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神经衰落是精神病吗
日期:2016-12-09 13:16:52 来源:www.jnzyxlzx.com

  神经衰弱不是精神病,而是典型的神经症之一。而神经症,是在心理正常人群中发生的某种心理不健康状态。属于心理咨询可以工作的范围。神经衰弱的症状有很多,我在此不一一赘述,而仅就神经衰弱与某些相似精神障碍的症状做一些区分。济南心理咨询

  Nervous breakdown is not a mental illness, but one of the typical neurosis. And neurosis, it is a kind of mental state that occurs in the mental healthy crowd. Belong to the scope of the work of psychological counseling. There are many symptoms of neurasthenia, I am not a repeat, but only the neurasthenia with some similar symptoms of mental disorder some distinctions.

  一,神经衰弱的典型症状首推是与精神易兴奋相联系的精神易疲劳

  A typical symptoms of neurasthenia is known and mental excitability associated mental fatigue

  精神易兴奋的主要表现是联想和回忆增多,而且杂乱。这是一种主观体验,令人感到分心和控制不住。病人思想倾向于兜圈子和重复,杂乱而无意义。一种常见的情况是病人的思想活动所伴有的烦恼的内容,令人联想和回忆的内容,几乎都与过去不愉快的经历,现在令人痛苦的事件,或者处境,以及将来可能发生的风险和失败有关。病人明知道胡思乱想无补于事,却仍然陷在里面出不来,自认控制不住,却又极力想控制它,这是一种心理冲突。

  The main performance of the spirit of the excitement is the increase in association and memory, and clutter. This is a subjective experience, it is a distraction and the control does not live. The patient's mind tends to circle and repeat, disorderly and meaningless. A common scenario is the patient thought by the confused content, reminiscent of memories and content, and almost all the unpleasant experiences in the past, now painful event, or situation, and future risks and failure. The patient knew of no help but still trapped make blind and disorderly conjectures, come inside, admission control, and tried to control it, this is a kind of psychological conflict.

  大多数病人一开始起病就同时有精神易兴奋的精神易疲劳。健康的人疲劳后的休息,常常是一种享受,疲劳容易消除,经过适当的休息,精力便能恢复过来,作为神经衰弱的症状,不仅是容易疲劳,而且疲劳使病人特别难受,休息和睡眠也不能消除它。另外,神经衰弱病人的疲劳,主要是情绪性的,这是长期心情紧张,烦恼和苦闷压抑感等引起的,具有弥散性,也就是说病人会觉得干什么都累。但在情绪好时,常常又会兴致盎然,没有任何疲劳迹象。

  The main performance of the spirit of the excitement is the increase in association and memory, and clutter. This is a subjective experience, it is a distraction and the control does not live. The patient's mind tends to circle and repeat, disorderly and meaningless. A common scenario is the patient thought by the confused content, reminiscent of memories and content, and almost all the unpleasant experiences in the past, now painful event, or situation, and future risks and failure. The patient knew of no help but still trapped make blind and disorderly conjectures, come inside, admission control, and tried to control it, this is a kind of psychological conflict.

  神经衰弱病人的精神易兴奋,并不伴有言语运动增多,因此不同于精神障碍中,轻躁狂的心情高涨和精神运动性兴奋。轻躁狂病人,思维奔逸,情绪高涨,动作增多同时存在,思想内容具有新奇性甚至创造性,不断推陈出新,引人入胜。躁狂病人心情愉快,经常面带笑容,感觉良好,因为总是精力充沛,内心充满幸福感,睡眠减少,爱管闲事,不知疲倦。同时,自我评价过高。因为病人缺乏自知力和现实检验的能力,内在没有心理冲突。不存在需要加以控制的内心感受。

  Most of the patients have mental and mental fatigue at the beginning of the disease. People are tired after the health of rest, often is a kind of enjoyment, to eliminate fatigue, after proper rest, energy can recover, as symptoms of neurasthenia, fatigue and fatigue is not only easy, make the patient particularly uncomfortable, rest and sleep can not eliminate it. In addition, neurasthenia patients fatigue, mainly emotional, which is long-term mood tension, depression and depression caused by a sense of depression, with the dispersion, which means that the patient will feel tired. But when the mood is good, often will be interesting, there is no signs of fatigue.

