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Psycology » Psychiatry and psychotherapy

Disorder sleep-wake

Restructuring physiological rhythms in travel-crossing time zones, or when another schedule accompanied by a sense of fatigue and transient disturbances of sleep. Constant change work schedule or irregular alternation of night and day stay can lead to chronic sleep, constant fatigue, decreased ability to concentrate and thus increase the risk of injuries, accidents, etc.

Subarachnoid hemorrhage

The literature has repeatedly noted a high incidence of mental disorders after subarachnoid hemorrhage. So, Storey (1967, 1970) studied the effects of subarachnoid hemorrhage in 261 patients, found that in 40% of cases by simple clinical examination revealed organic mental disorders. For these patients were also characterized by adverse changes in personality, though, surprisingly, relatives reported an improvement in 13% of patients with bleeding from the front aneurysms. In 14% of cases there was a significant depressive symptoms. Overview of psychiatric aspects of subarachnoid krovoizliyan

Cerebrovascular stroke

Among the survivors of a stroke a little over half are those who have managed to return to full independent living. The rest in varying degrees lose their ability to live independently because of violations, which may be both psychological and physical. Psychological changes are often so great that many patients are unable to return to a normal life even after physical disturbance has ceased to be a serious obstacle. Cognitive impairment A single stroke can cause dementia, and other disorders of higher cortical functions, such as dysphasia, and VARPA

Intracranial infections: tuberculous meningitis

Nowadays, tuberculous meningitis is rare and extremely difficult to diagnose. In practice, a psychiatrist from time to time meets this condition when it is manifested by apathy, irritability and personality change. Symptoms such as high fever, stiff neck, blurred consciousness, in many cases joined later, and therefore should again and again to carry out appropriate tests to detect them in a timely manner.

Intracranial infections: Myalgic encephalomyelitis benign

This is a rare disease that gives flash type epidemics, sometimes called Royal Free Disease due to the widely known outbreak observed in 1955 in a London hospital Royal Free Hospital. At various outbreaks to the typical manifestations include fatigue, headache, myalgia, paresis, psychiatric symptoms, the temperature may be slightly elevated or even normal. Mortality in such cases does not happen. At the beginning of the disease is sometimes inflamed throat and gastrointestinal symptoms observed. The severity of these symptoms contrasts with the absence of neurological signs, as well as the lack of data about the pathogen. After the first

Subdural hematoma

The psychiatrist should remember that subdural hematoma is not uncommon in falls associated with chronic alcoholism. Relevant symptoms in such cases can easily go unnoticed; sometimes they are misdiagnosed. Acute hematomas can cause coma or flickering consciousness and are often accompanied by hemiparesis and oculomotor disorders. As a rule, the psychiatrist is more inclined to pay attention to chronic symptoms for which the patient has a headache, makes vague physical complaints may experience flickering consciousness, but often there is little local neurological signs.

Of electrolyte and water metabolism

Various metabolic and electrolyte fluid in the body can cause psychiatric symptoms, usually (but not always) in the form of acute organic syndrome. Table. 11.5 lists the main psychological disorders (in brackets are some important physical symptoms and signs, information on other physical manifestations of various diseases can be found in the textbook on general medicine). Hypomagnesemia role is still unclear. Calcium metabolism disorders mentioned earlier in connection with damage to the parathyroid glands (see s.278), this aspect is of particular interest because, apparently, there is a close relationship between the concentration

Sleep disorders

To the psychiatrist may be asked to examine the patient, whose main problem is related to some or other sleep disorders or insomnia, which happens rarely with excessive sleepiness. Among patients who sleep poorly, many complain of fatigue, perceived during the day, and mood disorder. Although prolonged sleep deprivation causes a reduction of the productivity of intellectual activity and mood disorders, occasional lack of sleep in separate nights is not very important. Therefore symptoms was noted in the daytime in patients complaining of poor sleep, probably due to a greater extent cause CAUSED

Treatment of schizophrenia: interaction supporting medical and social care

As in the management of patients with schizophrenia, apparently, effective and drug therapy, and social activities on the conditions of life of patients and families to assist them, it is advisable to find out whether you can use these two types of treatment in the interaction. Hogarty et al. (1974) studied the effect of the role of therapy (ie, from social events aimed at finding its role in patients with labor or social) with the use of drugs and without them. Themselves social events very little effect on reducing the frequency of relapses, in conjunction with drug therapy they were given a more significant effect. Perhaps this difference is partly due to

Treatment of mania

Antipsychotics such as chlorpromazine (chlorpromazine) and haloperidol, usually allow you to quickly take control of the symptoms of acute mania, although sometimes this requires large doses (see Chap. 17). Lithium carbonate is also effective, however, in this case the therapeutic response often manifested only in the second week of treatment and hence, it is more retarded than the response to antipsychotic drugs. Controlled studies in which lithium carbonate was compared with chlorpromazine (see, e.g., Prien et al. 1972) th and haloperidol (see, for example, Garfinkel et al. 1980) showed that both of these drugs exceed
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