BUSH-FRANCIS CATATONIA RATING SCALE Use presence or absence of items 1-14 for screening Use the 0-3 scale far items 1-2 to rate soverity 1. Exetement: vere yperacvty, constant mor unrest which Ie apparent no purpoestl. Noto be snbuted to kala ergo decd ition = Absent 41 Excessive mation 2 Constant motion, typorkatc wut ret periods ‘3 Ful-tlown calatol excitement, endless erat motor aatvy 3 mutism: ‘Varta uneespensive or minimal respansie = Ansent 1 = Verbally umasponsivo fo majority ef qusstons;acorptehensiole vhisper 2= Speake less than 20 werd! 5 min Spcntaneous maintenance of posture), Inetusing mundane (2.9, satng ‘ot landing or ong pariods without acing 0 Abeent 2. Gres than one int, tess than 15 minus = Bizare posture or mundano mailains mee than 15 minutos 7: Echopraxilochotala Menicking of exxriner's movementslspeech (0= Mimicking of examinors movernentslspacch Geeasionat 2= Frequent 3 = Constant ‘9. Manners! ‘se, purpose movements (hopping o walking tpt, sslutng pastors byor oaggortas carealuree of mundane mavernte}: abnormality Ineront act Hei. Aber Cecasiont Froquon Conse AH. Rigi Malenance fa nigh poston dost ellonts to ba mown, exchude# cag whesing emer present = Absent = Mi resistance 2 Moderato 5 = Severe cannet ba epost 13. Waxy Flext ty: uring repostuing patient, patent offers Intl resistance before allowirg himself tobe repositoned, similar to Wat ofa bonding canta, = Absent 3=Prasont 2 Immobiltyistupor ‘exteme hypoaetily, immobile, minimally responsive osha = Absent Site abncnaly ai may ietract ety 2= Viruaily na invacton wth teal wer {3 Stuperos, no rate pan cima | & Staring: | Fo gz, ro vial ecanning vere derase blak = Abert 1 Poa contr opened gas os thn 20 secon Beton Sitirget alenor decromna arg 2 Gave a gran 20 ocr, occas shite atten 53 e pare neato | & Grimacing: antonanco of 2 facia oxpresscns. 0 Absent 1 = Lose than 10 seconds 2=Less than 1 eonute 53" Bare expose) of maintained mare than 1 minuto 8 Siaraatyay Repetve, non goal-dectadmetor actly 9. Inger-pa; rapeatecly touching, paling er utbing vo; abrormaly not ibecentn at but in frequency = Absent 2 = Frequont 3 =constant | 10. verbigeration: epation of pease or gonancos (ikea scratched racer) posuet Ozcosiona Frenuen! ‘Constant 42, Negativiom: Apparnty matvsiass resistance te netructons of tleral to ‘movezamine paint. Conrary behavior, dos exact oppaate of Insiueton 0=Absent Id rslatance andr ozcasionllycontry 2 Moderato resistance anlar requaiy conary 3.= Sovraresitanco andr coninualy onary 4, Withdrawal Rolusa! owt, dink andor make eye contact, = Abcent 1 = Mine PO inakaeteraction fo loss than 1 day 2 4 ented PO eaesineracton fr more tan ay (9 PO ilakenleracton fer $day or marsBUSH-FRANCIS CATATONIA RATING SCALE (CONT.) Fe apa Patient sucenty engages in inangroprist bahar (2.9 runs conn asa stats cereamng a ae of lthes) wheat provocation, ‘AMlrwards can ave no, oly afacio wien 0 Absent Gccaslant roquant Gansta o ol ever “T. mitgonor: “Angele any am eng in rsp tig pressure of ge, despite instruction to the contrary. 2 at Absent 3 Present 48. Ambltendeney: Patent appears mctrizy “stuck” in incisive, hesitant meena, Os Absent reson 21. Porsevertl Repeatedly ren to sae tpi pais wth moveront, = Abeont 3 Present BE Avionamie abnormality (ret temperature, BP, pul, rspcalery rte, kaphorss “16 Automatic obadionce ‘Exaggertod cooperaten wih variners request c spenancovs contruation of moramentequosted 0 = Absent 4 Oesional 22 Frequent 3= Constant 418. Gogonhatton Resistance topasshe movement which Is propotional to sttangth ol the sllmulus, appears automat alter han wl 0 Absent 32 Present 20, Grasp rolex Per neurological exam = Absent 3 Present 22. Combativeness Usualin an unirected manner, with no, or only a fle wala sitecard Absent (Occasionaly tikes out, low pote er injury Frequently shes ov, meserate pete or xy Sera dango to ahs TOTAL;