Reference

Guide | Reference

110  Endocrine and Metabolic Mimics

Purpose. Flag common endocrine and metabolic conditions that mimic psychiatric symptoms.

110.1 Hallmark Signs

• New mood, anxiety, or cognitive changes with systemic symptoms.
• Weight change, temperature intolerance, or unexplained fatigue.

110.2 High-Risk Contexts

• Thyroid disease history, diabetes, adrenal disorders.
• Older adults or medically complex patients.

110.3 Minimum Workup (by setting)

• Basic labs as appropriate (e.g., thyroid, glucose, electrolytes). [E0/U2]
• Coordinate with primary care when indicated. [E0/U2]

WarningRed flags

• Rapid decline, severe metabolic derangements, or altered mental status. [E0/U3]

Documentation Output. “Endocrine/metabolic mimics considered.” Specific tests ordered or deferred.