Agitation & Behavior Problem: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Agitation, Behavior Problem,

Negated

None

Unsure

None

Possible Causes

Depression

The symptoms of a depressive episode include: Loss of interest or loss of pleasure in all activities Change in appetite or weight Sleep disturbances Feeling agitated or feeling [nami.org]

It is, therefore, reasonable to assume that in child-centered treatment, a decrease in child-oppositional behavior problems constitutes (at least in part) a mechanism of change [ncbi.nlm.nih.gov]

Depression often gets worse if it isn't treated, resulting in emotional, behavioral and health problems that affect every area of your life. [mayoclinic.org]

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Hypoglycemia

[…] sympathomimetic) Glucose is the main substrate for CNS function and therefore most hypoglycemic episodes include neurologic dysfunction manifested by: Altered level of consciousness Agitation [saem.org]

For physicians, if the cause of abnormal behavior cannot be detected, hypoglycemia should be suspected. [ncbi.nlm.nih.gov]

[…] activity: tremor, pallor, anxiety, tachycardia, sweating, and palpitations Increased parasympathetic activity: hunger, paresthesias, nausea, and vomiting Neuroglycopenic Agitation [amboss.com]

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Chronic Alcoholism

Agitation. If you feel restless, agitated or discontent without alcohol in your bloodstream, you should start to reevaluate your drinking habits. Comments from others. [michaelshouse.com]

Alcohol intoxication causes behavior problems and mental changes. [mayoclinic.org]

[…] should be monitored by a healthcare professional to ensure the safety of the recovering addict: Hallucinations Delirium tremens Fever that spikes rapidly Seizures Extreme agitation [addictions.com]

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Hyponatremia

On admission, the patient was agitated and had slurred speech. Treatment with hypertonic saline lead to full recovery. [ncbi.nlm.nih.gov]

behavior. [21] Psychosis after a seizure is relatively common, occurring in between 6 and 10% of people. [22] Often people do not remember what occurred during this time. [en.wikipedia.org]

He was evaluated at a community hospital emergency department and given lorazepam due to agitation and combativeness before discharge. [ncbi.nlm.nih.gov]

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Adjustment Reaction of Adolescence

[…] change of more than 5 percent of body weight in one month), or decrease or increase in appetite nearly every day (4) Insomnia or hypersomnia nearly every day (5) Psychomotor agitation [aafp.org]

Low doses of anti-anxiety medication may help anxiety and behavior problems; antidepressants may help alleviate depression or suicidal thoughts. [childrensneuropsych.com]

Symptoms include a mix of depression and anxiety as well as behavioral problems. Unspecified. [mayoclinic.org]

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Alzheimer Disease

The pain or discomfort caused by pneumonia or a urinary tract infection can result in agitation. [web.archive.org]

Any clinical assessment scales on cognitive function, physical function, behavioral problems, and the overall clinical status were the primary outcomes, and any reported adverse [ncbi.nlm.nih.gov]

Family members or other caregivers can help by helping the person cope with memory loss and behavior and sleep problems. [nlm.nih.gov]

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Bipolar Disorder

He was psychiatrically hospitalized for agitation, aggression, and manic symptoms including insomnia, rapid and pressured speech, and hyperactivity. [ncbi.nlm.nih.gov]

Behavioral and psychosocial therapies are also generally indicated for juvenile mania to address disruptive behavior problems and the impact of the illness on family and community [ncbi.nlm.nih.gov]

The chloroquine was subsequently replaced with hydroxychloroquine for the next six months without any behavioral problems, following which, the SLE and mood disorder were [ncbi.nlm.nih.gov]

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Substance Abuse Problems

Milder symptoms such as agitation, restlessness, and insomnia are more common. [emedicine.medscape.com]

Problems (14 items), Social-Interpersonal Problems (11 items), and Addiction-Dependence Symptoms (12 items). [ncbi.nlm.nih.gov]

Impaired judgment Slowed thought processes Psychosis Poor concentration Suicidal ideation Difficulty focusing attention Memory loss Hallucinations Psychosocial symptoms : Agitation [crestwynbh.com]

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Schizophrenia

In cases where the patient is agitated but more redirectable, sedation can be administered orally. [emedicine.medscape.com]

It involves a range of cognitive, emotional, and behavioral problems that impair a child’s ability to function. [verywellmind.com]

Copy number variants of schizophrenia susceptibility loci are associated with a spectrum of speech and developmental delays and behavior problems. [doi.org]

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Mania

Manic-depressives and agitated depressives were also excluded. Patients with mania and/or psychomotor agitation had predominantly right hemisphere lesions. [ncbi.nlm.nih.gov]

problems after STN DBS surgery. 65, 66 A recent small study of 14 PD patients undergoing STN DBS suggested that baseline motor impairment was associated with post-surgical [dx.doi.org]

