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Table 2 Definition of catatonia in Diagnostic and Statistical Manual of Mental Disorders, fifth edition

From: Idiopathic catatonic syndrome in a young male with no prior psychiatric history: a case report

Definition of catatonia in DSM-V (APA, 2013):

Catatonia is diagnosed when the clinical picture is dominated by three or more of the following:

1. Stupor:  No psychomotor activity; not actively relating to environment

2. Catalepsy:  Passive induction of a posture held against gravity

3. Waxy flexibility:  Slight and even resistance to positioning by examiner

4. Mutism:  No, or very little, verbal response

(not applicable if there is an established aphasia)

5. Negativism:  Opposing or not responding to instructions or external stimuli

6. Posturing:  Spontaneous and active maintenance of a posture against gravity

7. Mannerisms:  Odd caricature of normal actions

8. Stereotypy:  Repetitive, abnormally frequent, non-goal directed movements

9. Agitation (Not influenced by external stimuli)

10. Grimacing

11. Echolalia:  Mimicking another’s speech

12. Echopraxia:  Mimicking another’s movements

  1. If 3 or more of the 12 psychomotor features are present, the specifier “with catatonia” can be added to the mental disorders listed in Table 1. These criteria can also be used to identify catatonia due to a general medical condition and catatonia NOS