How is neurosis sexual reaction to return a responsibility?
summary
The patients had decreased mental activity, often had anxiety and trouble, or suffered from various physical discomfort. Physical examination could not find organic brain lesions or physical diseases as the basis of their clinical symptoms; Most of them had good insight without persistent psychotic symptoms; They usually don't confuse their morbid experience with the objective reality, that is, the patients' ability of reality test is not damaged; The behavior is generally kept within the scope permitted by social norms and can be understood and accepted by others; There is often an urgent need for treatment. The onset of illness is related to quality, personality characteristics or mental stress; The course of disease is usually prolonged or paroxysmal. The course of disease is less than 3 months, or there is a transient attack, the author said neurosis.
How is neurosis sexual reaction to return a responsibility?
The differential diagnosis of neurotic reaction: (1) brain injury syndrome: such as encephalitis, brain trauma, cerebrovascular disease, carbon monoxide poisoning and other pathological changes in the recovery period can have similar performance, but often accompanied by intellectual damage, limb paralysis, nerve palsy, brain CT or EEG abnormalities can help to identify.
The differential diagnosis of neurotic reaction: (2) anxiety disorder: anxiety disorder mostly occurs in young and middle-aged people, and the inducing factors are mainly related to people's personality and environment. Although there are palpitation, shortness of breath, dyspepsia, nausea and vomiting, abdominal distension and constipation, sweating, limb tremor, spermatorrhea, impotence, irregular menstruation and other symptoms, but different from neurosis, the history is relatively short, and you can ask the cause of anxiety.
The differential diagnosis of neurotic reaction: (3) hyperthyroidism: Patients with hyperthyroidism have similar symptoms of neurosis, but some specific signs of hyperthyroidism can be found through clinical physical examination, such as exophthalmos, tremor of both hands, mild goiter, increased T3 and T4 in blood.
matters needing attention
The common features of this disease are: 1. The onset of this disease is often related to quality and psychosocial factors; ② There is a certain personality foundation, often feel difficult to control the consciousness or behavior that should be controllable; ③ The clinical phase showed a variety of mental and physical symptoms, but there was no corresponding organic basis; ④ They have clear general consciousness, good contact with reality, complete personality and no serious behavior disorder; ⑤ The course of disease is long, insight is complete, and treatment is required.
