Sense of uselessness

Introduction 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. May be related to psychosocial factors, genetic factors, neuroendocrine and central neurotransmitter dysfunction, see the relevant content. These factors are complex and intertwined, and vary from person to person. Fortunately, in most cases, the doctor does not prevent the diagnosis of the disease and take effective treatment measures.

Cause

Retirement syndrome is an adaptation of anxiety, depression, sorrow, fear, etc., which occurs due to the inability of the elderly to adapt to new social roles, living environment and lifestyle changes after retirement, or an adaptation that deviates from normal behavior. Sexual psychological barriers, which often cause other physical illnesses and affect physical health.

an examination

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Trace element detection in human body

The patient's mood is low, and it is not commensurate with the situation. It can be from sullen and unhappy to grief, and even a stupor state. In severe cases, psychotic symptoms such as hallucinations and delusions can occur. The mood is low for at least 2 weeks, during which at least four of the following symptoms are:

1. Losing interest in daily activities, no feeling of happiness.

2, the energy is obviously reduced, and the feeling of fatigue continues.

3. Mental retardation or agitation.

4, self-evaluation is too low, self-blame, guilty.

5, Lenovo is difficult, thinking ability is reduced.

6, repeatedly want to die, suicidal behavior.

7, insomnia or wake up early, or too much sleep.

8, loss of appetite or weight loss.

9, loss of libido.

Differential diagnosis

Incompetence: It is common in adaptation disorders. The incidence of the disease is more than 1 to 3 months after the onset of stress events. The clinical symptoms of the 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.

No shame: 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.

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