Neurotic reaction

Introduction Patients have reduced mental activity, often have anxiety and trouble, or suffer from various physical discomforts. Physical examination can not find brain organic disease or physical disease as the basis of their clinical symptoms; self-knowledge is good, no persistence Psychiatric symptoms; usually do not confuse their morbid experience with objective reality, that is, the patient's actual ability to test is ultimately compromised; behaviors generally remain within the limits of social norms, can be understood and accepted by others; often urgently require treatment . The onset is mostly related to quality, personality characteristics or mental stress; the course of disease is prolonged or episode. The course of the disease is less than 3 months or there is a short time for the author to call a neurotic reaction.

Cause

Most scholars believe that this disease is caused by the combination of mental factors and genetic factors (susceptibility). Those with a susceptible quality are prone to emotional reactions, and mild external stimuli may induce this disease.

an examination

Related inspection

EMG electroencephalography

The commonality is that 1 disease is often related to quality and psychosocial factors; 2 there is a certain personality foundation, and often it is difficult to control the consciousness or behavior that should be controllable; 3 clinical phase presents various symptoms of mental and physical aspects , but no corresponding organic basis; 4 general awareness, good contact with reality, complete personality, no serious behavioral disorders; 5 longer course, complete self-knowledge, requiring treatment.

Differential diagnosis

Differential diagnosis of neurosis:

(1) Brain injury syndrome: such as encephalitis, brain trauma, cerebrovascular disease, carbon monoxide poisoning, etc., the recovery period may have similar performance, but often accompanied by intellectual damage, limb paralysis, nerve paralysis, brain CT or EEG Anomalies can help identify.

(2) Anxiety disorders: Anxiety disorders occur mostly in young and middle-aged groups, and the induced factors are mainly related to human personality and environment. Although there are also flustered, shortness of breath, indigestion, nausea and vomiting, abdominal distension, constipation, sweating, limb tremor, nocturnal emission, impotence, irregular menstruation and other symptoms, but different from neurosis is a short history, and can ask for anxiety the reason.

(3) Hyperthyroidism: Patients with hyperthyroidism have similar neurosis symptoms, but some clinical signs of hyperthyroidism can be found through clinical examinations, such as prominent eyeballs, fine tremors in the hands, mild swelling of the thyroid, T3 in the blood, T4 increase can be identified.

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