Treatment of catatonia with methylphenidate in an elderly patient with depression

• Published in: Psychosomatics (Washington, D.C.) Vol. 51; no. 1; pp. 74 - 76
• Main Authors: Prowler, Matthew L, Weiss, David, Caroff, Stanley N
• Format: Journal Article
• Language: English
• Published: 01-01-2010
• ISSN: 1545-7206
• DOI: 10.1176/appi.psy.51.1.74

BACKGROUNDCatatonia is especially common among patients with mood disorders.OBJECTIVEThe authors evaluated the effects of methylphenidate as an augmentation strategy in an elderly patient with catatonia and depression.METHODMethylphenidate was administered to a catatonic patient who had not responded to lorazepam.RESULTSThe patient showed an acute and marked response to methylphenidate.DISCUSSIONMethylphenidate may be effective as an adjunct in elderly depression patients with catatonia, as well as in medically ill, apathetic patients. However, there have been few attempts to study the role of psychostimulants in alleviating catatonia in general, or catatonia associated specifically with an underlying depressive disorder, even though catatonia is frequently associated with mood disorders.