lethargic, apathetic, frozen facial expressions, scanty speech, often of absurd content. In bed they take pretentious poses, cover their heads, grimace, make stereotypical movements, imitate animals, eat with their mouths.

Course of hysterical disorders:

Hysteroneurotic psychogenic reactions can be short-term, episodic and disappear spontaneously, without treatment. Long-term recording of hysterical manifestations over several years is also possible. After their attenuation, there may remain a tendency to the occurrence of individual hysterical stigmas (paresthesia, unsteadiness of gait, fainting) in situations that cause affective stress. Patients with functional hysteroneurotic disorders require a thorough somatic and neurological examination to exclude organic pathology.

II. Anxiety-phobic neurosis

The problem of phobias and obsessions attracted the attention of clinicians even in the prenosological period of psychiatry. Mentions of obsessions are found in the works of Ph. Pinel (1829). I. Balinsky proposed the term “obsessive ideas”, which has taken root in Russian psychiatric literature. In 1871, C. Westphal introduced the term “agoraphobia,” which denoted the fear of being in public places. However, only at the turn of the XIX-XX centuries. (1895-1903) thanks to the research of Z. Freud and P. Janet, attempts were made to combine anxiety-phobic disorders into an independent disease - anxiety neurosis(Z.Freud). Somewhat later, P. Janet (1911) combined agoraphobia, claustrophobia, and transport phobias with the term “position phobias” [Tiganov A.S., 1999].

In accordance with ICD-10, psychopathological manifestations of anxiety disorders include the following symptom complexes: panic disorder

disorder without agoraphobia, panic disorder with agoraphobia, hypochondriacal phobias, social and isolated phobias, obsessive-compulsive disorder.

Clinical manifestations:

Anxiety-phobic syndrome develops predominantly in cases where pronounced vegetative-vascular paroxysms were observed in the initial period of the disease. The affect of anxiety and fear, which initially arose in connection with vegetative-vascular paroxysms, becomes more and more constant as the syndrome develops. Against the background of vague anxiety, obsessive fears develop related to the possibility of a repetition of the paroxysm and its tragic consequences. The intensity of obsessive fears is not measured by previous experience, which indicates their groundlessness. Phobic phenomena also intensify under conditions that place increased demands on the vestibular apparatus: when using various types of

transport, industrial vibrations, rhythmic visual stimuli (for example, when a stream of people flashes before the eyes). During periods of exacerbation of conditions, other conditions also arise or intensify. psychopathological symptoms characteristic of the disease: senestopathies, psychosensory disorders, derealization disorders.

Anxiety states appear in two main forms. At generalized anxiety disorder anxiety is persistent and not limited to any specific circumstances. The most common complaints are a feeling of constant nervousness, restlessness, trembling, muscle tension, sweating, palpitations, dizziness, discomfort in the epigastric region, accompanied by fears and concerns for their health and the health of their loved ones, as well as other various worries and apprehensions. This disorder is more common in women and is often associated with chronic stress.

At panic disorder(episodic paroxysmal anxiety) anxiety manifests itself in the form of severe panic attacks, which are also not limited to a specific situation and are therefore unpredictable. Dominant symptoms: sudden palpitations, chest pain, a feeling of suffocation, dizziness, a feeling of unreality, often accompanied by fears of death, loss of self-control or madness. Subsequently, the person tends to avoid the situation in which the first panic attack occurred. In addition, he may develop a persistent fear of the attack being repeated. Panic disorder most often determines the onset of the disease. In this case, three variants of the dynamics of psychopathological anxiety disorders manifesting as panic attacks can be distinguished.

1st option: the clinical picture of anxiety-phobic disorders is represented only by panic attacks. Panic attacks manifest themselves as an isolated symptom complex with a combination of signs of cognitive and somatic anxiety and are not accompanied by the formation of persistent mental disorders. The clinical picture of panic attacks expands only due to transient hypochondriacal phobias and agoraphobia phenomena, which are of a secondary nature. Once the acute period has passed and panic attacks have been reduced, the concomitant psychopathological disorders also reverse.

Option 2: Anxiety disorders include panic attacks and persistent agoraphobia. Panic attacks occur suddenly, without any warning signs, and are characterized by vital fear, generalized cognitive anxiety with a feeling of sudden, life threatening physical catastrophe with minimal severity of vegetative disorders and rapid (sometimes after the first attack) formation of agoraphobia, phobophobia and avoidant behavior. As panic attacks reverse, a complete reduction of psychopathological disorders does not occur.

3rd option: anxiety-phobic disorders with panic attacks developing as a vegetative crisis (Da Costa syndrome) and culminating in hypochondriacal phobias. Distinctive features of panic attacks

attacks: subclinical manifestations of anxiety, combined with algia and conversion symptoms; psychogenic provocation of seizures; predominance of somatic anxiety with dominance of symptoms from the cardiovascular and respiratory systems without vital fear (“alexithymic panic”); expansion of the picture due to hypochondriacal phobias with minimal severity of phobic avoidance and agoraphobia. Once full-blown panic attacks have passed (acute period), a complete reduction of psychopathological anxiety disorders does not occur. Hypochondriacal phobias (cardio-, stroke-, thanatophobia) come to the fore, determining the clinical picture for months and even years.

