Panel 2:

Clinical Recommendations

Ensure correct diagnosis of catatonia including use of rating scales (see checklist Panel 1A and 1B) or other diagnostic criteria Prophylaxis of venous thromboembolism, prevent pressure ulcer, prevent muscle contractions, ensure proper hydration and avoid malnutrition. Benzodiazepines (lorazepam) sublingually, intravenous or intramuscularly in acute catatonia If no response to benzodiazepines or life-threatening condition pursue electroconvulsive therapy