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

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Hysterical pseudodementia • Conversion pseudodementia in older people caused by catastrophic reaction to cumulative loss in later life in individuals with predisposing borderline and narcissistic traits (Hepple, 2004) • Mechanisms of hysterical dissociation may operate to some degree in pseudodementias • Likewise, covert affective disorders may contribute to hysterical pseudodementia • Also occurs in those with compromised intelligence • Syndrome is more common in women from higher socio-economic background with past psychiatric histories dominated by depressive symptoms
Hysterical pseudodementia • Core features - apparent cognitive impairment, regression and increasing physical dependency • Other symptoms - classical sensory loss, paralysis and ‘belle indifferance’ of conversion • <strong>The</strong>re can be fatuous cheerfulness or sullen apathy and in severe cases, hysterical puerilism, infantilism and amnesia
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 and 10: DPD (con’t) • However, consider
Page 11 and 12: D/D Dementia and DPD (Small et al,
Page 13 and 14: Ganser’s syndrome • 1 st descri
Page 15 and 16: Ganser’s syndrome • The
Page 17: Ganser’s syndrome • In modern p
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:

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

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