Phobic disorders- These are disorders characterized by the occurrence of anxiety primarily in relation to certain situations or external objects. As a result, these situations are avoided or endured with a feeling of fear. The experience of fear is usually accompanied by a variety of autonomic symptoms - palpitations, difficulty breathing, a feeling of lightheadedness, dizziness, weakness in the legs, as well as secondary fears of death or loss of self-control. At the same time, anxiety is not reduced by the knowledge that other people do not consider this situation dangerous or threatening. Subsequently, the mere idea of ​​getting into a phobic situation in advance causes anxiety of anticipation.

There are several types of phobias:

– fear of open spaces (being in a crowd or public places, moving outside the home, traveling alone);

– fear of individual animals;

– fear of heights;

– fear of closed spaces (travelling on airplanes, elevators, subways);

– fear of blood or injury;

– fear of getting a certain disease (myocardial infarction, cancer, venereal disease, HIV, etc.);

– fear of the dark;

– fear of exams, etc.

It is worth noting that anxiety and phobic disorders are very often accompanied by various sleep disorders (difficulty falling asleep, superficial night sleep, early awakening), depression (low mood, decreased self-esteem and self-confidence, poor appetite, loss of interests and the ability to enjoy activities that previously brought such pleasure, a pessimistic vision of the future), neurasthenic symptoms(fatigue, irritability) [Karvasarsky B.D., 1990].

Among the psychopathological manifestations of anxiety-phobic disorders, it is first necessary to consider panic attacks, agoraphobia, hypochondriacal phobias, social phobia and mysophobia, since in the dynamics of these symptom complexes the greatest comorbid connections are found.

Panic attacks- an unexpected and quickly, within a few minutes, growing symptom complex of vegetative disorders (vegetative crisis - palpitations, tightness in the chest, a feeling of suffocation, lack of air, sweating, dizziness), combined with a feeling of impending death, fear of loss of consciousness or loss of control over oneself , madness. The duration of manifest panic attacks usually does not exceed 20-30 minutes.

Agoraphobia, contrary to the original meaning of the term, includes not only the fear of open spaces, but also a whole series of similar phobias (claustrophobia, phobia of transport, crowds, etc.), defined by P. Janet (1918) as phobias of position. Agoraphobia, as a rule, manifests itself in connection with (or following) panic attacks and essentially represents the fear of being in a situation fraught with the danger of panic attack. Typical situations that provoke the occurrence of agoraphobia are traveling on the subway, being in a store, among a large crowd of people, etc.

Hypochondriacal phobias (nosophobias)) - obsessive fear any cha-

yellow disease. The most commonly observed are cardio-, cancer- and stroke-phobias, lissophobia (fear of getting a mental illness), as well as syphilo- and AIDS-phobias. At the height of anxiety (phobic raptus), patients sometimes lose their critical attitude towards their condition - they turn to doctors of the appropriate profile and require examination.

Social phobias– fear of being the center of attention, accompanied by fears of negative evaluation by others and avoidance of social situations. Data on the prevalence of social phobias in the population vary from 3 to 5% [Kaplan G.I., Sadok B.J.., 1994]. These patients come to the attention of psychiatrists relatively rarely. Among those not covered by treatment measures, people with subthreshold social phobias that do not significantly affect daily activities predominate. Most often, those suffering from this disorder, when visiting a doctor, focus on comorbid (mainly affective) psychopathological symptom complexes. Social phobias usually manifest during puberty and adolescence. Often their appearance coincides with unfavorable psychogenic or social influences. In this case, only special situations act as provoking situations (answering at the blackboard, passing exams - school phobias, appearing on stage) or contact with a certain group of people (teachers, educators, representatives of the opposite sex). Communication with family and close friends, as a rule, does not cause fear. Social phobias may occur transiently or tend to develop chronic development. Patients suffering from social phobias are more likely than healthy ones to live alone and have a lower level of education.

Social phobias have a high level of comorbidity with other mental disorders. In most cases, they are combined with simple phobias, agoraphobia, panic disorder, affective

pathology, alcoholism, disorders eating behavior, which worsens the prognosis of the disease and increases the risk of suicide attempts. There are two groups of states - isolated and generalized social phobia.

The first of these includes monophobia, which is the fear of not performing habitual actions in public, associated with anxious expectations of failure (fear public speaking, communication with superiors, eating in public places), and as a result - avoidance of specific life situations. At the same time, there are no difficulties in communication outside such key situations. This group of phobias includes ereytophobia - the fear of blushing, showing awkwardness or embarrassment in society. Accordingly, shyness and embarrassment appear in public, accompanied by internal stiffness, muscle tension, trembling, palpitations, sweating, and dry mouth.

Generalized social phobia is a more complex psychopathological phenomenon, which, along with phobias, includes ideas of low value and sensitive ideas of relationship. Disorders in this group most often appear within the framework of scoptophobia syndrome. Scoptophobia (Greek scopto - joke, mock; phobos - fear) - fear of appearing funny, of discovering signs of imaginary inferiority in people. In these cases, in the foreground there is an affect of shame, which does not correspond to reality, but determines behavior (avoidance of communication, contact with people). The fear of being embarrassed may be associated with ideas about people’s hostile assessment of the “flaw” ascribed to themselves by patients, and corresponding interpretations of the behavior of others (disdainful smiles, ridicule, etc.).

Mysophobia (fear of pollution) . This group of obsessions includes not only the fear of pollution (earth, dust, urine, feces and other impurities), but also the phobia of penetration into the body of harmful and toxic substances, small objects, microorganisms, i.e. phobias of extracorporeal threat. In some cases, the fear of contamination may be limited in nature, remaining for many years at a subclinical level, manifesting itself only in some features of personal hygiene (frequent change of linen, repeated hand washing) or in housekeeping (careful handling of food, daily washing of floors). , "taboo" on pets). This kind of monophobia does not significantly affect the quality of life and is assessed by others as habits [Tiganov A.S., 1999].

