Treatment of hysterics is most often successful and does not last long

Alekseeva

Oksana Alexandrovna

23 years of experience

Doctor, highest qualification category, member of the European Association of Neurologists, Russian Interregional Society for the Study of Pain (ROIB), Association of Interdisciplinary Medicine. Has experience working in hospital and outpatient services. He has seven published works on neurology.

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The term “neurosis” is usually used to designate a whole group of pathologies, which are based on temporary reversible mental disorders caused by excessive load on the basic nervous processes - excitation and inhibition. Neuroses are functional diseases that are not based on structural disorders. They arise as a result of a severe conflict within the individual or changes in particularly significant life relationships of a person and are manifested by exclusively mild neurotic symptoms and somato-vegetative deviations.

According to academician V.P. Pavlov, neurosis is a breakdown of higher nervous activity that occurs when the normal course of basic nervous processes, their relationships, strength and mobility changes. That is, this is a violation of higher nervous activity and neurovegetative functions, developing under the influence of mental trauma or prolonged emotional stress. It manifests itself primarily in the emotional sphere, while the state of affect provokes changes in thinking and general behavior.

This condition lasts from several days to several years. At the same time, the patient maintains a critical attitude towards the disease, there are no violations of social adaptation. People with melancholic and choleric types of temperament are more likely to suffer from neuroses, while sanguine and phlegmatic people suffer from them much less often.

A characteristic feature of all neuroses is the fact that a person is often aware of the meaninglessness of his symptoms (panic, fear, etc.) or the absence of grounds for somatic symptoms, but still feels anxiety associated with them. It is the patient's criticism of his symptoms that distinguishes neuroses from psychoses.

It should be noted that in the 10th edition of the International Classification of Diseases (ICD-10), the word “neurosis” is not used, and the dominant symptomatology became the basis for the classification of the corresponding group of mental diseases. Thus, some traditionally neurotic disorders belong to “eating disorders”, others to “sleep disorders of an inorganic nature”, etc.

But, despite the fact that the concept itself is gradually disappearing from the terminology of clinical diagnostics, it still remains widely used in psychological practice and the theoretical works of many authors. The concept of neurosis is still useful today when constructing a strategy for psychological support in the psychological service system.

The concept of neurosis unites a whole group of mental disorders with very different symptoms from all organs and systems. This includes a set of psychogenic, emotional and physiological disorders.

Symptoms and signs

Neuroses are characterized by dynamic and varied psychopathological and somatic symptoms against the background of insufficient mental defense. This is accompanied by the formation of a conflict, manifested by disturbances in different areas (emotional, vegetative, endocrine, etc.). There are main groups of clinical symptoms inherent in all types of neuroses, this includes disorders from:

1. self-control:

• discomfort;
• headache;
• feeling of weakness (especially after sleep);
• increased fatigue;
• decreased ability to work;
• prostration.

2. emotions:

• changeability (lability) of mood, irritability;
• tendency to depressive reactions, fears, obsessive concerns;
• violent affective outbursts followed by exhaustion;
• inadequacy of the emotional reaction to the strength of the stimulus;
• lack of control over emotions.

3. volitional sphere and drives:

• loss of appetite;
• sexual function;
• obsessive urges and actions;
• insufficient control of behavior.

4. somatovegetative system:

• hyperhidrosis (excessive sweating), hot flashes;
• increased dermographism (change in skin color, rash);
• tachycardia (rapid heartbeat), changes in blood pressure and pulse;
• constipation, nausea;
• frequent urination, enuresis;
• stuttering;
• tremor (shaking) of the body.

With each type of neurosis, especially its manifestation (vivid manifestation), an arbitrary number of the above symptoms may occur. In the process of further development of the disease, depending on personal characteristics, violations of mental or somatovegetative functions come to the fore.

The development of a certain type of disease significantly depends on the type of higher nervous activity (HNA). Individuals with an artistic type, in whom the first signaling system (subcortical processes) dominates the second (cerebral cortex), often experience hysterical neurosis. Individuals with the mental type GND are prone to obsessive-compulsive neuroses when the second signaling system prevails over the first. Most people have a mixed type of GND; most often they experience neurasthenia.

