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Tijdschrift voor Psychiatrie 48 (2006) 3, 235 - 239

Case report

The role of benzodiazepines in the treatment of catatonia. An evidence-based case study

A.N. van Dalfsen, F. Van Den Eede, B. Van Den Bossche, B.G.C. Sabbe

A patient who developed acute catatonia during benzodiazepine withdrawal is discussed. The case prompted us to review the literature on the role of benzodiazepines in the treatment of acute catatonia. Only retrospective and open studies were found which indicate that benzodiazepines do have a beneficial effect. Lorazepam is the most widely studied benzodiazepine and at present is the best treatment option. In the specific case of acute catatonia brought on by benzodiazepine withdrawal the recommended dosage is the same as for acute catatonia caused by something other than benzodiazepine withdrawal.

keywords benzodiazepine, catatonia, substance withdrawal syndrome, therapy