Clinically completed variants of mysophobia belong to the group of severe obsessions, in which a tendency to complication and generalization is often found. In these cases, gradually becoming more complex protective rituals come to the fore in the clinical picture: avoiding sources of pollution, touching “unclean” objects, processing things that might have gotten dirty. Staying outside the apartment is also accompanied by a series of protective measures: going outside in special clothing that covers the body as much as possible, special treatment of personal items upon returning home. In the later stages of the disease, patients, avoiding contact with

touching dirt or any harmful substances, not only do not go outside, but do not even leave the confines of your own room.

Mysophobia is also associated with the fear of contracting any disease, which does not belong to the categories of hypochondriacal phobias, since it is not determined by fears of having a particular disease. In the foreground is the fear of a threat from the outside - the fear of pathogenic bacteria entering the body. Fear of infection in these cases sometimes arises in an unusual way: for example, as a result of fleeting contact with old things that once belonged to a sick person.

III. Obsessive-compulsive disorders Clinical manifestations:

The manifestation of clinically defined manifestations of obsessive-compulsive disorders occurs in the age interval of 10 years – 24 years. Obsessions are expressed in the form of obsessive thoughts and compulsive actions, perceived by the patient as something psychologically alien to him, absurd and irrational [Asatiani N.M., 1985]. Obsessive thoughts- painful ideas, images or desires that arise against one’s will, which in a stereotypical form come to the patient’s mind again and again and which he tries to resist. Compulsive actions– repeated stereotypical actions, sometimes acquiring character protective rituals. The latter are aimed at preventing any objectively unlikely events that are dangerous for the patient or his loved ones.

Despite the diversity clinical manifestations, among obsessive-compulsive disorders, delineated symptom complexes are distinguished: obsessive ideas, thoughts, fears, actions [Svyadoshch A.M., 1982].

1) Obsessive ideas often have the character of vivid intrusive memories. This includes some melodies, words or phrases, from the sound images of which the patient cannot free himself, as well as visual ideas. Sometimes they have a bright sensual coloring, characteristic of sensations, and approach obsessive or psychogenic hallucinations. Obsessive images very often arise in the form of extremely vivid intrusive memories that reflect the traumatic impact that caused them.

2) Intrusive thoughts can be expressed in the form of obsessive doubts, fears, blasphemous or “blasphemous” thoughts and wisdom.

* With obsessive doubts, there is usually a painful uncertainty about the correctness or completion of a particular action, with the desire to check its implementation again and again. Obsessive doubts can sometimes force the patient to spend hours checking the correctness of the action performed until exhaustion. Compulsions in these cases stop only after the internal feeling of completeness of the completeness of the motor act is restored.

* With obsessive fears, patients are painfully afraid that they will not be able to perform this or that action when required, for example, play a musical instrument in front of an audience or remember vocabulary roles, answer without blushing (ereitophobia), fall asleep, start walking, getting out of bed after an illness , swallow squeaks. d.

* Contrasting obsessions (“aggressive obsessions”, according to S.Rasmussen, J.L.Eisen, 1991) – blasphemous, blasphemous thoughts, fear of harming oneself and others. They are distinguished by a feeling of alienation, unmotivated content, as well as a close combination with obsessive drives and actions that represent complex system protective rituals. Patients with contrasting obsessions complain of an irresistible desire to add certain endings to the remarks they have just heard, giving what was said an unpleasant or threatening meaning, to shout out cynical words that contradict their own attitudes and generally accepted morality; may experience fear of losing control over themselves and possibly committing dangerous or ridiculous actions, auto-aggression, or harming their own children. IN recent cases Obsessions are often combined with object phobias (fear of sharp objects). The contrast group also partially includes obsessions with sexual content (obsessions like forbidden ideas about perverted sexual acts, the objects of which are children, representatives of the same sex, animals).

* With obsessive philosophizing (“mental chewing gum”), patients are forced to endlessly think about certain things that have no meaning or interest for them, for example, thinking about what will happen if a state of weightlessness occurs on earth, or if humanity were to lose their clothes and everyone had to walk around naked.

3) Obsessive fears (phobias) are the most diverse and occur most often. These include: fear of death (thanatophobia) from various causes: heart disease (cardiophobia), the possibility of committing suicide, etc., fear of contracting syphilis (syphilophobia), cancer (cancerophobia), myocardial infarction (infarction phobia), mental illness (lyssophobia ) and other diseases, fear of pollution (mysophobia), phobia of penetration of harmful and toxic substances, small objects, microorganisms into the body, fear of open space (agarophobia), closed spaces (claustrophobia) and the like. Many patients, trying to make it easier to overcome obsessive fear, perform protective actions (rituals) that should “prevent” what they are afraid of.

4) Obsessive actions relatively rarely appear in isolation, not combined with verbal obsessions. A special place in this regard is occupied by obsessive actions in the form of isolated, monosymptomatic movement disorders. Tics predominate among them, especially often in childhood. Tics give the impression of exaggerated physiological movements. This is a kind of caricature of certain motor acts, natural gestures. Patients suffering from tics may shake their heads (as if checking whether a hat fits well), make movements with their hands (as if

In the classification of neuroses, obsessive-phobic disorders are considered separately, i.e. impulsive disorders. The problem combines obsessions and phobias, which arise in the form of a panic attack followed by a transition to moderate feelings.

