For patients, families and carers

Publishing October 2026

Delirium
(Acute Confusion)

A Family Guide to Sudden Changes in Thinking and Memory

Written by the clinician who developed the 4AT and a doctor with lived experience of severe ICU delirium.

A plain-English guide to what delirium is, why it happens, what care may involve and what families can do.

Includes advice for people living with dementia.

Cover of Delirium (Acute Confusion): A Family Guide

Clear explanations for what families see and what happens next

When a relative or friend becomes confused, behaves unusually or seems to be seeing things that are not there, families often receive a great deal of information in a short time. This guide explains delirium in a form that can be read at the bedside, at home or later during recovery.

It covers delirium in hospital, intensive care, care homes and at home. It also looks at hallucinations, false beliefs, medicines, safety, recovery and the difficult overlap between delirium and dementia.

More detail, in a form you can keep beside you

Delirium Support provides free information for families who need help now. The book goes further. It is designed for people who want a fuller explanation in a form they can hold, annotate, lend to someone else and return to away from a screen.

The free website and the book have different jobs. Both aim to make delirium easier to understand.

A practical route through delirium

01

Understanding delirium

What delirium is, how common it is, what causes it and how doctors diagnose and treat it.

02

The experience

What delirium may feel like for the person, and what families often see and experience.

03

Care in hospital

What happens on the ward, medicines, raising concerns, persistent delirium and going home.

04

Different settings

Delirium at home, after surgery, in intensive care, in care homes and near the end of life.

05

Delirium and dementia

How they differ, how they interact and what delirium may mean for future memory problems.

06

What families can do

Plain actions, useful questions, sources of help, a glossary and a quick action guide.

Chapters 1 and 2 are being prepared now

The revised chapters are in their final editorial and illustration stage. A professionally typeset PDF will be available here shortly, together with occasional email updates about the book and its publication in October 2026.

Expected in early August 2026

  • Chapter 1: Understanding delirium
  • Chapter 2: How common is delirium?

The email form will appear here after the final files, confirmation email and download route have been tested.

Clinical knowledge and lived experience

Professor Alasdair MacLullich

Alasdair is a doctor and Professor of Geriatric Medicine at the University of Edinburgh. He has cared for people with delirium and their families for more than three decades and developed the widely used 4AT delirium assessment tool.

Dr Sharmella Summan

Sharmella is a doctor who has cared for people with delirium and experienced severe delirium herself while in intensive care. She brings clinical knowledge and personal experience to the guide.

The Delirium Family Guide shown as a printed book and eBook

Publishing in October 2026

The confirmed publication date and retailer links will be added here when the production files are ready.

Published by Delirium Support Press.