Substance-Related
Neurocognitive & Delirium
Full criteria not included in this record
Full criteria not included in this record
Full criteria not included in this record
Full criteria not included in this record
A. Cessation or reduction of heavy/prolonged alcohol use B. ≥2 within hours to days: autonomic hyperactivity; hand tremor; insomnia; nausea/vomiting; transient hallucinations/illusions; psychomotor agitation; anxiety; generalised tonic-clonic seizures C. Clinically significant distress or impairment
A. Disturbance of attention (reduced ability to direct, focus, sustain, shift attention) and awareness (reduced orientation to environment) B. Develops over short period; represents change from baseline; tends to fluctuate during the day C. Additional disturbance in cognition (memory deficit, disorientation, language, visuospatial ability, or perception)
With perceptual disturbances
Hyperactive; Hypoactive; Mixed level of activity; Acute
Benzodiazepine or other sedative withdrawal (clinically indistinguishable - take full drug history); Delirium tremens vs delirium from another cause (infection, metabolic); Wernicke encephalopathy (confusion + ophthalmoplegia + ataxia - give thiamine empirically)
Major NCD (gradual onset; no fluctuation - delirium superimposed on NCD is common); MDD (no clouded consciousness); Psychotic disorder (gradual onset; consciousness intact)