Delirium in an Older Adult Male: A Clinical Psychology Case Report from a Biopsychosocial Perspective

Abstract

Delirium is a common neuropsychiatric condition among elderly individuals, characterized by an acute onset of confusion, memory impairment, and fluctuating levels of consciousness. Early identification and multidisciplinary management are essential to reduce associated morbidity in geriatric populations. Older adults experiencing reduced family interaction, social isolation, and caregiving deficits are often vulnerable to psychological and cognitive disturbances. Clinical observations in geriatric care settings indicate that emotional disconnection, anxiety, poor supervision, and disrupted support systems may intensify confusion, stress, and cognitive instability among older adults. Such psychosocial vulnerabilities become increasingly significant in contemporary aging societies where changing family structures, migration of adult children, and reduced intergenerational co- residence may affect emotional security and caregiving availability among older adults. These factors may indirectly influence cognitive stability, emotional resilience, and recovery outcomes in geriatric populations. This case report describes the assessment and psychological management of a 73-year-old male diagnosed with Delirium not induced by alcohol or psychoactive substances. A comprehensive clinical interview and mental status examination were conducted. Psychological interventions included psychoeducation, cognitive orientation techniques, and family-based supportive strategies. The client presented with sudden memory loss, excessive sleep, confusion, and gait instability. Following structured psychological intervention and collaborative care, gradual clinical improvement was observed over the treatment period. This case underscores the importance of timely psychological assessment and individualized interventions in the management of geriatric Delirium. Integrating family support and cognitive orientation strategies may improve functional outcomes and quality of life in elderly patients. The case is also interpreted within the context of changing family caregiving structures and psychosocial vulnerabilities in later life.