Compulsive exhaustion

Introduction Compulsive and exhaustive thinking, as the name implies, the suffering of patients comes from their own inner thinking. These thoughts appear repeatedly and are difficult to extricate themselves. The content of these thoughts is often unpleasant or has no practical meaning. The patients themselves are very clear about this and try to Making a boycott (not all), but often in vain.

Cause

1. Genetic factors The disease has a certain family genetic predisposition. As a genetically characterized red blood cell (ABO) blood type, studies associated with obsessive-compulsive disorder have found that obsessive-compulsive disorder has a higher incidence of type A and a lower incidence of type O.

2. Psychosocial factors as a predisposing factor, occasionally there are compulsive concepts in normal people, but they do not last. Only persisted under the influence of psychological and social factors, such as changes in the working environment, major responsibilities, strict requirements, difficult situations, fear of accidents or family disharmony, difficulties in sexual life, pregnancy, and childbirth. The patient is cautious, indecisive, hesitant, lacking self-confidence, worrying about the situation, and promoting the symptoms.

3, organic factors clinically, patients with slumber encephalitis, temporal lobe contusion, epilepsy can be seen obsessive-compulsive symptoms. Surgical treatment showed that removal of the white matter at the edge of the caudal nerve bundle was effective in improving obsessive-compulsive symptoms, suggesting that it is related to the function of the above-mentioned parts. In addition, personality characteristics also play an important role in the onset of the disease, and the patients often have the characteristics of being old-fashioned, well-organized, and too serious.

an examination

Related inspection

Brain CT examination blood routine

Patients always want problems that have no practical significance, and these problems are mostly natural phenomena or general events in daily life, such as: "Do you have eggs or chickens first?" "Why don't trees go to the ground?" They know that it is of no practical significance to consider these issues, but if they do not consider this, they will always be uneasy and unable to get rid of them.

Differential diagnosis

The differential diagnosis of compulsive exhaustion:

(1) Forced Intention: In some cases, the patient has a thought that is contrary to the situation at the time, and is entangled by this intention. The patient knows that this is against his will, but he cannot control it. When the mother with the baby is standing on the balcony, she suddenly has the idea of throwing the baby down the stairs. She knows that this is against her own will, but she can't get rid of it, but she will never take action. Therefore, patients with this idea do not dare to bring children to the railings of high-rise buildings to avoid fear and anxiety. For example, it is related to the forced thinking of fear content, called compulsive fear.

(2) Forced counting: an uncontrollable count associated with forced association. The patient involuntarily counts things, even counting their own steps, the glass windows of the roadside buildings, and the sign lights next to the road. The patient does not know anything, and it is no longer memorable after the number, but it cannot be controlled.

(3) Forced washing: fear of not suffering from an infectious disease. When a patient comes into contact with something, he or she should wash his hands repeatedly. He knows that his hands have been washed, but he has no control. Otherwise, his mood is restless.

(4) Forced ritual movements: This is a set of repetitive and rigid interrelated movements. Such ritual movements often have special meaning to the patient, and the patient completes the ritual for the sake of luck and auspiciousness, thus making the inner comfort. If you want to complete a set of actions when you enter the door, it means that his child's illness can be ruined, and he knows that there is no meaning, but if he does not, he is anxious. Most of the disease is slow onset and has a long course. If the acute onset, the incentive is obvious, the pre-existing non-forced personality usually has a good prognosis.

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