  Neurasthenia patients mental easily excited, not with words so different from sports increase, mental disorder, hypomanic mood and psychomotor excitement. Hypomania, hypermetamorphosis, mood and action more exist at the same time, the ideological content has the novelty or creativity, innovation, fascinating. Patients with manic mood, often smiling, feel good, because it is always full of go, heart is full of happiness, lack of sleep, meddlesome, tireless. At the same time, self evaluation is too high. Because the patient lacks the ability of insight and practical testing, there is no psychological conflict. There is no inner feeling that needs to be controlled.

  二,情绪症状

  Two, emotional symptoms

  主要体现在三个方面:烦恼,易激惹和心情紧张。病人感到痛苦,倾向于见人就诉苦或者求助求治;病人感到控制不住或摆脱不了;情绪的强烈程度和持续时间之久与生活事件和处境不相称。比如,一点小事就大为生气或者心情紧张,或者一整天为一些鸡毛蒜皮的事而烦恼。容易生气,容易急躁,一点小事就急得不得了,按耐不住。情绪症状发生变形时,还会变得容易伤感,好打抱不平,弥散性敌意等。持续性的心情紧张,往往会伴有头痛,全身酸痛,疲劳感,失眠和脑力活动效率下降等痛苦的症状。

  Mainly reflected in three aspects: trouble, irritability and mood. The patient felt pain, people tend to complain or seek treatment; the patient was unable to control or get rid of; not commensurate with the emotional intensity and long duration of life events and situations. For example, a little big angry or nervous, or the day trifles worry. Easy to get angry, easy impatient, a little things will not be too anxious, according to bear. Emotional symptoms occur when the deformation can be easily moved, particularly aggrieed, diffuse hostile. Persistent tension, often accompanied by headaches, body aches, fatigue, insomnia and mental activity efficiency decline and other symptoms of pain.

  神经衰弱病人的情绪症状,与精神障碍病人的情绪低落,情绪高涨,焦虑,恐怖等等有很大的不同。精神障碍病人的焦虑是没有明确对象和具体观念内容的忐忑不安和提心吊胆。没有现实的内容。可有自罪自责,自罪妄想等等。

  Neurasthenia patient's emotional symptoms, and mental disorders of patients with depression, high mood, anxiety, terror, and so there is a lot of different. Patients with mental disorder anxiety is no clear and specific content of the concept of object very upset and always on tenterhooks. There is no real content. There can be self blame, self delusion and so on.

  三,生理功能障碍

  Three, physiological dysfunction

  常见的有:睡眠障碍,头部不适感,个别的还有内脏功能的轻度或中度障碍。难于入睡或者多梦,醒后不解乏,使病人对睡眠时间估计偏少。与其说是夜间睡眠太少,毋宁说是睡眠和醒觉的节律紊乱。病人白天发困或打瞌睡,夜间却兴奋不眠。而头部不适感,主要是紧张性头疼。内脏功能障碍只限于个别器官,首推消化系统和性功能障碍,心血管和呼吸功能障碍也不少见。

  Common: sleep disorders, head discomfort, individual and visceral function of mild or moderate impairment. It is difficult to fall asleep or waking dreams, tired, make the patient to sleep less time estimation. It is the night of too little sleep, but sleep and wake rhythm disorders. Patients with daytime drowsiness or dozing, but doesn't sleep at night. And head discomfort, mainly tension headache. Visceral dysfunction is limited to individual organs, the first digestive system and sexual dysfunction, cardiovascular and respiratory dysfunction are not uncommon.

  而精神障碍病人的生理功能障碍,有时是由脑器质性病变引起。这需要我们在临床中加以认真鉴别,避免把患者的精神障碍当做一般心理问题来处理。对于超出心理咨询工作范围的精神障碍患者,要及时鉴别和转诊,以免贻误病情。

  The physiological dysfunction of patients with mental disorders, sometimes caused by brain organic disease. This requires us to be careful in the clinical identification, to avoid the patient's mental disorders as a general psychological problems to deal with. For patients with mental disorders beyond the scope of work of psychological counseling, to timely identification and referral, to avoid delaying the disease.


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