Diagnoses

Fearful, suspicious, internally preoccupied, command-driven pacing/guarding/aggression

Acute stressor, often without full syndromal illness

Inner restlessness, pacing, shifting, inability to sit still after antipsychotic/antiemetic/antidepressant

Slurred speech, ataxia, disinhibition, aggression, nystagmus

Tremor, sweating, anxiety, agitation, insomnia, seizures after cessation

Restriction with fear of weight gain, body image distortion, drive for thinness, low weight/rapid loss

Dry mouth, constipation, urinary retention, blurry vision, confusion, delirium, tachycardia, hot dry skin

Dizziness, insomnia, nausea, flu-like symptoms, "brain zaps"

Activation after antidepressant initiation, especially in latent bipolarity

Sedation, weight gain, EPSE, prolactin elevation, constipation, QT prolongation, sexual dysfunction, emotional blunting

Restriction due to sensory aversion, fear of choking/vomiting, or low interest in food (no body image concern)

Overload, communication failure, routine disruption, pain

Catatonia with psychosis, seizures, dyskinesia, autonomic instability

Anxiety, tremor, perceptual disturbance, insomnia, agitation, seizures

Sedation, ataxia, slurred speech, disinhibition, amnesia

Depression with agitation, irritability, racing thoughts

Oculogyric crisis, jaw spasm, torticollis, tongue spasm, opisthotonic posturing soon after dopamine blockade

Early response not yet meeting full PTSD criteria

Chronic irritability, low frustration tolerance, impulsive outbursts, emotional reactivity since youth

Paranoia, theft beliefs, jealousy, disinhibition, progressive cognitive decline

Literal answers, topic perseveration, concrete speech, unusual prosody

Abrupt dysregulation from sensory overload, change, uncertainty, social demand

Days-to-weeks progression, confusion, catatonia, seizure, dyskinesia, autonomic instability

Recurrent depression, early onset, family history, atypical features, antidepressant activation

Distinct episodes of elevated/expansive/irritable mood with altered sleep, activity, confidence

Psychosis in context of elevated/irritable mood, reduced need for sleep

Marked drop in sleep time with overactivity, feeling energised

Grandiose/persecutory delusions during clear mania/mixed activation

Brief auditory hallucinations or perceptual distortions during severe stress

Recurrent crises around attachment threat, splitting, intense anger, reassurance-seeking

Transient dissociation during intense interpersonal conflict, abandonment threat, overwhelming emotion

Psychotic commands (external, authoritative) vs dissociative (internal, part-like)

Sedation, weight gain, sexual dysfunction, tremor, akathisia, constipation, cognitive dulling

Heavy alcohol history, poor nutrition, anterograde memory problems, confabulation

Gradual recent-memory decline, repetition, disorientation, language problems

Chronic deceit, exploitation, aggression, remorselessness, rule violation

Lifelong social-communication differences, adaptive limitations, concrete style

Bluntness, literalness, rigidity, overload rather than manipulative intent

Lifelong social-communication differences, sensory sensitivity, restricted interests, routines

Marked withdrawal, mutism, slowing, loss of skills after overload/stress

Irritability, overfamiliarity, suspiciousness fluctuate with state change

Preoccupation with perceived defect in appearance, mirror checking, camouflaging, avoidance

Agitation driven by pain, infection, constipation, retention, delirium

Mutism, staring, refusal, immobility, posturing, profound reduction in intake

Missed doses, poor comprehension, inability to sequence regimen

Progressive failure in ADLs, medications, finances, navigation, hygiene

Reduced motivation, engagement, poor hygiene, low energy, social withdrawal

Fatigue, pain, heaviness, GI symptoms, sleep disruption within mood/anxiety syndrome