Apparently delirium in an 18 year old can't be possible even if on an extensive list of psych medications, most at maximum doses. This is according to psychiatrists. The emergency physician believes it, well sort of, but goes on with it. Three weeks later the same patient presents to emergency where the first doctor believes the patient overdosed on some unknown substance. She notes the confusion, delirium, hallucinations, dilated pupils, low blood pressure, bradycardia and abnormal labs. The drug screen returns normal. Four hours in, shift change occurs. A new ER report is printed for the new doctor. He notices the symptoms suggest anticholinergic syndrome (He turned out to be correct). Throughout this visit, the patient denied feeling suicidal until the General Hospital was contacted. They spoke to M.E.J, a psychiatrist with an attitude problem. After that the patient was just a manipulator.
What amazes me is how psychiatry failed to see this? How could they ignore evidence and call it dissociation and malingering? There was plenty of it from observation and labs. How ****ing stupid can one be????
All they had to do was admit the patient for observation, and discontinue all the psychiatric medications.