Organic Brain disorder - Dementia vs Delirium



S.No.


CHARACTERISTICS

DEMENTIA

DELIRIUM
1.
Onset
Insidious
Acute
2.
Course
Fluctuating
Progressive
3.
Duration
Months to Years
Days to Months
4.
Severity
Moderate
High
5.
Risk factor
Aging
Previous medical condition
6.
Reversibility
Irreversible but depends on the cause
Reversible
7.
Main cause
Genetics, brain trauma, stroke, heart issues.
Previous medical condition, abuse of medication, alcohol or drug withdrawal, mental illness.
8.
Treatment
FDA approved drugs can slow the progress of the condition.
Can be cured with timely diagnosis and intervention.
9.
Activities of Daily Living
No disturbances until later stages.
Either over active or under active.
10.
Attention
Not affected until later stages.
Very poorly affected.
11.
Speech
Normal
Slurred
12.
Hallucination
Less common
More common
13.
Consciousness
Clear until later stage
Fluctuating
14.
Memory
Recent memory impaired, confabulation, perseveration
Recent memory impaired
15.
Sleep
Worse in evening, sun downing
Worse at night
16.
Psychomotor activity
Often normal
Increased or decreased

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