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Other Peritraumatic full tonic immobility

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Thank you @amelia_i.

Kahlbaum (1874-1973) drew a parallel between TI and catatonia in his work. I do suffer from either TI or catatonia. I see the two as similar. I have yet to be diagnosed, because, as you say, psychiatrists don't tend to understand or, dare I say, believe that such symptoms exist. Part of my problem was that the DSM IV tied schizophrenia to catatonia, and I was not schizophrenic.

May I ask, are you calling your situation TI because you have been diagnosed as such?

Here is a link to a paper which links TI and Catatonia.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689858/

May I ask what dosage of Ativan you take when in your state? Following is an article that suggests proper treatment using ativan or diazepam in a hospital setting. Of course, this type of treatment would rely on doctors actually understanding the symptoms of the patient.

http://www.ncbi.nlm.nih.gov/pubmed/23515153

For those who are benzo resistant (benzo's are first line of treatment in the perfect world), then ECT is the next step. ECT is not something I would like to experience however.
 
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I skimmed it; it seems to kind of confirm my loose understanding of how the two correlate. Basically one and the same.

DSM V lists other things as causes of catatonia, does it not? That'll be helpful, 'cause I have no schizo diagnoses. Regardless, I don't know if anyone has added an official diagnosis or not. I tell all of the staff I encounter and describe it, and as of a few weeks ago, several have seen it in person. I was in outpatient a few weeks ago and had a spell. They didn't know what to do. They don't know what it is, even though I told them the symptoms in advance. So probably not, still. I had one pdoc outright refuse to believe me, and when I offered to show her a video, she said she didn't want to see it. I suspect that the rarity of full-blown TI has lead all of them, thus far, to shrug it off because they hadn't seen it happen. At this point it's probably just observations recorded that to the proper specialist, would be obvious. But I can't be sure.

The times we tried it, it was 1mg. Not specifically sublingual ativan. So, maybe it would work under more ideal circumstances, or administered during instead of before. I'm pretty much convinced, It would take a competent specialist at this point to convince me that it was anything other than trauma-induced tonic immobility (catatonia).
 
I used sublingual because by the time the regular ativan worked I was already in too deep. And yes, there are now considered other causes of catatonia. Thank god. Still, as you know, a tough sell to those who are supposed to be in the know. Can your catatonia expert (Chicago? Was that you that said it) offer up a recommendation for someone (anyone) in your area that may be able to help you?
 
lol @ "catatonia expert". smh. It was my psychiatrist here in Milwaukee. I am in the process of switching my insurance so that I can get in at a place that does trauma-specific things like EMDR here. Have you tried EMDR?

edit. wait, was it me that said what? I thought at first that you were taking a shot at the pdoc that refused to believe me, and refused to look at the video. I never mentioned anything about that in the previous thread, it musta been another person
 
So sorry, I seem to be perpetually confused these days. Not sure where I got that. I wonder if there is such a thing as a 'catatonia expert?'
 
I have a strong freeze response which seems to match what you're describing.

A clear trigger then I freeze, can't move, brain shouts internally to the person who is triggering me to stop (typically not their fault and they couldn't know). My breathing changes to be invisible (which means shallow). If it goes on too long I get tunnel vision (pre fainting vision). Once they stop I come out of it and it takes me a bit to calm down.

I think I look normal throughout as no one has ever noticed, but maybe it's that it doesn't happen when I'm with close friends. It happened lots with my first T who was a nightmare for my recovery, her constant triggering this and not noticing (caring?, as I did tell her) was a disaster.
 
So, I started seeing a therapist for the first time a few months ago. She consulted a psychiatrist that she works with about the catatonia, and came back with the opinion that she thinks my problem is not psychological in origin. Apparently my cognizance and concern about this is generally an indicator that it's not a schizophrenic catatonia or severe depression issue, and the waxy flexibility seems usually resultant of medical conditions when not the schizophrenic variety. I went to my gp and told her, and now I have a neuropsychologist appointment at the end of July.

Since then I've worked myself into a froth trying to see if I can find any clues. All just conjecture at this point, I'm obviously not a doctor, but I'm the kind of person who has trouble sitting there with my hands in the old pockets.

