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The neurotic frustration connected with a stress can be allocated as a separate class of diseases in psychiatry. Such states at children and adults differ in the fact that in most cases patients are quite able-bodied. Therefore, adequate treatment is not made as specialists such people ask for the help in rare instances or do not address in general. Sometimes symptoms of diseases indicate absolutely other illnesses owing to what treatment and prevention of diseases of a gastrointestinal tract, an arterial hypertension, dystonia and other illnesses is carried out.
Therefore it is important that at the first suspicions on development in sick neurotic frustration he addressed for consultation the psychotherapist or the psychiatrist.
Several groups of neurotic states which are characterized by certain manifestations and characteristic symptoms are allocated.
The main sign of phobias as neurotic frustration are manifestation of strong fears and alarming states. In certain cases at the patient the constant condition of uneasiness which either happens uncertain is shown, or has a certain accurate focus. A phobia it is accepted to call strong and at the same time unconscious feeling of fear in relation to object or to a certain situation. The person subject to a phobia constantly stays in an alarming state and feels the threat or danger proceeding from that phenomenon or object which frightens him.
At the patient in such state an asthma, panic feeling of fear, strong heartbeat, nausea, dizziness can be shown. Such signs are characteristic of all types of phobias which are suffered by the person. If the patient with such disease gets into a difficult situation, then it shows the strong alarm turning into panic. Not to allow similar manifestations of the patient tries to protect himself from contacts with object of fear and, respectively, it is to some extent isolated from society. As a result, in everyday life it often has difficulties.
At the same time to the doctor of people, subject to phobias, addresses rather seldom. To specialists patients who are subject to fear of serious diseases or fast death generally come. More often women face irrational fears. At the same time quite often the person accurately realizes that his fear has no rational explanations, and tries to cope with it.
Doctors select the extensive list of phobias today, however they can be subdivided into three big types. At social phobias at the person fear of society, and also various situations which daily occurs in society is shown. Specialists define a social phobia today as such which is capable to spoil quality of human life seriously.
At an agoraphobia of the patient suffers from manifestation of irrational fear to appear in a trap.
One more kind of fears — specific phobias at which the patient has a fear of certain objects and situations. Bacteria, spiders, snakes, medicine, etc. can cause fear. Such fears exists much, and their quantity constantly grows.
Treatment of phobias depends on specific features of a disease and the most sick, in particular on his will power and character. One of the methods applied in process treatment of phobias is use of impact on the patient of object of his fear. A certain situation is modelled, and the person remains alone with the fear. Thanks to such approach to the patient understanding that this object does not do real harm to it comes.
Also the opposition technique which consists in training of the person in the methods of a relaxation allowing to relax and cope with fear is applied in the course of therapy.
Separately specialists allocate panic attacks at which at the patient the sudden strong feeling of alarm which turns into panic develops. The objective reasons for such state at the same time are not observed. At alarming states symptoms of a depression are often observed.
Obsessional syndrome it is accepted to call a state of which clinical picture existence at the person of constant fears, thoughts, the feelings arising in spite of himself is characteristic. At the same time the patient realizes that they are painful, and critically treats them. But independently it is not capable to overcome such state.
Specialists subdivide a condition of persistence into several groups. If at the patient take place sensual (figurative) persistence, then he is disturbed by persuasive doubts in correctness of actions, reminiscence of events unpleasant to the person, persuasive representations of unpleasant situations, actions, fears, feeling of antipathy.
At development in the patient of persuasive fears very often there are also certain rituals which, in opinion it is sick protect it from fear. For example, for the prevention of misfortune of people steadily has to knock ten times on a tree.
At navyazchivost of affective and neutral contents at the patient persuasive sophistication, reminiscence of words or terms, the account is shown.
Conditions of persistence can be various, and at the same time awareness of abnormality and uselessness of thoughts and acts is characteristic of all of them, but at the same time their insuperability takes place.
