Emotions run high

Introduction Emotions are 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.

Cause

The patient's emotional changes are closely related to the environment, and their optimism has a strong appeal and is likely to resonate with people around them. This is a typical manifestation of the manic state of bipolar disorder. It often appears at the same time as thinking and running and increasing activity, and constitutes a common type of syndrome - manic state.

an examination

Related inspection

Brain CT examination

The patient's emotional activities are significantly enhanced, always showing joy, ease, happiness, and self-satisfaction. I feel very good about myself, and I can overestimate my self-esteem. I like to be happy. When I speak, I dance with my eyes, smile, and move. The expression is rich and vivid. I am very optimistic about everything, as if I have never had any sorrows and worries, I am interested in everything, self-confidence, arrogance, and even exaggeration. Patients are prone to irritability, often underestimate the difficulty, and when they are slightly uncomfortable, they are furious, and sadness can also be sad and tearful, but fleeting. The patient feels very comfortable and happy when he feels good. If the intensity is obviously not commensurate with the actual environment, it is the main symptom of mania or madness.

Differential diagnosis

(1) Euphoria: Although the patients are often happy, there are also experiences that seem to be very satisfying and happy. However, due to the mental retardation, the patient's facial expressions give people a feeling of being silly and stupid even if they are very happy. 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.

(2) Emotional depression: The patient's mood is low throughout the day, worrying, 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.

(3) 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.

(4) Apathy: The patient lacks a corresponding emotional response to any stimulus from the outside world. Even if it can cause great sadness or happy things for normal people, such as death and death, long-term reunion, etc., it is also calm, indifferent and expressionless. Indifferent to the things happening around, turned a blind eye, facial expressions are cold and dull. More common in patients with chronic schizophrenia and severe brain organic dementia.

(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.

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