Hysterical aphonia

Description:

Hysterical aphonia (hysterical a mutism) - disturbance of informal conversation.

Symptoms of the Hysterical aphonia:

The hysterical aphonia (loss of sonority of a voice) and hysterical mutism can be observed (disturbance of the speech — dumbness). The spasm of phonatory bands is the cornerstone of a hysterical mutism. Unlike integrally caused aphonia, cough at patients remains sonorous, as well as in a case with a hysterical mutism.

Patients with a hysterical mutism try and willingly communicate gestures or in writing. Unlike patients with organic aphasia, at patients with a hysterical mutism the understanding of oral speech, reading, the letter remained, but patients reluctantly did attempts to speak, preferring to express in writing. The mutism caused by the psychoinjuring experience gives a picture of numbness of language, disturbance of its movement in a mouth (sluggishness), impossibility to put out tongue out of limits of an oral cavity, and also disturbance of sensitivity of language, a pharynx, skin around a mouth and area of a trachea. The hysterical mutism can stop at once — and there will occur recovery.

Reasons of the Hysterical aphonia:

The hysterical aphonia develops under the influence of mental injuries. At patients sonority of a voice, and unlike the aphonia caused by organic lesions of a nervous system vanishes, cough at patients remains sonorous.

Treatment of the Hysterical aphonia:

Usually hysterical symptom complexes arise sharply and when medical help is given out of time, can be recorded for many years. The main method of treatment at the same time is the psychotherapy in combination with medicamentous means. In very hard cases apply hypnosis with an explanation. The method of auto-suggestion and an autogenic training matter.

Against the background of psychotherapy sick with hysterical prozopalgiya appoint tranquilizers: diazepam (Seduxenum), chlordiazepoxide (Elenium), Trioxazinum, Meprotanum (андаксин), etc. among which diazepam appears the most effective. It is appointed on 0,005 g by 2 — 3 times a day. It is desirable to pick up a dose individually, starting with minimum and gradually increasing it. Apply also a valerian root, bromine drugs, barbital-sodium (medinal) and tincture of a motherwort in combination with small doses of caffeine.

Treatment of hysterical paralyzes, paresis and disturbances of sensitivity can also be successful only if the psychotherapy is combined with medicamentous therapy and electroprocedures.

The patient with a hysterical lockjaw and a hysterical glossoplegia (glossoparezy) appoint a course of treatment caffeine and barbamyl: subcutaneously enter 1 ml of 20% of solution of caffeine and then 5 — 10 min. later very slowly — 3 — 5 ml of 5% of solution of barbamyl. Inspire in the patient that the disturbances which are available for him will gradually smooth out. Course of treatment of 6 — 10 sessions.

Recommend to patients with easy and average forms of a disease daily occupations morning exercises. The physiotherapy exercises with the subsequent heat baths are shown, it is desirable in the conditions of sanatorium (change of a situation).