Affective syndromes

Affective syndromesAFFECTIVE SYNDROMES include polar emotional disorders - depression and mania. Depressive syndrome characterized by painful low mood, depression, sometimes accompanied physically painful feeling of pressure or heaviness in the chest, intellectual and motor inhibition (obstruction of the flow of thoughts, loss of interest in professional activity, slow movements until complete immobility-depressive stupor). The nature of depression is different; depending on nosological toiletries distinguish psychogenic depression (reactive, neurotic), endogenous depression with manic-depressive psychosis and schizophrenia and, finally, symptomatic depression arising from somatic and other diseases. Pessimistic attitude when depression is accompanied by anxiety, guilt, ideas maliennes purchasing in severe cases, the character brad blame or sin, suicidal ideas and tendencies. The most typical symptoms of depression include changes in the intensity of symptoms during the day - the greatest intensification of development in the morning and improvement of the evening. There are also sleep disorders (shallow, short night's sleep, daytime sleepiness), menstrual cycle, loss of appetite accompanied by weight loss. There are different variants of the depressive syndrome: agitated, adinamicheskoy, hypochondriac, asthenic, hysterical depression, depression with delusions, depersonalization phenomena, etc. When agitated depression is dominated by anxiety and motor anxiety: patients are rushing about, moan, unable to find a place. If adinamicheskoy depression will come to the fore confusion, immobility, lack of motivation. Picture hypochondriacal depression defined at an alarming concern or even the belief in the presence of severe disease. Many hypochondriacal complaints, as well as a variety soreness that is usually not associated with any changes in the internal organs. Asthenic depression occurs with a predominance of weakness, physical and mental fatigue, disorders of concentration, hyperesthesia. At the same time, affective disorders, depression, intellectual and motor inhibition in these cases expressed little. When hysterical depression prevail hysterically painted affective disorder phenomena utrirovannoe despair with sobs, convulsions, conversion (astasia-Abaza, tremor, aphonia) and dissociative (amnesia, hysterical hallucinations) symptoms. Often demonstrative suicide attempt resulting from the type of "suicidal blackmail". Manic syndrome characterized by painful elevated mood, combined with unwarranted optimism, accelerated thinking and excessive activity. Mania often arise in the framework of endogenous psychoses (manic-depressive psychosis, schizophrenia), organic diseases of the Central nervous system, as well as some intoxications; there are psychogenic provoked mania. Patients tend to experience joy, happiness, overestimation of your own abilities, sometimes reaching the level of ideas of greatness. The ease of formation of associations, hypermnesia (exacerbation of memory with the influx of memories) combined with increased twicemonthly, superficial judgments. There are mnogoluchevoi, striving for constant expansion and contacts. It is often found irritability, conflict (angry mania). Patients commit rash acts, it is pointless to spend money. Sleep is usually disturbed (reduction of hours of sleep, early awakening), appetite increased; often increases sexuality, disturbed menstrual cycle. Mild severe mania (hypomania) is often combined with diverse somatic symptoms, alyami, neurotic manifestations..



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