Psychomotor excitement
Contents:
Description:
Psychomotor excitement is the morbid condition which is characterized by motive concern of different degree of manifestation (from fussiness before destructive actions), often followed by speech excitement (loquacity, shouts of phrases, words, separate sounds). Along with it pronounced affective frustration are characteristic: alarm, confusion, anger, malignancy, aggression, fun and so on.
Symptoms of Psychomotor excitement:
The basic in clinic is strengthening of a mental and physical activity.
* Course of a disease always acute
* Disturbance of consciousness which can be shown by a delirium, stupefaction (twilight consciousness), nonsense is noted.
* The thinking accelerated, broken-off (dissociative)
* There can be illusions and hallucinations
* There is no criticism to the state. The mood eyforichny (is increased) (gipertimny mood)
Reasons of Psychomotor excitement:
1. Acute reaction on a stress at mentally healthy faces at extreme situations (reactive psychosis). Arises at once after a mental injury or effects of life-threatening situations (road accident, an earthquake, etc.). It is expressed by motive concern of different degree of manifestation (from uniform monotonous excitement with inarticulate sounds to a picture of senseless excitement with panic flight, drawing self-damages, a suicide). Quite often excitement is replaced by a stupor.
2. Acute stages of infectious diseases with TsNS intoxication toxins of bacteria, viruses.
3. Damages of a brain: craniocereberal injuries, general paralysis.
4. Epilepsy — epileptic excitement arises at twilight disorder of consciousness at patients with epilepsy (the anamnesis is important). It is characterized by the sudden beginning and so sudden end, is followed by rage, aggression, utter impossibility of contact. Are extremely dangerous to people around as destroy everything that meets on the way.
5. Acute and chronic intoxications, including atropinic, alcoholic, alcoholic psychosis or tremens.
6. A delirium — hallucinatory stupefaction with dominance of visual hallucinations, followed by figurative nonsense (the nonsense is the false conclusion untrue, arising in connection with a disease) sensation of fear, a tremor, tachycardia, perspiration, subfebrile temperature, a hyperreflexia.
7. A hypoxia and toxic damages of a brain in prekomatozny and comas of various etiology.
8. Hysteria. Is response to the external irritating factor, however the reason which caused it does not correspond to response force that is connected with psychological features of character of patients. Excitement with malignancy, aggression is addressed to the particular persons who offended the patient. Demonstrativeness in behavior of the patient, his aspiration to draw attention of people around, to cause their sympathy or approval is characteristic. Patients sob, shout, hands wave, there can be aggressive actions concerning people around, and also demonstrative suicide attempts.
9. Mental diseases:
* Depressive psychosis — develops at patients with a depression at sharp strengthening of depressive experiences in the form of the increasing intolerable melancholy, a hopelessness, despair. Patients rush about, groan, howl, persistently put themselves damages, actively aim at a suicide.
* Maniacal excitement — bystry change of mood from fun to anger, fussiness, patients do not sit on site, in everything interfere, undertake a set of cases, without finishing any. Sometimes ideas of greatness. At objections patients become irascible.
* Schizophrenia
* Bipolar affective disorder
Treatment of Psychomotor excitement:
* Immediate hospitalization in an insane hospital and isolation of the patient. In need of its fixing (binding, attachment to a bed, use of a strait jacket) as these patients are dangerous to people around.
* Use of tranquilizers and neuroleptics: haloperidol, aminazine, hydrochloride, Relanium, sodium hydroxybutyrate, Tisercinum, chlorprothixene.
The excitement ease, lull of the patient should not reduce intensity of treatment and observation of the patient as excitement can be resumed with a former force.
