The Salvation Clinic provides treatment for acute delirium and schizophrenia using the latest achievements of modern psychiatry and psychotherapy, as well as proven medications. Our staff includes highly qualified psychologists, psychiatrists and psychotherapists who have been trained abroad. We have good diagnostic capabilities and powerful technical potential. Patients are accommodated in wards with a high level of comfort. All patients do not need anything and are under constant supervision of responsible medical staff.
Acute psychosis delirium
In schizophrenia, acute psychosis is expressed in a disorder of visual, auditory and olfactory perception of reality. Hallucinations are accompanied by delusions. This thinking disorder appears due to a sick imagination that incorrectly interprets reality, whereby the person zealously defends his point of view and does not take any arguments seriously. His internal logic is quite clear to him and he is unshakable in his convictions.
Most often, delusions are associated with persecution mania. Moreover, not only real people, but also fictional subjects can be disturbing. A person can claim that he is being pursued by aliens, magicians, and sorcerers. Over time, the situation only gets worse. Fear of death and harm affects the patient’s quality of life. He may suffer from insomnia, diarrhea, and headaches. Increased heart rate and difficulty breathing were noted. Human behavior can hardly be called adequate. He can lock himself in the bathroom for the whole day, citing the fact that he is hiding from eavesdropping by the intelligence services.
Treatment of schizophrenic psychosis
As a rule, treatment of schizophrenic psychoses must be carried out in a hospital setting. This is especially necessary when, due to a sharp decrease in criticism during an exacerbation of the disease, it is impossible for the patient to provide systematic outpatient treatment. It is very important to ensure timely hospitalization of the patient during a psychotic attack, since due to the peculiarities of the clinical picture (delusions, imperative hallucinations, various types of excitement, conditions with antisocial behavior, conditions with suicidal tendencies) they pose a social danger to others or themselves.
The treatment of schizophrenic psychoses is carried out by psychiatrists; the emphasis in treatment is on drug therapy with drugs from the group of antipsychotics, which restore the metabolic processes of the brain.
Treatment of schizophrenic psychoses at the Brain Clinic
The Brain Clinic treats schizophrenic psychoses of varying intensity.
Treatment, depending on the person’s condition, can take place on an outpatient basis or in a hospital.
In any case, the doctor has the ability to monitor the condition around the clock.
In the case of outpatient treatment of schizophrenic psychosis, with a sharp exacerbation of a person’s condition, the doctor goes to provide emergency assistance at home.
Call
We can provide the necessary assistance for schizophrenic psychosis.
Acute sensual delirium
Paranoid schizophrenia is one of its most common forms. As the patient's condition worsens, his thinking and perception of the world becomes distorted under the influence of hallucinations and fantasies. The following symptoms are observed:
- emotionally rich insights;
- lack of logical thinking;
- delusional interpretation of visions.
With sensory delirium, sudden, bright, rich pictures appear, causing strong feelings and emotions. Kandinsky syndrome may occur. The patient may claim that:
- he does not control his speech, since his mouth no longer obeys him;
- there are voices within him that tell him what to do;
- he is pursued by various fantastic and mythical creatures.
With figurative delirium, scattered, fragmentary visions of reality appear, indistinguishable from fiction, but based on a person’s past experience.
Symptoms and signs of schizoaffective psychosis
Symptoms of the disease are varied and usually consist of sudden mood swings, hallucinations, and absent-mindedness. Symptoms can be pronounced or quite mild.
There are three forms of manifestation of the disease:
- In the first case, the symptoms of the disease appear when the mood is high. The patient can express thoughts about greatness, superpowers against the backdrop of fuss or fun.
- The second type is depressive in nature. Here, hypochondriacal ideas, thoughts of self-destruction, feelings of guilt, and so on are added to the lack of mood.
- The third, mixed, type is characterized by a change in mood from a feeling of universal happiness to sadness and complete apathy.
