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Conventional catatonia management for stabilization and acute treatment recommends intravenous (IV) or intramuscular (IM) benzodiazepine administration; however, there is relatively limited literature with respect to the safety and efficacy of per os administration. Here, we present a case of an 18-year-old male with parakinetic catatonia successfully stabilized and treated using this less frequently documented method of administration to highlight alternatives amidst a national shortage of IV and IM lorazepam.<\/jats:p>","DOI":"10.1093\/milmed\/usaf406","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T11:37:15Z","timestamp":1753961835000},"page":"e1718-e1721","source":"Crossref","is-referenced-by-count":1,"title":["Successful Treatment of Catatonia: An Underrepresented Route of Administration Amidst a National Shortage Case Report"],"prefix":"10.1093","volume":"191","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4741-265X","authenticated-orcid":false,"given":"Robert D","family":"Atkinson","sequence":"first","affiliation":[{"name":"Psychiatry Residency Program, USN, NMCP , Portsmouth, VA 23708,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Woo","sequence":"additional","affiliation":[{"name":"Psychiatry Residency Program, USN, NMCP , Portsmouth, VA 23708,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julisu","family":"Dimucci-Ward","sequence":"additional","affiliation":[{"name":"Preventive Medicine and Public Health, VCOM Carolinas , Spartanburg, SC 29303,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Switzer","sequence":"additional","affiliation":[{"name":"Psychiatry and Neuro-Behavioral Sciences VCOM Carolinas , Spartanburg, SC 29303,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"2026070413270871600_usaf406-B1","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1007\/s00702-002-0762-z","article-title":"Catatonia and neuroleptic malignant syndrome: psychopathology and pathophysiology","volume":"109","author":"Northoff","year":"2002","journal-title":"J Neural Transm (Vienna)"},{"key":"2026070413270871600_usaf406-B2","doi-asserted-by":"publisher","first-page":"391","DOI":"10.5498\/wjp.v6.i4.391","article-title":"Catatonia: our current understanding of its diagnosis, treatment and pathophysiology","volume":"6","author":"Rasmussen","year":"2016","journal-title":"World J Psychiatry"},{"key":"2026070413270871600_usaf406-B3","doi-asserted-by":"crossref","first-page":"666646","DOI":"10.3389\/fpsyt.2021.666646","article-title":"Case report: use of subcutaneous Midazolam during an episode of Catatonia","volume":"12","author":"Raymond","year":"2021","journal-title":"Front Psychiatry"},{"key":"2026070413270871600_usaf406-B4","journal-title":"Catatonia: A Clinician\u2019s Guide to Diagnosis and Treatment."},{"key":"2026070413270871600_usaf406-B5","doi-asserted-by":"publisher","first-page":"181","DOI":"10.3389\/fpsyt.2014.00181","article-title":"A clinical review of the treatment of catatonia","volume":"5","author":"Sienaert","year":"2014","journal-title":"Front Psychiatry"},{"key":"2026070413270871600_usaf406-B6","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1016\/J.ENCEP.2015.09.008","article-title":"Catatonic syndrome: from detection to therapy","volume":"42","author":"Madigand","year":"2016","journal-title":"Encephale"},{"key":"2026070413270871600_usaf406-B7","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1111\/j.1600-0447.1996.tb09815.x","article-title":"Catatonia. 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