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1. Dementia
2. Schizophrenia –hallucinations and
delusions are more constant and better
organized; no change in level of
consciousness or orientation;
3. Depression –
4. Dissociative Disorders
5. Factitious Disorders
DEMENTIA VS. DELIRIUM
FEATURE DEMENTIA DELIRIUM
Psychosis - Haloperidol
Insomnia – Benzodiazepines
(Lorazepam 1 -2 mg at bedtime)
Dementia
Depression – “pseudodementia”
Delirium
DEMENTIA VS. PSEUDODEMENTIA
PSEUDODEMENTIA DEMENTIA
Patients usually communicate Patients often appear
strong sense of distress unconcerned
Memory loss for recent and Memory loss for recent events
remote events usually severe usually more severe than for
remote events
Memory gaps for specific Memory gaps for specific
periods or events common periods unusual
Marked variability in Consistently poor performance
performance on tasks of similar on tasks of similar difficulty
difficulty
The first step in the treatment of
dementia is verification of the diagnosis;