Anxious neurosis
An anxious neurosis is a psychological disorder that causes the individual to incessantly experience an unpleasant feeling of anxious anticipation. For such an individual, this is one of the exhausting symptoms. This is associated with the effect of anxiety on the body, tk. The individual does not relax in principle, staying in the permanent cocoon of danger. In addition to neuropsychic discomfort, anxious neurosis is fraught with physical symptoms. Anxiety is a powerful provocateur of the synthesis of hormones of a stressful character, rising in the blood, they force the body of an individual to pass into the sympathetic state of vegetation. This is necessary for stresses, but it negatively affects the permanent stay in such a symptomatology.
What is an anxious neurosis?
In general, anxiety is a feeling of fear that a person experiences for unexplained reasons. Anxiety has no objective direction, it's just a fear that is directed to the future. Neurosis is a condition of the neurogenic spectrum, provoked by psychogenies. Thus, having considered the constituent parts of an anxious neurosis one can better understand its characteristics. This pathology of the neurogenic spectrum, which stands out as a serious spread. Characteristic for neurosis data are its polymorphism, distribution and a wide range of symptomatic characteristics. This pathology tends to be reversible, but only with the right tactics of therapy.
An anxious neurosis is one of many similar neuroses that are very common in modern society. This is due to a variety of factors, but the main one is the psychological pressure of the society in which each of us is aimed to meet certain standards and if there is a discrepancy, or worse, the discrepancy starts the problems. This group of diseases is considered psychogenic and has its own personal characteristics.
This pathology, in addition to neurotic characteristics, is considered to be one that has a connection with stress according to classification. According to the ICD, the 10th revision of neuroses inclusive with anxious neuroses belong to F 40. Anxious depressive neurosis refers more to depressive states, since the more severe depressive pathology is always dominant. But anxiously phobic neurosis is more characteristic of individuals with a predominant second signal system, excessively high demands on themselves and a tendency to become isolated in a personal shell.
It should be noted that this pathology is quite common, but for its appearance you need to have a special reactivity, and most importantly get into some kind of permanent stress. Neurosis does not develop on an equal footing, in this situation, the root cause is most significant. An anxious neurosis is characteristic for a young able-bodied age of up to 37 years. Women are statistically more neurotic, but modern society very quickly reduces the gender gap. Sex in this case is not the main criterion, more important is the family atmosphere. Separately anxious neurosis has many classifications that change the symptoms. Anxious phobic neurosis slightly differs from the classical form and has in its structure panic attacks, different phobias( isolated or complex).
Anxious neuroses can have other components in their flow, for example, panic disorders or be generalized. An anxiously depressive neurosis is considered a mixed form.
Causes of an anxious neurosis
An anxious neurosis for its root causes has several branches. As mentioned above, anxious neurosis has a psychogenic character, which directly affects its development. Thus, the root cause of an anxious neurosis are any psychogenic situations. Such can be the loss of loved ones and even a catastrophe in contemplation of such an impressionable person. Progression of this disorder depends on the condition and temperament of the individual, as well as on the kind of affect that has been experienced. In general, the psychogenic environment in the country is greatly deteriorating during wars, poverty, famine or cataclysms, which forces people to experience increased stress. For each person, a stressor of an individual level can lead to an anxious neurosis, someone is sufficiently divorced, and another will be brought only by a car crash with a fatal outcome.
To an anxious neurosis, physical aspects are also brought about over time, besides not only exhausting loads or "overstrain".Also here include somatic aspects: a variety of internal diseases, and in general all somatic diseases can lead to an anxious neurosis, and especially to hypochondriacs. Surgical interventions, as well as the use of anesthesia, can also not well affect nervous perception. Poor mental development rarely becomes the root cause of neurosis, rather oligophrenia, but still rare cases can be observed. Still, neuroses are more susceptible to people with poor physical development, and those that are prone to excessive mental and emotional overload.
In some cases, anxiety neurosis is formed against a background of unfavorable mental activity, for example, with a neurotic personality type. Even small psychological causes with prolonged action and large accumulation can bring the individual to this disorder. It would seem that something was not working at work, unpleasantly, but resolvable, but if during this, and with the family problems and melancholic education, the neurosis is quickly diagnosed.
Sometimes the trigger of an anxious neurosis is a state of fright, and of different genesis, it can even be just a sudden fright. In addition, the environment plays its role, becauseIt is proved that the alien atmosphere of traditions and culture is more neurotic in effect on the individual, especially if he is forced to stay in it without a family, rather than his native walls. From this it comes that to get out of the state of a comfortable stay makes sense, but in moderation, so as not to drive yourself into an anxious neurosis. Sometimes even a strong attraction and emotional dependence can serve as a trigger for the individual.
In childhood, negative in the plan of neuroses various "horror stories".Children can not be coerced into anything by terrible characters, this will turn them into neurotic persons. All dependencies also tend to induce the individual to neurotic aspects, especially the narcotic. Alcohol also very quickly forms a specific type of response.
Endocrinological cause does not stand in the place of the source of neurosis, but it is still very common, due to hormonal imbalance the person is not able to adequately deal with stress, which quickly shakes her nerves. In most anxiety most adrenals are guilty, they are the ones who produce catecholamines that can quickly excite the body of an individual. Hereditary factor also often contributes to the development of this condition. According to statistics, people with a family history of neuroticism are 50% more likely to have an anxious neurosis.
