What symptom is commonly associated with Pseudodementia rather than Major Neurocognitive Disorder?

Pseudodementia is characterized by cognitive impairment that resembles dementia but is actually due to depression. One of the distinct symptoms associated with pseudodementia is the emphasis on personal achievements and abilities, which often contrasts with the more apathetic presentation typically seen in major neurocognitive disorder. Individuals experiencing pseudodementia may demonstrate an acute awareness of their cognitive difficulties and often express concern or distress over their abilities, frequently highlighting their past achievements and capabilities. This self-reflection and concern about their cognitive state can lead to more pronounced anxiety and fear about their condition, which are less common in major neurocognitive disorders where individuals may be less aware of their cognitive decline.

In major neurocognitive disorder, a gradual cognitive decline over time is common, and individuals might lack insight into their cognitive deficits. They may demonstrate denial about their difficulties, feeling less inclined to acknowledge their declining abilities. Severe impairment in everyday functioning is also a hallmark of major neurocognitive disorder, but in pseudodementia, while cognitive abilities are affected, the functional impairment may not be as pronounced because individuals can still sometimes maintain their self-awareness and express their frustrations regarding their cognitive challenges.