What's happening?

Mild attacks of epilepsy may appear as a momentary, short-term loss of connection with the outside world. Attacks may be accompanied by slight twitching of the eyelids and face and are often invisible to others. You may even get the impression that the person seemed to be thinking for a second. Everything happens so quickly that those around you don’t notice anything. Moreover, even the person himself may not know that he has just had an epileptic attack.

An epileptic attack is often preceded by a special condition called an aura. The manifestations of the aura are very diverse and depend on the area of ​​the brain in which the epileptogenic focus is located: it can be fever, anxiety, dizziness, a state of “never seen” (jamais vu) or “already seen” (deja vu), etc.

It is important to understand that during an attack a person is not aware of anything and does not experience any pain. The attack lasts only a few minutes.

Neurasthenia

It is characterized by the presence of diverse symptoms: somatic, neurological, psychopathological. Somatic symptoms are not associated with any disease of the internal organs, but are often so pronounced that they force the patient to constantly contact the appropriate doctors. Mainly observed manifestations of dysfunction of the cardiovascular system, tachycardia, sometimes slowing of the pulse, a feeling of pain, freezing or compression in the heart area. Sometimes there is dysfunction of the digestive tract: decreased or “crankiness” of appetite, nausea, upset stool. With neurasthenia, the symptoms of neurosis in women are expressed by abnormalities in the menstrual cycle. Neuroses in men are characterized by signs of impotence (various forms of impaired sexual desire and erection).

Common symptoms include hyperesthesia (increased sensitivity) to external stimuli (light, sound, etc.), poor health, which is difficult for patients to describe. There is a feeling of heaviness in the head (“cloudy head”), headache of undetermined localization, and dizziness. There are problems with sleep: falling asleep takes a long time, frequent awakenings, sleep is not deep enough, which means it does not bring pleasure and a feeling of rest, even if its duration is sufficient.

The neurological status shows increased tendon reflexes, tremor of extended limbs, severe sweating and other signs of irritation of the autonomic nervous system.

The psychopathological symptoms of neurasthenia are well described by the term “irritable weakness” - increased excitability is combined with rapid fatigue. A bad mood and emotional lability are inherent, which, unlike that in hysteria, is accompanied by rapid depletion of nervous processes. Emotional “explosions” begin easily, due to an insignificant reason. After them, the patient begins to repent of his behavior and feel awkward. Tearfulness is typical, even for neuroses in men, and imbalance when communicating with others. Working capacity, in particular mental, is reduced, but often a person, under the influence of tonic mental factors, can “pull himself together” and complete the required amount of work.

With neurasthenia there are no qualitative intellectual impairments. Patients complain of forgetfulness, poor memory in everyday life, and worry about this. Such manifestations are the consequences of impaired attention and poor concentration, but they pass without a trace.

There are two forms of neurasthenia: hypersthenic and hyposthenic. Hypersthenic is characterized by a predominance of symptoms of irritable weakness, and hyposthenic is characterized by asthenia of the nervous system (general weakness, lethargy, intolerance to any irritants and stress, decreased vitality).

Symptoms

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There are a huge number of manifestations of hysterical neurosis, so a person can often be observed for a long time by doctors of various specialties, without receiving relief from his condition.

Directly during a hysterical attack, which occurs only in the presence of other people, the following may be observed:

