Doctors, come in quickly ~ ~ help me see what disease this is! !

This is called hysteria, also called hysteria, which is more common in women and often occurs when the spirit is stimulated.

Hysteria, also known as hysteria. This is a mental disorder caused by mental factors, such as major life events, inner conflicts, emotional excitement, suggestion or self-suggestion, which acts on susceptible individuals. Mainly manifested as various physical symptoms, narrowing the scope of consciousness, selective forgetting or emotional outbursts and other mental symptoms; However, there is no corresponding organic damage as its pathological basis.

The cause of disease

Mental factors, especially mental tension and fear, are important factors causing hysteria. The acute hysteria in this kind of battle is particularly obvious.

Traumatic experiences in childhood, such as mental abuse, physical or sexual destruction, are one of the important areas in which transformed and separated hysteria occurs in adulthood. Whether mental factors cause symptoms or what type of hysteria is related to the physiological and psychological quality of patients. Women who are emotionally unstable, easy to accept hints, often hypnotize themselves, have low education level, are superstitious, and are in adolescence or menopause are more prone to hysteria than the average person.

People who have strong emotional reactions, exaggerated expressions, seek the continuous attention of others and are self-centered are prone to hysteria after being frustrated, having psychological conflicts or accepting hints. But this personality trait is not a necessary condition for hysteria. Some people who do not belong to this personality will also have hysteria reaction under the influence of strong mental factors.

The genetic research results of hysteria are quite inconsistent. Some studies think that hysteria is influenced by genetic factors, while others think that genetic influence is very small. Some people think that hysteria is a multifactorial genetic form.

symptom

Clinical manifestations: The clinical manifestations of hysteria are very complicated and diverse, which can be generally divided into the following types:

First, hysterical mental disorder.

Also known as dissociative mental disorder. The main manifestations are narrow range of seizure consciousness, sudden outburst of emotions with venting characteristics, selective forgetting or self-identity disorder. This type of hysteria usually has obvious mental factors at the onset. Although the patient himself denies it, in others' view, the outbreak of the disease is often beneficial for the patient to get out of the predicament, vent his depressed emotions, gain sympathy from others, or get support and compensation. Repetition writers usually get sick because they recall and associate events or situations related to past traumatic experiences. According to the clinical characteristics, this type can be divided into the following categories.

1, the hazy state of hysteria.

2. Emotional outbursts.

3. hysterical fugue.

4. Hysterical pseudodementia.

5, trance state and concentration state.

6. hysterical coma.

7. Hysterical amnesia.

8. Multiple personalities.

9. Hysterical psychosis.

Second, hysterical physical disorder.

Include conversion symptoms such as dyskinesia and sensory disorders and somatization symptoms such as somatic and visceral disorders. Physical examination, nervous system examination and laboratory examination can not find the corresponding organic damage of internal organs and nervous system; Neurological symptoms do not conform to the characteristics of neuroanatomy and physiology.

1. Dyskinesia: It can be manifested as increased, decreased or abnormal movement.

2. Sensory disorder: It can be manifested as physical hypersensitivity, absence or abnormality, or special sensory disorder.

3. Somatization disorder: Patients have a variety of recurrent and frequently changing somatic symptoms for a long time, which can involve any part and system of the body, but gastrointestinal symptoms (such as abdominal pain, nausea, vomiting and flatulence), abnormal skin sensation (such as itching, burning sensation, numbness and ant walking) and urogenital symptoms are the most common. Although no organic lesions were found after repeated examination by doctors, patients still sought medical advice everywhere and refused to accept doctors' advice. The course of the disease is chronic, and most of the patients are women.

Third, the special performance of hysteria:

1. A mass hysteria.

2. neurosis compensation.

3. Occupational neurosis.

cheque

The psychotic symptoms and somatic symptoms of hysteria can be seen in a variety of neuropsychiatric and somatic diseases. A large number of follow-up observation results show that organic diseases of nervous system, such as epilepsy, multiple sclerosis, hepatolenticular degeneration, intracranial space-occupying lesions and so on. Mental illness, such as schizophrenia, depression, personality disorder, etc. Physical diseases, such as hematoporphyrin disease, hepatic coma, tetanus, etc. , were misdiagnosed as hysteria. The reason is that the symptoms of hysteria are not specific enough. Clinicians are only induced by patients' symptoms ① psychological factors; ③ No organic symptoms can be found: ③ The influence of language suggestion is acceptable, which makes the diagnosis of hysteria unreliable. Correct clinical diagnosis should be based on fully excluding all kinds of neuropsychiatric diseases and somatic diseases that can cause hysteria symptoms. This requires clinicians not only to carefully understand the medical history of this kind of organic diseases, but also to carefully observe the signs or suspicious clues of organic diseases, and then further adopt more reliable modern inspection methods, such as computerized brain tomography and nuclear magnetic resonance. In the early stage of some organic diseases, the evidence of organic damage is not easy to find, so long-term clinical follow-up is needed to make a final diagnosis. In the course of follow-up, the treatment effect is remarkable, and the symptoms are completely eliminated, which is helpful for the diagnosis.

The common diseases that need special identification in clinic are epilepsy. Epilepsy patients can have hysteria symptoms at the same time, and seizures and hysterical seizures coexist. At this point, we should be careful not to use substitution exclusion method to avoid missed diagnosis.

The symptoms of hysteria can be seen in schizophrenia and emotional disorders. If the symptoms of the latter two are present, the diagnosis of the latter two should be considered first.

treat cordially

1. Psychotherapy: it is a basic sub-measure to treat hysteria, mainly including the following aspects:

1. Hint therapy:

It is an effective measure to eliminate hysterical physical disorder, especially suitable for patients with acute attack. There are two kinds of arousal suggestion and hypnotic suggestion. Patients urgently require the healer to achieve good results through verbal hints or appropriate physical therapy, acupuncture or massage when awake. Cases with a long course of disease and unknown etiology often need the help of drugs or language hypnosis therapy to eliminate the psychological resistance of patients in order to achieve better results.

2. Hypnotherapy:

In addition to enhancing suggestibility and eliminating physical symptoms of hysteria, it can also be used to treat patients with hysteria, such as amnesia, multiple personality, silence, stupor, emotional injury or depression. Under hypnosis, the forgotten traumatic experience can be reproduced, and the repressed emotions can be released, thus achieving the purpose of eliminating symptoms.

In the hypnotic or awakening state, the treatment method of guiding patients to pour out their inner anguish and let the injured or depressed complex vent outward is called catharsis therapy. It can achieve good results for hysteria patients with prominent emotional disorders.

3. Explanatory psychotherapy:

The main purpose is to guide patients to correctly understand and treat the mental factors that cause diseases, understand the nature of diseases, help patients analyze personality defects, and the ways and methods to overcome personality defects. It is suitable for all types of hysteria except hysteria, temperament and mental illness.

4. Analytical psychotherapy:

Focus on exploring patients' unconscious motivation, guide patients to understand the impact of unconscious motivation on health and eliminate it. Mainly used for hysterical amnesia, multiple personalities and various physical disorders. Psychoanalytic techniques or understanding therapy can be used.

5. Behavioral therapy.

6. Family therapy.

Medicine and physical therapy.

1. It is difficult to receive formal psychotherapy when using drugs to treat hysterical hazy state, psychotic state or epileptic seizure.

2. Physical therapy: Acupuncture or electrical stimulation is good for hysterical paralysis, deafness, blindness, aphonia or limb twitching.