Case of a Patient with no Recollection of His Misbehavior Differential Diagnosis Acute Confusional State (ACS) and Schizophrenia The acute confusional state is often evident among older individuals and has symptoms associated with lapses in memory and loss of mental consciousness. People suffering from ACS often forget their past activities quickly and may lose contact with their surroundings. In several cases, caregivers and those around the subject notice the condition, especially when conversing with the individuals or by observing their undertakings. Frailty, old age, and severe illnesses are some of the factors that can initiate the condition among individuals. Although the research concerning the cause of the condition has not been productive, some researchers state that brain and cortical disruption lead to the condition (Sendelbach & Guthrie, 2009). On the other hand, some scholars explain that stress, cholinergic deficiency, and inflammatory response, which lead to neurotransmitter dysfunction, initiate the condition. The relationship between the acute confusional state and the patient undergoing diagnosis takes effect because of the past activities that the individual undertook at the mall. Consequently, schizophrenia is another condition that has symptoms similar to those demonstrated by the patient under examination. Absent-mindedness, hallucinations, and poor concentration are some of the symptoms associated with the problem. On several occasions, individuals suffering from schizophrenia can hear voices or sounds that others around them cannot hear and may act in a manner prompted by these unheard voices. The act of the patient who urinated at the mall without caring much about the consequences shows a close relationship to the behavior of individuals suffering from schizophrenia. Therefore, the problem of schizophrenia cannot be ruled out when undertaking a differential diagnosis on the patient. In the words of Fisch (2010), mental disorganization, weird behavior, and poor concentration are some of the symptoms displayed by people suffering from schizophrenia. The statement ascertains the essence of the condition in the differential diagnosis of the individual. Temporal Lope Epilepsy (TLE), Alzheimer’s Disease (AD), and Alcohol Abuse Temporal lope epilepsy (TLE) is another condition that will be assessed in the process of diagnosis. In the differential diagnosis process, TLE will need consideration given the symptoms that are evident among people suffering from the condition. TLE leads to loss of mental control, absent-mindedness, repeated activities performed unconsciously, hearing strange sounds, and a range of unexplained emotions. It is imperative to explain that the symptoms take place when individuals suffer from seizures triggered by the condition. According to Sendelbach and Guthrie (2009), the symptoms are usually evident when people suffer from seizures and enter into a dreamlike state. As such, they perform weird activities in the oblivion of the events taking place around them and cannot recollect the undertakings when they regain consciousness. A case of a person walking to a tree and urinating five times is an indication that the individual may b