Forms of manifestations

Obsessive-phobic neurosis can manifest itself in several forms.

• Figurative.
• Distracted.

For shaped form characteristic feature are obsessive pictures of past events, accompanied by vivid memories, doubts, and apprehension. Abstract includes constant attempts to remember facts, names, surnames, faces, accounts, as well as replaying imperfect actions in the head.

An obsessive state is manifested by compulsion in the motor-physical aspect, phobia in the emotional aspect and obsession in the intellectual aspect. All these components are closely connected and alternately trigger each other.

A striking example: patients with severe forms of neurosis develop ritual actions that allow them to find peace for a while.

Experiences usually appear during mental activity and provoke a return to the same thought and repeated actions in order to double-check the work. Endless repetition leads to fatigue. Doubts cause a persistent need to perform the same actions, at a time when reality is of less interest.

Features of phobias

Phobias develop in childhood. The main reasons: improper upbringing, negative psychogenic environment, which negatively affects the development of the psyche. Under the influence of certain factors, the child forms defensive attitudes in the brain in an attempt to adapt to the stimulus.

Fear is an evolutionary feeling. Without him, humanity could not survive. Under stress the highest nervous system forms a special model of behavior to adapt the body to life in certain conditions.

When experiencing fear, a person tries to hide from danger or takes a blow, acting as an aggressor. With an inadequate assessment of the situation, severe fear arises, accompanied by obsessive thoughts, actions, and panic attacks.

The formation of a behavior model depends largely on parental upbringing and the influence of social values, prejudices, and religious attitudes. A child frightened by “babayki” will be afraid of the dark, assuming that the creature comes out at night to kill him. Everything that is beyond the reach of human understanding causes fear. The child, due to his inexperience, does not know how to react to stimuli. The most common phobia is the fear of death.

A person who is not afraid of anything does not exist.

People who calmly react to factors that cause horror and panic in others know how to live with fear and use this feeling for their own purposes. Their nervous system and body have high adaptive abilities.

Patients suffering from phobic disorders are characterized by a high level of emotionality and suggestibility. For example, when some religious traditions prohibit the consumption of certain types of meat.

A person is initially proven that something like this kills him, and the deity he worships will not forgive him, banishing him to the farthest corner of hell (a play on the unknown, since a person cannot know for sure whether he will live after death).

Features of obsessions

An obsession is a series of obsessive thoughts and associations that arise involuntarily at a certain time interval. A person loses the ability to concentrate on his main work because he is unable to get rid of them by willpower.

Obsessions are classified as symptoms of intrapsychic activity, i.e., disorders of the central part of the psyche. They are classified as a subgroup of thought disorders. Of the 9 productive circles of damage, obsession belongs to the 3rd, i.e., it can be easily stopped with timely treatment.

Regarding pathogenesis, 2 groups of obsessions are distinguished.

1. Elementary - observed immediately after the appearance of a super-strong psychogenic stimulus. The reasons for obsessive thoughts are clear to the patient.
2. Cryptogenic - occurs spontaneously, the reasons are unclear. Misunderstanding of the process of formation of obsession is due to the body’s defensive reaction when it hides in the nooks and crannies of consciousness some traumatic facts from the life of an individual.

Features of compulsion

Compulsion - obsessive rituals - behavioral reactions that occur after a certain period of time. The patient feels that he is obliged to perform some action. If he refuses or cannot do this, anxiety increases and obsessions arise.

Compulsions vary in type of manifestation, but have similar features. The main problem is that it is impossible to refuse them. If initially it is enough to perform the action once, then over time it is necessary to perform the ritual several times. The demands of the subconscious become more stringent every time. Thus, a disorder accompanied by a feeling of dirt on the hands requires more thorough washing.

Causes of obsessive-phobic neurosis

From a biological point of view, disorders of this type appear as a result of genetically determined or acquired in the process of life disturbances in the balance of substances in the brain. People suffering from obsessive-phobic syndrome experience an increase in the production of adrenaline and catecholamines.

Copying the behavior of adults is the most common factor influencing the formation of perception of the world around us. The child's psyche is a blank slate. He doesn’t know how to behave correctly, so he takes an example from his parents and follows their attitudes, believing that their reactions are true. correct option behavior.

Obsessive-phobic neurosis can be a symptom of schizophrenia. Here the reasons mainly lie in genetic factors and living conditions.

Symptoms of the disease

Obsessive-phobic disorder is characterized by a number of psychological symptoms that cause physiological abnormalities. Under the influence of fear and anxiety, patients feel dizziness and numbness in their limbs. Tremors and convulsive contractions may occur facial muscles. Severe conditions in the acute period they are accompanied by hysterical fits and panic attacks.

From the cardiovascular system, tachycardia, chest compression, shortness of breath, surges in blood pressure, and increased sweating are observed. Often, under the influence of anxiety, patients suffer from diarrhea. In women, neurosis can provoke a change in the cycle. For men, obsessive-phobic disorder can cause impotence.

More than 40% of patients have a history of sleep disturbances; a long absence of sleep provokes the appearance of hallucinations.