• Uncontrollable crying and laughter, which can suddenly replace each other.
• Tremor of the fingers, tics of facial muscles, convulsions, which will intensify during a medical examination.
• Aphonia (loss of voice), and may be accompanied by a loud cough and hiccups, stuttering, chanting words syllable by syllable.
• Weakness in the limbs, up to the inability to move them, but of a limited nature - legs below the knees and arms below the elbows.
• Disturbances of the sensory organs - blindness, narrowing of visual fields, flickering “spots” in the eyes, deafness. Violations can occur on one or both sides.
• Changes in sensitivity. They occur in the form of loss of sensitivity (anesthesia), decrease (hypoesthesia), and pathological increase in sensitivity (hyperesthesia), in which any touch causes pain.
• Pain. It can be localized in a specific area of ​​the body, diffuse (stomach, chest) and without a clear indication. It is noteworthy that headaches in hysterical neurosis are most often concentrated in a certain small area of ​​the head.
• Disruption of internal organs. Completely unpredictable symptoms affecting all body systems. Patients may complain of pain in the heart area, an increase or sharp decrease in blood pressure, shortness of breath, difficulty breathing, a feeling of a “lump” in the throat, heartburn, bloating, etc. If the patient has a chronic somatic disease, the symptoms will often be associated with him.

The described symptoms can be combined and replace each other during one attack. Another episode of hysteria may look completely different from the previous one. What they have in common is the patient’s concentration on his condition and the desire to attract as much attention as possible from others. This may be accompanied by tearing off clothes, throwing surrounding objects, and screaming. A hysterical attack never occurs in a dream.

People suffering from hysterical neuroses are always prone to suspiciousness and self-hypnosis. An attack can be triggered by seemingly completely ordinary situations: being late for public transport, conflict situations at work, the reluctance of relatives to fulfill their whims. During an attack, loss of consciousness never occurs. Upon completion, patients remember what happened.

Obsessive-compulsive disorders (OCD)

They are demonstrated by a feeling of fearfulness, intimidation, and anxiety. Obsessive thoughts haunt the patient against his wishes and will, although they are assessed by him as meaningless and harmful. There are syndromes of the following obsessive states:

• doubts – uncertainty about the correctness of actions taken or not taken, contrary to logical arguments. Such a person doubts whether he turned off electrical appliances, closed the door, whether the document was written correctly, etc., although he has repeatedly checked the action performed;
• Memories are annoying pictures of the past. Often a sad, unpleasant or shameful incident for the patient, and he tries not to think about it;
• imagination - the emergence of implausible images, perceived as real despite their absurdity. There may be a belief that the buried relative was alive, or other similar misconceptions. In this case, the patient imagines and painfully experiences the suffering of the “obviously dead” person in the grave or other unpleasant feelings;
• drive - a desire to carry out some extremely undesirable action, accompanied by horror and panic due to the impossibility of freeing oneself from such a desire. For example, it covers the desire to harm a loved one, throw yourself under a train, a car, or push someone under it. At the same time, an unbearable fear is experienced that this is happening (contrasting attraction);
• phobias (fears) - an unreasonable fear of heights, open or confined spaces, crowds of people, sudden death, etc. Sometimes they are accompanied by rituals - monotonous actions that have the meaning of spells and amulets. Such actions are performed with the aim of protecting against a certain misfortune, despite the critical attitude towards them. So, by walking around the arch, instead of passing under it, a person seems to be saving his relatives from harm; when starting something, he snaps his fingers twice or says the “cherished” word out loud - in order to avoid failure.

Some obsessive actions fill the patient’s thoughts until they are implemented, others pass and are forgotten. To keep himself from becoming obsessed, he needs to constantly monitor himself, which is extremely tiring for him.

Close to obsessional neurosis in clinical terms are psychasthenia and psychasthenic neurosis. They are characterized by:

• predominance of asthenia (enduring fatigue, weakness);
• constant general feeling of tension with heavy foreboding;
• conviction of personal social inadequacy, ugliness and inferiority relative to others;
• excessive impressionability due to criticism addressed to oneself;
• reluctance to make contact without a guarantee of being liked;
• avoidance of social or professional activities associated with significant social contacts due to fear of criticism, disapproval, or ignorance;
• limited life and social way of life due to the need for physical and psychological safety.

Differential diagnosis is necessary to distinguish obsessional neurosis from schizophrenia, cerebral atherosclerosis, and the consequences of encephalitis. The distinctive feature of neurosis, and at the initial stage the only psychopathological symptom, will be obsession. There are no intellectual disorders. If the disease takes a long course and is not sufficiently treatable, it can affect the patient’s personality and his future fate.

