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Psycology » Psychiatry and psychotherapy » Neurosis: Part I » Evaluation

In assessing the patient's condition neurosis necessary to make sure that not missed any primary cause, such as physical illness, depressive disorder, schizophrenia or dementia. The relative probability of each of these disorders varies depending upon the age of the patient. Even if at the first examination no signs of the presence of the primary causes have been identified, you should always think about it again when there is no improvement after adequate treatment. Assessing the likelihood of physical illness, we must constantly remember that stressful events are quite common and that their presence does not exclude the presence of primary organic disease. This is especially important to keep in mind when it comes to middle-aged patient who had never suffered from neurosis, and (as will be described in the next chapter) of any patient with symptoms suggestive of conversion disorder or dissociative.

Search organic disease requires a thorough history and physical examination of, as well as relevant studies. Displacement studies in each case varies, it is determined depending on the age of the patient, the nature of its symptoms, as well as the key danngh history. If after appropriate investigation clears the picture is not necessary to make a record of it, as a preliminary diagnosis and fix a certain time to revise.
It should also eliminate depressive disorder, schizophrenia and dementia, carefully questioning the patient in order to identify the characteristic signs and symptoms of these diseases (described in the chapters devoted to each of them). Ascertaining the extent possible, in the absence of any organic patient diseases, affective disorder, schizophrenia and dementia, take the next step, ie, evaluate the degree of treatment necessary neurosis. Solving this problem, you should pay attention to the severity of symptoms, their duration, the probability of sustaining any causal stress factor, as well as the peculiarities of the patient's personality. Neurosis, probably will pass quickly and without treatment if symptoms are mild, there are just over a few weeks and started at a time when there is a temporary stressful events. Also may not need treatment for a patient with a normal person.


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