catatonic-behavior

anonymous asked:

Hey, what can you tell me about catatonia in depression? Does it happen to trauma sufferers? It would need hospitalisation, correct? So if the patient is catatonic I assume that hospitalisation would be against the patient's will? And does the person not move at all? My character remains in bed the whole time and barely communicates. She conveys that she doesn't want to be hospitalised through the bare minimum of communication. Is this a correct representation of her?

So, uh, I have a few questions.  If your character remains in bed the whole time, does she get up to use the bathroom?  Or does she just relieve herself in the bed? Does someone feed her and give her water?  If they didn’t, would she just let herself starve? 

Because, yeah, if she’s refusing to leave her bed, to the point of soiling herself and refusing to eat or drink, it won’t matter that she communicates “through the bare minimum” that she doesn’t want to be hospitalized.  That’s not safe behavior, and she at the very least needs to be evaluated medically and psychologically.

ANYWAYS.  Catatonia is more than just ‘not responding’ / not doing anything.

Catatonia is any three (or more) of the following symptoms:

  • stupor - not moving at all, not actively reacting to surroundings
  • catalepsy - holding a pose
  • waxy flexibility - stiff, holding a pose, but if someone tries to adjust their position (by like moving their arm), the character stays in the position they’re moved into. 
  • mutism - they don’t talk 
  • negativism - they either don’t respond to or oppose instructions
  • posturing - also holding a pose?  But it’s somehow different from catalepsy.  
  • mannerism - odd caricatures of normal movements
  • stereotypy - repetative movements 
  • agitation 
  • grimacing
  • echolalia - repeating what other people say 
  • echopraxia - mimicking another’s movements

The thing about catatonia is that, well… it’s not too much of an issue nowadays.  We have these amazing things called ‘benzodiazepines’ that are FUCKING AMAZING at treating catatonia.

“Within 3 hours of receiving [specific benzodiazepine medication], the vast majority of catatonic patients, who have been immobile, mute, withdrawn, and refusing to eat or drink, enjoy complete release from their “frozen” state.” [Source]

COMPLETE REMISSION WITHIN 3 HOURS. HOLY SHIT.

Like, normally psychiatric medications take from days, to weeks, even months to fully kick in.

Now, your character could be depressed as fuck and barely leaving her bed because of how severe her depression is.  But that’s not the same as catatonia.

I’ll be covering severe depression in a future post, but yeah.  Unless you’re doing a period piece pre-1970′s, the severe, barely-responsive catatonia you’re describing isn’t really a thing anymore.

anonymous asked:

What, if any, mental illness(es) do you consider Jason to have? I would think PTSD pre and post resurrection but I've heard people argue psychosis among other things so I was curious. Thanks 8) (I couldn't figure out if this ask was more appropriate for you or batmanfiles so sorta asked both of you...hope that's okay)

Haha I don’t mind at all! We both love talking about Jason Todd. :P 

Disclaimer: I’m just a Nursing student, and we don’t diagnose medical/psychiatric illnesses. I got an A in my Psych Nursing class (\o/) and I’ll be using my textbook/notes (Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice by Mary C. Townsend) for reference, but I’m not an expert. I’m pretending to diagnose a fictional character based on inconsistent comics that include the existence of a Lazarus Pit. This is my interpretation and I do not claim it to be canon.

Keep reading

anonymous asked:

Thank you so much for creating this blog! It's going to be so helpful! I was wondering what the differences between split personality disorder and schizophrenia are, and if there are any instances where the disorders themselves, or their symptoms overlap? Thanks again!

And another anon asked:

How would I write a character with schizophrenia or multiple personality disorder?

Hoo boy.  This is one of my least favorite tropes in Hollywood Psychology.  So, anons, if I come across as mean or snarky it’s not directed at you, okay?

“Split personality disorder” and “multiple personality disorder” are not recognized diagnoses. These terms are no longer used by therapists & psychologists.  The proper term is “Dissociative Identity Disorder,” also known as DID.

Despite the media getting them confused all the fucking time, DID is EXTREMELY different from schizophrenia.  Schizophrenia has a lot of symptoms and presents very, very differently from DID (and will be covered in much more depth in a future masterpost).