Treatment of hysteria

Various forms of psychotherapy are used to treat hysteria. From the very beginning of the illness, the hysterical person should get enough rest. When excited, you need to use valerian, but the doctor may prescribe tranquilizers or drugs from a number of antipsychotics in small dosages. The doctor must understand what kind of psycho-traumatic fact this patient has and, with the help of loved ones, eliminate it.

In the future, the method of indirect suggestion can be used. Taking vitamins and certain physical procedures are effective. If you start explaining where the “legs” of the patient’s condition “grow” from, he will not believe you. In such situations, the patient loses confidence in the doctor and will rush to other specialists.

Patients with hysteria cannot believe that their symptoms are mental in nature. They think that this is a real physical condition, an organic lesion. They may demand treatment specifically for a physical illness that they think they have. A placebo may be used for treatment, convincing the patient that this new drug will always and permanently eliminate the disturbing symptoms.

In some cases, specialists choose the strategy of switching the hysteric’s attention to a minor pathology that has no mental roots. At the same time, the hysterical symptom is ignored and no attempt is made to treat it. As a result, the patient switches his attention to the minor illness that the doctor is “worried” about, and this has a positive prognosis.

In psychotherapy for hysterical attacks, suggestion is used, both direct and indirect. Hypnotic sleep may be used. Hysterical disorders of autonomic functions can be treated with causal psychotherapy. With indirect suggestion, the doctor also prescribes a course of massages, vitamins, electrotherapy, etc. It is necessary to demonstrate to the patient complete confidence that these methods are one hundred percent effective.

Repressive methods for treating hysteria are not used because they aggravate the hysterical state and eliminate the hysteric’s trust in the attending physician.

Hysterical neurosis

The clinical picture of hysteria is characterized by increased lability of emotions and the transition of the mental component to the somatoneurological one. This is the only form of neurosis when qualitative changes in consciousness are possible. Almost all symptoms of hysteria are protective for the patient, corresponding to a specific psychotraumatic situation. They bring a certain moral benefit to the individual, since they provide an opportunity to get rid of another difficult experience. Therefore, hysteria can be considered as a kind of protective phenomenon that occurs under the influence of a super-powerful stimulus.

Example: a mother received unexpected news about the tragic death of her son; while waiting for the body to be brought, she thought with horror that she would not be able to see him dead, and suddenly became blind; After a while, the hysterical blindness passed.

Emotional lability during hysteria manifests itself in a sharp change in emotions and their inconstancy. But, unlike neurasthenia, they are indicated by high intensity and duration. The patient, who a minute ago was crying bitterly and in deep despair, without much effort not only calms down, but also easily comes into a good mood. Such lability of emotions leads to instability in desires, intentions, behavior, likes and dislikes. In addition to emotional lability, a clear symptom of hysteria is easy suggestibility - both self-suggestion and the ability to be suggested by others.

The most striking reaction to a stimulus from the motor system will be a hysterical attack. Seizures do not occur when no one is near the patient, and are not accompanied by a sharp fall with bruises and injuries. Movement disorders have a pronounced neurotic character and coincide with the content of the patient’s experiences. He falls, chaotically swings his arms and legs, hits them on the floor, bends over, shouts out individual words. The seizure lasts from several minutes to hours. Unlike epileptic paroxysm, hysterical paroxysm is not accompanied by a clear violation of muscle tone, spasm of the sphincters with their relaxation and incontinence of urine and feces, the reaction of the pupils to light is preserved, and treatment is perceived adequately. After the attack, only a vague memory of it remains.

One type of hysteria is a disorder of consciousness under the influence of mental trauma. The perception of the surrounding reality is distorted. Behavior takes on childlike features, helplessness, and elements of fake dementia - pseudodementia. Some experience neurological symptoms: decreased sensitivity, trembling hands, hysterical deafness or muteness.

Significant strength and lability of emotions can sometimes cause a deviation of consciousness such as twilight stupefaction (hysterical delirium) and painful constriction (hysterical unconsciousness). The twilight state of hysteria usually demonstrates a pure type of painfully narrowed consciousness without stupor or other signs of its disturbance.

