Acute behavioural disturbance: a physical emergency psychiatrists need to understand (14 October 2020)

Summary

The phenomenon of acute behavioural disturbance (ABD) (also known as acute behavioural disorder or excited delirium) is an under recognised and potentially life-threatening syndrome, and an emergency in psychiatric settings. In this article from Cambridge University press, causes are discussed and the pathophysiology explained. The challenges faced by practitioners are highlighted, including how ‘standard’ control and restraint can exacerbate symptoms. Initial treatment strategies are suggested.