Mail box replies

Subject: Difference between dissociation and catatonia

The question was submitted 24 May 2009

Hi,

What's the difference between catatonia and dissociation? Does one lead to another, happen at the same time or are both mutually exclusive?

Is lack of ability to move own body but fully aware of the loss of control catatonia when it only happens for an hour (just a short while)? Is catatonia normal in a person who tends to dissociate and has borderline personality disorder and bipolar?

Does all this (dissociation and or catatonia) happen when one is especially tired or stressed out?

Thanks.

Answer from DepNet

The answer was published on DepNet 26 May 2009


firstly both conditions are uncommon Catatonia is a state of motor disturbance (either immobile with at times waxy flexibilit or hyperactivity) - it can be accompanied by mutism, stuporose state, negativism and echolalia. It can occur in Schizphrenia, Depression and other mood disorder or at times substance related. It responds to Benzodiazepine and at times ECT (if it is severe enough to affect eat and sleep which could endanger health) Dissociation is a state of altered consciousness where the person becomes almost another state of mind to either lose his memory, getting lost (fugue) or attain a different personality. It can occur in a most stressful condition or PTSD where this dissociation helped cope with a trememdous stress. However if it becomes a sustained phenomena - then it affects the life and functioning. It can be treated via psychotherapy. It can be more common in those who have PTSD (who went thru a severely stressful event) or some borderline personality. It usually takes severe stress to precipitate either.

Regards,

Depnet