{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T12:50:11Z","timestamp":1782305411372,"version":"3.54.5"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>We present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her hospital course, she began to demonstrate signs of co-occurring obsessive-compulsive disorder (OCD) and affective psychotic disorder obfuscated by the severity of her catatonia. After initial workup including neurologic evaluation, laboratory tests, imaging (EEG, MRI), the patient was stabilized on a combination of benzodiazepines, antipsychotics, mood stabilizers, and selective serotonin reuptake inhibitors. The diagnostic challenges of disambiguating multiple concurrent diagnoses in the presence of a syndrome with unclear pathophysiology are discussed. Recommendations are made to thoroughly evaluate thought content during periods of catatonic remission to guide diagnosis and treatment.<\/jats:p>","DOI":"10.3389\/fpsyt.2023.1225827","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T12:46:09Z","timestamp":1697114769000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient"],"prefix":"10.3389","volume":"14","author":[{"given":"Wilson","family":"To","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Yung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Voss-Hamrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenner","family":"Meacham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Freedman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"ref1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM-5-TR","year":"2022"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1093\/schbul\/sbx157","article-title":"Prevalence of catatonia and its moderators in clinical samples: results from a meta-analysis and meta-regression analysis","volume":"44","author":"Solmi","year":"2018","journal-title":"Schizophr Bull"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/j.schres.2005.01.014","article-title":"Clinical relevance of chronic catatonic schizophrenia in children and adolescents: evidence from a prospective naturalistic study","volume":"76","author":"Cohen","year":"2005","journal-title":"Schizophr Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1046\/j.1440-1819.2003.01092.x","article-title":"Catatonia in childhood and adolescence","volume":"57","author":"Takaoka","year":"2003","journal-title":"Psychiatry Clin Neurosci"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1046\/j.1440-1614.2003.01125.x","article-title":"Incidence of catatonia in children and adolescents in a paediatric psychiatric clinic","volume":"37","author":"Thakur","year":"2003","journal-title":"Aust N Z J Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1192\/bjp.176.4.357","article-title":"Catatonia in autistic spectrum disorders","volume":"176","author":"Wing","year":"2000","journal-title":"Br J Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1645","DOI":"10.1007\/s00787-021-01811-9","article-title":"Catatonia in pediatric obsessive\u2013compulsive disorder: report of two cases","volume":"31","author":"Jaimes-Albornoz","year":"2021","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.psym.2018.05.012","article-title":"Pediatric catatonia: a case series-based review of presentation, evaluation, and management","volume":"59","author":"Sorg","year":"2018","journal-title":"Psychosomatics"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1089\/cap.2014.0027","article-title":"Electroconvulsive therapy for catatonia in an 18-year-old patient presenting with mixed features of schizophrenia and obsessive-compulsive disorder","volume":"24","author":"Haack","year":"2014","journal-title":"J Child Adolesc Psychopharmacol"},{"key":"ref10","volume-title":"Catatonia.(trans. 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