When used in amounts exceeding those recommended, this practice, known as "robotripping," may result in a manic toxidrome of psychomotor agitation, hostility, grandiose behavior [ncbi.nlm.nih.gov]

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Metabolic Encephalopathy

Patient treated with IV Haldol 5mg PRN for agitation, IV Levofloxacin, moved closer to nurses station for observation due to agitation and confusion. [cdiarchive.com]

When further specified as a specific type, delirium is still classified in the section of ICD-9 reserved for mental and behavioral problems (located between drug-induced mental [icd10monitor.com]

[…] encephalopathies is often delirium, with impairment of attention and fluctuations in alertness, clouding of consciousness, disturbances in the wake-sleep cycle, and, sometimes, agitation [medlink.com]

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Endogenous Depression

However, a significant reduction in beta-adrenergic responsiveness was observed in patients with psychomotor agitation, as compared with controls (2.6 0.5 vs. 7.4 1.0 pmol [nejm.org]

The main effects of genes and environment on behavioral problems in the Virginia Twin Study of Adolescent Behavioral Development. [doi.org]

Thus, within a group of moderately to severely ill endogenous depressives, the older and the more agitated anxious patients have a significantly greater likelihood of showing [ncbi.nlm.nih.gov]

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Carbon Monoxide Poisoning

The most indicative symptoms experienced were a severe headache, blurred vision, agitation, and confusion. [ncbi.nlm.nih.gov]

We herein report the case of a 65-year-old woman who presented with the subacute onset of dementia and subsequently developed abnormal behavior and a gait disturbance. [ncbi.nlm.nih.gov]

Although her father smelled a pungent odor and felt headache, dizziness, agitation, and dyspnea after entering the room, he had realized that she was apneic and than he gave [ncbi.nlm.nih.gov]

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Huntington Disease

This is a case of a 60-year-old man who presented with a 6-month history of increasing agitation and emotional volatility. [ncbi.nlm.nih.gov]

Behavioral Problems in Huntington’s Disease. A helpful guide for coping with and caring for individuals experiencing the behavioral symptoms of HD. Paulsen, J. [web.stanford.edu]

Prior to her admission, the patient had become increasingly psychotic and agitated, resulting in her refusal and/or inability to eat. [ncbi.nlm.nih.gov]

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Cocaine Abuse

Agitation: IV or IM benzodiazepines, usually lorazepam, are first-line drugs for control of agitation. [clinicaladvisor.com]

He may have learning difficulties or other behavior problems when he gets older. Where can I find support and more information? [drugs.com]

Other results of continued cocaine use may include: Gastrointestinal problems Bizarre behavioral changes and other psychological problems Drying out and ulceration of the [originsrecovery.com]

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Insulinoma

Clinical case The 49-year-old patient went to ER on three occasions in the six months previous to her last admittance for symptoms of agitation, delusions, gentle crying and [scielo.org.co]

We report a case of insulinoma in a 55 years old female who presented with episodes of abnormal behavior and altered sensorium. [ncbi.nlm.nih.gov]

When a patient manifests abnormal behavior during the night and early morning, glucose monitoring should be performed, especially during the night and early morning. [ncbi.nlm.nih.gov]

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Cerebral Malaria

She initially presented to a local hospital with agitation and over talkativeness and was diagnosed as having an acute psychotic state. [ncbi.nlm.nih.gov]

 Behavior and neuro-psychiatric disorders In children, behavior problems include: 1. [slideshare.net]

Common symptoms are epileptic seizures, confusion, agitation, disorientation, and coma. [nejm.org]

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Acute Intermittent Porphyria

Eleven patients had in acute attack abdominal pain, they were agitated and restless and suffered from insomnia. Besides they had various neurological signs. [ncbi.nlm.nih.gov]

On evaluation, she had hyponatremia, episodic abnormal behavior, generalized muscle pain, hypertension, and sinus tachycardia. [ncbi.nlm.nih.gov]

Mental symptoms, such as irritability, restlessness, insomnia, agitation, tiredness, and depression, are common. Nervous system symptoms are numerous. [msdmanuals.com]

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Sleep Deprivation

2 Other symptoms of depression include: Significant weight loss when not dieting or significant weight gain Insomnia or hypersomnia nearly every day Psychomotor changes (agitation [psycom.net]

behavior, or (c) increased rates of problem behavior across all conditions. [ncbi.nlm.nih.gov]

In a cruel never-ending cycle, anxiety and stress due to sleep deprivation leave you feeling agitated and aroused, thus making sleep harder. [optalert.com]

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Rheumatic Chorea

inappropriate laughing/crying, agitation, anxiety, apathy, obsessive-compulsive behavior) Epidemiology ( 2:1 ) Longer latent period than other rheumatic manifestations [amboss.com]

