Mania
Introduction
Introduction means hand and foot harassment. "Frenzy" means frantic and uneasy. Mania refers to frenziedness, hand and foot harassment, is a kind of syndrome of sorrow. More due to the heat of the liver; or smoldering on the fire; Yangming hot, heat disturbed the mind; or turbid on the dry; blood storage under the coke, hot and rushing.
Cause
Cause
More due to the heat of the liver; or smoldering on the fire; Yangming hot, heat disturbed the mind; or turbid on the dry; blood storage under the coke, hot and rushing. Or suffering from mania.
First, genetic factors.
Second, physical factors: The main characteristics of circular personality is good communication, cheerful, wide-ranging, active, easy to be optimistic, and more likely to become more worried. Patients with mesodermal leaf type bones, muscular muscles, and connective tissue are more ill than those with delicate and delicate ectoderm.
Third, the function and metabolic abnormalities of the central nervous system:
1. Central noradrenergic system dysfunction.
2. The central serotoninergic system is abnormal.
3. Multiple amine metabolism disorder hypotheses.
4. Neuroendocrine dysfunction.
4. Mental factors: The onset of manic depressive psychosis may be related to mental stimuli, but it can only be regarded as a predisposing factor.
Examine
an examination
Related inspection
Neurological examination of brain CT examination
The main clinical symptoms of the manic state are high mood, thinking and emotional excitement. Significant and lasting changes in mood - high mentality as the basic clinical manifestations, accompanied by corresponding thinking and behavioral changes, a tendency to recurrent, complete relief in the intermittent period. Those with milder symptoms can not reach the level of mental illness. The onset of the disease is a manic phase. The meaning and diagnostic criteria are: the patient's state of mind is high, and it is not commensurate with the situation in which it is located. It can be elated, irritating, agitated, and even cause disturbance of consciousness. In severe cases, psychotic symptoms such as delusions and hallucinations that are coordinated or uncoordinated with the mood may occur.
Diagnosis
Differential diagnosis
1. Schizophrenia youth type
It is common in clinical practice to misdiagnose adolescent schizophrenia as mania. The opposite is also true. This is because schizophrenia can also have a circulatory course, and clinical manifestations can also have motoric excitement. However, after several episodes of schizophrenia, the course of circulation is gradually less obvious, and it is a chronic progressive disease. Although the clinical phase is excited and agitated, the emotions are not relaxed and happy, but the mood is erratic and the behavior is also impulsive. Clinically, some patients with depressive disorder have psychotic characteristics that are incompatible with their mood, but they are short-lived and long-lasting with the course of the disease.
2, toxic psychosis Some drugs such as corticosteroids, isoniazid, and the equal poisoning of Ah can cause mania.
According to the history of medication, the relationship between the time of administration, the dose and the incidence of the disease, and the improvement after the withdrawal or reduction of the drug can be identified. Toxic psychosis is often accompanied by varying degrees of disturbance of consciousness.
3, brain organic psychosis
For example, paralytic dementia and senile psychosis may be manic, but there are often mental disorders, and the emotions are not high, but mainly euphoria. Detailed medical history, physical and neurological examinations help identify.
4, mental disorders caused by physical diseases Hyperthyroidism can occur in a state of light mania, but the emotions are not really high, but mainly anxiety, emotional instability. Accompanied by symptoms and signs of primary somatic disease.
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