Saturday, 30 January 2021

Depressive Pseudodementia

Depressive Pseudodementia 

Depressive pseudodementia is a term used for severe memory impairment that gives a dementia-like clinical profile, but depression causes which. It presents with memory impairment, slowness of responses, forgetfulness, disorientation, impaired attention, and concentration, diminished abstract thinking. Patients often omit details on drawing tasks. The patients are often aware of their problems. Frequently giving “I don't know responses” suggests depressive pseudodementia as well. No cortical signs are present in patients with pseudodementia.  

Speech deficits in patients with pseudodementia:

  1. Frequent “I don't know responses.”
  2. Difficulty generating word lists, e.g., words beginning with “s” in 1 minute or lists of vegetables in one minute.
  3. Impaired comprehension of complex writing.
  4. Slow hypophonic speech
  5. Increased pause time in conversation
Increased confusion at night is sometimes present in patients with dementia, but not in those with pseudodementia.

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