neurosis
Introduction
Introduction to neurosis Neurosis, also known as neurosis, is a group of non-psychiatric functional disorders. The common features are: a group of psychogenic disorders, personality factors, psychosocial factors are the main factors of disease, but non-stress disorders, is a group of dysfunction, the nature of the disorder is functional non-organic; Symptoms of both physical aspects; have a certain personality trait foundation but non-personality disorder; each subtype has its characteristic clinical phase; neurosis is reversible, external stress is aggravated when it is stressed, and symptoms are alleviated or disappeared; social function is relatively good, Self-control is sufficient. basic knowledge The proportion of illness: 0.03% Susceptible people: no special people Mode of infection: non-infectious Complications: bloating, constipation, nocturnal emission, impotence, irregular menstruation
Cause
Cause of neurosis
Most scholars believe that this disease is caused by the combination of mental factors and genetic factors (susceptibility). People with predisposition are prone to emotional reactions, and mild external stimuli may induce this disease.
Prevention
Neurosis prevention
1. Maintain an optimistic and uplifting mood. Cheerful emotions can prolong life. A heavy psychological burden and annoying and depressed mood can damage health and lead to neurosis. The legendary Wu Ziyu passed through the customs and whitened his hair overnight. It can be said that it is a typical example. The major events are the same, and the daily trivialities of life are the same. For example, if a person who has just retired is misplaced, his mood is depressed, his spirit is untrusted, and he will be stunned all the time. It is very likely that depression will occur as soon as possible. On the contrary, it can be properly arranged and open-minded, which will inevitably lead to physical fitness. Longevity.
2. Develop a stable mentality and prevent overreaction. A person can normally live, work and study in a moderately stable environment and maintain a good mental state. However, in a special, sudden and highly volatile environment, whether it can be as always, is an important response to a person's psychological quality. Some people can adapt to the situation as soon as possible, and some people are difficult to adapt and appear abnormal, which will cause mental disorders and lead to neurosis. A stable psychological state will surely maintain good mental health, adapt to various environments, have plenty of energy and physical strength, and have rich creative vitality and a sound body. Therefore, daily attention should be paid to cultivating a correct understanding of various environmental incidents, not avoiding difficulties, not following the old age, changing the fragile character, and exercising a strong will to form a stable psychological state of progressive level, which is an important factor in preventing neurosis. aspect.
3. Exercise a strong and tenacious personality and accept the impact of various stress events. Everyone has the personality of each person, some are complete and complete, some are lacking, some are strong, some are fragile, some are sensitive and some are stable. A person's mental health is good, bad, complete and incomplete, can accept the impact of various stress events, continue to maintain good physical and mental health, and is related to a person's personality training. Even if a person has the best innate conditions, but the day after tomorrow will not necessarily form a good character; on the contrary, although there are congenital insufficiencies, but can firmly study and cultivate hard, can still create a strong and tenacious character.
4. Strengthen moral cultivation and avoid inferior stimuli. A person with good moral cultivation must be open-minded and open-minded. He can be kind, kind, and tolerant to others. He will not hurt others in words and behaviors, and can actively avoid daily life. Maintain a good mental state with ever-changing interpersonal conflicts and disputes.
5. Correctly handle interpersonal relationships. Poor and tense interpersonal relationships can be an important cause of many neurosis, and good, kind, and mutually beneficial interpersonal relationships can provide comfort, feel psychologically stable, and enhance the confidence and disease resistance of the sick body. To the role of drugs can not play, in a good atmosphere, the heart is happy, happy, harmonious, to maintain the best mental health.
Complication
Neurological complications Complications, abdominal distension, constipation, nocturnal, impotence, irregular menstruation
Frequently, there are complications such as tinnitus, vertigo, palpitation, shortness of breath, indigestion, nausea and vomiting, abdominal distension, constipation, sweating, limb tremor, nocturnal emission, impotence, irregular menstruation.
Symptom
Symptoms of Neurosis Common Symptoms The content of occupational neurosis is difficult to hear... Anxiety Introverted Thinking Fatigue Tempering Bad Tensile Forced Concept Full Body Tightness Fear
Traditional neurosis is divided into many diagnoses because of its prominent symptoms. The diagnosis of neurosis in China includes the following diseases (or syndromes):
1. Terror neurosis:
Also known as phobia, phobia, is a neurosis with horror symptoms as the main clinical manifestation. The specific things or situations that are feared are external, although there is no danger at that time, and the terrorist attacks are often accompanied by significant autonomic symptoms. The patient tried to avoid the situation he was afraid of. He himself knew that fear was excessive, inappropriate or unreasonable, but it did not prevent the terrorist attack.
