Taking an Evidence-Based Approach to 10 Common Myths About Catatonia: An Educational Review

Abstract

Catatonia is a serious neuropsychiatric disorder associated with considerable morbidity and mortality. Despite growing interest in the disorder and the field's advancing understanding, a gap between research and clinical practice persists. This is particularly problematic as prompt recognition is essential to optimal management and improving outcomes. We present an educational review of 10 common myths regarding the recognition, etiology, phenotype, and management of catatonia. We address each myth using an evidence-based approach. A few salient considerations include the broad age range affected by catatonia, the fact that patients with catatonia often have preserved awareness of their surroundings, and the importance of using a validated catatonia screening instrument for reliable identification. By addressing these 10 myths, we aim to reduce the gap between evidence and clinical practice to ultimately improve the care and clinical outcomes of people with catatonia.