Apathy

Introduction Emotion refers to the individual's attitude towards objective things. Apathy is manifested as a decline or loss of emotional activity. Apathy is a lack of emotional response to external stimuli, even if it has a close stake in itself. The patient is indifferent to the current events, indifferent, facial expressions are dull, and the inner experience is poor. More common in simple or chronic schizophrenia. In the development of schizophrenia, the emotional activities gradually decline, the inner emotional experience is poor, and the events related to the body can be indifferent, the relatives are indifferent, and there is a social retreat, called "indifferent" (indifference), the most important For "emotional decline."

Cause

This symptom of apathy is the main symptom of advanced or simple type of schizophrenia, and it exists at the same time as lack of thinking. Found in the schizophrenia recession and brain organic mental disorders.

an examination

Related inspection

Brain CT examination

The patient loses emotional response to changes in the surrounding environment. When you are serious, you are indifferent to your health. You are lazy, don't dress yourself, don't even have a haircut or wash your face. Little response to hunger and pain. As for the national events, exciting news, difficulties at home, family misfortunes, etc., they are also indifferent.

Differential diagnosis

(1) Emotional high: At this time, the patient's emotional activities are abnormally enhanced, and the performance is relaxed, happy, and self-satisfied. The expression is rich and vivid, and there is no sorrow and trouble, self-confidence, and even exaggeration. Its optimism is contagious and easily resonates with people around. More common in the state of mania.

(2) Euphoria: Although the patients are often happy, there are also experiences that seem to be very satisfying and happy. However, due to the intelligent obstacles, even if the patient is very happy, his facial expressions give him a stupid, stupid feeling. At the same time, the patient himself did not know the reason for the happiness. The content was more monotonous and stereotyped, which made it difficult to resonate with normal people and had no appeal. More common in brain organic psychosis, such as cerebral arteriosclerotic psychosis, senile dementia and paralytic dementia and other diseases.

(3) Emotional depression: The patient's mood is low all day, worried, frowning, sighing, and serious people may experience depression, depression, emotions such as "everyday" and "life is better than death", may be accompanied by self-blame and even appear Suicidal ideation or suicidal behavior. More common in depression, depression, cataract depression and menopausal depression.

(4) Anxiety: refers to the patient's state of mind threatening their own safety and other adverse consequences without obvious objective factors or sufficient basis. The patient can be manifested as a dagger, a restlessness, a sigh, a sorrow, a sorrowful sorrow, a feeling of catastrophe, a sorrow, a sorrow, and a sorrow, even if many people persuade, they cannot eliminate their anxiety. More common in anxiety, suspected concept, menopausal depression, neurasthenia and so on.

(5) Emotional inversion: It means that there is no coordination between the cognitive process and the emotional activity. At this time, the patient's emotional reaction is not in harmony with the content of the thinking. The patient's grief is happy and happy, and when he is happy, he is suffering. For example, a patient laughed when he received a telegram from his fathers sudden accidental death. When it comes to talking about the persecution of other people using cruel means, it seems that there is nothing like it, even with a smile to tell their own misfortunes.

(6) Emotional outbreak: This is a sudden emotional disorder that suddenly occurs under the influence of psychological factors. The patient can show moodiness, yelling, wrecking, smashing, screaming, crying, or screaming, dancing, laughing, often accompanied by spoiled, artificial, childish and acting colors, sometimes rolling on the ground, extremely violent, the whole The phenomenon is very different, and the change is great, but the perception of the surrounding things is unobstructed and the consciousness is clear. Common in rickets.

(7) irritability: This means that every time a patient feels psychologically irritable or unpleasant, even if it is slight, it is easy to produce a strong emotional reaction. It is easy to get angry, excited, angry, and even furious, quarreling with people; or there may be Impulsive behavior. Common in rickets, neurasthenia, manic state or brain organic psychosis. The patient loses emotional response to changes in the surrounding environment. When you are serious, you are indifferent to your health. You are lazy, don't dress yourself, don't even have a haircut or wash your face. Little response to hunger and pain. As for the national events, exciting news, difficulties at home, family misfortunes, etc., they are also indifferent.

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