In this episode of PsyQ, our psych journal club dives deep into the Bush–Francis Catatonia Rating Scale (BFCRS), guided by the 2022 BFCRS Training Manual and its original 1996 validation study. We walk through each of the 23 items in the scale, clarifying their definitions, how to observe and score them, and the key differentiations between overlapping signs such as mutism, withdrawal, and negativism. From subtle signs like mitgehen and ambitendency to high-risk indicators of malignant catatonia, this conversation aims to strengthen clinical fluency and improve bedside assessment. Whether you’re a trainee learning to recognize catatonia or a seasoned clinician refining your exam technique, this episode provides a practical, evidence-based approach to mastering the BFCRS.

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