Doubt the disease (the hypochondriasis neural disease)

Doubt the disease (the hypochondriasis neural disease)
Doubt the disease (Hypochondriasis) Also called the hypochondriasis neural disease (Hypochondriacal neurosis) . Mean suffering from the impractical morbid state to explain to one's own feelings or signs, cause the whole heart body the doubt produced by this, worried and frightened a kind of neural disease that occupied. The healthy one is cared about and difficult to hold to regard stereotype dispelled as the characteristic excessively to oneself. Patient suspect patient suffer from a certain disease that exist in fact, explanation and check enough to dispel his view objectively of doctor. Not studying the survey materials national popularly yet, his ill rate of the report of Tianjin area is 0.01 , it is generally acknowledged the man is more than the woman, the area with backward culture more see. [The cause of disease and cause of disease of pathogenesis ] have not been bright. Doubt disease patient have, pay close attention to oneself to be healthy while being excessive often in front of the disease, require personality characteristic perfect in every way or stubborn, stingy, prudent, the man patient often has a mandatory characteristic, there are more persons who has hysteria personality in the woman patient. About 1/3 of the patients are brought out by body disease, it is the patient that may cure the source. Strengthening acting on to play a certain role the lasting respect of disease of social factor of the psychology. [Clinical manifestation ] is often shown as and cared about one's own health and any slight change of the health at first excessively, make the hypochondriasis explanation not in conformity with real health status, uncomfortable with corresponding hypochondriasis, the systematized hypochondriasis symptom day by day appears gradually. Hypochondriasis symptom can be that the whole body is uncomfortable, pain or function obstacle of a certain position, even concrete disease. Symptom is seen more with skeleton muscles and the system of intestines and stomach; In terms of position, mostly head, neck, belly. Often with anxiety, worry, fear and plant nerve function obstacle symptom. This kind of hypochondriasis trouble means to health or the pestering of disease suspected, but not mean to the consequence of disease or continue the worries of the taking place social effect. It is unfavorable at the health that the patient knows too that worried, suffer from being unable to free, not extricate oneself. Seek medical advice, state the whole story of the condition, does not believe inspection result and the doctor's explanation or assurance everywhere. Some patients are only shown as the doubt of the single symptom that the special sense of smell is unusual or one's own shape is strange,etc.. [The course of disease of course of disease and prognosis ] is different in size, the elder can delay for several months or several years, the prognosis is relatively bad. Get up disease to be worried having obvious inducementing and getting in time getting therapeutic, the prognosis is better. [Diagnose basis and differential diagnosis ] one, regard hypochondriasis symptom as main clinical manifestation, and pay close attention to one's own health status excessively. Second, with anxious, depressed symptom; Third, working, studying and house work ability drop; Fourth, the course of disease is in above 6 months; Fifth, get rid of schizophrenia, endogenous depression and body suspected. [Treatment ] takes psychotherapy as the core, complement it by drug therapy. First, psychotherapy: Take supporting psychotherapy as the core, after listening attentively to a patient to state patiently and check carefully, it is it scarce to if you can't prove fact, last disease according to,to must guard against is hasty and careless to check and explain briefly. Such as cooperate with, treat while being other, curative effect may be finer. Higher patient to implying, it implies that may obtain the good result to lull on the basis of supporting psychotherapy. Second, drug therapy: Have more great in order to benefit. Can dispel patient's anxious, depressed mood while resisting anxiety and antidepressants. Resist psychosis to be only effective to a few patients, piperazine fan getting clear Have good results to the doubt disease of the single symptom.

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