Mutism and akinesis in a person who appears awake and even ale is best described as: (A) Twilight state, (B) Oneroid state, (C) Stupor, (D) Delirium
Answer is C. Stupor: Akinesis (no movement) with mutism but with evidence of relative preservation of conscious awareness. the most impoant psychiatric disorders in which the patient presents with stupour is catatonia which is a type of schizophrenia and dissosiative stuour which is a type of neurotic illness. catatonic stupour has a good response with electro convulsive therapy and lorazepam dissosiative stupour has a good response with psychotherapy and narcoanalysis and working on the stressors in patients life. Ref: A Sho Textbook of Psychiatry, Niraj Ahuja, 7th Edition, pg. no.59 synopsis of psychiatry, kaplan and sadock, 11th Edition, pg. no.309