fall mania
Introduction
Introduction Autumn is a season in which people generally feel upset and need to adjust well. Otherwise, they will be extremely vented in the case of excessive psychological depression. It is proposed that when the mood is upset, eat less food that is easy to get angry, keep an optimistic and uplifting mood, and when you have to vent, shout a few times or throw a few broken cans and punch a few punching sandbags, which is good for adjusting your mood. .
Cause
Cause
1. Genetic factors.
2. Constitutional factors:
The main characteristics of circular personality are good communication, cheerful, wide-ranging, active, optimistic, and easy to become worried. Patients with mesodermal leaf type bones, muscular muscles, and connective tissue are more ill than those with delicate and delicate ectoderm.
Third, the function and metabolic abnormalities of the central nervous system:
1. Central noradrenergic system dysfunction;
2. The central serotoninergic system is abnormally functional;
3. Multiple amine metabolic disorder hypotheses;
4. Neuroendocrine dysfunction.
4. Mental factors
The onset of manic depressive psychosis may be related to mental stimuli, but can only be considered as a predisposing factor.
V. External factors
Such as weather, environment and other aspects.
Examine
an examination
Related inspection
Neurological examination of blood routine
People often think of manic episodes, which are thought to be crying and laughing, playing and smashing, running around, destroying things and so on. In fact, the performance of mania is not only an abnormality in these behaviors, but the basic symptoms of mania are usually divided into two aspects: mental symptoms and physical symptoms. Psychiatric symptoms are mainly characterized by high emotions, quick thinking, and increased will. It is called "three high" symptoms in medicine.
First, high is emotionally high: this is a strong and lasting joy and excitement. The patient is happy and happy, immersed in the mood of joy all day long, dancing and dancing, ridiculous, arrogant, disdainful, active, and very appealing, making people who touch them feel relaxed. Although they have reduced sleep, they still appear to be energetic, cheerful, like to dress up, fancy dresses, and dress up, to express themselves and to express their opinions. Some patients are emotionally unstable, easily irritated, often thundered because of a small matter, constantly reprimanding others, the language is vulgar and sharp, and even violent behaviors such as impulsiveness, wounding, and destruction.
Second, high is thinking and running: the patient association is rich and rapid, and the mouth is lingering, lingering, talking loudly, the voice may be hoarse because of too much speech. A small number of patients have a gorgeous rhetoric and vivid humor, often giving people the impression that they can speak eloquently. The patient's speech content is exaggerated, everything in the world is omniscient, claiming to be vast, communicating with celebrities, having the ability to "pass the sky", and even boasting that he has millions of family property. Severe can also show the diversion of attention, that is, changing the topic at any time with the new things, saying that they are "increasingly smart", "tongue and brain racing" and so on.
Third, high is the will to strengthen: the patient's performance is more and faster, busy all day long, get up in the sky, exercise, take a cool shower, go out to visit friends, some are friends and relatives who have not traveled for many years. Meet with strangers and enthusiasm, as soon as possible, do things start and end, and everything is not complete. Like a lively, crowded occasion, nostalgia, more opinions, more demands, love accuses others, easy to dispute with people. Some patients shop frequently, and even squander money to buy some expensive and not necessary items as some ornaments or free to give. Severe patients can sing and sing all the time, and they can sing and jump, and they can be exposed to the opposite sex. Their behavior is too frivolous. When they are emotionally active, they are prone to impulsiveness, injury, and destruction.
Somatic symptoms: The patient usually has a moist skin, flushed face, and a stunned look; because he talks too much, thirst, and drink, he has a strong appetite, is prone to hunger, and loses weight. Sometimes the body temperature rises slightly, sexual desire advances, and chases the opposite sex. Sleep disorders are more common, mostly difficult to fall asleep or wake up early. Female patients may also have menstrual reduction or amenorrhea.
Mania is more emotional, with more excitement and more movements. Self-inductive brain becomes flexible, people become smart, and when they speak, they are full of excitement and eyebrows. They feel energetic, sleep is reduced, their concentration is not concentrated, they are good at nothing, and they lose their temper. Heavy ones are irritating, even irritating, and there are aggressive behaviors.
It can be diagnosed according to the patient's medical history and the above symptoms.
Diagnosis
Differential diagnosis
Differential diagnosis of autumn mania:
1. Schizophrenia youth type
It is common in clinical practice to misdiagnose adolescent schizophrenia as mania. The opposite is also true. This is because schizophrenia can also have a circulatory course, and clinical manifestations can also have motoric excitement. However, after several episodes of schizophrenia, the course of circulation is gradually less obvious, and it is a chronic progressive disease. Although the clinical phase is excited and agitated, the emotions are not relaxed and happy, but the mood is erratic and the behavior is also impulsive. Clinically, some patients with depressive disorder have psychotic characteristics that are incompatible with their mood, but they are short-lived and long-lasting with the course of the disease.
2, toxic psychosis Some drugs such as corticosteroids, isoniazid, and the equal poisoning of Ah can cause mania.
According to the history of medication, the relationship between the time of administration, the dose and the incidence of the disease, and the improvement after the withdrawal or reduction of the drug can be identified. Toxic psychosis is often accompanied by varying degrees of disturbance of consciousness.
3, brain organic psychosis
For example, paralytic dementia and senile psychosis may be manic, but there are often mental disorders, and the emotions are not high, but mainly euphoria. Detailed medical history, physical and neurological examinations help identify.
4, mental disorders caused by physical diseases Hyperthyroidism can occur in a state of light mania, but the emotions are not really high, but mainly anxiety, emotional instability. Accompanied by symptoms and signs of primary somatic disease.
People often think of manic episodes, which are thought to be crying and laughing, playing and smashing, running around, destroying things and so on. In fact, the performance of mania is not only an abnormality in these behaviors, but the basic symptoms of mania are usually divided into two aspects: mental symptoms and physical symptoms.