Treatment of persuasive states is carried out by medicamentous therapy. To the patient antidepressants, tranquilizers are appointed. Besides, the method of kongnitivno-behavioural therapy which consists in gradual training of the patient in the correct forms of behavior and thinking by means of psychotherapeutic procedures practices. In especially hard cases two methods are combined.
The states caused by a severe stress
This group includes any neurotic state which causes very strong influence of a stress. The death of the loved one, attack of the malefactor, sudden loss of property, etc. can become such stressful situation. This state can arise both at adults, and at children. It is shown by acute symptoms at which at the patient inadequacy, strong excitability, confusion is noted. Such signs take place at once after influence of a stress. If the set aside manifestations which arise after heavy events after a while develop, then at the person the asthenoneurotic, alarming and neurotic state, frustration of a dream, depressiveness and other manifestations can be noted. Only the specialist has to select methods of treatment in such cases.
Dissociative frustration it is accepted to call those frustration at which the person partially or completely loses a ratio between memories of the past, understanding own "I" and the current feelings, control over the movements of a body.
In essence the dissociation is a certain psychological protection. The person who behaves in this way at a severe stress can describe the behavior the words "it seemed that all this is made not by me". In certain cases it can be defined as the normal psychological mechanism. But sometimes the person for a long time loses control, badly realizes surrounding events, does not remember many things. In this case it is about an illness.
Most often dissociative frustration happen sudden therefore from outside it is difficult to define them. Very often the patient denies problems even if to people around they seem obvious.
Depending on a kind of dissociative frustration its symptoms can be shown differently. If at the person dissociative amnesia is noted, he can lose memory owing to recently occurred serious stressful situations. If at treatment hypnosis is applied, then the patient remembers all lost moments. As a rule, the patient stays in a quiet state though at it a certain degree of absent-mindedness can sometimes be noted. Sometimes the person behaves as if he is a tramp. For example, several days it can not wash at all. Dissociative amnesia is, as a rule, fixed at people of working-age. This frustration is frequent it is noted at men who participated in military operations.
At the dissociative fugue the same signs are noted, as well as at dissociative amnesia. However the person can lose memory of events which took place to an illness completely. The patient can go at the same time to travel to any place connected with his emotions or absolutely unexpected. Externally the person looks rather normal: he adequately behaves in society, follows rules of hygiene. However the patient can sometimes consider himself as absolutely other person. The period of the fugue of people completely forgets.
In a condition of a dissociative stupor at the patient reactions to external irritants, and also autokinesias practically disappear. He can sit very long silently in one pose, at the same time the speech in whole or in part vanishes. Sometimes at the person the consciousness is broken, however at the same time he does not sleep and is not in an unconsciousness.
In a condition of a trance and obsession at the patient for some time understanding of world around and own "I" is lost. In certain cases other person can manage his acts. In such condition of people can focus attention only on a certain aspect, at the same time it will often repeat a certain set of phrases, movements.
At dissociative frustration of feelings and movements of the patient cannot move at all, or his movements are complicated. Sensitivity of integuments is lost. Sometimes the shown symptoms demonstrate idea of the patient of a certain illness.
Diagnosis of such state is carried out, based on existence of the described symptoms, lack of disturbances of physical or neurologic character with which they could be connected. Dissociative frustration are connected with stresses, unsoluble problems. In the course of frustration treatment the main method is the psychotherapy. Technicians at whom hypnosis practices are generally used. As a rule, such frustration both arise, and take place suddenly, but very often there is their recurrence.
Somatoformny frustration call somatic symptoms which doctors cannot explain with organic diseases. At the same time they are not a consequence of other mental diseases.
Three groups of such frustration are allocated: the somatized frustration, vegetative somatoformny dysfunction, hypochiondrial frustration. However all these groups of frustration can be shown in different combinations therefore their general definition — somatoformny frustration is generally used
The main manifestation of such frustration is regular existence at the person of complaints to own health. And, such complaints are shown even if inspections and lack of symptoms testify about normal health.
