Download Neurotic Disorders Somatophorm Disorders Reactive Psychosis

Functional (neurotic) disorders, related
to stress and reactive psychoses
MODEL OF NEUROTIC LIFE (VIRTUAL
MODEL OF NEUROSIS)
THE CONFLICT OF VIRTUAL QUERIES IN
THE REAL SPACE RESULTS TO :
 PEQULIARITY OF DIVIDING OF “ME” (“EGO”)
 WEAKNESSES of INTEGRATION of BASIC FUNCTIONS
of “ME”
 Archaic VIOLATIONS OF DIVIDING
 IMPOSSIBILITY TO SET LONG-TERM OBJECTIVE
RELATIONS
 APPEARANCES of “STRANGE OBJECTS”, to
COMMUNICATE AFTER LAW of BADMANNERED
 (G.Ammon)
• DISPLAYS OF SYMBIOTIC NECESSITY
Neurosis
 PRODUCT of ARCHAIC FEAR of IDENTITY BECAUSE OF
PATHOLOGICAL DELAY of SYMBIOSIS (G.Ammon) And
IMPOSSIBILITY to MOVE AWAY FROM NUCLEAR FAMILY
THAT BRINGS TO FEAR “ME” ABSORPTION.
 SYMPTOMACY is CONNECTED WITH GENERAL,
PRIMARY DIFFUSE And UNDIFFERENTIATED FEAR
 WITH SEARCH OF SELFIDENTITY IN VIRTUAL SPACE (
LOSS OF IDENTITY IS REAL)
 FEELING of EXISTENCE (REALIZATION OF ITSELF IN
THE REAL WORLD) POSSIBLE ONLY Within the framework
of NEUROTIC ACT WHICH DEPENDS ON DENSITY And
SPEED of VIBRATIONS of TRANSITION of the VIRTUAL
And REAL WORLDS
F 40-F 48 Neurotic, related to stress
and somatoform disorders
This is violation of higher nervous activity, and
neurovegetative functions which develop under act of
psychical traumas or long-term emotional tension
and appear mainly in an emotional sphere,
meantime as changes of thought and common
behavior are caused by the state of affect.
Social condition, somatic and mental condition in the
moment of psychic trauma, common overstrain,assist
development of neuroses,
Basic groups of clinical symptomacy, which is
characteristic for all types of neuroses.
1.Disorders of selfcontrol: discomfort, headacke, feeling
of «broken» (especially after sleep), fatigueability, decreasing
of capacity to work.
2. Emotional disorders: lability of mood, sensitivity, irritate,
propensity to the depressed reactions, fears and obsessive
scare, stormy affective with next exhaustion, inadequacy of
emotional reaction to force of irritant, control insufficiency after
emotional reactions.
3.Disorders of effector -volitional sphere and trains: violation of
appetite and sexual function, obsessive trains and actions,
insufficient control after behavior.
4. Disorders of other psychical functions:
4.1. attention (exhausting, carelessness, distraction or increased
enchained to the unpleasant feelings);
4.2.memory(forgetfulness, difficulties at memorizing and recreation of
information);
4.3. thought (obsessive thoughts, affect thinking, concentration of
ideas, round the illness);
4.4. feeling and perception (hyper-, hypo- and to anaesthesia,
parasthesia, senestopathy, unpleasant feelings in organs and parts of body
with disorders of their activity, functional blindness, deafness);
4.5. consciousness and selfconsciousness (affective narrowing of
consciousness at psychotraumic circumstances).
5. Somatovegetative disorders: hyperhydrosis, waves of heat,
dermografіzm, takhіkardіya, lability of pulse and arterial pressure, nausea,
difficulty in breathing, functional paresises and paraplegiya, stammer,
tremor of body and others like that.
F 40 Phobic anxious disorders
F 40.0 Agoraphoby
.00 Without panic disorder
.01 With panic disorder
F 40.1 Social phobias
F 40.2 Specific (isolated phobias)
F40.8 Other phobic anxious disorders
F 40.9 Phobic anxious disorder, nonspecified
Prepared by docent Venger O.P.
Translated by Snovyda L.T.
Peculiarities of neurotic agoraphobia
TSMA
ANXIOUSLY PHOBIC DISORDERS
 GROUP of DISORDERS AT WHICH ALARM is
CONNECTED With CONCRETE SITUATIONS OR
OBJECTS, THAT In ACTUAL MOMENT ARE not
DANGEROUS, BUT EXPERIENCED OR With SENSE
of FEAR, OR AVOIDED by PATIENTS.

• (AGORAPHOBIA, SOCIAL PHOBIAS, SPECIFIC ISOLATED
PHOBIAS)
AGORAPHOBIA
- A term of «agoraphobia» includes fears
of the not only opened spaces , but also
near to them situations, such, as a
presence of crowd and impossibility
immediately to go back into a safe place
(mainly home).
