Functional decline and reduced engagement

Covers self-neglect, negative symptoms, impaired judgement, reduced engagement, and medical or medication-related causes.

Poor Functioning / Neglect / Negative Symptoms / Poor Judgement / Poor Rapport

Safety snapshot

Routine

Chronicity and psychosis history support primary negative symptoms.

Schizophrenia negative syndrome Depression Dementia neurocognitive disorderCLINICAL HINGE: Chronicity and psychosis history support primary negative symptoms.

1 of 8 diagnoses compared

CriteriaComparison detail	DementiaRoutine

1 of 8 comparedEdit

Routine

Chronicity and psychosis history support primary negative symptoms.

+7 not selected

Open a selected differential to review its clinical record.

Based on current selection

Emergency

Safety first. Act early.

EmergencyNot selected

Clinical reference — not validated decision support. Review before use.

Why it fits	Progressive failure in ADLs, medications, finances, navigation, hygiene	Avolition, alogia, flattened affect, social withdrawal, poor self-care	Reduced motivation, engagement, poor hygiene, low energy, social withdrawal	Mutism, staring, refusal, immobility, posturing, profound reduction in intake	Lifelong social-communication differences, adaptive limitations, concrete style	Chaotic lifestyle, repeated crises, function tracks use/withdrawal/recovery cycles	Poor judgement, tactlessness, apathy/disinhibition, new personality change	Slowing, drowsiness, reduced spontaneity, masked facies, rigidity, tremor
What argues against	Applies to the whole presentationReview locally.
Must-not-miss	Wandering, exploitation, medication mismanagement	Catatonia, severe self-neglect, vulnerability, untreated medical illness	Suicidality, psychotic depression, refusal of intake	DVT, dehydration
Bedside question	Applies to the whole presentationChronicity and psychosis history support primary negative symptoms.
Immediate action	Applies to the whole presentationStabilise and reassess.
Investigations	Applies to the whole presentationGuided by presentation.
Mimics / overlap	Applies to the whole presentationReview overlap locally.