Catatonic schizophrenia may be manifested in the form of stupor (marked by psychomotor retardation, mutisme, wax-like behavior (posture), negativism, regiditas or noise (the extreme psychomotor legitasi which can cause fatigue or may hurt themselves / others if not immediately tackled. Schizophrenia catatonic be triggered by brain disease, metabolic disorders, alcohol and drugs can also occur affective disorder. It is important to note that catatonic symptoms are not clues to diagnose skizofrenia.
First incidence between ages 15 – 30 years is usually acute and often preceded by emotional stress. Possible noisy or agitated catatonic stupor.
1. Rowdy restless catatonic:
There hiperaktifitas motor but not accompanied with the proper emotion and not influenced by external stimuli. Clients continue to speak or move and steroitipi show, manerisme, grimas, Mologisme, can not sleep, not eating and drinking, so maybe there dehydration or collapse or occasionally death (drained and especially if there are bodily disease: heart, lungs, lung and so on). A person who is starting to improve the noise shizofrenia catatonic agitated repeatedly asked discharged from hospital. This thought of them through a variety of ways, so it is perceivable.
2. Stupor catatonic:
In catatonic stupor the patient showed no concern at all for the environment. Emotions such as shallow. Important symptoms are psychomotor symptoms such as:
a. Mutisme sometimes with eyes closed.
b. Face without expression like a mask.
c. Stupor, the patient does not move at all for a long time, a few days, sometimes up to several months.
d. When the patient changed his position challenged: negativism.
e. Denied food, saliva is not swallowed, so that accumulated in the mouth and melts out, urine and faeces were arrested.
f. There grimas and katalepsi. Suddenly or slowly the patient out of this stupor state and began to speak and move.
Same etiology as Shizofrenia catatonic shizofrenia general symptoms are:
1. Heredity
2. Endocrine System
3. Metabolic system
4. Central nervous
5. Theory of Adolf Meyer
6. Theory Sigmund Freud
7. Eugen Bleuler
8. Shizofrenia as a syndrome
9. Shizofrenia a psychosomatic disorder
Prognosis, generally consider the following matters:
1. Pre psychotic personality
2. Incidence of acute attacks better shizofrenia
3. Shizofrenia Types: hebefrenik and simplex type as bad, patients towards mental decline.
4. Age: young growing increasingly bad prognosis
5. Treatment the sooner the better
6. Fakktor impetus: a better trigger factor
7. Heredity: Some people in the family worse.
Treatment:
The principle of equal treatment of schizophrenia catatonic schizophrenia treatment in general are:
1. Farmakoterapi
2. Elektorkonvulsi Therapy
3. Psychotherapy and rehabilitation
4. Pre-frontal Hobotomi.
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