Initial stages in children include one or more of the following: mental deterioration or behavioral problems, rigidity with gait disturbance, cerebellar dysfunction, and occasionally [emedicine.medscape.com]

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Sterol 27-Hydroxylase Deficiency

Neuropsychiatric symptoms such as behavioral changes, hallucinations, agitation, aggression, depression, and suicidal tendencies may be prominent. [orpha.net]

These patients have learning and behavioral dysfunction, however these patients often present with microcephaly, hypotonia, and hearing/speech problems. [eyewiki.aao.org]

Some patients may experience behavioral changes, aggressiveness, depression, suicidal thoughts and agitation. [symptoma.com]

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Mercury Poisoning

[…] cingulate Mercury poisoning appeared to result in a dysregulation of posterior cingulate cortex, which was associated with attention/concentration deficits and marked anxiety/agitation [ncbi.nlm.nih.gov]

At high levels of exposure, methylmercury's harmful effects on these animals include death, reduced reproduction, slower growth and development, and abnormal behavior. [web.archive.org]

Furthermore, he showed spontaneous yawning and limb movements with painful periods of agitation and crying. [frontiersin.org]

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Citrullinemia Type 2

However, he continued to have behavioral problems after discharge. [pediatricneurosciences.com]

problems hyperactivity balance and coordination problems, and spasticity Symptoms of citrullinemia in aduts may include: Psychotic changes Acute liver failure Therapy consists [medicalhomeportal.org]

Characteristic features include confusion, abnormal behaviors (such as aggression, irritability, and hyperactivity), seizures, and coma. [treatable-id.org]

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Encephalopathy

Abstract Hyperammonemic encephalopathy secondary to the use of valproate is rare without evidence of hepatotoxicity, and it usually presents with confusion, agitation, irritability [ncbi.nlm.nih.gov]

Memory problems. See your doctor if you have concerns about your memory or other thinking (cognitive) or behavior problems. Personality or mood changes. [mayoclinic.org]

[…] thus, not a diagnosis but a syndrome of global cerebral dysfunction induced by systemic stress, and can vary in clinical presentation from mild executive dysfunction or agitated [medlink.com]

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Parasomnia

Thirty-four participants (mean [ /-SD] age 22.7 [ /-12.9] years) noting nocturnal motor agitation or behaviors and 12 healthy controls (mean age 24.1 [ /-3.1] years) underwent [ncbi.nlm.nih.gov]

Clonazepam induced rapid and sustained improvement of dream and sleep behavior problems in seven patients, as did desipramine hydrochloride in one patient. [ncbi.nlm.nih.gov]

Sleep terrors occur with a loud scream and cause behavior suggesting extreme terror including rapid breathing, increased heartbeat, and agitation. [nicklauschildrens.org]

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Iron Deficiency Anemia

In infants and young children, signs of anemia include poor appetite, slowed growth and development, and behavioral problems. [web.archive.org]

problems want to eat ice or non-food items (called pica) What Causes Iron-Deficiency Anemia? [kidshealth.org]

In infants and preschoolers, IDA can result in developmental delays and behavioral problems. [childrensmn.org]

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Sepsis-associated Encephalopathy

Clinical review: Agitation and delirium in the critically ill – significance and management J. C. [semanticscholar.org]

Clinical features of SAE include change in mental status (altered mental status/ AMS), disturbances in mental processes, agitation, disorientation, impaired attention, hypersomnolence [clinicaltrials.gov]

 More severely affected show delirium, an agitated confusional state or coma. 10.  Most common motor sign is paratonic rigidity or gegenhalten, a resistance to passive [slideshare.net]

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Dementia

Agitation and psychosis are common among older adults with dementia and are challenging to manage. [ncbi.nlm.nih.gov]

Behavioral problems are seen in most patients with dementia and are often poorly characterized in the literature. [ncbi.nlm.nih.gov]

Day care services are effective in decreasing caregiver burden and behavioral problems in persons with dementia, but they also accelerate time to nursing home admission. [ncbi.nlm.nih.gov]

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Hepatic Encephalopathy

Extreme confusion, along with sleepiness and/or an agitated mood, are symptoms of a condition called hepatic encephalopathy. [catie.ca]

motor skill problems, tremors with "flapping" of hands Grade 3: a semi-stupor state, confusion, severe disorientation, bizarre behavior Grade 4: coma Clinical diagnoses [verywell.com]

Symptoms and Diagnosis Symptoms of hepatic encephalopathy may include confusion, poor concentration, disorientation, agitation and slurred speech. [livestrong.com]

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Childhood Depression

It is also possible that we may observe certain motor agitation in depressed children, which is referred to as agitated depression. [exploringyourmind.com]

All parents who scored above the cutoff for mild depression rated their children as having behavior problems. [ncbi.nlm.nih.gov]

Agitation - Depressed children may show signs of agitation by fidgeting or not being able to sit still. [depression.about.com]

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