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Psycology » Psychiatry and psychotherapy » Neurosis: Part I » Treatment of patients

All neurotic disorders applicable guidelines below. Range of therapeutic interventions consists of three parts: a treatment aimed at relieving symptoms, the actions taken to address the problems, and measures aimed at improving patient relationships with others.

When ill-defined Symptoms Supporting conversation as effective as anxiolytic drugs (Catalan et al. 1984). In more severe cases may require treatment with anxiolytics for several days, in order to reassure the patient and restore his sleep, but to prescribe these drugs for a long time is not recommended. No need to achieve complete relief of anxiety, to a certain extent it can encourage the patient to make changes in their lives. (Supportive psychotherapy is discussed further in Sec. 18, and the use of anxiolytic drugs in Chap. 17.)
At every opportunity to solve their Problems Should the patient himself and not others, although relatives should be encouraged to assist him in the case. However, if the problems are insurmountable or prolonged, may need help doctor, nurse or social worker. Thus, Shepherd et al. (1979) found that support from social services gave a good effect in the vast majority (two-thirds) of cases of chronic neurosis observed in general practice. But even in this situation still need to encourage the patient to participate in the identification of emerging issues to the question of what can be done to address each of them and in what order they should be overcome. Thus he will be better prepared to ensure that their own to cope with difficulties in the future. If

problems can not be solved, the patient should be helped to come to terms with them.
Typically, patients with neurotic disorders small problems are only temporary, but in some patients Social difficulties May be delayed. Often they lack the friends to whom they could trust, or some classes delivering satisfaction. Such people should be encouraged to join a club or (for example, if we are talking about a housewife who is alone in the four walls) to get paid or charity work for part-time work. Most patients with normal neuroses such classes are more suitable than those that involve the other in patients with more severe disease. And yet, even if rare, but there are cases where a psychiatric social club or day care center may be the only possible way to establish social contacts. In some patients with chronic neurosis lack of social contacts is the result of long-standing difficulties in social relationships, such patients can be helped by using one of psychotherapeutic methods described in Sec. 18.

Further Reading

Fischer-Homberger, E. (1983). Neurosis. In Handbook of psychiatry (Ed. M. Shepherd and O. Zangwill), Vol. 1. Cambridge University Press, Cambridge.

Goldberg, D. and Huxley, P. (1980). Mental illness in the community. Tavistock, London. Shepherd, M., Cooper, B., Brown, A.C. andKalton, G. (1981). Psychiatric illness in general practice (2nd edn, with new material by MShepherd and A. Clare). Oxford University Press, Oxford. Slater, E. and Slater, P. (1944). A heuristic theory of neurosis. Journal of Neurology, Neurosurgery and Psychiatry 7, 49-55.


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