Her medical and psychiatric history includes type 2 diabetes, #bipolar disorder, and opioid, cocaine, and alcohol use disorders. Her medications include gabapentin and paroxetine.
What is your differential diagnosis? What work-up would you order for this patient?
"Malignant catatonia and aphasia follow multiple drug overdose" by Neeta Shenai, Crystal White, Pierre Azzam, Priya Gopalan, and LalithKumar K. Solai (Current Psychiatry).