Compensation neurosis

Introduction "Compensatory neurosis" often occurs after an accident at work or after a traffic accident. After treatment, the patient's physical trauma has recovered, but because of some unexpected care and benefits after the injury, such as not being able to go to work, being cared for in life, being financially compensated, etc., the patient has a subconscious mind and is unwilling Lose these benefits. Then I imagined that my symptoms persisted, so that some mild, even unrelated symptoms were gradually amplified. Over time, it was easy to make a false impression, so that these symptoms were fixed and persistent. In clinical examinations, doctors often cannot find the corresponding signs to explain these symptoms, because this is a neurosis.

Cause

"Compensatory neurosis" is essentially caused by psychological factors and has become a major factor hindering the recovery of patients. Doctors are often troubled by the treatment of this disease. For such patients, medication alone is difficult to work with. When the physical factors have been ruled out and the diagnosis is confirmed, the psychological psychological suggestion and other methods should be used to correct and eliminate the patient's bad psychological needs. At the same time, the patient's idea of "benefit from disease" is corrected. By implementing a comprehensive treatment, the disease is completely curable.

As a psychogenic disorder, compensatory neurosis is derived from the original injury. This is mainly due to the fact that such patients have special causes due to their injuries, and they have obtained some accidents after hospitalization. The care and benefits can also be financially compensated. In the process, some victims believe that these are all based on their own pain as a "cost". They not only have a psychological advantage, but also feel that they have taken all of this, and thus create a kind of Subconscious, unwilling to lose these benefits, and thus hope or imagine that their symptoms continue to exist.

However, this morbid psychology will hinder the recovery of the patient's basic injuries, and even the doctors will be helpless. Because of deliberate exaggeration of the condition, or denial of efficacy, it will be misleading to the doctor, which is very unfavorable for correct diagnosis, reasonable treatment and consolidation of efficacy.

an examination

Related inspection

Brain CT examination of nervous system examination

Diagnostics should pay attention to the identification of neurosis and neurological symptoms caused by other diseases, so patients with neurosis must undergo a careful physical examination. At the same time, we must pay attention to the early stage of some physical symptoms, and the positive signs are not detected once or twice.

Only two conditions must be met to diagnose neurosis:

(1) After careful examination, no corresponding physical illness that can explain the symptoms can be explained.

(2) Mental factors have a great influence on the onset and changes in the condition.

Differential diagnosis

1. Terror neurosis: also known as phobia, phobia, is a neurosis with terror symptoms as the main clinical manifestation. The particular thing or situation that is feared is external, even though there is no danger at the time. Terror attacks are often accompanied by significant autonomic symptoms. The patient tried to avoid the situation he was afraid of. He himself knew that fear was excessive, inappropriate or unreasonable, but it did not prevent the terrorist attack.

2. Anxiety neurosis: also known as anxiety neurosis, is the main clinical manifestations of generalized anxiety disorder (chronic anxiety disorder) and episodic panic disorder (acute anxiety disorder), often accompanied by dizziness, chest tightness, palpitations, and breathing Difficulties, dry mouth, frequent urination, urgency, sweating, tremors, and sports uneasiness are not caused by actual threats, or their level of nervousness is not commensurate with the reality.

3. Obsessive-compulsive disorder: referred to as obsessive-compulsive disorder, is the main symptom of repeated persistent obsessions or / and forced movements. These symptoms are out of the patient's heart, but are not experienced and voluntarily produced, but rather the patient is unwilling to think about it. Knowing that it is unreasonable, but not able to get rid of it, makes the patient feel pain, and is incompatible with his own personality.

4. Depressive neurosis: also known as neurosis depression, is a neurosis characterized by a persistent state of mind caused by psychosocial factors, often accompanied by anxiety, physical discomfort and sleep disorders, patients have treatment Requirements, but no obvious motor inhibition or mental symptoms, life is not seriously affected. It is a neurosis characterized by a persistent state of low mood, often accompanied by anxiety, physical discomfort and sleep disorders. Patients have treatment requirements without significant motor depression or psychotic symptoms, and their ability to live is not seriously affected. This disease is internationally known as "bad mood."

5. Hysteria: The original annotation of the term snoring is "heart disease," also known as hysteria, is a more common neuropathy, more common in rural areas. At present, patients with snoring are considered to be susceptible to suggestiveness, exaggeration, emotional use and a high degree of egocentricity. They are often caused by mental factors or bad cues. It can present a variety of clinical symptoms, such as impaired sensory and motor function, dysfunction of internal organs and autonomic nerves, and mental disorders. This type of symptom has no basis for organic damage, it can be caused by hints, or it can be changed or disappeared by suggestion.

6. Suspected neurosis: Also known as a suspected illness. Refers to a neurotic disorder that has an unrealistic morbid interpretation of one's own feelings or signs, causing the entire mind to be occupied by the resulting doubts, worries, and fears. It is characterized by excessive care for one's own health and stereotypes that are difficult to eliminate. The patient suspected that he or she had a disease that did not actually exist. The doctor's explanation and objective examination were not enough to eliminate his opinion.

7. Neurasthenia: Neurasthenia refers to the excessive stress of brain function due to certain long-standing mental factors, which leads to the weakening of mental activity. Its main clinical features are easy to get excited and easy to fatigue. Often accompanied by a variety of physical discomfort and sleep disorders, many patients have a certain predisposition or bad personality before the disease.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.