Delirium
DEFINITION
- Delirium is a concurrent disturbance of both consciousness and cognition resulting in changes of attention (and memory, visuospatial and/or executive dysfunction) often accompanied by changes in psychomotor behavior, perception, emotion, and sleep-wake cycle.
- Duration is variable, but onset is usually abrupt over the course of hours to days. Delirium has a fluctuating course, and symptoms range in severity. It can persist for weeks to months, and persistent delirium is typically defined as > 6 months in DSM-5-TR specifier context.
- Delirium is a clinical syndrome indicating underlying pathology. It is not a disease unto itself.
- Delirium is classified under the neurocognitive disorders (NCDs) section of the DSM-5-TR[1].
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Last updated: May 11, 2026
Citation
Gary, Joseph, et al. "Delirium." Johns Hopkins Psychiatry Guide, The Johns Hopkins University, 2026. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787106/all/Delirium.
Gary J, Beal M, Neufeld K. Delirium. Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2026. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787106/all/Delirium. Accessed May 15, 2026.
Gary, J., Beal, M., & Neufeld, K. (2026). Delirium. In Johns Hopkins Psychiatry Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787106/all/Delirium
Gary J, Beal M, Neufeld K. Delirium [Internet]. In: Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2026. [cited 2026 May 15]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787106/all/Delirium.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Delirium
ID - 787106
A1 - Gary,Joseph,M.D.
AU - Beal,Marissa,D.O.
AU - Neufeld,Karin,M.D.
Y1 - 2026/05/11/
BT - Johns Hopkins Psychiatry Guide
UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787106/all/Delirium
PB - The Johns Hopkins University
DB - Johns Hopkins Guides
DP - Unbound Medicine
ER -

Johns Hopkins Psychiatry Guide

