Go Retire Psychiatrist

Shout Out to Dr. George Dawson for Medical Reasoning Post!

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I just wanted to make a shout-out to Dr. George Dawson for his post from yesterday, “Medical Reasoning vs. A Diagnostic Manual.”

It reminded me of the diagnostic challenge of catatonia, which I saw several times during my career as a consultation-liaison psychiatrist. There’s an excellent recent review of the evaluation and management of catatonia.

Iyer V, Spurling BC, Rizvi A. Catatonia. [Updated 2025 Dec 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430842/

I also published a case report about lorazepam withdrawal-induced catatonia, illustrating one of the many causes of catatonia. In the discussion section of the report I point out that there are a number of metabolic, neurologic, and substance-induced secondary causes of catatonia, including substance-induced withdrawal (alcohol, benzodiazepines).

Amos, J. J. (2012). Lorazepam Withdrawal-Induced Catatonia. Annals of Clinical Psychiatry., 24(2), 170–171. https://doi.org/10.1177/104012371202400210

Kudos to Dr. Dawson!

One response to “Shout Out to Dr. George Dawson for Medical Reasoning Post!”

  1. dawso007 Avatar
    dawso007

    Thanks Jim! And there is no better example than catatonia and all of its variants. Until you have seen a case or two – you can read the DSM all day long and not know what’s going on. The same thing is true for just about everything in the DSM. And as you go through your career – all of the variants and mimics are stored in your head as well.

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I’m Jim Amos MD, the creator and author behind this blog. I’m a retired psychiatrist who enjoys playing cribbage, juggling and still loves life-long learning. Check out my YouTube site

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