Obsessive and phobic neurosis

Comparative characteristics of obsessive and phobic neuroses:

• phobias and obsessions arise due to high suggestibility;
• behavioral reactions in both types of neurosis depend to a greater extent on the level of adaptive capabilities of the body;
• obsessions can arise against the background of phobias, and phobias can appear against the background of obsessions;
• both pathologies can be accompanied by compulsions;
• phobias are caused by heredity, because fear is the body’s natural reaction to danger, it is a defense mechanism;
• obsessions are more common in adolescents; in children, such manifestations are rarely recorded;
• Phobias are observed in people of any age, and are more pronounced in children.

From this it follows that everything pathological abnormalities are inextricably linked. May manifest themselves in varying degrees, under the influence of certain psychogenic factors. Main role In the formation of neurosis, it is not the strength of the influencing factor that plays a role, but the person’s personal perception of it.

Conclusion

Obsessive-phobic disorders are characterized by a number of mental and physiological abnormalities. This is due to disruption of the central nervous system. Pathology refers to neuroses. IN mild form reversible with the help of psychocorrection. Severe forms of the disease require long-term hospital treatment. The disease can be triggered by biological, genetic and psychogenic factors. The main role in the formation of neurotic deviations is given to the adaptive abilities of the individual.

Phobic neurosis - mental illness, characterized by obsessive fears, thoughts, memories. These obsessions are unpleasant for patients because they arise without their knowledge and are uncontrollable or difficult to control. Due to its negative connotation, an obsessive phobia is perceived by the patient as foreign, thus increasing his fear according to the “snowball” principle. Gradually, obsessive fear takes over the patient’s entire life, and he loses the ability to think about anything other than the phobia.

The occurrence of phobic neurosis may be due to:

1. Hereditary factors. It's about certain features character, such as timidity, shyness, suspiciousness. A person with such a set of qualities experiences his own failures more than others and is prone to excessive introspection and a heightened sense of guilt.
2. Situational factors. These phobic neuroses are divided into primary and secondary reflexes. The first arise as a response to external stimulus. For example, a person with this condition becomes afraid of heights after nearly falling from a roof. In the case of a secondary phobic disorder, the person does not connect events directly and begins to experience fear of indirect events related to fear. Thus, the patient will be afraid of cockroaches, because he observed them during stressful situation(for example, when a fire started).
3. Physical factors. Chronic fatigue bad dream, poor diet, and constant stress can lead to the development of the disease.

What symptoms indicate phobic neurosis?

1. Patients try to avoid phenomena, objects, conversations that directly or indirectly remind them of their fear.
2. Phobic neurosis can manifest itself in various forms. So, with agoraphobia, the patient will be afraid to be in crowded places, in open spaces. Other forms of the disease are also possible. The most common:
   • acrophobia - fear of heights;
   • claustrophobia - fear of closed spaces;
   • nosophobia - fear of contracting a fatal disease;
   • social phobia - fear of social contacts;
   • thanatophobia - fear of death.
3. With various forms of phobic neurosis, a person tries to compensate for the influence of obsessions. Then compulsions (rituals) appear, designed to alleviate negative thoughts. A person with this form of phobic neurosis can check many times whether he closed the front door before leaving, whether he turned off the light. Almost always the ritual is accompanied by counting the number of actions performed. At severe forms a person can spend hours washing their hands or closing/opening a cabinet door and end up not even leaving the house. It is worth noting that compulsions can manifest themselves not only as actions, but also as compensatory thoughts aimed at combating obsessive fear.
4. Panic attacks - sudden attacks severe anxiety. Accompanied by lack of air, rapid heartbeat, and fear of dying. The patient's seizures are not controlled.

Treatment of phobic neurosis

It is impossible to cure this disease on your own. The fact is that the fight against obsessions only increases anxiety, closing a vicious circle for the patient. Not thinking about it is an impossible task. The patient would be happy to get rid of the obsessive fear, but is not able to. Not because he doesn’t have an iron will and doesn’t know how to control himself. Phobic neurosis is a disease, and, like bronchitis, you cannot get rid of it by willpower.

What should I do?

We recommend contacting a good psychiatrist. We know that deciding to make an appointment is not easy - fear, fear of misunderstanding gets in the way. But you should understand that it is impossible to do without the help of a doctor, and you cannot solve the problem on your own.

Treatment of phobic neurosis is carried out comprehensively. Medications and cognitive behavioral therapy can relieve the patient of obsessive fears, thoughts, and memories. Also, the love and support of loved ones will be a good help on the path to recovery.

• Allow fear to exist freely. As soon as you stop opposing him, he will immediately weaken. Remember that most of our fears are irrational, meaning there is no real reason to worry.
• If you are tormented by obsessive ideas, vivid images of fear, fixate on this mental image. Regular analysis of your phobia will allow you to slightly reduce your level of anxiety.
• The disease greatly depletes the psyche. Relaxing baths will help you cope with this. essential oils: ylang-ylang or clary sage. Drinking mint tea and other soothing herbs can also help.
• Walk on fresh air and regular sports activities can distract the patient from unpleasant thoughts and fears.

To get help from a psychotherapist, just make an appointment by phone.

This feeling is so strong that a person is unable to control himself, even if he realizes that the fear is groundless and his life and health are not in danger.

When does a phobia develop?

A person can develop a phobia in two cases:

• if a person directly had a bad experience in the past regarding some thing, action, place and other similar objects. For example, after accidental painful contact with a hot iron, fear of hot objects may develop in the future;
• if the object is associated with thoughts and memories of a negative nature. For example, in the past, while talking on the phone, there was a fire or someone got hurt.