Signs of acute and chronic delirium
The patient experiences persecution, damage, accusations, threats, and poisoning. The disorder occurs due to feelings of anxiety, fear, depressive moods, hallucinations, and alienation from the real world.
With chronic delusions, delusions of grandeur, increased jealousy, and concern about small deviations from generally accepted ideals of one’s body can be observed. The latter symptom is usually observed in adolescents and young adults.
Delusional ideas can be eliminated only after treatment of the symptom complex of schizophrenia. Only a highly qualified psychotherapist can help. The patient must be monitored around the clock. Optimally - keeping in a specialized hospital. Antipsychotic drugs and psychotherapy are used for treatment. Contact us, we will do everything possible to improve the well-being of your loved one and provide him with a decent life!
Causes of schizophrenic psychosis
The causes of the acute manifestation of the disease - schizophrenic psychosis, as well as other variants of the course of this disease have not been sufficiently studied.
Hypothesis of the occurrence of schizophrenic psychosis
The main hypothesis for the occurrence of the disease and the manifestation of an acute schizophrenic state is the idea of a disruption of the metabolic processes of the brain, a disruption of the exchange of specific neurotransmitters, which in turn are transmitters of information from one nerve cell to another.
Schizophrenic psychoses are primarily determined by such a disorder of thinking as delusions, disturbances of perception such as visual (images popping up in the head), auditory (voices inside the head) pseudohallucinations, which completely take over a person’s consciousness and subjugate all his mental activity, also at the moment of psychosis in The patient has no criticism towards the disease at all.
Schizoaffective psychosis
A mental disorder, the attacks of which are represented by sequentially or simultaneously occurring (at least for several days) affective and schizophrenic symptoms and ending with complete recovery or leading to the development of a schizophrenic defect. Although it remains unclear how this disease relates to manic-depressive psychosis and schizophrenia, there is a tendency to consider it as an independent disease form.
This controversial position is reflected, in particular, in ICD-10. Attacks of schizoaffective disorder are regarded in the same way as periodic schizophrenia, atypical schizophrenia, atypical affective psychosis, cycloid psychosis, etc. There are no formal obstacles to seeing schizoaffective psychosis as the result of a combination of two diseases: schizophrenia and affective psychosis. This may be indicated not only by the clinical structure of attacks of the disease and mental defect, if it develops, but also by the basic fact related to the genetics of the disease: relatives of patients have both affective psychoses and schizophrenia.
| | Read about the treatment of psychosis |
Within the framework of hypothetically existing schizoaffective psychosis, attacks of different types are distinguished. Thus, the DSM-IV distinguishes bipolar and depressive types of disorder. ICD-10 mentions manic, depressive and mixed types of psychotic episodes. In Russian psychiatry, the prevailing position is that affect-dominant and schizodominant forms of the disease are described with the types of attacks characteristic of each of them.
The affect-dominant form is characterized by the absence of attacks of schizophrenic symptoms for at least a week. In general, the ratio of affective and delusional disorders in terms of their duration during an attack averages 20:1. In the prodromal period, patients aged 10–12 years show a tendency to depressive reactions, in some cases to endoreactive depression. 2–3 years before the disease manifests itself, depression becomes more and more close to endogenous, bipolar affective phases appear, sometimes double. Depressive symptoms predominate.
The first attack of the disease mostly occurs after some kind of provocation and much less often - autochthonously. In subsequent attacks, a tendency towards autochthonous development may be revealed. The progressive dynamics of the disease is expressed by the complication of the pattern of attacks. The stabilization phase of the process is characterized by attacks that occur according to the cliché type. Regredient dynamics are manifested by the fact that attacks increasingly acquire an affective character. The residual period of the disease is marked by a sharpening of premorbid personality traits, reactive lability, and in some cases, a decrease in professional level, social maladjustment, thinking disorders and emotional deficiency. There are the following types of attacks: 1) with a predominance of delusions of perception; 2) with visual-figurative delirium of the imagination and 3) with the dominance of intellectual delirium of the imagination.
