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Seems A Lot Like Catatonia

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@joeylittle, some good points. fwiw, my Mom has MS. I hope there aren't any lesions... Ughn.
Again, just sharing how I think my symptoms fit; a little of the Akinetic mutism seems applicable, but from my perspective, it seems way too broad to be likely. The non-convulsive epilepsy seems light years further away from what is possibly going on than any of the other things discussed. ~shrugs~
 
Really LucyCat?????
Yes really. I meant that as an honest comment, however I accept that having read up on the links you have provided I am wrong!

I still stand by the experience I witnessed ( many years ago)of a very sick person with extreme Catatonia who was a long term inpatient on a psychiatric ward. I also recall her eventual recovery and telling us that even when she was at her most unresponsive she could hear everything going on around her. That was a revelation to me. I am sorry - I thought all catatonia was like this - I apologise if I caused offense.

http://apt.rcpsych.org/content/13/1/51

You have probably already this, in your own research. I put it here as I found it very readable and helped me understand the spectrum of severity.
 
Thanks LucyCat. I have to apologize to everyone on this thread. I just went off the wall in it. I clearly have some work to do on myself in this way. I got to something big and am grateful to all of you for helping me to see this 'chink in the armour'.

Am spewing a bunch in my diary to sort it all out. I did realize yesterday that I was being totally invested in this thread, which is retarded (or triggered is probably a better way to put it). Please forgive.
 
I think I got hooked into this thread because I understand how gnarly getting a diagnosis can be. Even if this is catatonia it won't likely be diagnosed in one smooth appointment with a new doc.

For me a lot was settled under complex trauma and finding a good therapist. But my pain stuff is a whole lot of gray area. I've seen every possible specialist from neurology to rheumatology and genetics...and I've had lots of tests that showed abnormalities, but not enough to account for the pain or even land me squarely under a diagnosis. So I'm sort of mad it's still just "pain" because that doesn't feel descriptive or really help me know what the treatment is in my case. But what I have figured out is how super individual we are and that we sometimes don't fit neatly into one diagnosis (like I have features of a few pain disorders but not all the major earmarks of any one of them). But I do have more information about myself, which has been informing my treatment and self care.

@amelia_i obviously ran into an arrogant a-hole type doctor. I've met them. But with the process of finding diagnosis or even more sensible support without diagnosis, I've gotten good at asking for referrals and sort of working on the doctor-patient thing. No, they don't like to hear our self-diagnosis. But there is a way to be heard. That would be to sit and make them listen to all of your physical complaints and how this is experienced, and how negatively it is affecting you. And bring A LOT of questions. Don't let them get by without answering all the questions or referring you. So many of them act like they only have five minutes (and that will only cost you $500) but I did get a rheumatologist to listen for a good hour and really go over everything with me. Focus on your particular symptoms/experience and they will be more inclined to guide you towards diagnosis. If possible, bring your boyfriend along to the doctor so someone can back you up with all of this in front of them.

And since this all seemed related to psychological triggers, and given your complex trauma, finding a good trauma therapist would be key. I'm not sure if the first line for physical scariness of your symptoms is a good MD within a psych department or a psychiatrist. But forget about the asshole doctor and try to go in to a new doctor without feeling defensive....just ready with a good list of your symptoms (and general trauma history) and questions about what they could mean, what assessments might help, and what your doctor might be able to do to help you get some answers. Make it clear that you are concerned for your safety. But even with all of this, you might not get a diagnosis in one appointment. Even good doctors tend to want to rule everything else out before making diagnosis, which is important for treatment.
 
Hello. I'm the elusive boyfriend you've all heard about. I'm here to weigh in/provide perspective on the this topic.
The flaccid freeze is where people could move your droopy body parts, so I'm a little confused....are you tense but your boyfriend could move your arm? Do you feel numb or highly activated?
The best way I can describe this when she is in this state, is like one of those retro Gumby dolls with the wire skeleton. She is not stiff and unable to be moved like in rigor mortis and she is not flaccid and jelly like. Rather I could move her fingers, limbs, body, into any position and they will stay that way until moved again or until she comes out of it. She had an episode once spontaneously while playing a video game. When I noticed what was happening, I went to her. Her hands were on the mouse and keyboard like she was still playing, and her face was twisted and distorted like a person in intense pain, or who is immensely upset and sobbing but she made no sound at all. I removed her hands from the keyboard and mouse to make her more comfortable and her hands were still in mouse and keyboard position. Her right hand had the middle, ring, pinky, and thumb curled around an invisible object with her index finger extended and her left hand just looked like a claw. When I straightened her fingers out and put her arms in her lap they stayed that way.