The development and occurrence of phobic neuroses are influenced by:

• heredity;
• character of a person: increased anxiety, constant state of anxiety, excessive responsibility, suspiciousness;
• emotional stress and physical exhaustion;
• dysfunction endocrine system body;
• sleep disturbance and poor diet;
• infections and bad habits that cause significant harm to the body.

Often these disorders occur against the background of another disease: schizophrenia, obsessive-compulsive disorder, psychasthenia, obsessional neurosis.

The risk of phobic neurosis increases during certain periods of a person’s life: during puberty, early adulthood and immediately before menopause.

Types of phobic neuroses

The most common phobia at the moment is the fear of open spaces - agrophobia. A person suffering from this disorder, depending on the severity of the disease, either tries not to leave the house unnecessarily, or is unable to force himself to even leave his own room.

The opposite of this phobia is claustrophobia. A person is seized with fear at the moment when he is in a closed space. This is especially true for elevators.

According to the severity of manifestation, phobic neuroses are divided into three groups:

• mild degree – fear arises in direct contact with the object of fear;
• medium degree - fear arises in anticipation of contact with the object of fear;
• severe degree - the mere thought of the object of fear seizes a person into panic.

Most often, phobias arise in adolescence against the background of hormonal changes in the body, and then they can develop into obsessive fears or, conversely, disappear. The beginning of such disorders is always direct or indirect contact with a future object of fear, which is negative in nature. Patients are critical of their illness and may realize the groundlessness of their own fears, but at the same time they are not able to get rid of them.

Signs of phobic nephrosis

Common symptoms of phobic neuroses include:

• panic attacks;
• irregularities in work autonomic system organs ( cardiovascular system, respiratory, etc.);
• headache;
• general weakness;
• sleep disorders;
• depression;
• emotional tension.

All these signs are easy to detect when the patient comes into contact with the subject of the phobia.

In medicine, all symptoms are divided into 4 groups:

1. Panic attacks are intense fear and a feeling of imminent death, accompanied by increased sweating, heart rhythm disturbances, dizziness, nausea, breathing problems and a feeling of the unreality of what is happening.
2. Agrophobia is a fear of open spaces, large crowds of people, and in severe cases, fear of leaving one’s own home or room.
3. Hypochodriac phobias are the fear of contracting some disease or the feeling that a person is already terminally ill.
4. Social phobias are the fear of being the center of attention, being criticized or ridiculed.

Treatment of phobic neuroses

If you have a question about the consequences and treatment of phobic neurosis, you need to consult a doctor, and not self-medicate and rely on Internet resources for everything. Ill-informed treatment can only worsen the situation.

For mild forms of phobias, you can limit yourself to attending sessions with a professional psychoanalyst.

For more advanced cases, cognitive behavioral therapy is considered the most effective method. Her main task consists of teaching the patient to manage his own emotions and fears by examining in detail the situations in which an attack occurs, identifying the causes and ways to get rid of such reactions.

Drug therapy is used in combination with any psychotherapy. It is impossible to overcome a phobia with medications alone.

In addition to basic treatment methods, doctors usually recommend relaxing massage, yoga or meditation, herbal medicine, short regular rest in sanatoriums, and acupuncture.

What is anxiety neurosis?

Anxiety neurosis, or phobia, is a neuropsychic disorder characterized by an obsessive fear of something. Examples include such forms of phobic neurosis as:

• agoraphobia - fear of open spaces;
• claustrophobia - fear of enclosed spaces;
• aquaphobia - fear of water, and other similar disorders.

Fear neurosis as an independent form of psychasthenia was isolated from neurasthenia at the beginning of the 20th century. At the same time, the main symptoms of this pathological condition were described. In addition to neuropsychic problems, fear neurosis can be one of the symptoms of any somatic disease, for example, angina pectoris.

Doctors describe a wide variety of symptoms of phobic neurosis, but nevertheless, all these signs have a common component that makes it possible to distinguish them into a separate disease.

Causes and symptoms of fear neurosis

Fear neurosis can arise either suddenly or slowly, extended over time, but gradually intensifying. The feeling of fear does not leave the sick person all day long, and does not allow him to fall asleep at night. Anxiety arises at the slightest, even insignificant, reason. The intensity of this state can vary from mild anxiety to panic horror.

What are the causes of this neuropsychiatric disorder?

Psychotherapists and psychiatrists distinguish following reasons that provoke anxiety neurosis:

1. Internal conflicts repressed into the subconscious.
2. Mental and physical stress that exceeds the physiologically determined compensatory mechanisms of the body and leads to their failure.
3. Reaction to severe stress.
4. Adaptive reaction of the psyche to a recurring negative situation.

It is important to understand that everything external manifestations neurosis of fear is determined by its internal component, which is firmly entrenched in the subconscious. The symptoms of this condition are closely related to the listed reasons. Manifestations of phobic neurosis may include the following somatic symptoms:

1. Nausea and/or vomiting.
2. Urinary urgency or diarrhea.
3. Increased sweating.
4. Dry throat, shortness of breath, or even difficulty breathing.
5. Tachycardia and increased blood pressure.

From the psyche and nervous system, fear neurosis causes the following symptoms:

1. Worry, fear and/or worry.
2. Violation of perception of surrounding reality.
3. Confusion or loss of consciousness.
4. Thinking disorders.
5. Panic and strong excitement.
6. Feeling of insecurity.

It should be noted that the neurotic reaction in each specific case may have some individual characteristics. However, in general they can be attributed to the manifestation of fear neurosis.

