Obsessive-compulsive neurosis

Introduction Obsessive-compulsive personality: This type of personality disorder is methodical, honest, and reliable, but it appears rigid and rigid, making it difficult to adapt to change.

Cause

1) Genetic factors

The family survey found that about 5% to 7% of the parents of the patients had obsessive-compulsive neurosis, which is much higher than the general population. In addition, because personality characteristics are mainly affected by heredity, and personality characteristics play a role in the pathogenesis of obsessive-compulsive neurosis, it also suggests that compulsive neurosis is related to heredity.

It has also been observed clinically that about 2/3 of patients with obsessive-compulsive neurosis have a compulsive personality before the disease. The characteristics of compulsive personality are: cautious, indecisive, serious and old-fashioned, well-organized, striving for meticulous attention to detail, and love to clean.

2) Biochemical factors

Some people think that the 5-HT energy system activity in patients with obsessive-compulsive disorder leads to obsessive-compulsive neurosis, and the drug with increased 5-HT biotransmitter can treat obsessive-compulsive neurosis.

3) psychosocial factors

The psychoanalytic school believes that compulsive neurosis is a further development of compulsive personality.

Behavioralists believe that obsessive-compulsive neurosis is caused by stimulation--excessive repetition of the reaction leading to anxiety, excitation and inhibition of the central nervous system, leading to the formation of abnormal habits, pathological recognition and reflex formation. Make impulse, thinking and action stick to a fixed behavioral learning model. Adolescents in developmental stage develop rapidly, and the incompatibility in the social interaction with competition can cause compulsive neurological symptoms.

Stressful work, family disharmony and unsatisfactory life of the couple can lead to long-term nervousness and anxiety. Finally, the occurrence of obsessive-compulsive neurosis is induced. The content of the symptoms is related to the content of psychosocial factors faced by the patient.

Accidents, family deaths and major blows also cause anxiety, nervousness, fear, and the development of obsessive-compulsive neurosis. The manifestations of symptoms are directly related to trauma. The main symptoms of obsessive-compulsive disorder are forced thinking, compulsive intention, forced behavior, etc., some are related to mental factors, the content is not absurd and bizarre, the patient's self-awareness exists, no other mental illness and obvious mental debilitation personality characteristics.

an examination

Related inspection

Brain CT examination blood routine

The main symptoms of obsessive-compulsive disorder are forced thinking, compulsive intention, forced behavior, etc., some are related to mental factors, the content is not absurd and bizarre, the patient's self-awareness exists, no other mental illness and obvious mental debilitation personality characteristics.

Differential diagnosis

Differential diagnosis of obsessive-compulsive neurosis:

1. Weakness: Weakness is divided into physical weakness and neurasthenia. The body is weak, such people have poor living ability, low ability to defend against diseases, and are more susceptible to illness than others. It belongs to sub-health. Neurasthenia is a functional disease that is different from organic diseases in the nervous system. Most patients have neurotic qualities. It is currently believed that neurasthenia refers to excessive mental stress caused by certain long-standing mental factors, resulting in a decrease in mental activity.

2, schizophrenia: obsessive-compulsive obsessive-compulsive disorder is sometimes mistaken for schizophrenia. However, patients with obsessive-compulsive disorder often have self-knowledge and believe that this forced thinking is unrealistic. They often feel painful and anxiety because they cannot avoid it. However, patients with schizophrenia may have obsessive-compulsive symptoms in the early stage, and their obsessive-compulsive symptoms lack obvious psychology. The incentive has the characteristics of bizarre content, variable form and incomprehensibility. Moreover, patients often do not feel distressed, without obvious anxiety, and have no strong desire for self-control and desire for treatment, and their self-knowledge is incomplete. And the emergence of obsessive-compulsive symptoms in patients with schizophrenia It is only a part of the symptoms of schizophrenia, and may be accompanied by other symptoms of schizophrenia, which can be used as a basis for identification. In patients with chronic obsessive-compulsive disorder, short-term psychotic symptoms may occur, but they may recover soon. It is not considered that schizophrenia has developed at this time. A small number of cases of schizophrenia can coexist with obsessive-compulsive disorder, and the next two diagnoses should be made.

3, depression: depression patients may have obsessive-compulsive symptoms, often can be expressed as excessive thinking or thinking about specific ideas. However, these thoughts of depressive disorder are not as meaningless as obsessive-compulsive disorder, and depression, which is usually accompanied by obsessive-compulsive symptoms, is still dominated by depressed mood disorders. People with obsessive-compulsive disorder are also often associated with depression. It should be analyzed from the pathogenesis process to analyze whether the main clinical symptoms are obsessive-compulsive symptoms or depression; whether the obsessive-compulsive symptoms are primary or secondary to depression. The obsessive-compulsive symptoms of depression patients can be eliminated with the disappearance of depression; and the depression of patients with obsessive-compulsive disorder can also be improved by the reduction of obsessive-compulsive symptoms. Two types of symptoms exist independently and should be diagnosed in the next two cases.

The main symptoms of obsessive-compulsive disorder are forced thinking, compulsive intention, forced behavior, etc., some are related to mental factors, the content is not absurd and bizarre, the patient's self-awareness exists, no other mental illness and obvious mental debilitation personality characteristics.

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