Compulsive behavior

Introduction Obsessive-compulsive disorder (OCD) is a type of anxiety disorder. It is a group of neuropsychiatric diseases with forced thinking and compulsive behavior as the main clinical manifestations. It is characterized by conscious coercion and anti-coercion, some meaningless and even contrary to oneself. The willingness or impulse to invade the patient's daily life. Although patients experience these thoughts or impulses from their own, they resist hard, but they are always uncontrollable. The strong conflict between them makes them feel great anxiety and pain, affecting study work, interpersonal relationships and even daily life.

Cause

The etiology of impulsive disorder is complex and inconclusive. It is currently believed to be mainly related to psychosocial, personality, genetic and neuro-endocrine factors.

Many studies have shown that patients often suffer from some unhealthy life events when they first become ill, such as interpersonal tensions, trials in marriage, frustration in learning, and so on. The personality of patients with obsessive-compulsive disorder has more or less the tendency to pursue perfection and strict requirements for themselves and others. Some patients have obsessive-compulsive personality before the illness, which is characterized by excessive cautiousness, strong sense of responsibility, and hope that everything can be perfect. Therefore, it lacks flexibility in dealing with adverse life events and is difficult to adapt. The contradictions and anxieties experienced by the patient can only be expressed through compulsive symptoms.

an examination

Related inspection

Cerebral blood flow brain evoked potential

(1) Forced washing: Washing hands or washing things repeatedly, the heart can never get rid of "feeling dirty", knowing that it has been washed, but can not be homemade, not washed.

(2) Forced inspection: usually coincides with forced doubts. The patient is not assured of the things that have been known to be done, and repeatedly checks, such as repeatedly checking the locked doors and windows, and checking the written bills, letters or documents.

(3) Forced counting: Uncontrollable number of steps, electric poles, do a certain number of actions, or feel uneasy if you miss it.

(4) Forced ritual action: Before daily activities, first make a set of actions with certain procedures. For example, before going to bed, you must order the shoes to be undressed and placed according to the fixed rules. Otherwise, you will feel uneasy and re-wear your clothes and shoes. Then follow the procedure.

Differential diagnosis

Identify with convulsions.

Twitching is a manifestation of involuntary movement and a pathological phenomenon of neuro-muscular disease, manifested as an involuntary contraction of the striated muscle. Commonly seen in the clinic are the following: convulsions, tonic spasm, myoclonus, tremors, dance-like movements, hand and foot movements, twisting tendons, fasciculation, habitual convulsions. Chinese medicine believes that the cause of convulsions is mainly caused by heat and poison, wind and yang disturbance, wind and phlegm, and blood loss. Common in brain diseases, infectious diseases, poisoning, head injuries, rickets, eclampsia, postpartum rickets, convulsions in children, tetanus, rabies and other diseases. Clinically, when the disease with convulsions as the main disease is still uncertain, it can be diagnosed as a preliminary diagnosis and dialectical treatment.

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