Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency help for:
Sudden confusion with facial drooping, arm weakness, or speech difficulty
A seizure, collapse, loss of consciousness, or inability to wake normally
Confusion after a head injury or possible overdose
Severe headache, fever with a stiff neck, or rapidly worsening symptoms
Immediate risk of suicide, self-harm, violence, or unsafe wandering
Inability to eat, drink, take essential medication, or remain safe
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Sudden confusion should be treated as an urgent medical problem until serious causes have been excluded.
Do not assume that a new episode is Ganser syndrome, even after an earlier diagnosis.
Arrange prompt medical or mental health assessment for new approximate answers, hallucinations, memory gaps, or changes in behaviour, especially when they interfere with daily life.
3
Does any of this apply?
Book an appointment
Routine follow-up is appropriate after an assessed episode if symptoms are stable or improving.
Seek earlier review if they return, become more frequent, or change in character.
Every sign above is quoted from the sofidex article on Ganser syndrome. If you are not sure, err upward — it is always reasonable to be checked.