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Preprint . 2026
License: CC BY
Data sources: Datacite
ResearchGate Data
Other literature type . 2026
Data sources: Datacite
ZENODO
Preprint . 2026
License: CC BY
Data sources: Datacite
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Catatonic Depression Following Affective Psychosis: A Stress-Threshold Model of Collapse, Conservation-Withdrawal, and Differential Recovery Trajectories

Authors: Bipin, Pearl;

Catatonic Depression Following Affective Psychosis: A Stress-Threshold Model of Collapse, Conservation-Withdrawal, and Differential Recovery Trajectories

Abstract

Catatonia is frequently underrecognized in the context of mood disorders, often misidentified as treatment-resistant depression or negative symptoms of schizophrenia following acute manic or psychotic activation. This paper proposes a Stress-Threshold Model which conceptualizes catatonic depression not merely as a mood state, but as a bio behavioral conservation-withdrawal response triggered by excitotoxic overactivation and prolonged allostatic load. By integrating systems theory with clinical psychiatry, this framework outlines the progression from latent genetic vulnerability through hyper-functioning to eventual systemic collapse. Furthermore, the paper examines a critical, under-researched phenomenon: a subset of recovered individuals who exhibit Post-Recovery Metacognitive Restructuring. In this minority group, the recovery process facilitates a structural reorganization of the psyche, characterized by enhanced stress resilience, superior reality testing, and improved regulation of internal states. This theoretical synthesis aims to clarify diagnostic ambiguity and challenge purely degenerative models of severe mental illness.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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