Sluggish schizophrenia

sluggish schizophrenia is a type of schizophrenia in which the disease is progressing poorly, there is no productive symptoms, characteristic clinical manifestations only indirect( neurosis, psychosis, affect, overvalued ideas, hypochondriasis), and shallow personality changes, very reminiscent of obsessive-compulsive personality disorder.

The history of schizophrenia

For the first time in 1896, the famous psychiatrist E. Bleuler described a slow-moving schizophrenia. Next sluggish schizophrenia Professor Serbskii was assigned in 1902 to a mild form hebephrenia, and in 1905, psychiatrist E. V. Erickson said creeping schizophrenia as sluggish early dementia.

G. Mayer did not stay away from this problem in 1908, Ts. Pascal in 1911, and K. Jaspers in 1913.The term was first used in differential pediatric diagnostics, as well as teenage schizophrenia in 1933 by psychiatrist GE Sukhareva. Then, in 1955, RA Nadzharova described sluggish schizophrenia as a separate form of schizophrenia. But the most revealing of this problem was Professor A. V. Snezhnevsky in 1969.His publications served to the fact that the diagnosis became widely used in medical practice

Causes of Sluggish Schizophrenia

There is a version that schizophrenia has an increased genetic predisposition. Following are the instigators of disease psychological trauma, lifestyle, stress

Signs of sluggish schizophrenia

sluggish schizophrenia primarily characterized by alienation, conscious change in the internal world, the mental impoverishment, reduced vitality, activity and initiative. There can be a detached perception of reality and sharpness of the intellect. If the long depression has joined the signs of slow-moving schizophrenia, then the absence of emotional resonance and shades of feelings, the loss of the ability to feel pleasure, comes to the fore. With the progression of the disease there is a sense of change in consciousness, the presence of signs of stupor, primitivism, the lack of spiritual subtlety. When creeping schizophrenia to hysterical manifestations added grotesque and exaggerated gross forms as demonstrative, affectations, flirty, mannerisms, compulsive.

The diagnosis of schizophrenia for doctors is a secret box, which included all diseases that are not suitable for other mental ailments. The problem of sluggish schizophrenia is that the diagnosis is clearly defined at the height of the disease, and the pre-season itself often lasts for years. Observing the person, nothing will give out its beginning illness, unless eccentricity of the person. Therefore, it is difficult for doctors to correctly diagnose

Sluggish schizophrenia - symptoms of

Symptoms of sluggish schizophrenia often begin to remind themselves of adolescence, but distinct manifestations are found much later.

Long-term, slow development of the disease is accompanied by gradual deformities of the personality, but many ill people manage to maintain the necessary level of social adaptation throughout life.

The line between ordinary and sluggish schizophrenia is rather thin. Sluggish schizophrenia is characterized by the prevalence of neurotic-like, as well as psychopathic disorders. And in ordinary schizophrenia there are violations of associative thinking: decreased affect, autism, association disorders and ambivalence( duality of attitude).Considering ambivalence, the main sign of schizophrenia is considered by its three types: emotional, strong-willed, intellectual sphere.

The emotional sphere includes both a positive and negative feeling for a person or an event.

The volitional sphere bothers the ill with endless fluctuations between opposing decisions and the inability to choose, so they often refuse to make a decision at all.

The intellectual sphere consists in the alternation, as well as the simultaneous contradiction of one another's judgments and mutually exclusive ideas.

There are the following options for combining creepy schizophrenia:

• obsessive compulsive disorder or compulsive disorder with phobic disorders;

• Personality depersonalization;

• hypochondriac;

• hysterical manifestations;

• prevalence of negative violations.

AV Smulevich distinguishes such stages of development of sluggish schizophrenia: latent stage, active, stabilization period.

The latent period includes psychopathic and affective disorders, obsessions, reactive lability. The predominant features of schizoidia, hysteria, psychasthenic, as well as paranoid personality disorder.

AB Smulevich believes that mental disorders in the latent period are manifested only at the behavioral level. For example, in the refusal of adolescents to take exams, leave the house, avoiding society( social phobia).

