paranoid mental disorder
Introduction
Introduction to paranoid mental disorder Paranoidmental disorders are a group of mental disorders characterized by delusional paranoia. With fixed, continuous, and more systematic delusions as the main symptoms, accompanied by corresponding emotions and behaviors. The accompaniment has an illusion associated with delusional content, but it does not occupy a prominent position in the clinical phase. In the absence of delusions, there is often no obvious mental abnormality. Although the disease does not cause mental depression for a long time, the intelligence remains good. This disease is rare. The etiology of this disease has not yet been clarified. It is generally considered to be related to pre-existing personality traits and environmental factors. Paranoid symptoms are easy to occur in people with more paranoid personality or quality. They are sensitive and suspicious, subjective, stubborn, self-respecting, and self-respecting. Center, hobbies and other characteristics, on the basis of personality, the mental factors in the environment may be the cause of insults; social isolation is also related to its occurrence, such as deaf, refugees, immigrants are more prone to paranoia, Freud believes paranoid symptoms From the denial and defensive of the defense mechanism, one does not consciously admit his own deficiencies and distrust, but casts it to others, and the genetic factors are not obvious. basic knowledge Sickness ratio: 0.05% Susceptible people: good for women aged 30 to 40 Mode of infection: non-infectious Complications: paranoia
Cause
The cause of paranoid mental disorder
Personality factor (20%):
Paranoid symptoms are easy to occur in people with more paranoid personality or quality, sensitive and suspicious subjective stubborn, easy to excite, self-respect, poker self-centered, hobby fantasy and other characteristics, based on strong personality.
Social factors (40%):
The psychiatric factors in the environment may be caused by insincere causes, and social isolation is also related to its occurrence. For example, refugees and immigrants are more prone to paranoia. Freud believes that paranoid symptoms are derived from the denial and stimuli of defense mechanisms, and one does not consciously Admit your own deficiencies and distrust, but project it to others.
Genetic (5%):
Clinical data shows that the disease has a family genetic predisposition.
Prevention
Paranoid mental disorder prevention
The course of disease can be prolonged for several years, the prognosis is poor, a few onset is more urgent, and the course of disease is less than half a year, the prognosis is better.
1. Maintain a good mood, cultivate good interests, pay attention to adjusting your mentality, strive to improve your personality, keep your mood comfortable and positive, thus reducing the incidence of the disease.
2, moderate exercise, more participation activities: activities and sports can help a person psychologically reduce burden, improve personality, have a positive prevention function for the induction of the disease.
Complication
Paranoid mental disorder complications Complications paranoia
Often accompanied by repeated complaints, tracking, wounding, escaping or self-injury or suicide and other illegal acts.
The disease is developing slowly, and it is not perceived by the people around it. It gradually develops into one or a set of interrelated illusions. The content can be victimized, awkward, litigation, affectionate, exaggerated, suspected, etc., long-lasting, sometimes lasting, There are few hallucinations, and there are no typical symptoms of schizophrenia such as being controlled, thinking being broadcasted, etc. The victimization is often accompanied by litigation and suspicion. The patient believes that there is a evil force against him in the society, and he is systematically persecuted. In order to achieve the purpose of unscrupulous, at any cost, the patient continues to expand his opposite, from the original opponent to a department and the whole society, who does not believe what he said, who is bought by the enemy, for this patient will be again and again, level one At the level, if you dont achieve your goal, you will not give up. If you want to see more than men, they will undoubtedly doubt the loyalty of their spouses, try their best to collect so-called evidence, force their spouses to confess and write guarantee, but all of this will only worsen the situation. Sometimes, patients will be tempted to control the behavior of harm, and love is more common in unmarried middle-aged women. She finds love more than having a higher social status, fame, also a wife, the other patients believe convey love through various implied, and that only you can bring true happiness to each other.
