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Chapter 30 - Delirium and Other Medical Conditions Presenting with Psychiatric Symptoms

Published online by Cambridge University Press:  02 January 2025

By
Silvia Hafliger
Edited by
Marsal Sanches  and
Jair C. Soares
Marsal Sanches
Affiliation:
McGovern Medical School, Texas
Jair C. Soares
Affiliation:
McGovern Medical School, Texas
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Summary

Delirium or acute brain dysfunction is the most common psychiatric condition. In the medical hospital. It is often not recognized and minimized by staff and predisposes patients to accelerated cognitive decline, depression, and PTSD. Treatment of the underlying medical conditions is essential. Keeping the patient safe and education of family members are equally important. There are no FDA approved medications to treat delirium, but Dexmedetomidine (alpha-2 agonist) has been beneficial in controlling agitation.

Keywords

deliriumdecreased brain reservealtered mental statuspolypharmacy
Type
Chapter
Information
Fundamentals of Clinical Psychiatry
A Practical Handbook
 , pp. 311 - 319
Publisher: Cambridge University Press
Print publication year: 2025

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References

Arciniegas, D. B., Yudofsky, S. C., Hales, R. E, American Psychiatric Association, eds. Textbook of Neuropsychiatry and Clinical Neurosciences. 6th ed. American Psychiatric Association Publishing; 2018.Google Scholar
Stern, T. A., Freudenreich, O, Smith, F. A, Fricchione, G, Rosenbaum, J. F. Massachusetts General Hospital Handbook of General Hospital Psychiatry. 7th ed. Elsevier; 2018.Google Scholar
Maldonado, Jose R.. Delirium. In Leigh, H, Streltzer, J, eds. Handbook of Consultation Liaison Psychiatry. 2nd ed. Springer International Publishing; 2015.Google Scholar
Maldonado, Jose, Psychiatric aspects of critical care medicine: update. Clinics Review, 2017: 461–467.CrossRefGoogle Scholar
Barry, J. J., Bajestan, S, Cummings, J. L, Trimble, M. R, American Psychiatric Association, eds. Concise Guide to Neuropsychiatry and Behavioral Neurology. 3rd ed. American Psychiatric Association Publishing; 2023.Google Scholar
Leentjens, Albert F. G., Meagher, David, In Levenson, J. L, ed. Textbook of Psychosomatic Medicine and Consultation Liaison Psychiatry. 3rd ed. American Psychiatric Association Pubishing; 2019.Google Scholar
Wyszynski, Antoinette Ambrosino, Wyszynski, Bernard, Manual of Psychiatric Care for the Medically Ill. 2nd ed. American Psychiatric Publishing; 2008.Google Scholar
Ahmad, S, ed. Kaplan & Sadock’s Pocket Handbook of Clinical Psychiatry. 7th ed. Wolter Kluwer; 2024.Google Scholar
Maldonado, Jose, Delirium pathophysiology: an updated hypothesis of the etiology of acute brain failure, Int J Geriatric Psychiatry. 2018;33:1428–1457.CrossRefGoogle ScholarPubMed
Girard, TD, Haldol and ziprasidone for the treatment of delirium in critical illness, New Engl J Med. 2018;379:2506–2516.CrossRefGoogle ScholarPubMed
Rojas, Mariela Herrera, Pozuelo, Leopoldo, Fundamentals of consultation liaison psychiatry, Neuropsychiatry, Nova. 2019:83–105.Google Scholar
Pandharipande, P. P., Girard, T. D, Jackson, J. C, et al. Long-term cognitive impairment after critical illness. New Engl J Med. 2013:369:1306–1316.CrossRefGoogle ScholarPubMed
Williams, Katrine E., Evaluation and Treatment of Endocrine Disorders with Neuropsychiatric Symptoms. In Barry, J. J, Bajestan, S, Cummings, J. L, Trimble, M. R, American Psychiatric Association, eds. Concise Guide to Neuropsychiatry and Behavioral Neurology. 3rd ed. American Psychiatric Association Publishing; 2023.Google Scholar
Le, Scheherazade, Limbic Encephalitis. In Barry, J. J, Bajestan, S, Cummings, J. L, Trimble, M. R, American Psychiatric Association, eds. Concise Guide to Neuropsychiatry and Behavioral Neurology. 3rd ed. American Psychiatric Association Publishing; 2023.Google Scholar
Jacobson, Sandra A., Laboratory Medicine in Psychiatry and Behavioral Science. 2nd ed. American Psychiatric Association Publishing; 2023.Google Scholar

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