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DELIRIUM: OTHER CLINICAL CHARACTERISTICS OF DELIRIUM-DISTURBANCE IN EMOTIONAL STATE
Mental Disorders Intense emotions are usually reflected in the patient’s facial expression and behavior. Thus, delirious individuals who are frightened may run from the ward or barricade themselves in their rooms, those who are despondent may try to commit suicide, and those who are irritable may shout or strike at others. Fear and anger are often accompanied by tachycardia and hypertension.
Abnormal moods are more readily identified in hyperactive-hyper-alert delirium because that form of the syndrome is productive of speech and behavior. Patients with hypoactive-hypoalert delirium often appear apathetic and do not respond to events that ordinarily lead to emotional reactions (e.g., visits from loved ones). Apathetic states tend to be more sustained than dysphoric and euphoric ones.
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