Symptom
Paranoid mental disorder symptoms common symptoms paranoid personality disorder litigation madness mental disorder violent impulsive behavior pathological gambling anxiety adaptive disorder organic psychosis illusion auditory hallucination addiction
More slowly onset, in the early stage, due to the fact that the actual contact ability of teachers and teachers is still good, often difficult to be discovered, and mistaken for character stubbornness, as the disease progresses, the symptoms gradually expose, and there are corresponding emotions and behavioral performances, causing people and Emphasis and suspicion, mainly manifested as fixed, continuous, more systematic reverie, content is more common in murder, second to exaggeration, embarrassment, love, doubts and other delusions, patients often misinterpret some experiences in life details, as a certain belief The basis for the accidental and unmistakable misinterpretation of accidental coincidences, and the constant observation, the long-term evidence to conquer their imaginary ideas is objective, and often adopts a hidden attitude towards the content of thinking. The reliant person is only vigilant to expose the content of the whip. This belief seems to have certain authenticity. If you do not delve into the truth, you can even reach a level that is convincing. If you analyze it carefully, you can still find its logical reasoning and reality. Inconsistent, the patient's belief in himself is convinced, the argument can be persuaded, and under the circumstance, the patient often has repeated complaints. Tracking, sucking, killing, escaping, self-injury or suicide, etc., if it does not involve delusion, the general social adaptability of people, things, work, study, family life, etc., remains good, although the treatment is long, does not cause mental decline and personality Defects, generally no hallucinations, but on the basis of delusions can occasionally appear fragments, unsustainable auditory hallucinations (delusional perception).
First, with continuous, fixed, and systemic delusions as the main symptoms, without involving delusions, mental activities often have no obvious abnormalities, although the course of disease is long, no mental decline.
Second, the loss of self-knowledge, its social function is obviously damaged.
Third, delusion lasts for more than 3 months.
Fourth, to exclude schizophrenia, brain organic and physical disorders caused by mental disorders.
[Symptom Standard] With system paranoia as the main symptom, the content is relatively fixed, and has certain reality. Without understanding, it is difficult to distinguish between true and false, mainly manifested as murder, jealousy, exaggeration, doubt, or love.
[Severe criteria] Serious impairment of social function and cognitive impairment.
[Disease criteria] Meet the symptom criteria and severity criteria for at least 3 months.
[Exclusion criteria] Exclusion of mental disorders, psychoactive substances and non-addictive substances caused by mental disorders, schizophrenia, or affective disorders.
Examine
Examination of paranoid mental disorder
The disease belongs to a mental disorder. Because the disease needs to be differentiated from organic brain lesions, it is necessary to perform head CT and MRI examinations. If necessary, cerebrospinal fluid examination is needed to determine whether there is an intracranial infection. Psychological counseling and examination, as well as psychological counseling, can clearly identify the starting mental factors of the disease. At the same time, routine examinations such as blood routine, liver and kidney function, and EEG are required.
Diagnosis
Diagnostic identification of paranoid mental disorder
The disease should be distinguished from the paranoid type of schizophrenia.
1. Schizophrenia, schizophrenia is mainly based on primary delusion, the content is neither systematic nor absurd, and often involves a wide range of generalization. Various hallucinations, conceptions of victimization, and other characteristics of schizophrenia often appear. Social function is seriously impaired. As the disease progresses late, it often leads to a mental decline.
2. Psychogenic paranoia, the disease is caused by the long-term existence of stressors or long-term difficulties. And the content of delusion often has a certain connection with the stress source, and it has the characteristics of reality and easy exposure. In terms of prognosis, psychogenic delusions are clearly good.
3. Paranoid state, its delusion is not systematic as paranoia, the degree is lighter, and the prognosis is better.
4. Paranoid morbid personality, although sensitive and suspicious and other personality characteristics, but does not form delusions, can be identified with paranoia.
In addition, it should be distinguished from organic diseases, which can be identified by clinical examination.
