Differential diagnosis
- neurotic illness or a personality problem easily be mistaken when it presents as apathy and failing motivation, or agitated and demanding behaviour, or hypochondriacal complaints.
- dementia - the patient may present with impairment of concentration and memory loss which may be dismissed as demented.
- primary paranoid illness may be considered if the patient has depressive delusional ideas.
- alcoholism is an important feature to rule out
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