Obsession

Introduction Obsessiveidea or compulsive thinking refers to a concept or the same content that recurs in the patient's brain, knowing that it is not necessary, but can't get rid of it. One of the obstacles to thinking content. The obstacles of thinking content are mainly manifested in the absurdity of thinking content, including delusions, super-values and obsessions. In addition, domestic clinical medical experts divide the performance of obsessive-compulsive disorder into obsessive-compulsive and compulsive intentions and behaviors, so obsessive-compulsiveness is also a medical obsessive-compulsive disorder.

Cause

1. Genetic factors family surveys indicate that the occurrence of obsessive-compulsive disorder may have a certain genetic predisposition.

2. Anatomical and physiological disconnection of the frontal lobe and striatum The experimental hypothesis may be related to dysfunction of the basal ganglia.

Psychology

The psychological mechanisms of obsessive-compulsive symptoms include: fixation, regression, isolation, disassociation, and replacement of impermissible sexual and aggression impulses. This defense mechanism is unconscious. Therefore, it is not noticeable to the patient.

The behavioral school's learning theory: The behaviorist school believes that the first patient causes anxiety due to a particular situation, and in order to alleviate the anxiety response of the anxiety patient, it is manifested as a forced ritual action. Some neutral stimuli such as thoughts and imaginations (such as language, textual representation and thought) and the initial stimuli can further form a higher level of conditioning, which makes the generalization of anxiety ultimately lead to the formation of obsessive concepts.

an examination

Related inspection

Cerebral blood flow chart brain CT examination brain Doppler ultrasound (TCD) brain evoked potential

1. The patient repeatedly doubts the correctness of his words and deeds, knowing that it is unnecessary, but he can't get rid of it. For example, when I went out, I suspected that the doors and windows were closed, although I checked them once, twice, three times... I still don't trust. Another example is when I send a letter, I suspect that I have signed my name in the letter, whether the envelope has the wrong address, whether the stamp has been posted. At the same time as suspicion, it is often accompanied by anxiety and anxiety, which prompts patients to repeatedly check their words and deeds.

2. Behaving as a fear or dislike of something, knowing it is unnecessary or unreasonable, but you can't get rid of it. For example, I am worried that I will hurt others, I am worried that I will say the wrong thing, I am worried that I will be irrational, and I am worried that I will be contaminated by poison or bacteria.

Differential diagnosis

Clinically, it is often distinguished from a suspected condition. It is a neurosis characterized by excessive concern for one's physical health, an incorrect interpretation of physical sensations and signs, and anxiety. The patient is irritable, irritable, suspicious, sensitive, stubborn, and secluded. Before the onset, there are many mental factors in which the person or family members suffer from certain organic diseases. Doctors are speechless, too many tests, and iatrogenic factors such as random drug prescribing often play an important role. The course of the disease is prolonged, and the effect is not easy to consolidate.

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