schizoaffective psychosis
Introduction
Introduction to split emotional psychosis Splitting affective psychosis refers to a group of schizophrenia and bipolar disorder with the same prominent mental disorder, often with recurrent attacks. The schizophrenic symptoms are positive psychotic symptoms such as delusions, hallucinations, and thinking disorders. The emotional symptoms are mania or depression. The disease may have induced stress factors and acute onset. basic knowledge The proportion of illness: 0.02% Susceptible people: no special people Mode of infection: non-infectious Complications: Mania Depression Schizophrenia
Cause
The cause of splitting emotional psychosis
First-degree relatives control study data show that the disease is genetically between schizophrenia and bipolar affective psychosis, while single-phase severe depression has no obvious genetic specificity.
Prevention
Split emotional psychosis prevention
Stay optimistic and happy. Long-term mental stress, anxiety, irritability, pessimism and other emotions will make the balance of the cerebral cortex excitatory and inhibition process imbalance, so you need to maintain a happy mood.
Life restraint pays attention to rest, work and rest, life is orderly, and maintaining an optimistic, positive and upward attitude towards life is of great help in preventing diseases. Do the regularity of tea and rice, live daily, not overworked, open-minded, and develop good habits.
Complication
Split emotional psychosis complications Complications mania depression schizophrenia
Symptomatic or schizophrenia symptoms alternate with repeated episodes, and may be accompanied by confusion.
Symptom
Symptoms of schizoaffective psychosis Common symptoms Contents are difficult to hear... Depression consciousness, illusion, mental dependence, manic schizophrenic personality disorder
(1) It meets the symptom criteria of schizophrenia and affective disorder. The schizophrenic symptoms are positive psychotic symptoms such as delusion, hallucinations and thinking disorders; the affective symptoms are mania or depression, both of which are equally prominent. Recurrent.
(2) Severity criteria, including the following two items:
1. Social function has dropped significantly.
2. Insufficient or lack of self-knowledge.
(3) The schizophrenic symptoms and affective symptoms exist simultaneously in the whole course of disease, and the time of appearance and disappearance is relatively close, but the time when the schizophrenic symptoms are the main clinical phase must last for more than 2 weeks.
(4) Excluding schizophrenia, affective disorder, mental disorders caused by brain organic and physical diseases, and mental disorders caused by psychoactive substances
Clinical features: It can be seen that both schizophrenic and affective symptoms appear at the same time, or multiple episodes of affective or schizophrenia may occur, and may be accompanied by confusion. The episode is as short as half a month, and the longest is 4.5 to 5 years. From 1 month to 4 to 6 years, the disease is divided into two types: split mania and split depression.
1 There is a typical depression or manic disease, and there are symptoms of schizophrenia. These two symptoms exist at the same time, or appear in the disease.
2 The course of the disease was intermittent, and no obvious defects were left after the symptoms were relieved.
3 onset is more urgent, the incidence may have stress incentives, pre-existing personality has no obvious defects, some patients may have schizophrenia, family history of bipolar disorder.
4 The age of onset is more common in young adults, more women than men.
Examine
Examination of schizoaffective psychosis
1. Including reliable medical history and mental examination, the patient's performance has characteristic thinking and sensory disturbances, emotional disharmony, casual talk and lack of will activities.
2. Social adaptability declines, including social, daily life, work and study.
3. Clear consciousness, intelligent integrity, but incomplete or lost self-knowledge.
4. The course of the disease has a slow development and the trend of prolonged unhealed. The active psychiatric symptoms last for no less than 1 month, including the prodromal symptoms are not shorter than 3 months.
5. No special positive signs.
Diagnosis
Diagnosis and differentiation of schizoaffective psychosis
The disease needs to be identified with the following diseases:
1. Neurasthenia
It is mainly related to the simple type of schizophrenia. The identification point is that the simple patient has no self-knowledge and no treatment requirements.
2. Obsessive-compulsive disorder
The content of obsessive-compulsive symptoms in patients with schizophrenia is ridiculous and bizarre. The patient's feelings about compulsive experience are not clear, the self-knowledge is incomplete, and the treatment is not active.
3. Mania
The schizophrenia with acute onset and manifestations of excitement is distinguished from mania. The former is mostly uncoordinated speech sports excitement; the latter is coordinated with excitement.
4. Depression
Tension-induced stupor of schizophrenia should be distinguished from depressive stupor, the former is difficult to contact, the expression is dull, and the emotion is indifferent; the latter is the emotional activity of severe depression.
5. Reactive psychosis
The paranoid type of schizophrenia should be differentiated from the state of reactive delusion. The latter has mental stimulation factors. The patient's condition revolves around the mental stimulation of the onset, and the emotional response is clear. I would like to talk about the emotional experience after trauma and sympathy.
6. Paranoid psychosis
The delusional content of paranoid patients may vary or is often absurd or bizarre. It can be self-contradictory, it can be unfixed, it is not systematic, and it is accompanied by auditory hallucinations. Paranoid mental patients have systemic paranoia as the main symptom. The content is relatively fixed, rarely accompanied by hallucinations. If there is a short-lived illusion, it is more closely related to delusion. If it does not involve delusion, it does not show obvious mental abnormalities.
7. Symptomatic psychosis (refers to mental illness caused by body, infection, poisoning)
Symptomatic psychiatric patients have common disturbances of consciousness. Symptoms have volatility of light and night, and can have horrific illusions, which are helpful for differential diagnosis.
8. Brain organic psychosis
Brain organic psychosis has intelligent obstacles and corresponding positive signs of nervous system. In particular, it should be alert to sporadic encephalitis, which is more common in recent years. It is mainly characterized by sub-woody state. Some patients have signs of nervous system later than mental symptoms. The electrogram is diffusely abnormal. Careful observation and analysis can have different levels of disturbance of consciousness and urinary incontinence.
9. Personality disorder
Schizophrenic, schizophrenic, marginal and paranoid personality disorder should be differentiated from schizophrenia. Personality disorder generally has no psychiatric symptoms. Even if some are transient, they should be analyzed from the patient's personality development process and lack of disease. The clinical process, which is extremely important for differential diagnosis.
