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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Confusion And Cognitive Lethargy?

I have been having trouble putting thoughts together for the past couple of hours, my mind is blank, and my senses feel very acute; I m not dizzy, but I feel disconnected. I m not experiencing any pain, and I am oriented to time, place, who I am, and what is going on. I just drove home without difficulty, no motor function difficulty, and I can remember things. I am bipolar (I am med compliant, and I see my mental health therapist weekly; in fact, I just came from her office) and normally have racing thoughts, but I feel like my thoughts have turned off.
Tue, 31 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

We will try to help you in best way possible. First of all it's sad to know what you had been going through lately. Based on the history you have shared, your symptoms seem more likely due to psychological condition that neurological however, neurological examination by a neurologist and detailed review is must to rule out any organic cause and brain imaging like CT scan brain may also be needed. Metabolic profile and thyroid function may also be needed. After ruling out organic causes, psychiatrist review will be needed and close follow up might be needed for long term antipsychotics and selective serotonin receptors inhibitors might be needed.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Confusion And Cognitive Lethargy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. We will try to help you in best way possible. First of all it s sad to know what you had been going through lately. Based on the history you have shared, your symptoms seem more likely due to psychological condition that neurological however, neurological examination by a neurologist and detailed review is must to rule out any organic cause and brain imaging like CT scan brain may also be needed. Metabolic profile and thyroid function may also be needed. After ruling out organic causes, psychiatrist review will be needed and close follow up might be needed for long term antipsychotics and selective serotonin receptors inhibitors might be needed. Hope I have answered your query. Let me know if I can assist you further.