Lack of viable employment can lead to poverty and homelessness, which can cause depression and make substance abuse more likely. All of these make the chances of treatment even less likely.

It’s a cruel, society-wrought cycle. But it doesn’t have to be this way.

The Importance of Residential Treatment for Catatonic Schizophrenia


Before Luiz received his diagnosis, Eloy was at wit’s end. He said he often tried to tell his brother to just “knock it off” or “act normal.” And while Eloy says he feels guilty about this, in truth his actions weren’t born out of malice—he simply didn’t know better. Without a proper diagnosis, there was no way for him to know what his brother was going through.

That changed after Eloy finally looked up his brother’s symptoms and realized he needed help. Eloy took it upon himself to find the right treatment. As he said, “I’ve been protecting my brother his whole life, but I didn’t know from what. Just other people, kids and stuff, jerks on the street. But now I could protect him from what really was going on.”

Eloy sought comprehensive residential treatment, where they could handle the difficult symptoms and complicated causes of catatonic schizophrenia. He was particularly happy that there was a family component to the treatment, so he could continue to stand by his brother’s side, and learn what more he could do to help.

There is no cure to catatonic schizophrenia, and no easy fix. It is a lifetime condition. But with treatment, with medicine, and with support, the person suffering from it can live the life they deserve. It starts with understanding. It continues with love and strength. And that can last a long, full lifetime.

BrightQuest offers long-term treatment for people struggling with mental health disorders, co-occurring substance use disorders and process addictions. Contact us to learn more about our renowned program and how we can help you or your loved one start the journey toward recovery.