Psychomotor arousal

Introduction Coordinating psychomotor excitement refers to an increase in the patient's speech and movements consistent with thinking and emotional activities, and coordination with the environment. This increase in activity is purposeful and understandable. Non-coordinated psychomotor excitement refers to the inconsistency between the patient's movements and speech and the thinking and emotions. The patient's movements and speech are monotonous, lacking purpose and meaning, and it is difficult to understand. Therefore, the whole mental activity seems uncoordinated.

Cause

Coordinated psychomotor excitement is more common in mania. Uncoordinated psychomotor excitability can occur in the tension and youth type of schizophrenia, and in the paralyzed state, but the consciousness disorder in patients with spasticity is obvious.

an examination

Related inspection

Neurological examination of brain CT examination

Common mental disorder with psychomotor excitement

1. Schizophrenia, such as patients with tension or adolescent schizophrenia can have psychomotor excitement, while paranoid patients can have emotional excitement under the influence of hallucinations and delusions;

2. Mood disorder: Manic episodes are generally coordinated psychomotor excitement, manifested as: 1 emotional ups; 2 associative acceleration; 3 movements;

3. Hysteric Emotional Outbreak: It is a disease that occurs after mental stimulation. It expresses an exaggerated performance and tells them of their grievances and anger, with characteristics of venting. It usually lasts for 1-2 hours. Because snoring-like episodes can be seen in a variety of diseases, they need to be carefully excluded;

4. Severe stress disorder: Sudden onset under sudden and intense mental stimulation, manifested as emotional excitement and restlessness. The patient's speech is easy to understand, and is mostly related to mental factors or personal experiences, and does not last long;

Differential diagnosis

Differential diagnosis of psychomotor excitement:

(1) Manic sexual excitement. The clinical phase of manic episodes. The patient's speech and movements are obviously increased, and their thinking, emotional activities and speech acts are generally intrinsically linked, and have a certain connection with the surrounding environment. The increased activities have a certain purpose, and can be understood to a considerable extent by the surrounding people. Coordinated psychomotor excitement.

Particularly serious manic sexual excitement can reach the degree of inconsistency with the environment, sometimes easily confused with other types of excitement, requires a detailed understanding of the medical history, comprehensive and detailed mental examination, physical and laboratory examinations.

(2) Youthful excitement. The clinical phase of schizophrenia is a kind of uncoordinated psychomotor excitement. The patient's speech movements have neither motivation nor purpose, and are incompatible with their own thinking and emotional activities, that is, they lose their inner connection. The movements are disorderly, often with a state of behavior, quirky and bizarre behavior. The behavior is not in harmony with the external environment and has the overall "disintegration" of mental activities.

(3) Tension and excitement. Seen in the tension of schizophrenia, characterized by sudden occurrence of extreme behavioral disorders and often accompanied by severe impulsive behavior that hurts people, which is very dangerous. Often alternating with severe stupor, the transition between the two is also very sudden. Tensile excitement is now relatively rare.

(4) Organic excitement. Seeing mental disorders caused by acute encephalopathy syndrome or other organic diseases, mostly accompanied by conscious disturbances. The clinical manifestations vary considerably.

(5) Reactive excitement. Common in acute stress disorder, under the unusual mental stimulation, acute madness or sports anxiety, the duration is usually within a few hours.

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