Excessive startle response

Introduction Excessive startle response refers to excessive stress, mental allergy, and easy to cause a shocking response due to accidental stimuli (such as sudden closing of the door). Generally, after a person encounters or confronts a major pressure, his or her psychological state is dysfunctional. Symptoms appear within 6 months, and the traumatic experience reappears repeatedly. If you can't help but recall the experience of being hit, the nightmare of traumatic content recurring, the increased alertness, such as difficulty falling asleep or awakening, excessive shocking reaction Alienated from others, not cordial, anxious.

Cause

(1) Psychic factors: In the real life environment, sudden or persistent trauma or life events can cause certain individuals to develop a series of mental symptoms. These psychosocial factors are the main cause of psychogenic disorders.

(2) Personality characteristics: Personality characteristics can also be said to be individual susceptibility qualities. We know that not all people who are severely irritated have psychiatric symptoms, indicating that individual personality or susceptibility qualities play a role. How does personality traits work? This is mainly manifested in the individual's understanding of attitudes, attitudes, and the individual's experience and behavioral methods; and the individual's tolerance and sensitivity to mental stimulation. These are all related to the individual's personality characteristics, susceptibility, nerve type and even values, ethics and morality.

(3) Physical condition: If the patient's physical condition is not good, there is chronic disease or mental retardation, because the brain function is weakened, or the tolerance and sensitivity to mental stimulation factors are degraded. In this case, it is easy to suffer from this disease.

an examination

Related inspection

Brain nerve examination, brain CT examination, brain MRI examination

Delayed stress disorder: Symptoms appear within 6 months, and the traumatic experience repeats repeatedly. If you can't help but recall the experience of being hit, the nightmare of traumatic content reappears, and the sustained alertness increases, such as difficulty falling asleep or awakening. Excessively shocked reaction, alienated from people, not friendly, anxious.

Differential diagnosis

Excessive startle response symptoms need to be differentiated from the following symptoms.

1. Acute stress disorder and adaptation disorder

Some patients have obvious mental symptoms and strong mental pain after major traumatic events, but they do not fully meet the diagnostic criteria for post-traumatic stress disorder. Some patients are consistent with post-traumatic symptoms in terms of symptoms, duration and severity. The corresponding criteria for stress disorder, but the induced events are general stress events such as loss of love, dismissal, and so on. Both of the above conditions should not be diagnosed as post-traumatic stress disorder, but should be considered as an adaptation disorder. The main difference between acute stress disorder and post-traumatic stress disorder is the onset time and course of disease. The onset of acute stress disorder is changed to 4 weeks after the event, and the course of disease is shorter than 4 weeks. When the symptoms persist for more than 4 weeks, the diagnosis should be changed to post-traumatic stress disorder.

2. Other mental disorders

(1) Depression: This disease has the interest to decline, alienation from others, feeling the future, and there are also sad experiences, similar memories of "touching the scene", emotional changes, etc., but there are still differences between the two. However, simple depression disorders do not have intrusive memories and dreams associated with traumatic events, nor do they evade specific topics or scenarios. The depression mood of depression involves a wide range of aspects, including usual interests, daily preferences, and personal future. Negative, inferiority or suicide attempts are also common.

(2) Anxiety neurosis: In the case of delayed psychogenic response with persistent alertness and autonomic nervous system symptoms, it should be differentiated from chronic anxiety. Anxiety disorders often have excessive anxiety about their own health, more complaints about the body, and even a tendency to suspect, but no obvious factors of mental trauma.

(3) Obsessive-compulsive disorder: It can express recurrent obsessive-compulsive thinking, but often exhibits inappropriateness and no unusual life events before the illness.

(4) Severe mental disorders: schizophrenia and mental disorders associated with physical illness can have hallucinations and illusions, but these diseases do not have an unusual traumatic experience before the disease, and the symptoms are different, so It is not difficult to distinguish from the hallucinations and illusions of post-traumatic stress disorder.

Delayed stress disorder: Symptoms appear within 6 months, and the traumatic experience repeats repeatedly. If you can't help but recall the experience of being hit, the nightmare of traumatic content reappears, and the sustained alertness increases, such as difficulty falling asleep or awakening. Excessively shocked reaction, alienated from people, not friendly, anxious.

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