Based on the provided UK guideline excerpts, there are no specific recommended treatment options for managing catatonia detailed for a primary care setting.
The guidelines describe stepped-care models where primary care is typically involved in the initial steps of assessment, support, psychoeducation, active monitoring, and low-intensity interventions for conditions like depression and generalised anxiety disorder NICE CG91,NICE CG113. More severe and complex mental health conditions, such as complex depression complicated by psychotic symptoms, or complex psychosis, are indicated for management at higher steps of care NICE CG91,NICE NG181. These higher steps involve interventions such as high-intensity psychological interventions, medication, electroconvulsive therapy, crisis services, combined treatments, and multi-professional or inpatient care NICE CG91,NICE NG181. For complex psychosis, the guidelines refer to specialist recommendations for pharmacological and non-pharmacological treatments, and for referral in crisis NICE NG181. This suggests that conditions as severe as catatonia would typically be managed within specialist mental health services rather than primary care.