The Pseudodementia Dilemma - 1st World Congress on Healthy ...

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D/D Dementia and DPD (Small et al, 1981) Characteristics Dementia DPD History Precise Onset Unusual Usual Duration of symptoms Long Short Rapid symptom progression Complaints of cognitive loss Description of cognitive loss Family awareness of dysfunction and severity Unusual Variable (minimized in later stages) Vague Variable (usual in later stages) Usual Emphasised Detailed Usual Loss of social skills Late Early Psychopathology history Uncommon Common
D/D Dementia and DPD (Small et al, 1981) Characteristics Dementia DPD Examination Memory loss for recent vs. remote events Specific memory loss (‘patchy’ deficits) Greater Uncommon About equal Common Attention and concentration Often poor Often good ‘Don’t know’ answers Uncommon Common ‘Near miss’ answers Performance on tasks of similar difficulty Emotional reaction to symptoms Variable (common in later stages) Consistent Variable (unconcerned/shallow in later stages) Uncommon Variable Great distress Affect Labile, blunted or depressed Depressed Efforts in task performance Great Small Efforts to cope with dysfunction Maximal Minimal
Page 1 and 2: Organised by: Co-Sponsored: Malaysi
Page 3 and 4: Content • Pseudodementia<
Page 5 and 6: Depressive pseudodementia (DPD) •
Page 7 and 8: DPD (con’t) • Jacoby and Levy o
Page 9: DPD (con’t) • However, consider
Page 13 and 14: Ganser’s syndrome • 1 st descri
Page 15 and 16: Ganser’s syndrome • The
Page 17 and 18: Ganser’s syndrome • In modern p
Page 19 and 20: Hysterical pseudodementia • Core
Page 21 and 22: Simulated dementia • Memory loss
Page 23 and 24: D/D from Functional disorders • S
Page 25: Thank You Main source: Lishman WA:

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