Sunday, 20 May 2018

Psychosis

Psychosis

Psychosis is the collective name of a group of different mental disorders.

Psychosis is a clearly expressed violation of mental activity, which is accompanied by a gross contradiction of mental reactions and the real situation. This is expressed by a violation of the perception of the real world, disorganization of behavior, pathological memory disorders, perception, thinking.

Causes of psychosis:


-external (infectious diseases (tuberculosis, influenza, syphilis, typhus), poisoning with alcohol, narcotic substances, industrial poisons, psychotrauma, stress)

-internal (neurological disorders, endocrine diseases)

Risk factors for the development of psychosis: the presence of severe chronic or acute mental disorder (schizophrenia, depression, mania), severe infectious or somatic diseases, intoxications, injuries and degenerative changes in the brain, alcohol and drug use. Perhaps the influence of genetic factors.


The development of medicine has led to the realization that many rare genetic syndromes and diseases can be mistaken for an exclusively mental disorder. Attempts to systematize accumulated information for the purpose of more accurate differential diagnosis. Thus, in one 2008 article of 62 major diseases in which psychosis can occur in childhood or early life: 18 of them can be diagnosed “on the run” according to the bright phenotype of patients, 17 associated with mental retardation, 45 are characterized by pronounced neurological signs , However, noted that 34 diseases from this list can debut without vivid characteristic features, which creates the risk of false diagnosis


Symptoms of psychosis:

-different changes in behavior, thinking, emotions, which demonstrate the loss of a person’s real perception of the world.

– Depressed condition, suicidal thoughts

-Gallucination and delusional utterances. Examples of hallucinations: talking to yourself, causeless laughter, listening and pausing. Signs of delusional behavior: the emergence of secrecy and hostility, statements of a questionable nature (persecution, exaltation of oneself, etc.).

Diagnosis of psychosis

Diagnostic examination includes the study of the characteristics of the clinical course of psychosis, as well as the characteristic dynamics of the disorder of the psyche. Most of the symptoms appear in a lightened form, even before the onset of the disease and act as its precursors.

The first signs are very difficult to recognize if psychosis has a gradual onset, but the first signs on which you need to pay attention are this:

– changes in character (restlessness, uncontrolled aggression, nervousness)

-change of a typical lifestyle (sleep disturbance, loss of interest, lack of appetite, sloppy or unusual appearance)


Treatment of psychosis

These patients necessarily need to be hospitalized, because of the changed consciousness they can not assess the level of mental frustration. Because of the inability to control their behavior to harm others, they do not realize it themselves.

In the hospital, such patients are prescribed medication and psychotherapy, with positive dynamics of the condition. At further stages, treatment may include cognitive behavioral therapy. Most patients completely recover with adequate treatment and timely medical care. Otherwise, psychosis can repeatedly occur.

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