Symptoms of an anxious neurosis
An anxiously depressive neurosis has in its composition the symptomatology of all neuroses. One of them are self-control disorders, such as discomfort, that is, the complexity of adaptation and self-perception. Also, headaches are the true companion of an anxious neurosis. The feeling of frustration overwhelms such individuals most often after a dream, "tossing" disturbing dreams to them. Workability is approaching zero, the individual feels exhausted. All this naturally affects life and compels a person to complain. Such general complaints the person will undoubtedly give to the therapist, and that already ideally will direct to the psychiatrist, and in the worst - on all inspects independently.
An anxiously depressive neurosis is also accompanied by emotional disorders. Anxious phobic neurosis these disorders are second in importance after phobic inclusions. The most common in the aspect of neuroses is the lability of emotions, that is, a sharp change in moods, and sensitivity, that is, excessive sensitivity to everything that is happening. This can not be overlooked, since such an individual behaves like an unpredictable hurricane by his behavior.
An anxiously depressive neurosis naturally suggests a tendency to depressive reactions, that is, a persistent decline in mood. Anxious phobic neurosis is characterized by persistent obsessive fears that prevent the individual from relaxing and for a moment, constantly spinning in the head. In describing this, it looks like sharp violent affective flashes, followed by exhaustion. Emotions predominantly do not correspond to the strength of the stimulus, exceeding it, while the control of the person behind him is reduced.
Disorders in effector and volitional spheres are also characteristic. Usually, appetite and libido fall, being replaced by persistent actions or thoughts that do not give the individual a rest. Attention is usually quickly depleted or tied to unpleasant experiences, obsessed with them. Anxious thoughts concentrate on the topic of the disease. Perception is also often violated, leading to unpleasant sensations, and sometimes even pathological anesthesia, numbness. In rare cases, neuroses give blindness and deafness, but its character is functional. With an adequately-tuned treatment, a miracle will happen and the hearing will return with vision. It is characteristic that after psycho-traumatic circumstances, consciousness is narrowed affectively.
Very characteristic of anxious neurosis inclusion of somato-vegetatics. This is the state of reaction from the various organs to the experiences to which the psyche of the individual is exposed. Neurotics suffer from hyperhidrosis - excessive sweating, have increased dermographism. Akin to menopausal women experience hot flashes. Pressure and heart are often pissed off, manifestations are different and in the direction of increasing everything and downwards. Constipation, nausea and enuresis also have a neurogenic character in this case. Shortness of breath can also be neurogenic, even with paresis and paralysis, which greatly frightens the family. Another characteristic is tremor and stammering, especially in the case of a child's neurosis or trailing from childhood. In addition, it can be complicated by agoraphobia, fear of open territories or panic disorder that occurs in certain conditions. Sometimes phobias are very specific and have a social nature, they are often very specific and isolated, then the individual is afraid of only one of something.
Treating anxiety disorder
preferred to use outpatient methods as for anxiety neurotics change anything unnecessarily parting with the abode of great stress, which do not contribute to the relief of the condition. Moreover, this disease is chronic and requires a tuning atmosphere for healing. Still, it is worth considering the severity of disorders, in some cases, actually to apply inpatient treatment, but it is better not an enclosed space, and this, in which the individual can adapt, communicate with like-minded and have a free outlet. In this case, it is possible to select a drug for resistant patients.
Pharmacotherapy in the treatment of anxious neurosis is used, but it is not a panacea. It is symptomatic in order to remove the severity of the manifestations and prepare the patient for psychotherapy. Application of its course and does not exceed the term in the season. The most ideal time - three weeks and include tranquilizers, benzodiazepines in therapy: alprazolam, lorazepam, oxazepam, chlordiazepoxide, Flunitrazepam, triazolam, Nitrazepam, Clobazam, flurazepam, lormetazepam, brotizolam, medazepam, Tofisopam. Hypnotics, because sleep disturbances - is the dominant complaint: diazepam, zolpidem, melatonin, temazepam. If the neurosis is anxiously depressive, then it is better to use antidepressant hypnotics with a hypnotic effect. Sometimes neuroleptics are used, for example, Thioridazine, Eglonil for anxiety with marked excitement or mental disorganization. Beta-adrenoceptor blockade is excellent for metotypes: metoprolol, propranolol, atenolol, bisoprolol, nebivolol, sotalol, carvedilol, timolol, nadolol, acebutolol, labetalol, betaxolol, pindolol, esmolol, carotenol, oxprenolol, levobunolol, bisoprolol fumarate, propranolol hydrochloride(America is the drug of choice).
Psychotherapy for all pathologies of the neurotic spectrum of diseases is most relevant and has proven effectiveness. The main role is played by the possibility of choosing the right approach. For a quick effect, although not always long, cognitive-behavioral psychotherapy is applicable. Now the body-oriented practice is gaining importance with the call to get to know your body, it even belongs to the section of art-therapeutic techniques. Do not be afraid of psychotherapy, it is important to turn to a professional, and then any technique will turn into a panacea.
Group therapy for anxious neurosis is relevant for detecting current problems and mutual help in similar groups. This helps to establish interpersonal relationships, removing anxiety. Relaxation of Jacobson, suggestion and avtorellaks - latest techniques in order to teach such an individual to enjoy the surrounding. Respiratory gymnastics is widely available and allows you to catch a feeling of not tension.