Symptoms of DID:

  • There are two or more distinct personality states
  • There is a disconnect in the character’s sense of self
  • There are changes in their emotions, behavior, consciousness, memory, perceptions, and/or thoughts
  • The character has gaps in their memory of daily events, important personal information, and/or traumatic events.  This is not like your character forgetting what they had for breakfast last week - this is like “I don’t know where I was or what I was doing from 9 am to 1 pm yesterday.”

Symptoms of Schizophrenia:

  • Delusions. This is believing with absolute conviction something that is not true.
    • “The FBI is following me,” “Aliens have implanted a tracking device in my arm,” or “A celebrity is secretly in love with me and sending me messages.”

  • Hallucinations.  This means your character is sensing something that is not actually there.  
    • Hearing voices, seeing monsters, smelling a dead body, feeling insects crawling underneath your skin

  • Illusions. This means sensing something that is actually there, but misinterpreting it.  These are related to hallucinations but not technically in the diagnostic criteria.  However, they are really good things to include when writing a character who is descending into schizophrenia.
    • Hearing rustling leaves as whispering voices, seeing a dog but perceiving it as a demonic beast.
  • Disorganized speech.  A schizophrenic character’s words / thoughts can be extremely difficult, if not impossible, to understand. There are a number of ways this can be described, but the two most notable are:

    • Derailment - the character’s sentences are all perfectly grammatical and make sense out of context, but when put in context with the rest of what they’re saying, make no sense.
      • “I think someone’s infiltrated my copies of the cases. We’ve got to case the joint. I don’t believe in joints, but they do hold your body together.” [Source]

    • Incoherence / Word Salad - random words with little to no regard for grammar or logic.  Complete gibberish.
      • “Night singing box muffin desperately door salesman close.”

  • Disorganized / catatonic behavior. Rarely seen nowadays, but is an abnormality in the way your character moves.
    • Stupor/inactivity, unresponsiveness, staying in the same pose

  • Negative symptoms. Your character isn’t doing, or doing less of, something that most other people do.  Some examples (BUT NOT ALL OF THEM):
    • Alogia / poverty of speech.  Your character doesn’t say much, and when they do, it is empty and meaningless.
    • Flat Affect. Your character isn’t very emotional.
    • Avolition. Your character doesn’t want to do anything.

Similarities / Differences:

Now, one could theoretically argue that the personality states / alters seen in DID are delusions or hallucinations.  However, in schizophrenia, the hallucinations and delusions typically are not as static, enduring, or confined to a single topic.

With DID, is possible that a character might switch alters mid-sentence, which could be interpreted as disorganized speech.  However, it would be extraordinarily rare for someone with DID to continuously switch alters every sentence or word.

There are “behavioral disturbances” in both disorders.  With DID, each alter could behave differently.  Some alters may be better functioning than others (more social, happier, less inhibited, etc).  With schizophrenia, the behavioral symptoms typically don’t radically get better (without medication).  Instead, it’s a slow progression downwards.

I’m not as sure about this, but I believe that a character with schizophrenia typically wouldn’t have the kinds of gaps in memory that a character with DID would.  They may have trouble expressing where they’ve been or what they’ve been doing, however.

Another big difference is in their causes. DID is almost always associated with severe, prolonged childhood trauma. Schizophrenia is associated with genetic causes and environmental factors. While stress or trauma could possibly accelerate when schizophrenia begins, it is not required for its development.

I hope that helped!  I should have a schizophrenia masterpost coming soon!

Also stay tuned for a future rant about how DID is portrayed in the media!

youtube

Patch Adams (2/10) Movie CLIP - Group Therapy (1998) HD (by movieclips)

Example of catatonic behavior: Beanie

I love this scene <3

"I'm not schizophrenic, and neither am I!" ..... "I may be schizophrenic, but at least I have each other!"

For anyone who doesn’t know. People with schizophrenia do not have multiple personalities.

Dissociative Identity Disorder (DID) is the proper diagnosis for a person with multiple personalities.

Schizophrenia is a completely different illness. It includes any of these symptoms: Paranoia, delusions, hallucinations, disorganized thoughts, and catatonic behavior. Just to name a few of the common symptoms, every persons experience may differ.