Causes and manifestations of neuroses
The cause of the development of disorders is external or internal conflicts, psycho-emotional stress, or the influence of factors that provoke psychological trauma. The clinical picture is distinguished by obsessive, asthenic or hysterical manifestations. In addition, the patient experiences a transient decline in cognitive abilities and physical performance. People whose psyche is unstable are more susceptible to this pathology. Treatment of physiological manifestations of neurosis is mainly medicinal. In general, these disorders are best treated in a comprehensive manner (with the participation of an experienced psychotherapist).
The main groups of drugs for the drug treatment of neuroses:
- tranquilizers;
- antidepressants;
- nootropics;
- sedative herbal medicines.
Treatment of neuroses at the DAR clinic
Treatment of neuroses in the modern world is carried out very effectively. The sooner you go to the clinic for help, the faster you will overcome the disease. However, not all patients go to the doctor on time, mistaking neurosis for fatigue, selfishness, or looking for other explanations for their condition. But it is worth remembering that any disease without proper treatment progresses and gets worse.
Treatment is carried out by highly qualified specialists from the DAR clinic (Moscow). Our center uses effective psychotherapeutic techniques; doctors teach patients emotional self-regulation and help them cope with phobias, fears, stress and other manifestations. To treat neuroses, specialists at our clinic use an integrated approach, which may include behavioral, cognitive and drug therapy, as well as other effective methods. This approach is actively used not only in our center, but throughout the world.
It is important to remember that for neurosis, treatment with medications alone is ineffective. Medicines provide temporary relief of symptoms, but do not get rid of the underlying cause of the disease. After stopping medication, the patient's condition worsens again, which often leads to disappointment and reluctance to continue treatment in the clinic.
Treatment of neuroses with tranquilizer drugs
For the treatment of neurotic conditions, ataractic drugs or tranquilizers are used. This group of substances includes Mezapam, Elenium, Relanium, etc. In the early stages, they can provoke negative effects such as drowsiness, nausea and general weakness. Later, when treating neuroses with pills, these symptoms disappear.
Such medications promote muscle relaxation, have a hypnotic effect and reduce unmotivated feelings of anxiety. Attacks are divided into daytime and nighttime.
Drug treatment
The medicinal part of the treatment is aimed at harmonizing the work of neurotransmitters responsible for the transmission of nerve impulses, since their decrease causes deterioration in mood, apathy and irritability, and decreased resistance to stress. The problems are added by a high concentration of cortisol and adrenaline, which cause spasm of blood vessels and muscle tissue, tachycardia, fears, and it can also be normalized with the help of medications. Psychotherapy is aimed at finding the causes of neuroses and helps to cope with stress without harming health, to develop schemes that allow you to relieve stress without taking drugs and learn to exist in society.
Drug treatment of neurosis in adults involves taking the following groups of drugs:
- Antidepressants
- the dosage and duration of the course are selected individually, they are not addictive. According to the mechanism of action, they indirectly or directly participate in blocking the direct and reverse uptake of serotonin, dopamine, norepinephrine, or block the enzyme involved in the destruction of these neurotransmitters. Antidepressants lead to increased levels of neurotransmitters in synapses, which in turn leads to more efficient transmission of nerve impulses. The effect occurs 1-2 weeks after administration, the course should be 2-3 months. - Tranquilizers
- affect the transmission of nerve impulses in the brain, cause inhibition of the nervous system, and have a sedative and anti-anxiety effect. When taking them, it is prohibited to drive vehicles or perform work that requires coordination of movements, since they affect concentration and reaction speed. Most often, benzodiazepine tranquilizers and preparations of other chemical compounds are used for treatment, for example, daytime tranquilizers (which do not cause drowsiness and addiction (Hydroxyzine, tofisopam, etc.). - Neuroleptics
are drugs that, through various mechanisms, are able to harmonize dopamine metabolism in the nervous system. Usually, for neuroses, so-called minor neuroleptics are used. They do not cause sedation or inhibition. The most commonly used are: sulpiride, alimemazine, thioridazine, etc.) - Sedatives of plant origin
- used for mild types of neurosis (after diagnosis by a doctor). They are not addictive and do not have many side effects, but they work approximately on the principle of tranquilizers. Herbal sedatives are often used - motherwort, tincture of peony or valerian root, hawthorn, etc.
Antidepressants are another medicine for the treatment of neuroses
These include, in particular, Anafranil, Melipramin and Pyrazidol. A number of antidepressants have been developed that have a stimulating effect. Such pharmacological agents, on the one hand, reduce feelings of melancholy and reduce weakness, but on the other hand, they increase feelings of anxiety and irritability.
