Functional (neurotic) disorders, related to stress and reactive psychoses

1. Functional (neurotic) disorders, related to stress and reactive psychoses

2. MODEL OF NEUROTIC LIFE (VIRTUAL MODEL OF NEUROSIS)

3. THE CONFLICT OF VIRTUAL QUERIES IN THE REAL SPACE RESULTS TO : • PEQULIARITY OF DIVIDING OF “ME” (“EGO”) • WEAKNESSES of INTEGRATION of BASIC FUNCTIONS of “ME” • Archaic VIOLATIONS OF DIVIDING • IMPOSSIBILITY TO SET LONG-TERM OBJECTIVE RELATIONS • APPEARANCES of “STRANGE OBJECTS”, to COMMUNICATE AFTER LAW of BADMANNERED • (G.Ammon) • DISPLAYS OF SYMBIOTIC NECESSITY

4. Neurosis • PRODUCT of ARCHAIC FEAR of IDENTITY BECAUSE OF PATHOLOGICAL DELAY of SYMBIOSIS (G.Ammon) And IMPOSSIBILITY to MOVE AWAY FROM NUCLEAR FAMILY THAT BRINGS TO FEAR “ME” ABSORPTION. • SYMPTOMACY is CONNECTED WITH GENERAL, PRIMARY DIFFUSE And UNDIFFERENTIATED FEAR • WITH SEARCH OF SELFIDENTITY IN VIRTUAL SPACE ( LOSS OF IDENTITY IS REAL) • FEELING of EXISTENCE (REALIZATION OF ITSELF IN THE REAL WORLD) POSSIBLE ONLY Within the framework of NEUROTIC ACT WHICH DEPENDS ON DENSITY And SPEED of VIBRATIONS of TRANSITION of the VIRTUAL And REAL WORLDS

5. F 40-F 48 Neurotic, related to stress and somatoform disorders This is violation of higher nervous activity, and neurovegetative functions which develop under act of psychical traumas or long-term emotional tension and appear mainly in an emotional sphere, meantime as changes of thought and common behavior are caused by the state of affect. Social condition, somatic and mental condition in the moment of psychic trauma, common overstrain,assist development of neuroses,

6. Basic groups of clinical symptomacy, which is characteristic for all types of neuroses. 1.Disorders of selfcontrol: discomfort, headacke, feeling of «broken» (especially after sleep), fatigueability, decreasing of capacity to work. 2. Emotional disorders: lability of mood, sensitivity, irritate, propensity to the depressed reactions, fears and obsessive scare, stormy affective with next exhaustion, inadequacy of emotional reaction to force of irritant, control insufficiency after emotional reactions. 3.Disorders of effector -volitional sphere and trains: violation of appetite and sexual function, obsessive trains and actions, insufficient control after behavior.

7. 4. Disorders of other psychical functions: 4.1. attention (exhausting, carelessness, distraction or increased enchained to the unpleasant feelings); 4.2.memory(forgetfulness, difficulties at memorizing and recreation of information); 4.3. thought (obsessive thoughts, affect thinking, concentration of ideas, round the illness); 4.4. feeling and perception (hyper-, hypo- and to anaesthesia, parasthesia, senestopathy, unpleasant feelings in organs and parts of body with disorders of their activity, functional blindness, deafness); 4.5. consciousness and selfconsciousness (affective narrowing of consciousness at psychotraumic circumstances). 5. Somatovegetative disorders: hyperhydrosis, waves of heat, dermografіzm, takhіkardіya, lability of pulse and arterial pressure, nausea, difficulty in breathing, functional paresises and paraplegiya, stammer, tremor of body and others like that.

8. F 40 Phobic anxious disorders F 40.0 Agoraphoby .00 Without panic disorder .01 With panic disorder F 40.1 Social phobias F 40.2 Specific (isolated phobias) F40.8 Other phobic anxious disorders F 40.9 Phobic anxious disorder, nonspecified

9. Peculiarities of neurotic agoraphobia Prepared by docent Venger O.P. Translated by Snovyda L.T. TSMA

10. ANXIOUSLY PHOBIC DISORDERS • GROUP of DISORDERS AT WHICH ALARM is CONNECTED With CONCRETE SITUATIONS OR OBJECTS, THAT In ACTUAL MOMENT ARE not DANGEROUS, BUT EXPERIENCED OR With SENSE of FEAR, OR AVOIDED by PATIENTS. • (AGORAPHOBIA, SOCIAL PHOBIAS, SPECIFIC ISOLATED PHOBIAS)

11. AGORAPHOBIA - A term of «agoraphobia» includes fears of the not only opened spaces , but also near to them situations, such, as a presence of crowd and impossibility immediately to go back into a safe place(mainly home). ICD-10

