flat affect and catatonia are symptoms of

Patient exhibited symptoms such as mutism, hyperextension of spine, clinching of jaw, psychomotor retardation which suggested probable diagnosis of catatonia at the background of major depressive disorder nonresponding to treatment.

We present a case of a 58-year-old female with no prior psychiatric history who presented to the psychiatric emergency room with a three-week history of feeling depressed, anhedonic, hopeless, helpless, and worthless, associated with poor sleep, poor concentration, low energy, significant weight loss due to lack of appetite, and suicidal ideations after she saw her ex-boyfriend holding hands with another woman. In order to make a diagnosis of catatonia, the clinical picture must be dominated by three or more of the following symptoms cataplexy, waxy flexibility, stupor, agitation, mutism, negativism, posturing, mannerisms, stereotypies, grimacing, echolalia, and echopraxia.

Catatonia is a complex neuropsychiatric syndrome that is often associated with psychiatric, neurological and/or medical conditions.

Flat affect and catatonia are symptoms of