Some Illnesses that Mimic Psychiatric Disorders

Listed below are medical conditions that sometimes present psychiatric symptoms. Often the psychiatric symptoms are the only ones present, especially at the onset of the illness. This has led to misdiagnoses. One study found that 28% of patients committed to a psychiatric hospital in fact had undiagnosed medical conditions that were responsible for their psychiatric symptoms (Hall, et al, American Journal of Psychiatry, 1981, 181, 629-635). After treatment of the medical conditions, their psychiatric symptoms cleared. Another 18% had undiagnosed medical conditions that contributed to their psychiatric disorders. After treatment for the medical conditions, these patients' psychiatric disorders improved significantly. The disorders listed below are some that are known sometimes to present psychiatric symptoms to the extent that they have been mistaken for the psychiatric condition given at the top of the column. These lists are not complete, nor are the illnesses listed in order of severity or commonness of occurrence.

Depression Anxiety Schizophrenia
brain tumors
pancreatic cancer
 
infectious hepatitus
infectious mononucleosis
viral encephalitis
lupus erythematosis
heart disease
thyroid disease
adrenal gland disease
pituitary gland disease
hypoglycemia
 
 
 
multiple sclerosis
Alzheimer's disease
Parkinson's disease
 
 
vitamin deficiencies
poisoning
 
narcolepsy
epilepsy
 
 
 
drug-related disorders
brain tumors
 
 
infectious hepatitus
infectious mononucleosis
viral encephalitis
lupus erythematosis
heart disease
thyroid disease
adrenal gland disease
 
hypoglycemia
hyperglycemia
 
hypocalcemia
hypokalemia
multiple sclerosis
 
 
 
vitamin deficiencies
poisoning
 
 
epilepsy
asthma
emphysema
hyperventilation
drug-related disorders
brain tumors
 
AIDS
infectious hepatitus
 
viral encephalitis
lupus erythematosis
 
thyroid disease
adrenal gland disease
 
 
 
 
 
 
 
Parkinson's disease
Huntington's disease
Wilson's disease
B vitamin deficiencies
metal poisoning
insecticide poisoning
 
epilepsy
 
 
 
drug-related disorders
(esp. amphetamine psychosis)

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