Lonely old man

Introduction Stay away from the city and stay away from the sound. Although clean is conducive to slowing the decline of hearing in the elderly, a too quiet environment may also cause the physical and mental health of the elderly to be impaired. Older people live in an environment that is too quiet. When they are long, they will lead to a decline in resistance, and they will become detached and indifferent to life. The old man living alone is so isolated that he is prone to mental illnesses such as victimized paranoia.

Cause

Long-term living alone, caused by mental illness such as "victimized paranoia."

an examination

Related inspection

Cerebrospinal fluid neuropeptide neurological examination

Solitary often manifests itself as a solitary, out-of-group, psychologically annoyed, alert, and contemptuous to others; everything is irrelevant, indifferent, and self-imposed. If you interact with people, you will also lack enthusiasm and vitality, and you will feel careless and perfunctory. Sometimes it seems to be more active, but it often gives people a feeling of contrived, as if it is a little nervous, so people are not willing to actively interact with it, and when they have to get along with it, they will feel like a needle.

Differential diagnosis

The differential diagnosis of the old man's personality:

1. Depression: Depression is a form of seizure of manic depression. Depression is low, thinking is slow, and speech movement is reduced or slow as a typical symptom. Depression seriously afflicts patients' lives and work, and places a heavy burden on families and society. About 15% of depressed patients die from suicide. A joint study by the World Health Organization, the World Bank and Harvard University shows that depression has become the second most common disease burden in China. Factors that cause depression include: genetic factors, physical factors, central nervous system function and metabolic abnormalities, and mental factors.

2. Paranoia: Delusional disorder, also known as delusional disorder, is a psychiatric diagnosis that refers to "having one or more non-grotesque delusions without any other psychotic symptoms." Paranoid patients have no history of schizophrenia and no apparent illusion. However, depending on the specific type, tactile and olfactory hallucinations may occur. Despite these hallucinations, delusional sexual disorders are usually well-behaved and do not trigger bizarre behavior. For the concept of paranoia, the term paranoia was used. In modern psychiatry, the use of this term has changed very little, but it has rarely been used to refer to paranoia.

3. Schizophrenia: Schizophrenia is a type of most common psychiatric disorder characterized by changes in basic personality, division of thought, emotion, and behavior, and disharmony between mental activity and environment. According to the survey data of six districts in the United States, the annual incidence rate is 0.43~0.69, 0.301.20 over 15 years old (Babigian, 1975), and 0.09 in some parts of China, according to the international schizophrenia pilot survey ( IPSS) data, 20 centers in 18 countries, surveyed more than 3,000 people over 20 years, the annual incidence of schizophrenia in the general population is between 0.2 and 0.6, with an average of 0.3 (Shinfuku, 1992).

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