Hysteria concept

Initially, the term "hysteria" was applied only to women. Signs of hysteria in women included emotional demonstrative behavioral reactions, including:

• scream;
• tears;
• causeless prolonged laughter;
• paralysis;
• convulsive muscle contractions;
• loss of sensation;
• temporary deafness, blindness;
• increased sexual activity.

Hysteria was called “rabies of the uterus” and treatment consisted of exposure to the genitals. At first the doctor did this manually. Then vibrating machines were created. A little later, they began to use jets of water on the genitals for treatment. With the development of psychology, it was found that a woman can be calmed in other ways, and not all nervous breakdowns are the result of sexual dissatisfaction.

Today there is no diagnosis of hysteria. A correct chain of diagnoses was derived, which were characterized by certain symptoms and signs.

1. Anxious hysteria.
2. Dissociative disorders.
3. Hysterical disorders.
4. Somatomorphic disorders.

The old concept of hysteria in women most accurately defines the diagnosis - hysterical psychopathy.

Personality disorder is characterized by extreme concentration on one’s own person (egocentrism), the desire to attract more attention to oneself. Human behavioral reactions are often simulated.

Egocentrism provokes personality disorder and the development of hysterical psychopathy

Hysterical psychopathy in women manifests itself equally often as in men. According to the results of research by American scientists, 2-7% of the world's population suffer from constant breakdowns.

The disorder does not in every case lead to a breakdown in social ties or a decrease in professional skills. Some patients with this diagnosis become successful in the field of art.

Female hysteria is characterized by the desire to be in the center of attention at any cost and the inability to sensibly and adequately perceive criticism. Patients are highly suggestible, so their life journey often ends in complete collapse. Treatment through psychocorrection allows you to achieve sustainable compensation of behavioral reactions. But the disorder cannot be completely cured.

Neurotic depression

Neurotic depression is typically characterized by a depressed state with some inhibition of psychomotor reactions and thinking. There are monotonous depressive memories, pessimistic views of the future, and fixation on the traumatic situation. There is a tendency to tearfulness, irritability, decreased appetite, sleep disturbance, sensitivity (excessive emotional sensitivity).

Neurotic depression does not reach the depth of psychosis, is reversible, and goes away when a traumatic situation is analyzed or under the influence of treatment.

Causes

The main causes of neuroses are mental trauma and stress. They can be provoked by certain life circumstances, diseases, alcohol or drug use.

A neurotic breakdown is possible for any person, but its nature and form are determined by a whole group of factors. On the one hand, the formation of neurosis depends on the individual characteristics of the individual, hereditary selective tolerance to external influences, and the level of adaptive capabilities of the body. On the other hand, the occurrence of a particular neurosis is determined by the nature of the mental trauma. It can be sudden (death of a loved one) or arise as a result of long-term unfavorable conditions (conflict and tension in the family, at work).

But such situations do not always lead to neurosis. It all depends on how important it is to a person and how he feels about it. Favorable factors include mental trauma suffered in childhood, upbringing in a negative environment, and frequent somatic illnesses.

Causes of hysteria

The causes of hysterical neurosis are various factors. In most cases, people with immature psyches and emotional instability are prone to disorders. Such individuals are distinguished by vulnerability, sudden changes in mood, easy excitability and high suggestibility.

Also, a predisposing factor in the occurrence of hysteria includes abuse of alcoholic beverages, tobacco, and psychoactive drugs.

Difficult life situations can provoke the development of neurosis:

• constant physical and mental stress;
• job loss;
• failures in personal life;
• unfavorable home environment;
• conflicts with others;
• danger to life.

In stressful situations, people with a stable psyche are calmer about failures. However, in an emotionally unbalanced person, any change in the situation can cause a neurotic state.

Diagnostics

In each specific case of a neurotic disorder, a varied pattern of symptoms of different types of neurosis may be demonstrated. All this can be accompanied by various symptoms of mental and somatic disorders, which creates certain difficulties in diagnosis. Therefore, the qualifications of the attending physician, his medical experience and professional skills are so important.

