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This paper reports a longitudinal study of 19 patients diagnosed as having pseudodementia more than a decade earlier.In only one patient was the earlier diagnosis changed to definite dementia and,in this patient,there were strong indicators that such a diagnosis should have been made initially.In a second patient,dementia could not be excluded.The remaining patients did not show evidence of a dementing illness and the courses of the illnesses resembled the primary psychiatric disorders responsible for the pseudodementia.The results validate the clinical utility of the term" pseudodementia". |
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