Neurosis-like frustration
Contents:
Description:
Neurosis-like states (neurosis-like frustration, pseudo-neurotic states) - group of the psychological disturbances resembling neurosises (frustration of neurotic level of reaction) superficially, but which are not caused by psychogenic influences. They are intermediate between organic diseases and neurosises, getting closer to the first. In the past such states were designated as "organoids".
Symptoms of Neurosis-like frustration:
The asthenic (pseudo-neurotic) state at children is quite often shown by a hyperactivity (a syndrome of motive disinhibition). Isteroformnye and senestopathetically - hypochiondrial states meet rather seldom. Phobic frustration proceed in the form of neurosis-like fears specific (for example, fear of death) or uncertain contents, nightmares and nightmares; depressive and dysthymic states (bad mood, tearfulness, discontent with and to people around at the expressed vegetative frustration). Periodically on this background there can be affects of aggression. Monosymptomatic motive and somatovegetativny frustration in the form of neurosis-like tics, stutter, enuresis, an enkoprez especially often occur at children. Unlike the corresponding forms of system neurosises the specified monosimptomny N. pages are characterized by stereotype of clinical manifestations, monotony of a current, the indifferent relation of the child, especially preschool and younger school age, to the state.
Neurosis-like states need to be differentiated from neurosises with similar clinical symptoms. At the same time and main lack of communication neurosis-like states with the psychoinjuring conflict situations, the current duration, smaller efficiency of psychotherapeutic influences are essential (though the last at any disease well influence the patient). Monosimptomny neurosis-like states, for example tics, it is necessary to distinguish from tics of an organic origin. At the last accurate cause and effect temporary communication between the postponed organic lesion of a brain and emergence of this hyperkinesia is noted that is absent at a neurosis-like tic. However in many cases for the final decision of a question of the disease nature (organic, psychogenic, neurosis-like) long observation, detailed clinical and paraclinic inspection are required.
Reasons of Neurosis-like frustration:
Slight residual cerebral pathology is the cornerstone of neurosis-like frustration (preferential compensated, is more rare - subcompensated) owing to a prenatal dizontogenez or postponed after the birth (is more often at early age) diseases of a nervous system of traumatic, infectious and other etiology, and also somatic pathology - the centers of a persistent focal infection, disease of cardiovascular system, lungs, digestive tract, organism allergization. At clinical trials quite often find in such patients neurologic microorganic disturbances and slight dysfunction of deep structures of a brain - hypothalamic area, a reticular formation, limbic system. Also significance of inborn, including hereditary inferiority of the certain functional systems of a brain regulating psychomotor and vegetative activity of an organism is attached.
Treatment of Neurosis-like frustration:
Treatment of a basic disease in combination with psychotherapy and symptomatic means is necessary. The large role is played by biological therapy, in particular, use vegetotropny, desensibilizing, normalizing a cerebral blood stream, resorptional and dehydrating and nootropic drugs, tranquilizers, and also physical therapy. Physiotherapeutic means and IRT are especially effective at the asthenic states caused by chronic gynecologic diseases ("a syndrome of a small pelvis").
