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Incompetence

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Incompetent feeling is common in adaptation disorders, and the incidence is mostly within 1 to 3 months after the occurrence of stress events. The clinical symptoms of patients vary greatly, mainly due to emotional and behavioral abnormalities. Adaptation disorder is caused by long-term stress or difficult situation, plus the patient's personality defects, causing emotional disorders such as troubles and depression, as well as maladaptive behaviors (such as withdrawal, inattention to hygiene, irregular life, etc.) and physiological dysfunction ( Chronic psychogenic disorders such as poor sleep, loss of appetite, etc., and impaired social function.

Cause

Cause

The incidence is often related to the severity of life events, individual psychological quality, and psychological coping style. Typical life events include: mourning, divorce, career or change of position, relocation, transfer, serious illness, economic crisis, retirement, etc.

Examine

an examination

Related inspection

Trace element detection in human body

In CCMD-3, the diagnostic criteria for adaptation disorders are as follows:

1, symptom standard

(1) There are obvious life events as incentives, especially changes in living environment and social status (such as immigration, going abroad, enlisting, retirement, etc.).

(2) It is reasonable to conclude that life events and personality foundations play an important role in causing mental disorders.

(3) Mainly with emotional symptoms such as anxiety, trouble, depression, anxiety, fear, etc., and at least one of the following: 1 Maladaptive behavioral disorders, such as withdrawal, inattention to hygiene, and irregular life. 2 physiological dysfunction, such as poor sleep, loss of appetite and so on.

(4) There are various symptoms found in affective disorders (excluding delusions and hallucinations), neurosis, stress disorder, somatoform disorders, and conduct disorders, but do not meet the diagnostic criteria for the above disorders.

2. Serious criteria: impaired social function.

3. Course criteria: Mental disorders begin within 1 month after the onset of psychosocial stimulation (but not catastrophic or unusual), meeting the diagnostic criteria for at least 1 month). After the stress factor is removed, the symptoms last for no more than 6 months.

4, exclusion criteria: exclude affective mental disorders, other stress disorders, neurosis, somatoform disorders and conduct disorders.

Diagnosis

Differential diagnosis

Adaptive disorders often have the following manifestations in clinical practice:

(1) Adaptation disorder characterized by emotional disorders: more common in depression, showing low mood, depression, disappointment, loss of interest in everything, but also nervousness, upset, palpitations, poor breathing and so on. (2) Adaptation disorders highlighted by conduct disorder: more common in adolescents, manifested as violations of the power of others or violations of social ethics, such as truancy, fighting, vandalism, lying, drug abuse, alcohol abuse, drug abuse, running away from home Start sexual activity too early. (3) Adaptation disorder with prominent physical discomfort: the patient can have pain (head, back or other parts), gastrointestinal symptoms (nausea, vomiting, constipation, diarrhea) or other discomforts are prominent, but the examination has not been found. The body has a specific disease and the symptoms last for no more than half a year. (4) Adaptation disorder with outstanding work and learning ability: The patient's original work and study ability is good, but the work ability is reduced and the study is difficult. (5) Adaptation disorder based on social retreat: patients are mainly social retreats, such as reluctance to participate in social activities, reluctance to go to school or work, often closed at home, but without depression or anxiety. Anxiety adaptation disorders should be the fifth form of expression.

Uselessness is common in older adults and endogenous depression patients after retirement. The retirement syndrome of the elderly is a complex psychological abnormal reaction, mainly in terms of emotions and behaviors. Patients with endogenous depression are often accompanied by strong self-blame, guilt, and uselessness, and look at their past, present and future in a negative attitude.

Shamelessness is common in patients with antisocial personality disorder. Anti-social personality is also called mental illness or social morbidity, and virtue personality. Among the various types of personality disorders, antisocial personality disorder is the most important concern of psychologists and psychiatrists. In 1835, Prichard of Germany first proposed the diagnostic name "Kidde Mania". It points out that patients have abnormal changes in instinctive desires, hobbies, temperament, and moral cultivation, but there are no obstacles in intelligence, cognition or reasoning ability, and there is no delusion or hallucination. Later, the name of "Zhede mad" was gradually replaced by "anti-social personality", and now the narrow personality disorder refers to anti-social personality disorder. In CCMD-3, the diagnostic criteria for adaptation disorders are as follows: