Reactive psychosis

Introduction to reactive psychosis Reactive psychosis is caused directly by intense or persistent stressfulness. The main content of clinical manifestations is closely related to trauma, accompanied by corresponding emotional experience, which is easily understood by humans. Once the pathogenic factors are eliminated or the environment After the change and appropriate treatment, the mental state can return to normal, so the prognosis of reactive psychosis is good, and generally no longer relapse. The immediate cause of the disease is a mental factor, which can be a sad, frightening or threatening event, such as a sudden death of a loved one, a natural disaster or an accident: it can also be a persistent and heavy inner conflict and emotional experience, such as difficulty Settlement disputes, work frustrations, unsatisfactory marriages, unfortunate encounters, and long-term isolation. Whether a mental factor causes illness depends on the nature and intensity of the mental factor and the depth of the individual's emotional experience. The latter is also related to the individual's psychosocial characteristics such as education, hobbies and aspirations, values and personality. The individual's susceptibility to the disease and the functional state of the body at the time also play a significant role in the occurrence of the disease, such as chronic physical illness and in the menstrual period, puerperium and excessive fatigue. In addition, people with a family history of mental illness are susceptible to the disease. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: epilepsy schizophrenia

Cause of reactive psychosis

Mental factors (75%):

Mental factors are the direct cause of the disease. Sharp mental stimuli are often horrifying patients or their controversial events, such as fires, water, earthquakes, car accidents, sudden deaths of loved ones, and bombing during wartime. Threats to firearms, white-knife fighting, etc., persistent mental stress, persistent and heavy inner and contradictory emotional burdens, long-term isolation, etc. can also lead to excessive sorrow, loss and inner pain.

The mental factors must have sufficient strength to cause the patient's strong nostalgic reaction, loss of self-control ability, and their behavior and thinking are subject to pathological emotions and present various mental symptoms and even disturbances of consciousness. Sensitive, suspicious, and vulnerable are susceptible to the disease.

Other factors (15%):

After severe illness, blue sky and chronic physical illness, excessive fatigue and women's menstrual period, puberty and other physical functions are weakened; the degree of internal conflict of patients and their psychological and social background (such as cultural education, hobbies, aspirations, values) Etc.); people with a history of family mental illness are susceptible to the disease.

Reactive psychosis prevention

The disease is a sharp onset under strong mental stimulation, so the elimination of mental stimulation, transfer of the environment, and favorable recovery, so psychotherapy generally good results should be preferred.

Reactive psychotic complications Complications, epilepsy, schizophrenia

Postoperative reactive psychosis refers to complicated anesthesia during surgery, large surgical trauma, internal environment and metabolic disorders, significant side effects of drugs and frequent neurological complications. In neurological complications, epilepsy is the most common complication. First, most of them are skeletal muscle twitching within 1 to 2 weeks after surgery, uncontrollable tendons, generalized muscle rigidity, etc. Postoperative complications such as pulmonary infection, atelectasis, and cardiac damage should be treated promptly, convulsions , affecting breathing and so on.

Reactive psychotic symptoms common symptoms class madness consciousness fuzzy mania no emotion reaction depression pathological stealing trauma consciousness state thinking control abnormal suicidal behavior

According to the onset form, it is divided into two categories: acute and chronic. Acute is mainly based on confusion; chronic is mainly based on emotion, thinking or perception. The main symptoms are:

1. Responsive manic state: Often after a sudden mental factor, suddenly crying and laughing, gibberish, tearing clothes and destroying things, even hitting people, when serious, may be ambiguous, nervous, fearful, and may have hallucinations, illusions Wait.

2, reactive depression: low mood, often touch the scene, sigh, anxiety, self-blame, guilty, negative pessimism about their future, and even suicidal behavior, often have sleep disorders, mostly difficult to fall asleep, easy to The nightmare is awakened, and I feel tired and weak.

3, reactive stupor: expression of dead wood, frigid, no emotional reaction, often appear after acute trauma, generally lasts for a short time, can return to normal or into a state of confusion.

4. Reactive paranoia: Produce suspicions related to mental factors, such as feeling that someone is talking, tracking, monitoring, persecution, etc., sometimes accompanied by psychogenic hallucinations and illusions, patients have good contact with the environment, have their own symptoms of suspicion A certain cognitive ability.

Examination of reactive psychosis

1, symptom standard:

With unusual and severe mental stimulation as the cause, and at least one of the following:

(1) Psychomotor excitement with a strong fear experience, the behavior has a certain blindness.

(2) There is emotionally retarded psychomotor inhibition (such as reactive stiffness), which may have mild confusion.

2. Severe standards: Social function is seriously impaired.

3, the course of disease criteria: after a few minutes to several hours after the onset, the course of the disease is short, usually lasts for several hours to one week, usually relieved within 1 month.

4, exclusion criteria: exclude snoring, organic mental disorders, mental disorders caused by non-addictive substances and depression.

Diagnostic identification of reactive psychosis

diagnosis

1. A strong transient or persistent mental stimuli that occurs within a few days to three months before onset.

2. Sensitive, nervous and unstable qualities.

3. The clinical symptoms directly reflect or recapitulate the content of the traumatic situation.

4. Complete relief can be achieved quickly after stimulation is removed, adaptive capacity is improved, or the environment is switched.

Need to be differentiated from depression, menopausal depression, neurosis depression, schizophrenia paranoid, menopausal paranoid state, rickets, symptomatic psychosis.

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