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- $Unique_ID{BRK00141}
- $Pretitle{}
- $Title{How Does a Doctor Determine the Cause of Crazy Behavior?}
- $Subject{behavior behaviors mental illness Emotional Conditions Condition
- Crazy psychiatric mind neurological head instability insanity mania depression
- schizoid anxiety disorders disorder delirium dementia skull injury injuries
- epilepsy meningitis encephalitis brain drug alcohol abuse psychological}
- $Volume{E-23}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- How Does a Doctor Determine the Cause of Crazy Behavior?
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- QUESTION: How can a doctor tell whether crazy behavior is caused by a
- physical disease or brought on by emotional or other causes?
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- ANSWER: It's not an easy diagnosis to make, and takes considerable skill and
- experience. Researchers estimate that about 10% of all patients who show up
- in hospitals or emergency rooms with psychiatric symptoms are actually
- suffering from some physical problem that has affected their mind. A complete
- physical examination, with laboratory tests, is an important step in finding
- out exactly what is wrong. This exam should include a complete neurological
- workup as well as an assessment of mental status at the time of hospital
- admission. The patient should be examined and questioned (or his or her
- family questioned) about past trauma to the head, drinking and drug history,
- recent illnesses, and usual habits.
- Many physical diseases or problems can cause mental instability, mania,
- depression, schizoid symptoms, anxiety disorders, delirium, or dementia. A
- tumor, stroke, or injury to the skull can produce psychiatric symptoms before
- any others are seen. A CT scan of the skull may rule out these situations.
- Similarly, epilepsy can create psychiatric symptoms, in some cases.
- Infectious diseases that cause mental problems, such as meningitis or
- encephalitis, should also be ruled out. Laboratory tests can also be done to
- rule out thyroid conditions, adrenal disease, diabetes, and liver disease. A
- leading cause of psychiatric symptoms is drug and alcohol abuse. Most
- hospitals will test a patient admitted for psychiatric problems for recent
- drug use. No matter the cause, the patients must be treated with respect and
- careful analysis to provide them with the help they need.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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