2. Anxiety neurosis:
Also known as anxiety neurosis, is the main clinical manifestations of generalized anxiety disorder (chronic anxiety disorder) and episodic panic disorder (acute anxiety disorder), often accompanied by dizziness, chest tightness, palpitations, difficulty breathing, dry mouth, frequent urination, Urgency, sweating, tremors, and motor anxiety, its anxiety is not caused by actual threats, or its level of nervousness is not commensurate with the reality.
3. Obsessive-compulsive disorder:
The term "obsessive-compulsive disorder" is mainly characterized by repeated persistent obsessive-compulsive or/and forced movements. These symptoms are out of the patient's heart, but are not experienced and voluntarily produced, but the patient is unwilling to think, knowing that it is unreasonable. But can't get rid of it, make the patient feel pain, and it doesn't fit in with his own personality.
4, depressive neurosis:
Also known as neurosis depression, is a neurosis characterized by a persistent state of mind caused by psychosocial factors, often accompanied by anxiety, physical discomfort and sleep disorders, patients have treatment requirements, but no obvious exercise Sexual inhibition or psychotic symptoms, life is not seriously affected, is a neurosis characterized by persistent state of mind, often accompanied by anxiety, physical discomfort and sleep disorders, patients have treatment requirements, and no obvious exercise Sexual depression or psychotic symptoms, the ability to live is not seriously affected, this disease is known internationally as "bad mood."
5, snoring:
The original commentary of the word snoring is "heart disease", also known as hysteria, is a more common neuropathy, more common in rural areas. It is currently considered that snoring patients are more susceptible to suggestive, exaggerated, emotional and highly self-conscious. Characters such as the center, often caused by mental factors or bad hints, can present a variety of clinical symptoms, such as sensory and motor function disorders, internal organs and autonomic dysfunction and mental disorders, such symptoms are not organic The basis of damage, which may arise from implications or may change or disappear by implication.
6, suspected neurosis:
Also known as a suspected illness, it refers to an unrealistic morbid interpretation of one's own feelings or signs, causing the whole mind to be overwhelmed by the resulting doubts, troubles and fears, with excessive concern for their own health and Characterized by unpredictable stereotypes, patients suspect that they are suffering from a disease that does not actually exist, and that the doctor's explanation and objective examination are not sufficient to eliminate their views.
7, neurasthenia:
Neurasthenia refers to the excessive stress of brain function caused by certain long-term mental factors, which leads to the weakening of mental activity. Its main clinical features are easy to be excited and easy to fatigue, often accompanied by various physical discomfort and sleep disorders. Many patients have some kind of susceptible quality or bad personality before the illness.
8, other neurosis:
The commonality is that 1 disease is often related to quality and psychosocial factors; 2 there is a certain personality foundation, and often it is difficult to control the consciousness or behavior that should be controllable; 3 clinical phase presents various symptoms of mental and physical aspects , but no corresponding organic basis; 4 general awareness, good contact with reality, complete personality, no serious behavioral disorders; 5 longer course, complete self-knowledge, requiring treatment.
Examine
Neurological examination
Diagnostics should pay attention to the identification of neurosis and neurological symptoms caused by other diseases, so patients with neurosis must undergo a careful physical examination, while paying attention to the early stages of some physical symptoms, the positive signs are not one or two Can be detected.
Only two conditions must be met to diagnose neurosis:
1. After careful examination, no corresponding physical diseases that can explain the symptoms can be explained.
2. Mental factors have a great influence on the onset and changes in the condition.
Diagnosis
Neurological diagnosis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory findings.
Differential diagnosis
1, brain injury syndrome: such as encephalitis, brain trauma, cerebrovascular disease, carbon monoxide poisoning and other pathological recovery period can have similar performance, but often accompanied by intellectual damage, limb paralysis, nerve paralysis, brain CT or EEG abnormalities Can help identify.
2. Anxiety disorders: Anxiety disorders occur mostly in young and middle-aged groups. The induced factors are mainly related to human personality and environment, although there are also palpitation, shortness of breath, indigestion, nausea and vomiting, abdominal distension, constipation, sweating, limb tremor, and nocturnal emission. Impotence, irregular menstruation and other symptoms, but different from neurosis is a short history, and can ask the cause of anxiety.
3, hyperthyroidism: patients with hyperthyroidism have similar neurosis symptoms, but through clinical examinations can find some specific signs of hyperthyroidism, such as eyeballs, fine tremors in hands, mild thyroid enlargement, blood T3, T4 Increase can be identified.
