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Psycology » Psychiatry and psychotherapy » Affective psychosis » Manifestations of affective phases: mania, cyclothymia, dysthymia

  1. Affective psychosis
  2. Manifestations of affective phases: depression
  3. Manifestations of affective phases: mania, cyclothymia, dysthymia
  4. Diagnosis and treatment of affective psychosis

Mania (from Greek.????? - Madness, frenzy) is the direct opposite of depression. Characteristic features of mania (hyperthymia) are increased (expansive) mood, accelerating the flow of ideas, associations, and motor agitation. This "triad" of the main symptoms, as well as depressive "triad" affectivity reveals a different degree of intensity of manifestations and different combinations of proportions within its individual components. In some cases, elevated mood prevails, in others to the forefront acceleration associative process, but may prevail and motor stimulation.

"Mania without mania" characterized in that the leading symptom is motor stimulation without increasing flow velocity associations. Focusing is not broken, but thinking reduced productivity. Such patients are mobile, talkative, gesticulate a lot, easily meet, come into contact. There is increased activity, which is typical for any mania, but obviously overvalued acts related to their activities. Actually manic affectivity differs expressionless tarnish. Inherent in such patients a feeling of fullness physical well-being and comfort is not accompanied by a sense of joy and fun, on the contrary, appears even irritability or anger. There is a reassessment of their own capabilities, but it is expressed only in a certain exaggeration of events. Violations somatovegetativnyh functions insignificant manifested in sleep disturbance (early awakening, but without a sense of weariness and weakness), a slight increase in appetite (MA Morozov, 1989).

Cyclothymic mania register (hypomania) is characterized by increased physical and mental tone, a sense of vitality, physical and mental well-being, good humor, optimism. All mental processes (perception, thinking, memory) occur easily, smoothly. This feeling is accompanied by a desire for vigorous activity. Patients wake up cheerful (after a deep but short sleep), immediately take the case or their usual easy to start new, not having any hesitation and unrest. In this state, they usually successfully cope with studies showing an enviable initiative at work, in family matters in the company at the banquet table, willing to joke, have fun and merriment infect others. It has always been observed increased self-esteem. Despite the high cost of energy, patients do not feel tired, they did not reckon with the opinion of others, can be noisy, wracking others. They sleep a little, but do not lose vitality and enthusiasm. They increased appetite, pulse speeded up. Facial expression of pleasure ("mimicry Fun" by I. Sikorsky, 1910) - eyes bright, sparkling eyes, pink skin, sometimes reddish, smooth, smooth out wrinkles, easy smile appears, patients look rejuvenated.

Simple mania - The next stage of development of endogenous mania. Here, all the manifestations of mania are quite obvious, distinct. Their health patients are called "great", "wonderful", "beautiful", "festive", "gorgeous", the mood - "cheerful." They sing, tell jokes, danced, feel the rush of inexhaustible energy, thirsty tireless activity. Self-esteem is further enhanced - they are talented, can write poetry, compose music, can handle any job, any job. Symptoms of mania also quite demonstrative, bright - patients look lively and joyous, festive and enthusiastic, expansive, provocative, laugh loudly on a minor matter, and bantered easily, joke, dress festively, in a fashion, a lot of talk, gesticulate. They are constantly busy with something, invent something new, constantly doing something, but did not follow through. Houses are actively engaged in conversion of life, buying new things, furniture, plotting rearrangement, repair, buy new clothes, presented with gifts, often unfamiliar people, show special generosity waste money quickly, easily "climb" in debt, borrow money from friends, say that all want to do good. Although the urge to act in such cases significantly increased productivity almost always reduced. Distractibility, easy creation of new ideas, designs, plans, lack of patience and consistency hinder patients to do what is conceived, and sometimes even custom duties. Temp thinking accelerated associations occur more often by their appearance - that comes into view, the scope of attention, easily causes back "splash" thoughts and statements on the relevant topic. In dealing with people significantly reduced their inherent previously delicacy, tact, revealed a tendency to familiarity. Almost always enhanced sexuality, attempts to intimate rapprochement often follow one another, with the wife or girlfriend is very often forced to turn to a sex therapist for advice about the correct sexual behavior. Patients can easily come to love affairs, and a lot of place to say erotic themes, arrange a feast on trivial reason or for no reason, go on a "spree" sprees, many begin to abuse alcohol. Yet at this stage, the ability to self-management is still largely preserved in the behavior and actions of patients quite clearly manifested their personal characteristics. Statements of patients, their behavior remain optimistic frame lightly-wearing character overvalued. Delusional statements no. Many patients continue to be aware of (though not permanently) Unusual conditions and agree to take medication. Manifestations of motor hyperactivity and increased self-esteem with overvalued aspirations peculiar clinical picture and more detailed manic states, but then they become more pronounced.

Psychotic mania.

Patients at this stage mania strongly excited, talking incessantly, in a hoarse voice, a loud laugh, sing, chant, rhyme, vigorously and loudly greet all counterclaims, and if they are in the hospital, doctors welcome, the staff enthusiastically commented loudly happening around all intervene to keep others on their toes.

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