Overview
People may stay in one position, not speak, or repeat words or movements.
It's a medical emergency because people may stop eating or drinking.
Symptoms
Common signs:
- Not moving or talking
- Not eating or drinking
Less common
- Odd postures
- Staring
- Rigid muscles
When to get medical care
Causes
Mental or medical illness.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Who is more likely to get it
- People with bipolar disorder, depression, or schizophrenia: Highest risk
Possible complications
- Blood clot in the leg (DVT): From not moving
- Malnutrition: From not eating or drinking
Diagnosis
This is diagnosed in the emergency room or hospital.
The exam
A physical exam.
Tests
Tests, if needed:
- Exam:
Treatment
Emergency care is needed. While waiting for help:
Self-care
- Get emergency care
Which doctor treats this
- Emergency doctors treat it first, in the ER.
- They may send you to a psychiatrist (for medicine) and a psychologist or licensed therapist (for talk therapy).
Living with it
- Keep a regular sleep, meal, and activity routine.
- Tell one trusted person how you're doing, and plan who to call on hard days.
- Limit alcohol and drugs. They often make symptoms worse.
- In a crisis, call or text 988 any time.
- Long-term illness can affect mood. Tell your doctor if you feel down or anxious.
Support groups and helplines
- NAMI (National Alliance on Mental Illness): Free support groups and a helpline (1-800-950-6264) for people and families.
- 988 Suicide & Crisis Lifeline: Call or text 988 any time for free, private support in a crisis.
Back to school, work, or sports
- Recovery time varies. Ask your care team when you can drive, lift, work, and exercise.
Children, pregnancy, and older adults
- People with mood disorders: Can occur during severe episodes.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Many mental health medicines are used safely in pregnancy. Stopping suddenly can cause a relapse.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Mood problems can start during or after pregnancy. Postpartum Support International: 1-800-944-4773.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
For caregivers
- Listen without judging, and let them know you care.
- Encourage treatment, but don't force it unless they're in danger.
- If they talk about suicide, call or text 988 with them.
- Learn CPR. Many hospitals and the Red Cross offer classes.
- Take breaks and ask for help. Caregivers need care too.
Outlook
Usually responds well to treatment.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- A list of your medicines and supplements
- Notes on when symptoms started and what makes them better or worse
Questions to ask
- What follow-up care do I need?
- How can I prevent this from happening again?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.