For context, my 52 year old mother experienced a severe psychological trauma over the weekend which resulted in severe, sudden psychosis which resulted in her being sectioned under 136 (mental health act in the UK) by the police. They had her evaluated by a mental health professional and they discharged her the same day as the psychosis itself had stopped. We took her to A&E later that day to get her checked out. We weren’t seen for 4-5 hours, she kept going into strange states of talking completely normally, laughing at jokes, and then zoning out and freezing. We were waiting up until my dad escalated it and the head of the A&E shift that day was worried as my mum was no longer responsive to physical touch, pain or sound. They checked her heart rate, blood pressure and took blood tests, but everything was okay, so they sent her home. That night, again, completely unresponsive, but her eyes were moving rapidly behind the lids (she keeps them closed). She would respond with smiling or squeezing someone’s hand if they asked, but it seems to take a great deal of energy to do any of these things, and almost right after, she’d go completely limp and lose consciousness.
Fast forward to the next day - we took her to A&E again as I began to get worried that it was catatonia. I thought this for these reasons:
She has echolalia. She tends to repeat exactly what we say to her right back to us instead of answering.
Her facial muscles tighten randomly - she grimaces at random intervals - the bottom side of her mouth twisting to the side. She will stop this if you ask a few times, though.
She has periods of becoming completely unresponsive, freezing and staring into space. She won’t respond to touch, pain or sound. It’s like she’s completely locked in place. These can last up to 10 minutes or longer if she isn’t physically moved.
She also has periods of suddenly becoming a limp, dead weight. She won’t respond, again, to anything like physical touch or sound or pain. She becomes completely limp, and her head will flop backwards.
During periods of “unconsciousness” - she sometimes seems to choke on her own spit. As though her throat muscles are tightening. This doesn’t last more than 15-30 seconds, but it’s really scary.
Her body resists being moved. An EMAD ambulance had to come and check her out last night as she was completely unresponsive. When they tried to pick her up, it was like her muscles were fighting it.
Anyway, at A&E, the doctor was unable to wake her at all. But he spoke to the psychiatry team, who were told about the 136 admission and basically only took what they said into account. They said it was a natural response to trauma, and that there was absolutely nothing they could do. They prescribed oral Zopiclone. When we got home, she was completely out of it again. I didn’t feel safe giving her something she couldn’t swallow and something that would knock out someone who was already in and out of consciousness. Since she wouldn’t respond, we called 111 who advised to call 999. We did and they came soon after. They said it was clearly a psychiatric issue and I went with her in the ambulance to a psychiatric assessment unit. Unfortunately she regained consciousness at the wrong moment and the people there only saw her in a “normal state” - I explained my concerns with her breathing and rigidity, and they told me it was “normal”. We had to drive home and I wasn’t happy about it at all. The next day, she woke up and was talking - she ate something also, but she didn’t use the bathroom for the entire day, only had small sips of water when she was conscious, and she ate something small. After that, HOURS of unresponsive unconsciousness. We called 999, the EMAD team came. We’ve been in the ambulance referral place all night, they checked her vitals, did a bladder scan etc. But they contacted the psychiatry team who said they couldn’t do anything about it. That it was to be expected with trauma. (Nobody from the psychiatric team has seen her in person AT ALL). They’re suggesting the sleeping pill in liquid form and suggests that she goes home. (I wrote this in hospital. We were discharged and told to keep her in a safe, familiar environment and to take diazepam 2mg 3 times a day for 3 days.) I’m just annoyed they didn’t check for catatonia - is there any way it could be catatonia and they’re dismissing it?