{"id":"W4414682427","doi":"10.18203/2394-6040.ijcmph20253283","title":"The paradox of care: dopamine super sensitivity psychosis and catatonia following excessive antipsychotic exposure in an adolescent with first-break schizophrenia","year":2025,"lang":"en","type":"article","venue":"International Journal of Community Medicine and Public Health","topic":"Electroconvulsive Therapy Studies","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Western Hospital","funders":"","keywords":"Catatonia; Schizophrenia (object-oriented programming); Antipsychotic; Psychosis; Psychomotor learning; Clozapine; Lorazepam","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0002971007,0.0004711887,0.0004527671,0.0007254633,0.001840848,0.0008037224,0.0005092414,0.001915595,0.001100408],"category_scores_gemma":[0.002467998,0.000377551,0.0004228155,0.0004596178,0.001058956,0.00116568,0.001348955,0.002501641,0.0001842105],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001733992,"about_ca_system_score_gemma":0.001271432,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.006824084,"about_ca_topic_score_gemma":0.01424679,"domain_scores_codex":[0.9996752,0.00007160875,0.00003494101,0.0000569558,0.00005839489,0.0001029282],"domain_scores_gemma":[0.9991606,0.0001997548,0.0002548518,0.00002706617,0.00004325789,0.0003144011],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.00004968691,0.00005525252,0.04770445,0.0000417202,0.00001118805,0.9453987,0.001755629,0.0001104748,0.0004734764,0.000541301,0.0006835199,0.003174632],"study_design_scores_gemma":[0.00001159964,0.00008222475,0.02346279,0.00006741387,0.00001513865,0.9725196,0.001611227,0.0004813595,0.0001461895,0.0005614743,0.001023492,0.00001754659],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9868271,0.002194867,0.001030622,0.005802728,0.0001610125,0.00005938025,0.00006549205,0.00003608364,0.003822541],"genre_scores_gemma":[0.9979437,0.0005820598,0.0003382446,0.0006895989,0.0001022763,0.000006670316,0.00002462681,0.000008658958,0.0003041688],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.006824084,"threshold_uncertainty_score":0.0135687,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03241812125676476,"score_gpt":0.3636172226019586,"score_spread":0.3311991013451939,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}