Specialists closely connect Somatoformny frustration with conditions of alarm, a depression, hysteria, morbid depression. One of distinguishing characters of such diseases are numerous complaints to work of certain groups of bodies and the insistent requirement of their treatment. Even does not wish to speak about the psychological reasons of such complaints of the patient: he is accurately sure that he is sick with a somatic illness.
Treatments of such frustration it is carried out in a complex, with a combination of psychotherapeutic methods and reception of medicamentous means. Methods of psychotherapy beg individually, taking into account a condition of the person. Pharmacotherapy assumes purposes of a course of treatment tranquilizers, tricyclic antidepressants, selective serotonin reuptake inhibitors, neuroleptics in different combinations. Also sick reception of nootropic means, acupuncture, physical therapy is recommended. Treatment lasts about one and a half month as at its sharp cancellation recurrence is inevitable.
Condition of depersonalization
The condition of depersonalization (derealization) is shown by frustration of self-perception: the person perceives himself and own actions as if from outside, he makes impression that it cannot manage them. In certain moments of life in such state each person can stay. Depersonalization is shown as a result of a serious stressful situation and leaves after effects of such stress become not so acute.
But sometimes these symptoms do not disappear. The person in such state as if feels out of the body, goes in cycles in this state that, in turn, causes in it alarm. As a result, at the patient a certain stereotype of thinking develops. Such state is characteristic of people who suffer from panic attacks. The person cannot explain the state, but it for it is burdensome.
In the course of treatment of such state use of psychopharmacological therapy practices. Psychotropic drugs are selected strictly individually. Tranquilizers, antidepressants, neuroleptics are applied. Methods of rational psychotherapy, hypnosis, auto-trainings practice.
The condition of a neurasthenia is also called a condition of irritable weakness, nervous exhaustion. Frustration belongs to group of nervoz. At development of such disturbance of people becomes quick-tempered, tearful, and, crying is shown at once after an anger attack. Except differences of mood, disturbances of appetite, a dream, irritability are characteristic of this state. At the patient working capacity decreases, memory is broken.
In a condition of a neurasthenia at the patient at the same time nervous irritability and strong fatigue is noted. Often the person complains of tachycardia attacks, feeling of shortage of air, the pricking pain in heart. Sometimes it seems to it that heart fights very slowly, but at the same time the cardiogram does not show pathological changes. The person badly feels in transport – he feels sick and rocks to sleep. In the morning headaches and dizzinesses can be shown. Are characteristic of a condition of a neurasthenia and manifestation of different phobias, panic attacks, baseless scare at sharp awakening or in the course of backfilling.
It is accepted to distinguish three stages of a neurasthenia. At the first stage of people differs in an acrimony and excitability. People, as a rule, do not wish to consider such state as an illness.
At the second stage of an illness except irritability of the patient notes constant strong fatigue. The third, hyposthenic stage of a neurasthenia is shown, except other, by apathy, drowsiness, depression.
The reasons of display of this disease doctors allocate much. In general the modern way of life of people often promotes development of a neurasthenia. It can develop as an effect of chronic deficit of a dream, too large volumes of work, lack of normal rest. Besides, the factors provoking development of an asthenoneurotic syndrome are smoking, alcohol, persistent infections, bad food, heredity, a craniocereberal injury, a patrimonial and pre-natal hypoxia, endocrine disturbances.
The neurasthenia cannot be cured without address to the specialist. But except passing of the course of treatment appointed by the neuropathologist the person needs to change completely way of life, having taken care of normal rest, absence of constant stresses. It is important to look for sources of positive emotions therefore in the course of treatment occupations by yoga, meditation, art therapy often practice. It is not less important to provide daily normal physical activity, to refuse coffee, alcohol, cigarettes, energy drinks. Each person should consider that if the symptoms described above proceed two weeks and more, then it is necessary to see a doctor, without tightening with it.
Section: Mental, depressive disorders