Narrative Review of Catatonia in Psychosis and Eating Disorders: Common Intersections and Treatment Considerations

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

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Elwyn, R. (2026). Narrative Review of Catatonia in Psychosis and Eating Disorders: Common Intersections and Treatment Considerations. Early Intervention in Psychiatry, 20(7), e70187-e70187. https://doi.org/10.1111/eip.70187

Publication date: 23 Jun 2026 Added to AutiHub: 29 Sep 2026 Type: Article Article language: English

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Authors

Publication authors
1
Publication authors identified as autistic
1 / 1 (100.0%)

Abstract

ABSTRACT Background Eating disorders (ED) and psychosis/psychotic‐spectrum disorders (PSD) have overlapping symptoms and may co‐occur in a variety of presentations. Due to its debilitating and life‐threatening risk, it is important for clinicians to be aware of how catatonia may present within these co‐occurrences. Method A narrative review was conducted of catatonic presentations in individuals with co‐occurring EDs and psychosis, using the databases Google Scholar, ScienceDirect, PubMed, ProQuest and PsychInfo. Results This article reviews and summarises the 10 cases found in the literature, and explores critical considerations within ED‐psychosis co‐occurrence, including the author's lived experience insight into experiencing catatonia within co‐occurring ED‐psychosis. In 9 out of 10 cases, catatonia occurred during adolescence (ages 13–24). Fifty percent of cases involved stressful or traumatic events as a precipitant to catatonia emergence. Autistic individuals with EDs may be particularly vulnerable to catatonic symptoms. In most cases, catatonic symptoms responded to lorazepam treatment or a combination of lorazepam and other medications such as antipsychotics, although tube‐feeding was also required in some cases. Conclusion This review discusses key factors and intersections that are highly relevant to individuals vulnerable to EDs and psychosis (i.e., malnutrition, trauma, autism, bipolar disorder, OCD). Catatonic symptoms may be mistaken for ED symptoms, delaying early treatment in individuals with ED. Consideration of catatonic presentations and trauma‐informed and neurodivergent‐affirming treatment practices are recommended.

Bibliography cited by this reference

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Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 01:01.

Cited references
214
With a DOI
186
Without a DOI, from raw bibliography text
28
13 / 214 (6.1%) cited references include at least one author identified as autistic.
References with data to complete
8 / 214 (3.7%)
References with detected author names
206 / 214 (96.3%)
Without detected author names
8
Without a structured title
8
Without a stable identifier
28
References with raw author names still to review
6
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
961
From DOI or external metadata
961
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
6
74 / 961 (7.7%) names are linked to an author already present in AutiHub. 887 / 961 (92.3%) names are not yet linked.
Names linked to a person identified as autistic
19 / 961 (2.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 19 / 74 (25.7%). Distinct people identified as autistic: 9 / 841 (1.1%).
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