geriatric neurosis
Introduction
Introduction to neurosis in the elderly Neurosis is a type of mild mental disorder characterized by psychiatric symptoms (such as anxiety, stress and coercion) or physical symptoms (such as functional disorders of various organs or systems), and sometimes manifests as abnormalities in behavioral personality. The patient has self-knowledge and actively seeks medical treatment. basic knowledge The proportion of illness: this disease is rare, the incidence rate is about 0.0001% - 0.0002% Susceptible people: the elderly Mode of infection: non-infectious Complications: arrhythmia
Cause
The cause of neurosis in the elderly
(1) Causes of the disease
There are many causes of senile neurosis in the elderly. At present, it is believed that it is mainly related to family, and human aging is closely related to disease and retreat.
(two) pathogenesis
The main activities of many elderly people in the family, the family structure, the relationship between family members, the economic situation, the status of the elderly in the family, etc., have a great impact on their psychological state, if the husband and wife do not agree, or The tension between children can be a cause of depression and trouble for the elderly, or in the family portfolio, the elderly are subordinate, or considered to be cumbersome, or even abused. Some elderly people have no children, or the husband and wife first thank the world. The elderly feel lonely and desolate.
With age, vision, hearing loss, slow response, slow and unstable walking, various physical diseases increased significantly during the aging process. According to statistics, 86% of the elderly suffer from various chronic diseases. Restricting the interaction between the elderly and the outside world and the society, causing the elderly to develop bad emotions and lead to neurosis.
After the retreat, the elderly have changed their habits and rhythms. They have left their jobs and seem to have lost something. Apart from eating and sleeping, they are doing nothing. Some elderly people feel that they have left forever. Habitual work, reluctance, emotions are difficult to calm down.
Prevention
Elderly neurosis prevention
The elderly have their own loneliness and less activities. Therefore, they should arrange daily activities for the elderly, maintain proper contact with the outside world, reduce isolation, pay attention to the fun of the elderly, and carry out outdoor beneficial activities according to different seasons. Can be combined with a variety of relaxation therapy, such as biofeedback, Qigong and so on.
Complication
Elderly neurosis complications Complications arrhythmia
Often complicated by autonomic dysfunction, arrhythmia, sexual dysfunction.
Symptom
Symptoms of neurosis in the elderly Common symptoms Restlessness, fatigue, urinary frequency, depression, anxiety, lack of concentration, madness and lethargy, after waking up, no suspicion
Anxiety neurosis
Anxiety neurosis is one of the more common diseases in the elderly. It is mainly characterized by muscle tension, difficulty in relaxation, sleep disorders, and associated autonomic symptoms such as rapid heart rate, gastrointestinal dysfunction, frequent urination, tremors, and sweating. The throat is tight, the patient feels uneasy, inexplicable fear, or a terrible feeling.
(1) Acute anxiety response: more common in the elderly response to certain stress or trauma, such as retirement, acute physical illness or casualties of relatives, etc., lighter, nervous or irritating, severe outbreaks or defensive behaviors At the same time, accompanied by severe autonomic symptoms.
(2) Chronic anxiety reaction: The patient has no uneasiness and fear of certain objects and no specific content. Some people repeatedly have unpredictable foreboding or expectant anxiety. They always worry that the worst thing will happen, and they think that they or their loved ones will soon have serious illness. Or the big trouble, these can also appear symptoms of autonomic hyperactivity, such as heart palpitations, chest tightness, sweating, heavy head, dizziness, upper abdominal discomfort, muscle tension, trembling and so on.
2. neurasthenia
The clinical symptoms of neurasthenia are diverse, mainly as follows:
(1) Debilitating symptoms: mental fatigue, lack of energy, lack of concentration or persistent concentration, difficulty in memory, and inefficiency in doing things.
(2) Emotional disorders: easy to trouble, irritating, emotionally fragile, volatility, but there is no generalized anxiety or unexplained mood, patients often feel powerless.
(3) Increased excitability: often recalling past events, uncontrollable associations, sensitive to changes inside the body, sensitive to light, slight tremors on the fingers, increased skin mucosal reflexes and tendon reflexes, and reduced speech.
(4) Pain: tension headache can occur, and muscle tension in the whole body can be found.
(5) sleep disorders: difficulty falling asleep at night, more dreams, easy to wake up, wake up after lack of sleep, or sleep, or daytime sleepiness, but difficult to sleep, or irregular sleep rhythm.
3. Suspected neurosis
The elderly are overly concerned about their physical functions. If they are unwell, they are often considered to have certain diseases, gastrointestinal symptoms and cardiovascular symptoms. Many elderly people are cured after their illness, but they are not suspected. The more, or the other person, suspected that he also suffered from the same disease, on the basis of anxiety, nervousness, restlessness.
4. Depressive neurosis
The disease is often characterized by repeated and strong body complaints, especially limited to the abdominal organs, because the patient has the above symptoms with anxiety, and rarely manifested as grief, so depression is often concealed, when the patient applies anti-anxiety agents When there is no improvement, the possibility of depressive neurosis should be considered. The patient's physical symptoms are mainly autonomic dysfunction, or manifestations of visceral dysfunction, such as fear of eating, abdominal discomfort, constipation, weight loss, chest tightness. Feeling, throat blockage, headache, pain in various parts of the body, loss of libido, impotence, insomnia, weakness, etc. In addition, it should be noted that the first time phobia occurs in the elderly, obsessive-compulsive disorder, it should also be thought of neurological depression .
Examine
Elderly neurosis examination
Blood tests, normal white blood cells, normal urine.
Electrocardiogram examinations can have abnormal changes.
Diagnosis
Diagnosis and diagnosis of neurosis in the elderly
Diagnostic criteria
1. The onset is related to physical illness and psychological factors.
2. Have a self-awareness of your own disease and be able to take the initiative to ask for treatment.
3. Good contact with the surrounding environment and good personality.
4. Exclude verifiable organic diseases.
Differential diagnosis
Cerebral arteriosclerosis
Early symptoms of cerebral arteriosclerosis are headache, dizziness, dizziness, inattention, memory impairment, insomnia, weakness, etc. Similar to the elderly with neurasthenia, but the patient has a history of long-term hypertension, or a history of stroke, head CT Or MRI examination can be identified.
2. Suspected delusions
The age of onset is young and middle-aged, the course of disease is long, and there is no self-knowledge about his condition. After repeated examinations or scientific explanations, it is confirmed that there is no disease, but the patient is convinced.
3. Reactive depression
The patient starts from the influence of strong or long-term chronic psychological factors, and the symptom content is closely related to the pathogenic factor. When the disease factor is relieved, the symptoms are quickly relieved.
