Alcoholism, jealousy, delusions

Introduction Alcoholic dclusiveness patients have delusions and suspicions in the case of clear consciousness, which is more common in the clinic. The patient has no doubt about the infidelity of the spouse. For this reason, there is often a violent reaction, which can also lead to attacks on suspects or spouses, sometimes resulting in murderous consequences. It has also been referred to as alcoholic jealousy in the past. The occurrence of delusions usually involves a decrease in sexual function caused by long-term drinking by the patient. The alcoholic paranoia is slow onset and the course of the disease is prolonged. If you persist in drinking alcohol for a long time, you can gradually recover.

Cause

(1) Biological factors: Genetic studies have found that some people have a congenital genetic predisposition to alcohol dependence. The metabolism of alcohol is mainly through the action of alcohol dehydrogenase and acetaldehyde dehydrogenase. People with lower acetaldehyde dehydrogenase activity can feel physical discomfort when drinking a small amount of alcohol, so they do not drink a lot, and it is difficult to produce alcohol dependence.

(2) Psychological factors: people who are introverted, sentimental, shy, anxious, nervous, and unsociable, drink alcohol in order to overcome these defects, and alcohol dependence is likely to occur over time.

(3) Social factors: such as geographical differences, ethnicity, customs, environment, occupational factors, etc., have an impact on the occurrence of alcohol dependence.

an examination

Related inspection

Brain CT examination brain MRI examination EEG examination brain nerve examination

Comprehensive physical examination and blood, urine, stool routine, liver and kidney function tests, blood sugar, enzyme spectrum and water and electrolyte testing. EEG, skull CT, hepatobiliary B-ultrasound and upper digestive tract barium meal examination. Exclude mental disorders caused by schizophrenia or physical illness.

Differential diagnosis

Alcohol toxic hallucinosis: Alcohljic hallucinosis This is an illusion caused by long-term drinking. The patient has a large number of rich and distinct hallucinations within 1 to 2 days after the sudden reduction or stop of drinking, which is regarded as the main hallucination. Common primitive illusions as well as critical and imperative auditory hallucinations. On the basis of hallucinations, there may also be fragmentary delusions and corresponding nervous fears or depressions. During the onset of the disease, the patient's state of consciousness is clear, and there is no significant psychomotor excitability and hyperactivity of the plant. The toxic hallucinations of alcohol are variable in duration, ranging from a few hours to a maximum of six months.

Alcoholic toxicity paranoid state: alcoholic paranoid state (alcoholic paranoidstate)

Chronic alcoholism patients have suspicions about their spouses, often expressed as delusions, but also can be seen. Some people think that this type of case is chronic schizophrenia, just a coincidence with chronic alcoholism.

Comprehensive physical examination and blood, urine, stool routine, liver and kidney function tests, blood sugar, zymogram and blood electrolyte test; EEG, head CT, hepatobiliary B-ultrasound and upper digestive tract barium meal examination. Exclude mental disorders caused by schizophrenia or physical illness.

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