The collected anamnesis is of great importance - the patient’s complaints, his description of the nature and intensity of the symptoms, the time of their manifestation. It will also be important to talk with loved ones, since they can often provide valuable information. Medical observation in a hospital setting may be required to confirm or refute the diagnosis.

It is necessary to carefully check the level of hormones in the body, since the development and course of depression or neurosis are strongly influenced by hormones. This is especially true for thyroid hormones; even minor changes in their levels, which are difficult to detect using conventional tests, can have a very significant effect on well-being. If a hormonal imbalance is detected, proper hormonal therapy must be initiated. In some cases, normalization of thyroid function leads to a complete cure for neurosis.

Differentiated diagnosis is important when you need to be able to distinguish one pathology from another. Provided that neuroses are often accompanied by somatic symptoms, the doctor will prescribe an appropriate examination. In addition to general laboratory tests (blood, urine), specific studies (hormonal levels) may be required. If a brain disorder is suspected, magnetic resonance imaging (MRI) or computed tomography (CT) is recommended.

Treatment

You need to know: all psychogenic disorders in neurosis are reversible, that is, they are completely curable! Since the main cause of pathology is internal conflicts in the human subconscious, the first priority for the successful treatment of neurosis will be to eliminate the traumatic situation, stress, or mitigate the reaction to them. Excluding the patient from traumatic circumstances (family troubles, conflict at work, etc.), they are analyzed. The next steps will be the use of treatment methods based on drug therapy and psychotherapy.

Drug therapy

The course of neurosis is associated with a simultaneous decrease in the level of brain serotonin, therefore long-term use of antidepressants - selective serotonin reuptake inhibitors - is prescribed for treatment. At the initial stage of treatment with antidepressants, their adverse reactions may occur, and the patient’s condition may worsen. In view of this, it is important not to stop taking the prescribed treatment, but only to reduce the dose of the drugs. Then, as tolerance improves, the dosage is gradually increased to the recommended values. Over time, the symptoms of neurosis decrease and the patient's condition improves.

Important: the antidepressant must be selected by a doctor! The selection takes into account the individual tolerability of the drug and its effectiveness for specific neurotic symptoms.

For the treatment of neuroses accompanied by insomnia or poor sleep, sedative and hypnotic antidepressants are prescribed. Sometimes, with great caution and in small doses, in short courses (to avoid addiction), tranquilizers are prescribed. When treating neuroses with concomitant weakness, memory loss, and asthenia, nootropic drugs are used. The duration of treatment is usually several months; if necessary, the course must be repeated.

Treatment of other diseases starting with the letter - and

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Psychotherapy

In order to alleviate neurotic symptoms (by taking antidepressants), psychotherapy is carried out:

• Cognitive-behavioral therapy – formation in the patient of the correct reaction to the situation, strengthening his adequate assessment of his behavior in a traumatic situation, changing the way he responds to it;
• group psychotherapy – takes place for 1.5 hours daily or weekly, in the form of discussions. Topics are determined in advance; they relate to the biography, behavior of group members, and life situations. Group therapy has rules: strict confidentiality, sincerity of participants, experience “here and now,” specificity of topics. Groups can be closed - with a constant composition of participants, or open - someone comes, someone stops visiting;
• hypnotherapy - suggestion is carried out in a special state of the patient, hypnotic. The session includes 4 stages: hypnotization, therapeutic suggestion, therapeutic rest, dehypnotization;
• autogenic training;
• breathing exercises for relaxation and concentration;
• non-verbal methods of psychotherapy - music therapy, art therapy, dancing and pantomime.

The most effective treatment is a combination of antidepressant medication and cognitive behavioral therapy.

How to treat hysteria?

Treatment of hysteria , like other neurological disorders, must be comprehensive, which usually includes:

• psychotherapy,
• drug therapy, or rather the use of psychotropic drugs,
• restorative therapy,
• recovery stage.