If any of the listed symptoms occur, and even more so when several of them occur and fear neurosis has been observed for a long time, then it is recommended to seek medical help. medical care to a specialized doctor.

Medical care and treatment of phobic neuroses

It is worth saying right away that if treatment for this disorder is not started in time, then anxiety will only increase. In the most extreme manifestations and severe cases, this can even make you go crazy. In order to get rid of this neuropsychic disorder, you need to make independent attempts to improve your condition.

Here we mean self-hypnosis, regular and long walks in the fresh air, the complete exclusion of traumatic information (which can trigger anxiety) coming from the patient’s environment: television, films with relevant content, and so on. In the case when the fear neurosis is not running, you can overcome it yourself.

The doctor prescribes in such situations behavioral psychotherapy, taking medications such as multivitamins, sedatives. In severe cases, medications such as fluoxetine and other drugs for the treatment of obsessive-compulsive mental disorders may be prescribed.

Any drug treatment must be prescribed by a doctor and carried out under his strict supervision.

In milder cases, it is possible to take medications at home, but with regular visits to the attending physician to monitor the patient’s condition. Treatment should always be completed and not stopped at the first signs of improvement.

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Neurosis - symptoms in adults, causes, first signs and treatment

Neuroses are functional disorders of higher nervous activity of psychogenic origin. The clinical picture of neuroses is very diverse and may include somatic neurotic disorders, autonomic disorders, various phobias, dysthymia, obsessions, compulsions, and emotional and mental problems.

Neuroses belong to a group of diseases that have a protracted course. This disease affects people who are characterized by constant overwork, lack of sleep, anxiety, grief, etc.

What is neurosis?

Neurosis is a set of psychogenic, functional, reversible disorders that tend to last a long time. For clinical picture neurosis is characterized by obsessive, asthenic or hysterical manifestations, as well as a temporary weakening of physical and mental performance. This disorder is also called psychoneurosis or neurotic disorder.

Neuroses in adults are characterized by reversible and not very severe course, which distinguishes them, in particular, from psychoses. According to statistics, up to 20% of the adult population suffers from various neurotic disorders. The percentage may vary among different social groups.

The main mechanism of development is a disorder of brain activity, which normally ensures human adaptation. As a result, both somatic and mental disorders arise.

The term neurosis was introduced into medical terminology in 1776 by a doctor from Scotland, William Cullen.

Causes

Neuroses and neurotic conditions are considered a multifactorial pathology. Leads to their occurrence large number causes that act together and trigger a large complex of pathogenetic reactions leading to pathology of the central and peripheral nervous system.

The cause of neuroses is the action of a psychotraumatic factor or a psychotraumatic situation.

1. In the first case we're talking about about short-term but strong negative impact on a person, for example, the death of a loved one.
2. In the second case, we talk about long-term, chronic influence of a negative factor, for example, family conflict situation. Speaking about the causes of neurosis, it is psychotraumatic situations and, above all, family conflicts that are of great importance.

Today there are:

• psychological factors in the development of neuroses, which are understood as the characteristics and conditions of personality development, as well as upbringing, the level of aspirations and relationships with society;
• biological factors, which are understood as functional insufficiency of certain neurophysiological as well as neurotransmitter systems, making patients susceptible to psychogenic influences

Equally often, all categories of patients, regardless of their place of residence, experience psychoneurosis due to such tragic events as:

• death or loss of a loved one;
• serious illness in loved ones or in the patient himself;
• divorce or separation from a loved one;
• dismissal from work, bankruptcy, business collapse, and so on.

It is not entirely correct to talk about heredity in this situation. The development of neurosis is influenced by the environment in which a person grew up and was brought up. A child, looking at parents prone to hysteria, adopts their behavior and exposes his nervous system to injury.

According to the American Psychiatric Association, the incidence of neuroses in men ranges from 5 to 80 cases per 1000 population, while in women it ranges from 4 to 160.

A variety of neuroses

Neuroses are a group of diseases that arise in humans due to exposure to trauma. mental nature. As a rule, they are accompanied by a deterioration in a person’s well-being, mood swings and manifestations of somato-vegetative manifestations.

Neurasthenia

Neurasthenia (nervous weakness or fatigue syndrome) is the most common form of neuroses. Occurs during prolonged nervous overstrain, chronic stress and other similar conditions that cause fatigue and “breakdown” defense mechanisms nervous system.

Neurasthenia is characterized by the following symptoms:

Hysterical neurosis

Vegetative manifestations of hysteria manifest themselves in the form of spasms, persistent nausea, vomiting, fainting states. Characteristic movement disorders- trembling, tremor in the limbs, blepharospasm. Sensory disorders are expressed by sensory disturbances in various parts of the body, pain, and hysterical deafness and blindness may develop.

Patients strive to attract the attention of loved ones and doctors to their condition; they have extremely unstable emotions, their mood changes sharply, they easily move from sobbing to wild laughter.

There are a specific type of patients with a tendency to hysterical neurosis:

• Impressionable and sensitive;
• Self-hypnosis and suggestibility;
• With mood instability;
• With a tendency to attract external attention.

Hysterical neurosis must be distinguished from somatic and mental illnesses. Similar symptoms occur in schizophrenia, central nervous system tumors, endocrinopathy, and encephalopathy due to trauma.

Obsessive-compulsive disorder

A disease characterized by the occurrence obsessions and thoughts. A person is overcome by fears that he cannot get rid of. In such a state, the patient often exhibits phobias ( this form also called phobic neurosis).

