Differential diagnosis
- schizophrenic (catatonic) excitement:
- does not usually produce sustained over-activity
- other first rank symptoms present or develop
- drug-induced excitement:
- amphetamines - more commonly, a paranoid schizophrenic like state
- cocaine
- large amounts of cannabis
- frontal lobe lesions with gradual onset of disinhibited, expansive behaviour
- hyperthyroidism - other signs of thyrotoxicosis
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