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Catatonia a psychomotor syndrome usually associated with psychiatric illnesses such as schizophrenia, mood disorders or organic syndrome. Although the introduction of antipsychotics has reduced the incidence of catatonia, it is still not uncommon (prevalence of 10% among psychiatric inpatients) 1,2 . Catatonia requires treatment in its own right, independent of any underlying disorder.Benzodiazepines are the drugs of choice. Patients who are unresponsive or partially responsive to benzodiazepines need electroconvulsive therapy (ECT).Antipsychotics are generally not recommended during a catatonic phase even if there is an underlying psychotic illness as the risk of precipitating neuroleptic malignant syndrome (NMS) is considerably increased. But in schizophrenia or recurrent acute and transient psychotic disorder (ATP) with catatonic features theuse of antipsychotic is essential when the catatonic phase is over. We present a case of recurrent acute and transient psychotic disorder with catatonic features with history of noncompliance to medications,who was successfully managed with fluphenazine depot injection.

Successful Management of Recurrent Acute and Transient Psychotic Disorder with Catatonic Features with Fluphenazine Depot Injection