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Professional Technical IVT

pseudodementia

Pronunciation: SOO-doh-dih-MEN-sha

Reversible cognitive impairment caused by psychiatric conditions, particularly severe depression.

Full Definition

Pseudodementia refers to cognitive impairment that mimics dementia but is actually caused by reversible psychiatric conditions, most commonly severe depression. Unlike true neurocognitive disorders, pseudodementia typically shows rapid onset, inconsistent cognitive deficits, preserved insight, and improvement with psychiatric treatment. Patients may demonstrate 'don't know' responses to cognitive testing rather than confabulated answers. Distinguishing pseudodementia from early dementia is crucial in neuropsychiatric practice, as appropriate antidepressant treatment can lead to complete cognitive recovery.

Usage

Usage note: Write as one word; emphasize reversible nature when documenting.

In Context

  • "The patient's cognitive improvement with antidepressant treatment confirmed pseudodementia diagnosis." — Follow-up assessment
  • "Pseudodementia was suspected based on the rapid onset and intact insight." — Differential diagnosis discussion

Also known as

reversible dementia depressive pseudodementia

Contrasted with

true dementia irreversible cognitive decline

Don't confuse with

early dementia mild cognitive impairment

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