Replication analysis for composition of the Delirium Motor Subtype Scale (DMSS) in a referral cohort from Northern India.

The Delirium Motor Subtype Scale (DMSS) was developed by discerning the best differentiating motor activity symptoms from the Delirium Motor Checklist (DMC), a compilation of psychomotor symptoms from other subjective scales. To broaden its validation we replicated the original work done in a palliative care population in a psychiatric referral population. 100 consecutive C/L Psychiatry referrals with DSM-IV delirium in an Indian general hospital were assessed with the Delirium Rating Scale-Revised-98 (DRS-R98) and DMC and compared to 60 nondelirious hospitalized controls.

Treatment resistant non-catatonic mutism in schizophrenia responding to a combination of continuation electroconvulsive therapy and neuroleptics.

Non-catatonic mutism in schizophrenia has been described less frequently in literature. We describe the case of a young male who presented with non-catatonic mutism, secondary to first rank symptoms, which was refractory to adequate antipsychotic trials (quetiapine, risperidone, aripiprazole, ziprasidone, and trifluperazine) and responded to a combination of electroconvulsive therapy (ECT) and neuroleptics partially. However, when the ECT was continued in the continuation phase, the patient started speaking.