delayed stress response
Introduction
Introduction to delayed stress response Delayed stress response is a delayed mental disorder caused by a stressful event or situation, also known as post-traumatic stress disorder. Stressors often have abnormal horror or catastrophic nature, causing deep sadness or grief in the patient. There is an incubation period before the onset of mental symptoms. The onset is usually stimulated for weeks to months. basic knowledge The proportion of illness: 0.006%-0.008% Susceptible people: no special people Mode of infection: non-infectious Complications: depression, anxiety
Cause
Delayed stress response etiology
Stressors often have abnormal horror or catastrophic nature, causing deep sadness or grief in the patient. There is an incubation period before the onset of mental symptoms. The onset is usually stimulated for weeks to months.
Prevention
Delayed stress response prevention
Remove or replace the environment as much as possible to eliminate the traumatic experience and accelerate symptom relief.
Also pay attention to the following issues when diagnosing:
1 Carefully analyze the nature and intensity of the stimulus, stimulate the relationship between the time and the symptoms of the disease, and avoid blaming the occurrence of the disease on life events unrelated to the disease.
2 Mental stimulation can be used as a trigger for other mental illnesses. For example, most schizophrenia patients can find some mental factors in their medical history, but as the disease progresses, the psychopathological characteristics of their basic diseases become increasingly clear, such as a large number of formal thinking disorders. The content of delusions is ridiculous, generalized, etc., and should be misdiagnosed as a stress response.
Complication
Delayed stress response complications Complications depression anxiety
There may be symptoms of anxiety and depression.
Symptom
Delayed stress response symptoms Common symptoms Trauma anxiety pleasure lack of insomnia depression
First, there are serious traumas that are subject to exact deviations.
Second, the symptoms appear time:
Within 6 months after the trauma.
Third, the main performance:
Repeatedly reproduce the traumatic experience, that is, the vivid experience of recurrence of stressful events; repeated traumatic dreams or nightmares; alienation from others, lack of response to the surrounding environment; lack of pleasure; avoiding memories of past traumatic situations or activities, fear And avoiding the feeling of suffering from trauma is also more common, usually there is excessive state of autonomic excitability, manifested as excessive alertness, increased shock response and insomnia, personality changes such as anxiety and depression, and a small number of patients will have negative suicide. Intention, most of the disease course can be recovered, and a few diseases last for several years.
Examine
Delayed stress response check
Mainly do mental examination to rule out organic diseases.
Diagnosis
Delayed stress response diagnosis
Acute stress reaction refers to a transient mental disorder caused by extremely severe physical or psychological stress factors. The course of disease lasts only a few hours or days, and the prognosis is good. The typical performance is the initial appearance of "sudden" state. , manifested as different levels of disturbance of consciousness, patients may have poor orientation, can not clearly perceive things around, narrow attention, difficult to communicate, the patient's speech is disorderly or incoherent, incomprehensible, nervous expression, fear, action Messy and purposeless, occasional impulsive behavior, or running to the wilderness, the patient may not be able to recall all of them after recovery.
Some patients show psychomotor excitement or inhibition with a strong emotional experience. Psychomotor exciters are characterized by excitement, agitation, restlessness, increased speech, content related to pathogenesis, exaggerated color, nighttime sleep reduction, etc. In the past, it was called reactive manic state, and psychomotor restraint was less common. It was expressed as a retreat to the surrounding environment, silent, or slumbering, sitting or lying in bed for a long time, no emotional exposure, similar to Yamu Stiff state.
Most patients may be accompanied by symptoms of the autonomic nervous system, such as heart palpitations, sweating, and skin flushing.
Persistert stress reaction This is a reaction induced by the long-term existence of a stressor or in a difficult environment for a long time. The clinical manifestations are delusions, content is imaginary, monitored, implicated, and not Trust, etc., delusional content is closely related to trauma, realistic and easy to expose. Some patients are mainly susceptible to feelings such as sadness, depression, and crying. Most patients have obvious social function defects, leading to work or study. Abnormalities in interpersonal communication and social activities generally last for 3 months, and sometimes up to several years.
