Neurosis are a group of reversible disorders of the nervous system, the occurrence of which is associated with stressful factors and insufficient protection of the body. These mental States are not characterized by hallucinations, delusions and reduced critical attitude towards their disease. In the case of the development of these disorders result from craniocerebral trauma, stroke and intoxication we are talking about neurosis-like state.
As stressful factors are auditory (words), visual (fire), and written stimuli (letters), and so on, Neurosis develops as a result of long-term impact or excessive force psychogenic factor. The power of mental influence affects not the physical intensity of the signal, and the significance of the information for a specific person. The emergence of neurosis does not depend on the type of nervous activity. However, most often anxiety affects people with such traits as anxiety, emotionality, inclination towards hypochondria, demonstrative, etc.
When nervousness is marked obsessive, hysterical symptoms, critical attitude towards them, disorders of autonomic and somatic in nature.
In most cases, the emergence of these diseases due to the action of weak but long-acting irritants. These factors cause permanent emotional stress or internal conflicts. In addition, in the development of neuroses important role is genetic predisposition.
Neurosis is represented by the following varieties:
1. Neurasthenia. Differently, this pathology is called asthenic neurosis. This disease is manifested increased mental and physical fatigue, distraction, lower efficiency, etc. These patients complained of reduced energy, the appearance of weakness and fatigue, intolerance to normal load. There can be combination of mental exhaustion with increased excitability. In some cases develop pathological somatovegetative changes. We are talking about hyperhidrosis, diseases of the cardiovascular system and other
2. Neurosis obsessive-compulsive disorder. Notes monomorphic nature of each particular neurosis.
3. The hysteria. Characteristic motor and sensory abnormalities, and autonomic disorders, hiding behind the mask of somatic and neurological disorders (conversion form of hysteria).
The difference between neurosis from psychosis is saving the desire to confront their disease. Neurosis-like States are characterized by polymorphism of symptoms and the tendency to further progression of the clinical picture.
The combat neurosis is complex. Treatment consists of the use of psychotropic drugs and tonic preparations and conduct of psychotherapy and physiotherapy.
In most cases, neurosis treated with tranquilizers (phenazepam, diazepam). In the case of persistent obsessions and massive hysterical disorders, these drugs are injected intramuscularly or intravenously. In addition, use small doses of neuroleptics (aminosyn, tizertsin).
Patients with asthenic symptoms prescribe tranquilizers with nootropic drugs (piracetam, eminole). Expressed depressive disorders is an indication for the use of antidepressants (amitriptyline).