Viceroys in the Garden With the Monarch Butterflies: Medical Mimics of Catatonia

Our finding of 50% medical mimics in our study of catatonia is analogous to encountering Viceroys in the Butterfly Garden with the Monarchs. The medical mimics, the Viceroys, are often excluded from the study of catatonia, the Monarchs, and reduce the study population. Nonetheless, the Viceroys encountered on psychiatric units, outpatient clinics, emergency rooms and consultation-liaison services still warrant assessment and treatment.