J Neuropsychiatry Clin Neurosci 2021 16;33(4):356-364. Epub 2021 Aug 16.
Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tenn. (Wilson, Andrews); Center for Critical Illness, Brain Dysfunction, and Survivorship, Vanderbilt University Medical Center (Wilson, Andrews, Ely); University of Rochester Medical Center, Rochester, N.Y. (Ainsworth, Oldham); Oregon Health and Science University, Portland, Ore. (Roy); Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center (Ely); Department of Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University Medical Center (Ely); and Veteran's Affairs Tennessee Valley, Geriatrics Research, Education and Clinical Center, Nashville, Tenn. (Wilson, Ely).
Objective: The phenotypes of several psychiatric conditions can very closely resemble delirium; the authors describe such presentations as pseudodelirium. However, because the clinical management of these conditions differs markedly from that of delirium, prompt differentiation is essential. The authors provide an educational review to assist clinicians in identifying and managing psychiatric conditions that may be especially challenging to differentiate from delirium. Read More