Many patients are recommended to take antidepressants, mainly those with a sedative effect. This treatment of neuroses with medication reduces anxiety, but can cause drowsiness. In this case, only the attending physician who is well acquainted with the history and dynamics of the development of a psychogenic disorder can select the optimal drug.
Treatment of neuroses by a psychotherapist
Sometimes, at the first signs of illness, they limit themselves to anonymous visits to a psychologist, but if these measures are not enough, you should consult a specialist. Ilya Grigorievich Gernet guarantees complete anonymity and confidentiality of the information provided to him.
Recommendations for the patient's loved ones:
- it is important to be nearby, but not to impose your help;
- tactile contacts help;
- if a person decides to express his feelings, it is important to listen to him carefully and make it clear that you are on his side;
- physical methods help: massage, water procedures;
- during hysterical attacks, it is recommended to breathe into a paper bag, cross-breathing;
- aromatherapy is also effective;
- distractions - hobbies, travel;
- A balanced diet and physical activity are important.
It is important to convince the victim to go for a consultation with a doctor; an undeniable argument here is the anonymous treatment of neuroses in Moscow.
Treatment with nootropics
Many patients are shown the so-called. nootropics are drugs that improve microcirculation in the “brain pool” and improve the nutrition of cells of the central nervous system. Some of the most common nootropics are Piracetam and Phenibut. Most nootropics used improve mood and increase vitality. Side effects of these medications may include increased irritability and sleep disturbances. In some cases, these psychogenic disorders are an indication for starting to take weak antipsychotics, which include Eglonil and Sonapax.
Psychotherapeutic techniques and other methods of therapy
Along with the treatment of neuroses with medications, herbal medicine and physiotherapy have proven themselves well.
When developing a therapeutic regimen, it is important to take into account that disorders of this type have “double” symptoms – somatic (physiological) and psychological. Only an experienced neuropathologist, psychiatrist or neurologist can solve mental problems. In some cases, the involvement of acupuncturists and massage therapists is required. To get rid of mental problems, homeopathic treatment is often used, which involves the use of products based on natural raw materials. Moreover, biologically active substances are used in microdoses.
The text was checked by expert doctors: Head of the socio-psychological service of the Alkoklinik MC, psychologist Yu.P. Baranova, L.A. Serova, a psychiatrist-narcologist.
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Chronic neurosis
Chronic neurosis is a very common phenomenon in our practice. Now it is customary to call it a neurotic disorder, however, changing the terminology does not change the essence of the phenomenon. Chronic neurosis affects not only adults who live in an intense and constantly stressful rhythm and a catastrophic lack of time, but also children, the level of demands on whom increases from year to year.
The most common cause of chronic, protracted neurosis is stress. Thus, a constantly acting stressor (a source of stress, a stressful situation in which a person constantly finds himself) can cause this disorder. But, even if there were no stressful situations, simple overexertion, failure to maintain a balance between hard work and active forms of rest, as well as sleep and rest, can also lead to such difficult consequences.
Intrapersonal problems that seem insoluble, constant and intense mental work, an attempt to get out of a difficult situation and cope with it - all this can also become a source of neurosis, and if timely help is not provided, then chronic neurosis.
Symptomatically, neurosis is expressed both in the characteristics of a person’s psychological state and at the somatic level.
Symptoms of neurosis:
Many people mistakenly believe that for the successful treatment of neurosis or a neurotic disorder, a consultation with a neurologist is sufficient (despite the consonance of the words). High-quality therapy for neuroses is possible only if an integrated approach to treatment is followed, and, of course, preliminary diagnosis.
The diagnostic work of a doctor will help determine the true cause of the disorder, eliminate it, or work it out efficiently, and then relieve the patient of this illness. Neurotic disorders are completely reversible phenomena. But the speed (timeliness) of contacting specialists is important for their successful treatment. Neuroses can be accompanied by other types of disorders (phobias, panic attacks), and then a much larger list of problems has to be solved, which, of course, affects the duration of treatment.
Thus, neurosis can be cured forever provided that a competent psychiatrist or psychotherapist works on the problem, since a combination of pharmacological therapy (say, for severe anxiety) and psychotherapy may be needed. (The latter is mandatory, since only in this way can one learn to resist stressors, restore one’s own strength after exposure to adverse factors, and develop psychological self-defense skills).
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