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Sundowning is truly confusion,” Dr. Kobylarz says. “If you have fatigue, you can take a catnap and feel refreshed. With sundowning, they are not usually fatigued, and they are ready to go.”
Confusional arousals are accompanied by mental confusion and disorientation, relative lack of response to environmental stimuli, and difficulty of awakening the subject. [3] [4] [5] Vocalisation accompanied with coherent speech is common. [3] Patients may appear upset, and some of them become aggressive or agitated. [4]
A common symptom of PTA is confusion. The most prominent symptom of post-traumatic amnesia (PTA) is a loss of memory of the present time. [10] As a result, patients are often unaware of their condition and may behave as if they are going about their regular lives.
Psychotherapy is an effective treatment for trauma-related disorders. A meta-analysis of treatment outcomes has shown that 67% of patients who completed treatment for PTSD no longer met diagnostic criteria for PTSD. [4] For those seeking evidence-based psychotherapy treatment, it is estimated that 22-24% will drop out of their treatment.
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