Over the last two weeks I've seen three new patients with acute confusional states (or delirium, as it seems to be called, once again). All presented with disorientation, distress, lethargy and low mood.
Having stopped their amitriptyline, which had been appropriately started by their GPs then they'd been on for ages, I've reviewed them all this week.
They've all improved. A lot. Tiredness, mood and muzzy head causing disorientation, all gone. Great to have days where folk are reviewed and have been cured. Other than use of ECT, it's rare to have those "pick up your bed and walk" cured moments in old age psychiatry, then three come at once!