Reactive psychosis is a mental disorder,Arising after mental traumas, superstrong shocks, which are emotionally significant for the individual. The emergence of reactive psychoses, as well as their characteristics of the course of symptoms directly depend on the constitutional characteristics of the individual and mental trauma.
Reactive psychosis is temporary, reversible,As well as diverse in its clinical picture. The disease can occur in the form of delirium, obscuration of consciousness, affective, as well as motor disorders.
Reactive psychosis of the cause
Determining importance for the development of the diseaseHas the very nature of the trauma, as well as the constitutional characteristics of the patient. Reactive psychosis is easily able to arise in individuals of a psychopathic environment, who have hysterical, emotionally unstable, and also paranoid tendencies. The pathological changes that are caused by the transferred infectious diseases, craniocerebral traumas, various intoxications, overfatigue, alcoholization, insomnia, and also periods of age crises are cited as provoking factors. The adolescent and climacteric period is very vulnerable in terms of the appearance of mental reactions.
Reactive psychosis symptoms
The second name of reactive psychosis is a psychogenic shock that can occur in hypokinetic or hyperkinetic form.
Reactive psychosis and its symptoms depend on the formDisease. Hypokinetic form is characterized by sudden development of stuporosis; Numbness of the patient from horror, restriction in movements, inability to speak.
The hyperkinetic form is marked spontaneouslyThe appearance of random motor excitation. In some cases, a change in the hyperkinetic to a hypokinetic form is characteristic. These two forms are marked by twilight confusion of consciousness, vegetative disorders (tachycardia, BP changes), as well as partial or complete amnesia are observed.
Depending on the nature of the occurrence, as well as the course of reactive psychoses, shock (acute), subacute, and protracted reactive psychoses are identified.
Acute reactive psychosis and its causes: The impact of a sudden mental trauma (attack of criminals, fire, flood, earthquake), the news of the irreplaceable loss of a person, or the loss of values important to the individual.
Subacute reactive psychosis is often noted in judicial practice. Reactive psychosis includes hysterical psychosis, psychogenic depression, psychogenic paranoid, as well as psychogenic stupor.
Psychogenic depression is characterized byDepressed or depressed-anxious signs, often combined with tearfulness, irritability, quick temper, discontent. The state is characterized by expressive-theatrical behavior, the desire to attract attention, and also cause compassion, sympathy, often with suicidal demonstrative attempts that indicate a hysterical type of depression. Often in patients, there are signs characteristic of different types of depression. All cases of psychogenic depression are associated with a psychotraumatic situation. Symptoms of depression recede almost immediately or a few weeks later. In rare cases, psychogenic depression is complicated by such severe disorders as delusional fantasies, pseudodementia, and puerilism. Reactive hysterical psychosis is marked by Ganser's syndrome, delusions of fantasy, pseudodegment, recurrence syndrome, puerilism.
Bredous fantasies are manifestedLittle-systematized, unstable and volatile external circumstances, a reassessment of one's self, ideas of grandeur, reformism, inventiveness, much less the persecution or accusation. The behavior of patients is characterized by theatricality, the desire to attract attention to themselves. These fantasies appear gradually or acutely, characterized by a narrowness of consciousness.
Bredous fantasies are eventually exposedSystematization and there are several months. Depending on the course of development of psychosis, delusional fantasies are replaced by a state of puerilism or pseudodement.
Ganser's syndrome is a twilight hystericalThe confusion of consciousness with signs of the phenomena of speech, which are characterized by incorrect responses to questions in their content. For the sick, disorientation is typical in place, in the surrounding space, in time, in one's own personality. Some have inhibition, others have excitement with expressiveness, emotions are variable, fear, anxiety with elements of clownery. Ill become confused when performing simple simple actions, they begin to be accompanied by full amnesia. A number of cases of Ganser's syndrome are modified by pseudodementation.
Pseudomodulation, being an imaginary dementia,Characterized by incorrect answers, as well as actions on simple requests or questions. The ill make mistakes during the elementary account, can not name the number of fingers on the hand, and also get lost in the names of the fingers, confuse the nose with the ear, commit violations when writing, when making a speech. Most patients smile meaninglessly, grimace, exhibit motor excitement. Other patients experience depression, anxiety, confusion. Pseudomendency is often replaced by puerilism, characterized by behavior peculiar to children. Ill make paper toys, collect candy wrappers, speak with childish intonations. Puerilism is often combined with pseudodegmentation.
Syndrome of behavioral regression or syndrome of wildnessIs marked by the desire for the behavior of the animal. The syndrome is characterized by psychomotor agitation: the patients bark, roar, mew, are exposed, tear their clothes, lap, eat with their hands. The syndrome of wildness appears after a mental trauma and is marked by a twilight or narrowed change in consciousness.
The psychogenic paranoid is marked by imaginative delirium. The state is characterized by anxiety, excitement, fear, impulsive actions, motor excitement. Patients are in search of protection, looking for imaginary enemies, often confused. Psychogenic paranoid can develop with prolonged movement, during lack of sleep, and also often due to psychogenic traumatic experiences. This condition occurs in forensic investigation. Psychogenic stupor is marked by motor and speech retardation and is often combined with vegetative disorders. He is characterized by hysterical, depressive, hallucinatory and delusional symptoms.
Prolonged reactive psychoses are notedHysterical depression, delusional fantasies, pseudo-dementno-puerile disorders. All these disorders in favorable cases remain unchanged for up to a year or more. Adverse reaction to prolonged reactive psychosis with initial hysterical symptoms.
Treatment of reactive psychosis
Treatment takes place in a psychiatric hospital, where psychotropic drugs are prescribed, psychotherapy is connected. The outlook is usually favorable.
Treatment of reactive psychosis includes eliminationThe main cause of the disease, namely the psychogenic situation. Affective-shock reactions often do not require medical care, but other psychoses need hospitalization. A favorable effect in the psychogenic state is provided by the resolution of the psychogenic situation. Conversely, an unresolved situation exacerbates the prolonged course of psychosis.
Therapeutic tactics depends on the severity of the condition,Character of the traumatic situation. The state of excitation is removed by neuroleptics and tranquilizers in injections. Neuroleptics stop crazy ideas. Reactive depression is treated with antidepressants. Psychotherapy removes excessive fixation in a traumatic situation, and also develops protective psychological mechanisms.
Psychotherapeutic work begins after the releaseFrom acute psychosis, which allows the patient to adequately perceive the environment. In most cases, treatment is successful, and patients return to work.