- Delusions of perception can be presented in attacks in different forms. In some cases, its development is limited to a delusional mood that lasts up to five days. In other cases, confusion and delusions of staging appear against the background of depression with depressive delusions. Finally, there are attacks in which, against a background of depression or mania, delusions of special or symbolic significance develop.
- Attacks with visual-figurative delusions of imagination often develop after exogeny (mainly somatogeny). Against the background of affective disorders, usually mania of various types, fragmented delusions of fantastic content acutely develop, lasting for 1–2 weeks. This form of the disease, like the previous one, is quite favorable.
- Attacks with a dominance of intellectual delirium of the imagination often develop autochthonously and only against the background of manic affect. In the prodromal period, during age-related crises, starting from childhood, night fears, undeveloped mental automatisms, a feeling of change in one’s self, fragmentary ideas of persecution, and bipolar mood swings are observed. At the onset of the disease, over the course of 2–3 years, the severity of manic disorders increases, affective disorders take on a continuous character, and they are joined by unstable fragments of the syndrome of mental automatism and delusions of erotic claims. In manifest attacks, delusional insights are added to mania, ultimately merging into fantastic theories and “brilliant” discoveries concerning the meaning of what is currently happening, and sometimes what happened earlier.
The disease with attacks of the latter type from the very beginning can take a furry-like and sometimes continuous course, which can lead to disability of patients.
The schizodominant form of the disease is represented by psychotic episodes, during which schizophrenic (delusional) disorders are constantly observed, while affective pathology may be absent for at least a week. In the prodromal period, bipolar affective disorders are observed in the form of prolonged (up to six months) depression with adynamia and lethargy and mania without elation. In the initial period, the severity of affective disorders increases. Depression is characterized by vitalization, ideas of low value, overvalued hypochondria, and a tendency of patients to alcoholism.
Manias are dominated by psychopathic behavior with disinhibition of drives, euphoria, and elements of foolishness. Manifest attacks of the disease often develop autochthonously. Against the background of mania, depression, or during a change in the pole of the affective phase, a delusional mood develops, and then the phenomena of mental automatism, i.e., acute paranoid syndrome. The duration of attacks can reach 3–6 months. Repeated attacks occur according to the cliché type or with a gradual reduction of paranoid symptoms. Already after the first attack, signs of a mental defect characteristic of schizophrenia are often revealed.
Recognition of schizoaffective psychosis is associated with certain difficulties due to the vagueness of the criteria for its identification.
Treatment recommendations are similar to those for recurrent schizophrenia. Back to contents
Treatment of schizoaffective psychosis
Schizoaffective psychosis is treated with medication. The choice of medications directly depends on the severity of the disease. In most cases, the choice is made in favor of antipsychotropic drugs that suppress the symptoms of psychosis, and antidepressants if there is a sharp change in mood. The help of a psychiatrist is also required to study the disease and increase the effectiveness of treatment. In addition, the patient’s relatives may also need psychological help.
In most mild cases, outpatient treatment is sufficient for patients. Hospitalization is required only in rare cases when there is a threat to life, or when symptoms of the disease worsen. It is important to understand that, like the vast majority of diseases of this type, it is not completely curable. But with the help of competent treatment, it is possible to achieve long-term remission and enable a person to lead a normal lifestyle.
Where can they help?
The private clinic "ROSA" specializes in the treatment of psychological and neurological diseases, including schizoaffective psychosis. The clinic staff consists of highly qualified experienced doctors and junior medical staff. Over the years of its existence, the ROSA clinic has treated thousands of patients with various diagnoses and received high-quality medical care that improves their quality of life. If necessary, contacting the clinic can be completely confidential.
During the consultation, which is held in the clinic, at your home or online, the doctor will clarify your medical history, ask about complaints and decide on further actions. Treatment can be carried out at home or in a comfortable hospital operating around the clock.