Active period, as well as the stabilization period.

In the active period, a combination of bright bouts with sluggish flow is considered a feature of the development of sluggish schizophrenia.

Symptomatic of the disease goes together with obsessive-phobic disorders and is characterized by anxious-phobic manifestations and obsessions such as rituals, panic attacks, fancy habits, deeds, mental operations, fear of external threat, fear of insanity and loss of control, phobia of contrasting content, fearsFor harm to oneself and others, obsessive doubts, rituals with recheckings, fear of heights, solitude, darkness, thunderstorms, fires, fear of blushing in people, fires

Treatment of sluggishnessuschey schizophrenia

guarantees that someone from close not face the problem of the treatment of schizophrenia, unfortunately small. And society is very cruel to such people and the sick are out of the way of life. Those who surround such people are shunned, relatives despair of the failure of treatment, and schizophrenics do not understand what is happening to them. It is a mistake to believe that people are divided into mentally ill and mentally healthy people. Who has the right to establish a framework for normality? Often, the intellectual abilities of those suffering from schizophrenia are an order of magnitude higher than that of ordinary people. What does he see and also feel a schizophrenic patient? What are the effective ways to alleviate the mental state of the sick? Patients with schizophrenia live in their reality, but imaginary.

One of the features of schizophrenics is the ability to build complex as well as flawlessly logical constructions. The main thing in the treatment of sluggish schizophrenia is to continue to live happily, not paying attention to visions. Very good simple earthly feeling helps - love, which is so lacking in the sick.

Feelings( hatred, love, sadness, joy, jealousy) do not disappear in schizophrenia, and the patient first of all suffers. The life of a sick person depends both on the success of therapy, and on the understanding of loved ones, the desire to share his experiences.

According to medicine, this is an incurable disease, but in each case the disease is treated individually according to its scheme and its course is influenced by many factors. Close is delicately related to schizophrenia. The patient needs to understand, respect, accept him as he is. For the treatment of sluggish schizophrenia, it is important to help find a stimulus for the ill, so that you want to be healthy and happy.

With slow sluggish schizophrenia, there is a metabolic disorder in the brain( serotonin, dopamine, norepinephrine).Currently, the treatment of schizophrenia is carried out by psychotropic drugs - atypical neuroleptics, which affect the brain receptors. But antipsychotics have drawbacks. Some contribute to the addition of weight, others cause tremors of limbs and drooling. And only a competent selection of drugs can reduce these manifestations. Neuroleptics should be taken under a strict treatment regimen and without omissions. Remember that the positive effect does not come right away, have patience. Unauthorized refusal can worsen a patient's condition. And do not be afraid to seek help from specialists, you can not cope with such a diagnosis yourself. The task of medical professionals is to help maintain clarity of thinking and work capacity.

In parallel with drug treatment, it is effective to use methods of art therapy, labor and behavioral therapy. Staying a part of the society is an important factor in the treatment of schizophrenia. This means work, a visit to culturally populous places. The next stage in the treatment of the patient is the awakening of taste for life, to simple joys. It is necessary to help the sick person not to get stuck in destructive experiences. And if the patient has become detached, indifferent, does not want to communicate, and also do something, be patient and do not take offense at him. Interest the patient with a new hobby that will interest him. But remember that excessive care, as well as control, can cause irritation in the patient, as well as withdrawal into oneself. Find a good psychiatrist who will objectively assess the situation and choose the right model of communication with the patient. And only with this approach, those suffering from schizophrenia maintain family relationships, friends, and work.

The next important step in the treatment is creativity. There is an opinion that schizophrenia is a different perception of the outside world, which is alien to most people.

The majority of mentally ill people are awakened by the desire for creativity - these are artistic, literary abilities. Doctors recommend to encourage craving for creativity.

Remember that therapy is only part of the success in treatment. It is important for the sick person to know that his family continues to love and wishes recovery.

More articles on this topic:

1. Paranoid schizophrenia 2. Psychosis