Reactive psychosis

Psychoses are disorders of the psyche, accompanied by a change in consciousness and the disappearance of a critical attitude to the surrounding reality and to oneself. In this case, as a rule, a person does not consider himself a sick person, it seems to him that others simply do not understand him. Often disorders are accompanied by hallucinations and delirium. A person is often unable to recognize loved ones, and perceives strangers as acquaintances.

Given the prevailing clinical symptoms, paranoid psychosis is distinguished (characterized by a patient's delusions of persecution or an overvalued idea), hypochondriacal, depressive, manic disorder. In addition, the disorders can be of a combined type (depressive-hypochondriac psychosis, manic-depressive and others).

Situational and reactive psychosis belong to a separate group of disorders. As a rule, they are a reaction to the external action of the traumatic factor.

Reactive psychosis occurs due to factors that threaten the well-being and life of the patient or are of particular importance to him. The main feature of this state is its temporary nature and reversibility. Being a response to the traumatic psyche situation, reactive psychosis ceases after its disappearance (resolution).

This state, in contrast to the neurosis, is characterized by the severity of the flow, loss of critical evaluation, a significant depth of the disorder.

Reactive psychosis is peculiar to persons subject to hysterics, emotional instability, paranoia. Predisposing factors include somatic diseases of severe course, craniocerebral trauma in the past, involuntary insomnia, prolonged dependence on alcohol, overwork.

In view of clinical manifestations, reactive states of acute nature (affective-shock reactions) and prolonged disorders are classified.

Affective-shock conditions are provoked by a strong and sudden impact. These include an earthquake, fire, flood and so on.

The manifestation of affective-shock reactions is noted in the form of inhibition and excitation. The duration of the reactive stupor in a hindered reaction can be several minutes or hours. Despite the danger that has arisen, a person seems to become stiff, is in a state of inability to speak and move. With an excited reaction, senseless chaotic motor anxiety accompanies the narrowed consciousness. The patient starts to rush about, tries to escape, screams. After exiting the condition, the patient does not remember well what happened.

Acute reactive states, as a rule, arise when a threat of judicial (criminal) liability. Such states can manifest themselves in the form of hysterical twilight obscuration, pseudodement (false dementia), and puerilism.

Prolonged reactive states include reactive paranoid and depression.

Cynical psychosis

This disorder manifests itself in senile age. Disorders of this type include late paranoids and depressions, as well as senile dementia (dementia).

Senile dementia is characterized by the disintegration of mental activity. This manifestation is typical for physiological aging of the body and is a pathological process.

Late paranoids and depression are not caused by gross destructive and organic processes. Depression, as a rule, have a mild, but long-lasting course. Such states are characterized by the manifestation of discontent and gloominess, hypochondriacal experiences. With paranoids, experiences are limited by delusions of damage, persecution and damage of a small scale.