Therapist's Guide to Clinical Intervention - Sigmund Freud

2. Multi-infarct (vascular) Dementia: The consequence of one or more strokes
negatively impacting cognitive functioning. Onset is abrupt and pattern of
cognitive deficits depends on the region of the brain affected.
3. Dementia associated with Parkinson's Disease: This dementia is demonstrated
by a slow progression. Also associated with Parkinson's is a high prevalence of
depression and psychosis.
4. Dementia associated with Lewy Body Disease: Clinically similar to
Alzheimer's. However, onset is earlier with a faster evolution. There is a
prominence of psychotic symptoms and sensitivity to antipsychotic
symptoms.
5. Dementia associated with Pick's Disease (and other frontal lobe dementias):
Early stages of dementia characterized by changes in personality, executive
function, deterioration of social skills, emotional blunting, behavioral
disinhibition, and prominent language abnormalities.
6. Others
a. Dementia associated with Huntington's chorea
b. Dementia associated with Creutzfeldt-Jakob Disease
c. Dementia associated with structural lesions (brain tumor, subdural hematoma, head
trauma, HIV nutritional deficiencies, endocrine conditions
According to the American Psychiatric Association (2002), the following are underlying conditions
commonly associated with delirium:
A. Central nervous system disorder
1. Head trauma
2. Seizures
3. Postictal state
4. Vascular disease
5. Degenerative disease
B. Metabolic disorder
1. Renal failure
2. Hepatic failure
3. Anemia
4. Hypoxia
5. Hypoglycemia
6. Thiamine deficiency
7. Endocrinopathy
8. Fluid/electrolyte imbalance
9. Acid-base imbalance
C. Cardiopulmonary disorder
1. Myocardial infarction
2. Congestive heart failure
3. Cardiac arrhythmia
4. Shock
5. Respiratory failure
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