Mr. Smith, F06.1 Catatonia Associated with F20.9 Schizophrenia, Part 3
On a later day, after taking medication, the same man is able to respond with “uh huh” to a question. When the interviewer moves the man’s arm, he exhibits stiffness, resisting against movement both for lifting and for lowering his arm. He is able to hold his arm where it was positioned but not move on his own from either the lifted or the lowered position, although again he trembles as if trying to move his arm. He still does not make eye contact.
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OFF CAMERA: [00:00:36] Hello Mr. Smith good to see you again.
OFF CAMERA: [00:00:40] How are you today.
OFF CAMERA: [00:00:48] OK.
OFF CAMERA: [00:00:51] Let me move your arm again like you did.
OFF CAMERA: [00:00:55] Your shaking lots.
OFF CAMERA: [00:01:03] Let me try to gently.
OFF CAMERA: [00:01:07] OK, don’t push against me. Let me just lift it up gently. Go. Go where I’m trying to go with your arm.
OFF CAMERA: [00:01:16] OK, don’t push, don’t push. We’re coming up.
OFF CAMERA: [00:01:21] Good. That’s it, good.
OFF CAMERA: [00:01:32] Hey now hold it right there. OK hold it.
OFF CAMERA: [00:01:39] Keep holding it. Good. Good. OK. Now can you put your arm back down on your lap.
OFF CAMERA: [00:01:47] So you put it down on your own. OK let me help you with it.
OFF CAMERA: [00:01:57] Don’t push against me. Let me put it down gently let. We don’t want to hurt your muscles there. Good
OFF CAMERA: [00:02:10] Very stiff. Try to relax. Good. We’re almost there.
OFF CAMERA: [00:02:19] OK, now you try to move your arm up, can you do that.
OFF CAMERA: [00:02:37] Is that something you can’t do or you don’t want to do that?
OFF CAMERA: [00:02:49] OK.
OFF CAMERA: [00:02:50] Well just try to relax and I’ll come back tomorrow. And let’s see if the medication is helping even more.
OFF CAMERA: [00:03:00] OK.