Derealization

Introduction The reality of disintegrationderealization spontaneously tells that the nature of the outside world has changed, and thus appears unreal, such as feeling alienated from the real world, lacking in anger, seemingly false, or acting like a stage, where people perform prescribed roles. Rather than changing your own mental activity or physical nature. The patient generally knows that this change is untrue, otherwise it disintegrates for reality. Due to the late development of psychiatry in the whole medicine, and due to the complexity of the basic theory of the profession, there are quite a few common causes and pathogenesis of mental illness, including the disease has not yet been elucidated.

Cause

(1) Causes of the disease

Disintegration of personality can be seen in brain organic diseases, such as temporal lobe epilepsy, people taking hallucinogens, schizophrenia, depression, anxiety disorders and other diseases, indicating that such symptoms can be caused by a variety of reasons. The reason for the disintegration of personality as a primary mental disorder is unclear. It is generally believed that it is related to mental stress factors, such as wars, concentration camps, etc., which can lead to mental stress and are more likely to occur. Janet (1903) believes that these symptoms are caused by the ambiguity and impracticality of the patient's own and environmental objects after the mental integration function is weakened.

(two) pathogenesis

Due to the late development of psychiatry in the whole medicine, and due to the complexity of the basic theory of the profession, there are quite a few common causes and pathogenesis of mental illness, including the disease has not yet been elucidated.

an examination

Related inspection

EEG examination EEG spike

It can be expressed as a disintegration of personality, or a disintegration of reality, or both.

Personality disintegration

The patient complains that his emotional or inner experience has become alienated, unfamiliar, not his own, or has been lost. Some patients feel that his emotions and movements seem to be others', or that he is acting like acting; some patients experience that his feelings have been separated from his mental activities or body, as if they are a bystander; some patients experience To be like a robot, like being in a dream; some patients complain that they don't experience their emotions, or feel that they lose their control over their spirit or body. The patient knows that this type of experience is abnormal, but it persists or appears, cannot be eliminated, and is very painful.

2. Realistic disintegration

The patient complains that the surrounding environment or specific objects appear strange, deformed, flat, lifeless, dull, or feel like a stage on the stage where everyone plays on the stage; it can be accompanied by changes in time or space perception. If the patient's experience is episodic, it can be accompanied by dizziness, anxiety and fear, worrying that he will lose his mind, or fear that this phenomenon will reappear.

Differential diagnosis

What needs to be identified is other physical or mental illnesses that can lead to disintegration or actual disintegration.

1. Brain organic diseases: Epilepsy, brain tumors and other encephalopathy can present symptoms of this disease. Through medical history and physical examination, brain organic diseases can be found as their primary disease.

2. Schizophrenia and depression: Personal disintegration and actual disintegration symptoms can also occur, but they all have symptoms of primary mental illness that can be identified.

3. Other neurotic disorders: including anxiety disorders, suspected disorders, obsessive-compulsive disorder, phobias, etc. Disintegration of personality is only one of the symptoms, and often does not occupy a prominent position, the diagnosis should be made according to various diagnostic criteria.

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