First I started looking back at the strangling attacks (of indeterminate length) by my partner that happened in 2013/2014 that resulted in a loss of consciousness each time. One time it involved my airway being blocked, fully, minutes after just coming to from another LOC-level occlusion of both carotid arteries. Everything I've read indicates that some level of TBI occurs after a strangulation attack, even if you don't lose consciousness. It also compounds if it happens over and over before you've had time to heal (check). I haven't formally had someone diagnose post-concussive or whatever symptoms yet, but there's a fair amount of stuff that seems to support what I've read (that one LOC, even a short one, is sufficient to support a diagnosis);
  • sounds, not just loud ones that mess with me from PTSD, but most, are almost excruciating. Voices, bags crumbling, etc
  • light sensitivity; going outside, especially in the summer, is hell
  • memory is abyssal (this could be PTSD, or TBI, or both; I won't give full examples, but this is part of the reason that my husband and Mom don't feel comfortable with me going outside unsupervised)
  • muscle tension headaches (could be from this, could be from the next thing - keep reading!)
  • I sleep for 11 hours; I sleep less with rare exceptions
  • swaying off to either side while walking sometimes
Seems likely, and will address this concern next month. However, there are other symptoms that are not covered by that, so I once again continued my diligent research... if only out of curiosity
  • my right arm swings about 30% of my left; muscles are more rigid. left arm is fine. has been going on for at least a year or two
  • tremor in my right arm when at rest or held in a posture, less noticeable when I am doing something with it. My right arm gets tired faster than the left. It is not to the point where I can't do functional things with it, but it's bothersome. I can feel the muscles and tendons jerking even at complete rest.
  • nasty dizziness that has gotten worse over the past few years. sometimes I nearly fall just standing up doing nothing and adopt a crazy counter stance to keep myself from falling
  • almost passing out when standing up
  • waking up every hour
  • confusion (I will often be doing a thing and just forget what I was doing outright, or on my way to do something)
  • my husband says sometimes I walk 'fawn-like', which he struggled to put into other terms. he used the word 'clumsy', mentioned my unsteadiness, and added that I sometimes run in to things even when I know they're there
I think there could be more that I'm forgetting, but the first two symptoms are more often than not attributed to Parkinson's Disease. Something else I thought of; catatonia is resultant of dopamine problems, and Parkinson's Disease destroys dopamine neurons. Hmm. I feel like if it was just post-tbi symptoms, it wouldn't be getting worse. That catatonia usually happens when I am having flashbacks, but sometimes it happens when I am stressed but not having flashbacks. And during those times, it can be nearly instantaneous.

I know that neurological things aren't so simple to diagnose, especially early onsets, but I'd be interested to hear just about anything anyone has to offer (unless it's 'quit googling!', which is totally not helpful)! And if you're hesitant to say anything that's totally understandable, but thank you for letting me use you as a sounding board! lol.

A month and a half is a hell of a long time to wait after years of just assuming everything that landed me on disability was C-PTSD.

I look forward to finally having answers in due time, even if they really suck!
 
I have catatonia when triggered badly enough. It's like a freeze response that I can't pull myself out of. I can't move any of my muscles at all or speak when this happens. However if someone touches me, my body will automatically jerk back. I do not have the convulsions with it. Although at one point I did have seizures, and it took awhile to figure out if they were PTSD based or eating disorder based. It turned out to be the latter. I did a lot of research at the time though.

My therapist was not surprised by the catatonia, she said that it was an extreme freeze response. Something I picked up on early in childhood and still happens to me now.

As far as the convulsions go, seizures are not unheard of with PTSD especially if one is triggered. Also, there is a video of a polar bear who is chased down by a helicopter to get tagged. She falls over, goes catatonic, and then begins to convulse. They said it was a normal stress response for the bear. Just something to consider because if it happens in nature, it can probably happen to humans too.
 
Thanks for the response. Sorry that you experience that :sorry:

I saw that video. It looks pretty much the same. I've had C-PTSD for ages though, flashbacks for nearly a decade, but the catatonia is from the last few years. The other symptoms I mentioned seem to be getting worse gradually. I'm still ready to accept that the catatonia stems from the PTSD if that's what the neuropsychologist tells me, but even if that's the case, I am no less concerned about the latter theory being true.

I was just in the kitchen chopping vegetables and my husband saw how much I was shaking; he was really concerned that I would cut myself. My right arm was getting exhausted, achy, and stiff much quicker than my left.
 
What, weird. They must have changed the interface or something. The person above is me. Apparently it logged me out of the session randomly
 
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