12. AGORAPHOBIA • - Term unite at itself whole aggregate of connect and partly consilient phobias which unite fears to go out from home: included in a shop, fear of crowd or public places, and also to travel on alone in trains, busses and airplanes. ICD-10

13. AGORAPHOBIA - In spite of the fact that intensity of alarm and expression of avoiding behavior can be different, it most disadaptive from phobic disorders and some patients become fully tied down to the stay in houses. ICD-10

14. F 42 Obsessive - compulsive disorders • F 42.0 Disorder is with predominance of obsessive thoughts or actions • F 42.1 Disorder with predominance of obsessive actions (obsessive rituals) • F 42.2 Obsessive ideas and actions • F 42.8 Other obsessive - compulsive disorders • F 42.9 obsessive - compulsive disorder, unspecified ICD-10

15. are characterized by appearance of the obsessive states after a psychical trauma. Clinically shows up the syndrome of obsession. • Obsessive doubting. Uncertainty in the rightness of the carried out or carried out actions, that insistingly arises up despite logical reasons. • Obsessive flashbacks. Annoying flashbacks of some sad, unpleasant or disgraceful for a patient event are despite attempts not to think about it. • Obsessive imagination . Appearance of untruthful imagination which a patient takes for reality without regard to their absurdity. ICD-10

16. Obsessive trains (inclinations). Attempt to carry out some extremely undesirable action, which is accompanied the creepy and panic feeling for impossibility to rid of such trains. Obsessive fears (phobias). Obsessive and senseless dread of height, large streets, opened or limited spaces, accumulation of people, fear to become ill by incurable illness or unexpectedly to die. Obsessive actions. Motions which are carried out against the will of patients, without regard to effort to hold back from their implementation. One of obsessive actions fill thoughts of patient until will not be realized, other - not noticed. ICD-10

17. F 44 Dissociative(conversions) disorders F 44.Dissociative amnesia F 44.1 Dissociative fugue F 44.2 Dissociative stupor F 44.3 Trance and state of obsession F 44.4.Dissociativemotive disorders F 44.5 Dissociative cramps F 44.6 Dissociative anaesthesia .80Hanzer Syndrome .81 Plural personality disorder

19. The clinical picture of illness is characterized by considerable lability of emotions and transition of psychical component in somatoneurological. It is an unique form of neurosis, which the quality changes of consciousness are possible at. Practically all symptoms of hysteria have protective for a patient character in accordance with the concrete psychotraumatic situation. They bring a person a certain moral benefit, as decrease some other heavy experiencing.

20. F 43 Reactions on heavy stress and disorders of adaptation F 43.0 the Sharp reaction on stress .00 Insignificant .01 Moderate .02 Considerable F 43.1 Postraumatical stress disorder F 43.2 Disorders of adaptation .20 Brief depressed reaction .21 Protracted depressed reaction

21. A reaction on strong stress and violation of adaptation (reactive psychoses). Reactive psychoses, which are delivered according to ICD 10 in section ”reactions on strong stress and violation of adaptation” it is pathological reactions of psychotic level on psychical traumas or unfavorable situations, which cause fear, alarm, offense, melancholy or other negative emotions. Among reactive psychoses distinguish: 1) affective-shock reactions; 2) reactive depression; 3) reactive paranoid; 4) hysterical psychoses.

23. F 45 Somatoform disorders F 45.0 Somaticdisorder F 45.1 Somatoform disorder undifferentiated F 45.2 Hypochondric disorder F 45.3 Autonomous somatoform disorders (disfunctions) .30 of the cardio -vascular system .31 of the upper departments of stomack-intestine way .32 of the lower departments of stomack-intestine way .33 of the respiratory system .34 of the urine-sexual system

24. Neurasthenia - it is predominance of the phenomena of asthenisation; - it is the permanent common feeling of tension with heavy presentiments; - increased confusion in relation to criticism to the own address; - it is an unwillingness to enter into a contact without a guarantee to please, avoiding social or professional activity which is related to the considerable social contacts, in connection with the presence of fear of criticism, or ignoring; - it is narrow-mindedness of the vital and social mode from a necessity in physical and psychological safety.

26. Treatment of neuroses. A primary value has removing influence on the patient of unfavorable emotional factors, and if it is impossible, it is necessary to change attitude sick toward a psychotraumatic factor. With this aim apply different psychotherapy methods, in particular rational psychotherapy, various types of hypnotherapy and autotraining.

27. From medications recommend commonhealing, sedative and tonic, sometimes prescribe small doses of neuroleptic preparations. Depressants are usually good at the beginning of treatment (preparations of valerian, elenium, tazepam, seduxen), in future the tonic connect preparations (tincture to ginseng, Chinese lymonnyka, extract of eleuterococcus, pantokryn and others like that).

28. Thanks for attention!