Abstract: | Chronic renal disease, hemodialysis, and renal transplantation may be accompanied by a variety of derangements of higher cortical functioning, mental processes, and behavior. Many treatable toxic metabolic, degenerative, and structural processes may occur as a result of the progression of the renal disease itself, associated medical conditions, or secondary neurologic complications. Associated behavioral changes may easily be confused with functional disorders. latrogenic complications may also arise. An understanding and awareness of these entities is important for the consulting psychiatrist in order to properly diagnose and care for the renal patient who shows disturbances in behavior. |