Onset | Insidious | Sudden (may recall the exact time of symptoms onset) |
Evolution | Slow | Fast |
Psychiatric history | Negative | May be positive |
Awareness | Reduced or absent | Preserved |
Functional deficits | Patient may deny or minimise | Patient may emphasise |
Mood | Incongruous or fluctuating | Depressed |
Neuropsychological tests | Worsens on repeated testing | Improves or stable on repeated testing |
Instrumental tests | MR scan, positron emission tomography scan or biomarkers positive | Negative |
Effect of treatment | No change with antidepressants | May improve on antidepressants |