Catatonia is a syndrome that consists of motor and behavioral signs and symptoms in the setting of neurochemical insult. It can be seen with psychiatric, neuromedical, and substance induced conditions. Though the prevalence of catatonia among the general pediatric population has not been established, it is estimated to be between 0.6% and 17% among child and adolescent psychiatric inpatients [1]. Pediatric patients with catatonia are mostly likely to have a primary diagnosis of psychotic disorder (18.3%) or a neurologic, developmental, and inflammatory illness, such as autoimmune and infectious processes (11.8%) [2]. In comparison, adult patients have a higher proportion of underlying mood disorders, especially bipolar disorder [4].

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