These episodes come on super quickly without any sort of noticeable warning at times. I have had moments with her where I said something and she laughed, and she went immediately into this state mid-laughter. One second she was happy and the next appearing to be in intense pain. She's gone into this state while we were kissing with my lips still on her. She's also had this happen while eating with her mouth full of food. It's scary sometimes to think about her choking or in the middle of cooking and having this suddenly happen for several hours while the food disintegrates in the pan and possibly starts a fire. If there were a fire and she were in this state, there would be no way she could save herself. She is completely immobile when this happens. The only movement or sound she makes at all is her breathing, which gets sort of gaspy a lot of the time.

I also know she is completely conscious when all of this happens. She has repeated to me things I have said to her during episodes, so she can definitely hear me and has commented after the fact about feeling me hugging her or holding her.

As for whether or not they are triggered by trauma, its hard to say. I know this state occurs more often at night as we are settling down to sleep, and being that the worst of her traumas where in a similar setting that could be a trigger. Stress also seems to be a factor, as if I'm stressed and she knows it, she is more likely to have issues even if the stress is never directed at her. One of her worst episodes occurred while I was trying to drive a u-haul truck with bald tires during a blizzard. As you can imagine it was a highly stressful situation for me and likewise for her.

As for her Psychiatrist, I personally can't stand her. She wants to focus solely on WHY Amy's traumas took place and do nothing to help her deal with what is currently happening, like manage her trauma, control her flashbacks (if they can be controlled), etc. At this point, the why is irrelevant. The trauma occurred and cannot be undone. All that we can do for Amy now is help her manage the effects the trauma has on her, but this doctor has no interest in that. It's very frustrating. Additionally I feel this doctor was too quick to medicate (possibly over medicate) before really getting a grasp of the whole situation but that's really neither here nor there, I guess.

Anyway, I hope this clears up some things. I would be happy to add more for the sake of clarity if necessary.
 
Rather I could move her fingers, limbs, body, into any position and they will stay that way until moved again or until she comes out of it.
It's called "waxy flexibility".

Just gonna say what I said earlier - neurologist. ASAP. Forget about the trauma as a potential cause, and get a full neurological screen done. If nothing else, the possibility that this is organic and brain-based needs to be ruled out. Needs to be. Not getting that done is just completely irresponsible. It's even more irresponsible given that there is a family history of MS.
 
As for her Psychiatrist, I personally can't stand her. She wants to focus solely on WHY Amy's traumas took place and do nothing to help her deal with what is currently happening, like manage her trauma, control her flashbacks (if they can be controlled), etc. At this point, the why is irrelevant.

The "why" of trauma? Like "why" were you abused (or whatever)? WTF. I agree that is not relevant, but the distressing symptoms are what should be addressed. Get a new psychiatrist. And hopefully you can go with her for first meeting.
 
Hey. Still hanging in... Wanted to check in and share what has been going on, I know a good amount of folks were looking at this.

Dropped the Psychiatrist a few months ago, looking for a new one. She ended up raising her voice at me over the phone, she misheard something I said and got all riled up. That was the final nail.

Still having the freezing/catatonic/tonic immobility/whatever you want to call it symptoms. Ativan does nothing. The freezing is sometimes abrupt as can be, it happened just today. I was making hamburgers and froze with a fistful of squishy beefs, just totally out of left field.

I got on disability with very little effort, which is a slight load lifted. They insisted that I meet with a contracted doc because I didn't have enough "objective sources". And so I did. Mal and I brought in some footage of it happening, he reluctantly watched a few seconds of it, then said that he'd seen enough. Ironically, he said almost the same exact thing I did in the title of this thread; "looks like catatonia", adding "that is extremely rare". Apparently it is a symptom of PTSD in rare, "extreme" circumstances, but even if it is the case, I have no other diagnoses thus far outside of C-PTSD+comorbid anxiety.

Side note, they want me to come in for a one year analysis because the doc said that based on the information provided, 'improvement is expected'. Yeah? I think they made that up, or it's a default. Did they base the claim on the "comorbid anxiety" and not the c-ptsd? After a lifelong load of trauma and abuse? Ultimately, my perspective and feelings on the whole thing are pretty solid, I think, I don't know how much I can improve in the non-symptom department. I understand and acknowledge that I had nothing to do with the trauma / it wasn't my fault whatsoever. I understand why people do the things they do, and I hold no grudge. It is what it is. Even so, the symptoms just seem to get worse ever so slowly. I'm not trying to be a pessimist, just as realistic as possible; it's expected to improve despite just getting worse (even with therapy)? Maybe if I have a super 100% positive healthy attitude I won't abruptly freeze like a wax statue without any notice, going from feeling fine to frozen in a fraction of a second? Yeah, I hope they're right and it's all just about my mindset. *slow clap*

I have an appointment in two weeks for a regular doc, now that my insurance is back on (there's a story behind that). Hopefully we can figure something out. Will update if/when we get any closer to having answers.
 
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