Each stage of the treatment of hysterical neuroses differs in significance, but the combination of all of them allows us to achieve a positive result in the end. It is necessary to detect the causes of the disease that traumatize the patient’s neuropsychic sphere. Then an attempt is made to eliminate or weaken their influence on the psyche.

The importance of psychotherapy in the treatment of patients with neurotic disorders, one of which is hysteria, cannot be underestimated. Psychotherapy is used differentially depending on the symptoms and attitudes of the patient. Group and individual methods are applicable, most often the following:

• rational psychotherapy allows us to identify the pathogenetic essence of the conflict underlying hysteria, as well as activate positive personality traits, correct inadequate emotional reactions and forms of behavior; rational psychotherapy allows you to work through pathological stereotypes of behavior, normalize emotional-volitional response systems, change relationship systems, which ultimately eliminates the hysterical reaction;
• group psychotherapy is aimed at intrapersonal issues and the patient’s relationship system, overcoming internal conflicts, behavioral defects reflected in interpersonal interaction; allows you to start working with the final link in the chain of formation of hysteria, namely with the patient’s unconstructive behavior; any interactions and relationships that arise between group members are intentionally used for therapeutic purposes; as a result, the patient’s perception of his own psychopathological manifestations and the disease itself changes, behavioral reactions are corrected, and personal activity is restored;
• autogenic training is designed to restore the imbalance of the totality of homeostatic self-regulatory mechanisms in the human body against the background of stress; muscle relaxation training, self-hypnosis and self-education are involved;
• person-oriented psychotherapy ensures the formation of adequate self-awareness, from a different angle allows you to correct and resolve internal psychological conflict and inadequate personal perceptions; therapeutic effects occur in cognitive, emotional and behavioral aspects;

If necessary, the psychotherapist can go into hypnotherapy and narcopsychotherapy, within which he uses suggestion methods. The latter is used to increase the tendency to suggestibility by administering anesthetics or inhaling a gas mixture of nitrogen and oxygen. This promotes the same hypnotic sleep and/or enhances its depth.

What doctors treat neuroses

Psychiatrists, psychotherapists and psychoneurologists play a leading role in the treatment of neuroses. Doctors of many specialties also take part in the treatment process: therapists, cardiologists, gastroenterologists, neurologists, etc.

Such a large list of specialists is explained by the need for accurate diagnosis while simultaneously excluding other pathologies. Quite often, neurosis is disguised as symptoms of neurocirculatory dystonia, insomnia (insomnia), migraine, vestibulopathy and many other diseases. To definitely confirm or refute a particular diagnosis, the participation of a specialized specialist is required.

Advantages of treatment at the clinic of JSC "Medicine"

The course of neurosis does not lead to disability, but often disrupts the full life of the patient and people close to him. In modern medicine, there are 3 stages of development of neuroses. The later the stage, the more difficult the treatment; this must be clearly understood. Medical specialists (academician Roitberg’s clinic) successfully treat neuroses in adults and children at any stage of complexity.

Remember: it is impossible to cure neurosis on your own, but in the conditions of the clinic of JSC “Medicine” it is absolutely possible to recover completely! Leading specialists of domestic medicine, including academicians, professors, doctors and candidates of medical sciences, conduct receptions here. Modern material and technical base, coupled with the professionalism of doctors, allows patients with neuroses to recover in the shortest possible time!

Treatment of hysteria

Hysterical components can manifest themselves not only in personality disorders, but also in neuroses, and quite often in psychotic disorders.

As specialists, we recommend that if you begin to experience conditions where you cannot control your emotions, signs of hysteria, hysterical behavior begin to appear, immediately seek help from a good psychiatrist or psychotherapist for timely correction and treatment of hysterics . Do not allow the disease to become chronic and treatment becomes difficult.

Remember that in the early stages, treatment of hysteria responds well to therapeutic measures and adjustments. In the presence of chronic disorders with the manifestation of hysterical behavior, these conditions can also be treated, but this requires more time and effort, both on the part of the doctor and on the part of the patient himself and his environment.

Impulsive behavior disorder