Catatonic Disorder Due to a General Medical Condition

A. The presence of catatonia as manifested by motoric immobility, excessive motor activity (that is apparently purposeless and not influenced by external stimuli), extreme negativism or mutism, peculiarities of voluntary movement, or echolalia or echopraxia. 

B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition. 

C. The disturbance is not better accounted for by another mental disorder (e.g., a Manic Episode). 

D. The disturbance does not occur exclusively during the course of a delirium. 

Coding note: Include the name of the general medical condition on Axis I, e.g., 293.89 Catatonic Disorder Due to Hepatic Encephalopathy; also code the general medical condition on Axis III

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association