Mental disorders due to physical illness
Introduction
Introduction Mental disorders caused by physical diseases refer to mental disorders manifested throughout the entire process of internal organs, endocrine, metabolism, nutrition, blood, collagen diseases and infections, and other medical diseases. It is more common to develop acute mental disorders based on primary physical diseases. It is an integral part of all the symptoms of the primary physical illness. Mental disorders caused by physical illness generally do not include mental disorders caused by psychoactive substances and brain organic disorders.
Cause
Cause
1. Biological factors, such as genetic factors, personality traits, nervous system function status and gender, age and other factors.
2. Psychology-social environmental factors, such as family, economic, work, social, environmental and other factors.
Pathogenesis: heart and brain hypoxia, cerebral blood flow changes, electrolyte imbalance, accumulation of intermediate metabolites, microbial toxins, neurotransmitter changes, high fever, vitamin deficiency.
Examine
an examination
Related inspection
Blood routine CT examination
1. First determine whether the primary disease is a physical illness, or a toxic disease or a brain organic disease. Caused by what causes;
2. Determine the symptom characteristics of the mental disorder, which type of mental syndrome or disturbance of consciousness;
3. Determine whether the relationship between physical illness and mental disorder occurs after physical illness or before physical illness;
4. Observe whether the disease between the physical illness and the mental disorder is long or parallel.
In addition to clarifying the above diagnostic points, detailed mental, physical and various physical and biochemical tests must be performed.
Diagnosis
Differential diagnosis
Differential diagnosis of mental disorders caused by somatic diseases:
1, brain organic mental disorders: brain organic mental disorders (brain organic mental disorders) refers to mental disorders caused by brain infections, degeneration, vascular disease, trauma, tumors, etc., also known as brain organic psychosis (brain organic psychosis). With the extension of human life, the aging population is gradually increasing, and the incidence of brain organic mental disorders is also significantly increased.
2, organic mental disorder: organic mental disorder - based on verifiable brain disease, brain damage or other damage caused by a group of mental disorders. The mental disorder can be primary, such as directly and selectively affecting the brain's disease, injury, and damage; it can also be secondary, such as certain systemic diseases and disorders, the brain is just multiple damaged organs. Or one of the systems. The term symptomatic mental disorder refers to the latter subgroup. See: organic psychosis.
3. Mental disorders caused by psychoactive substances: Mental disorders associated with psychoactive substances (referred to as substances) can be divided into two categories: one is the use of psychoactive substances (substance dependence disorder and substance abuse), and the other is spirit. Obstacles caused by active substances, including: psychoactive substance poisoning, psychoactive substance withdrawal reaction, psychoactive substance-induced paralysis, persistent dementia caused by psychoactive substances, persistent amnesia caused by psychoactive substances, spirit Psychic disorders caused by active substances, mood disorders caused by psychoactive substances, anxiety disorders caused by psychoactive substances, sexual dysfunction caused by psychoactive substances, and sleep disorders caused by psychoactive substances.
4. Mental disorders caused by non-dependent substances: mental disorders caused by non-dependent substances (mental dsorders cused by nn-ependent sbstances), certain non-dependent substances such as hormones, isoniazid, benzene, organic phosphorus, etc. In vitro, although it does not produce psychological and physiological dependence, it can affect an individual's mental state and produce psychotic symptoms, which are often confused with schizophrenia.