ICD-10
AGORAPHOBIA
• - Term unite at itself whole aggregate of
connect and partly consilient phobias
which unite fears to go out from home:
included in a shop, fear of crowd or
public places, and also to travel on
alone in trains, busses and airplanes.
ICD-10
AGORAPHOBIA
- In spite of the fact that intensity of alarm
and expression of avoiding behavior
can be different, it most disadaptive
from phobic disorders and some
patients become fully tied down to the
stay in houses.
ICD-10
• F 42 Obsessive - compulsive
disorders
• F 42.0 Disorder is with predominance of obsessive
thoughts or actions
 F 42.1 Disorder with predominance of
obsessive actions (obsessive rituals)
 F 42.2 Obsessive ideas and actions
 F 42.8 Other obsessive - compulsive
disorders
 F 42.9 obsessive - compulsive disorder,
unspecified
ICD-10
 are characterized by appearance of the
obsessive states after a psychical trauma.
Clinically shows up the syndrome of
obsession.
 Obsessive doubting.
Uncertainty in the rightness
of the carried out or carried out actions, that
insistingly arises up despite logical reasons.
 Obsessive flashbacks. Annoying flashbacks of
some sad, unpleasant or disgraceful for a
patient event are despite attempts not to think
about it.
• Obsessive imagination . Appearance of untruthful
imagination which a patient takes for reality without
regard to their absurdity.
ICD-10
Obsessive trains (inclinations). Attempt to carry out
some extremely undesirable action, which is
•accompanied the creepy and panic feeling for
impossibility to rid of such trains.
Obsessive fears (phobias). Obsessive and senseless
dread of height, large streets, opened or limited spaces,
accumulation of people, fear to become ill by incurable
illness or unexpectedly to die.
Obsessive actions. Motions which are carried out
against the will of patients, without regard to effort to
hold back from their implementation. One of obsessive
actions fill thoughts of patient until will not be realized,
other - not noticed.
ICD-10
F 44 Dissociative(conversions) disorders
F 44.Dissociative amnesia
F 44.1 Dissociative fugue
F 44.2 Dissociative stupor
F 44.3 Trance and state of obsession
F 44.4.Dissociative motive disorders
F 44.5 Dissociative cramps
F 44.6 Dissociative anaesthesia
.80Hanzer Syndrome
.81 Plural personality disorder
The clinical picture of illness is
characterized by considerable lability of
emotions and transition of psychical
component in somatoneurological. It is
an unique form of neurosis, which the
quality changes of consciousness are
possible at. Practically all symptoms of
hysteria have protective for a patient
character in accordance with the
concrete psychotraumatic situation. They
bring a person a certain moral benefit, as
decrease some other heavy
experiencing.
F 43 Reactions on heavy stress
and disorders of adaptation
F 43.0 the Sharp reaction on stress
.00 Insignificant
.01 Moderate
.02 Considerable
F 43.1 Postraumatical stress
disorder
F 43.2 Disorders of adaptation
.20 Brief depressed reaction
.21 Protracted depressed
reaction
A reaction on strong stress and
violation of adaptation (reactive
psychoses).
Reactive psychoses, which are
delivered according to ICD 10 in
section ”reactions on strong stress
and violation of adaptation” it is
pathological reactions of psychotic
level on psychical traumas or
unfavorable situations, which cause
fear, alarm, offense, melancholy or
other negative emotions.
Among reactive psychoses
distinguish: 1) affective-shock
reactions; 2) reactive depression; 3)
reactive paranoid; 4) hysterical
psychoses.
F 45 Somatoform disorders
F 45.0 Somaticdisorder
F 45.1 Somatoform disorder
undifferentiated
F 45.2 Hypochondric disorder
F 45.3 Autonomous somatoform
disorders (disfunctions)
.30 of the cardio -vascular system
.31 of the upper departments of
stomack-intestine way
.32 of the lower departments of
stomack-intestine way
.33 of the respiratory system
.34 of the urine-sexual system
Neurasthenia
- it is predominance of the phenomena of
asthenisation;
- it is the permanent common feeling of
tension with heavy presentiments;
- increased confusion in relation to criticism
to the own address;
- it is an unwillingness to enter into a
contact without a guarantee to please,
avoiding social or professional activity which
is related to the considerable social
contacts, in connection with the presence of
fear of criticism, or ignoring;
- it is narrow-mindedness of the vital and
social mode from a necessity in physical
and psychological safety.
• Treatment of neuroses. A primary value has
removing influence on the patient of unfavorable
emotional factors, and if it is impossible, it is
necessary to change attitude sick toward a
psychotraumatic factor. With this aim apply
different psychotherapy methods, in particular
rational psychotherapy, various types of
hypnotherapy and autotraining.
• From medications recommend commonhealing,
sedative and tonic, sometimes prescribe small
doses of neuroleptic preparations. Depressants
are usually good at the beginning of treatment
(preparations of valerian, elenium, tazepam,
seduxen), in future the tonic connect
preparations (tincture to ginseng, Chinese
lymonnyka, extract of eleuterococcus, pantokryn
and others like that).