Symptoms of neurosis of this form manifest themselves as follows: a person feels fear, which manifests itself with repeated unpleasant incidents.

For example, if a patient faints on the street, then in the same place the next time he will be haunted by obsessive fear. Over time, a person develops a fear of death, incurable diseases, and dangerous infections.

Depressive form

Depressive neurosis develops against the background of prolonged psychogenic or neurotic depression. The disorder is characterized by deterioration in sleep quality, loss of the ability to rejoice, and chronic low mood. The disease is accompanied by:

• heart rhythm disturbances,
• dizziness,
• tearfulness,
• increased sensitivity,
• stomach problems,
• intestines,
• sexual dysfunction.

Symptoms of neurosis in adults

Neurosis is characterized by instability of mood and impulsive actions. Mood swings affect all areas of the patient’s life. It affects interpersonal relationships, goal setting, and self-esteem.

Patients experience memory impairment, low concentration, and high fatigue. A person gets tired not only from work, but also from his favorite activities. Intellectual activity becomes difficult. Due to absent-mindedness, the patient can make many mistakes, which causes new problems at work and at home.

Among the main signs of neurosis are:

• causeless emotional stress;
• increased fatigue;
• insomnia or constant desire to sleep;
• isolation and obsession;
• lack of appetite or overeating;
• weakening of memory;
• headache (long lasting and sudden onset);
• dizziness and fainting;
• darkening of the eyes;
• disorientation;
• pain in the heart, abdomen, muscles and joints;
• hand trembling;
• frequent urination;
• increased sweating (due to fear and nervousness);
• decreased potency;
• high or low self-esteem;
• uncertainty and inconsistency;
• incorrect prioritization.

People suffering from neuroses often experience:

• mood instability;
• a feeling of self-doubt and the correctness of the actions taken;
• overly expressed emotional reaction to minor stress (aggression, despair, etc.);
• increased sensitivity and vulnerability;
• tearfulness and irritability;
• suspiciousness and exaggerated self-criticism;
• frequent manifestation of unreasonable anxiety and fear;
• inconsistency of desires and changes in the value system;
• excessive fixation on the problem;
• increased mental fatigue;
• decreased ability to remember and concentrate;
• high degree of sensitivity to sound and light stimuli, reaction to minor temperature changes;
• sleep disorders.

Signs of neurosis in women and men

Signs of neurosis in the fair sex have their own characteristics that are worth mentioning. First of all, it is typical for women asthenic neurosis(neurasthenia), caused by irritability, loss of mental and physical ability, and also leading to problems in sexual life.

The following types are typical for men:

• Depressive - symptoms of this type of neurosis are more common in men; the reasons for its appearance are the inability to realize oneself at work, the inability to adapt to sudden changes in life, both personal and social.
• Male neurasthenia. It usually occurs against the background of overstrain, both physical and nervous, and most often it affects workaholics.

Signs climacteric neurosis, developing in both men and women, are increased emotional sensitivity and irritability, decreased stamina, sleep disturbances, and general problems with the functioning of internal organs, starting between 45 and 55 years.

Stages

Neuroses are diseases that are fundamentally reversible, functional, without organic damage to the brain. But they often take a protracted course. This is connected not so much with the traumatic situation itself, but with the characteristics of a person’s character, his attitude to this situation, the level of adaptive capabilities of the body and the psychological defense system.

Neuroses are divided into 3 stages, each of which has its own symptoms:

1. The initial stage is characterized by increased excitability and irritability;
2. The intermediate stage (hypersthenic) is characterized by increased nerve impulses from the peripheral nervous system;
3. The final stage (hyposthenic) is manifested by decreased mood, drowsiness, lethargy and apathy due to the strong severity of inhibition processes in the nervous system.

More long course neurotic disorder, changes in behavioral reactions and the appearance of an assessment of one’s illness indicate the development of a neurotic state, i.e., neurosis itself. Unstoppable neurotic state within 6 months - 2 years leads to the formation of neurotic personality development.

Diagnostics

So what kind of doctor will help cure neurosis? This is done by either a psychologist or psychotherapist. Accordingly, the main treatment tool is psychotherapy (and hypnotherapy), most often complex.

The patient needs to learn to look objectively at the world around him, to realize his inadequacy in some matters.

Diagnosing neurosis is not an easy task, which only an experienced specialist can do. As mentioned above, the symptoms of neurosis manifest themselves differently in both women and men. It is also necessary to take into account that each person has his own character, his own personality traits, which can be confused with signs of other disorders. That is why only a doctor should make a diagnosis.

The disease is diagnosed using a color technique:

• All colors take part in the technique, and a neurosis-like syndrome manifests itself when choosing and repeating purple, gray, black and brown colors.
• Hysterical neurosis is characterized by the choice of only two colors: red and purple, which 99% indicates the patient’s low self-esteem.

To identify signs of a psychopathic nature, a special test is carried out - it allows you to identify the presence chronic fatigue, anxiety, indecisiveness, lack of confidence own strength. People with neuroses rarely set long-term goals for themselves, do not believe in success, they often have complexes about their own appearance, and it is difficult for them to communicate with people.

Treatment of neuroses

There are many theories and methods of treating neuroses in adults. Therapy takes place in two main directions - pharmacological and psychotherapeutic. Application of funds pharmacological therapy is carried out only in extremely severe forms of the disease. In many cases, qualified psychotherapy is sufficient.

In the absence of somatic pathologies, patients are necessarily recommended to change their lifestyle, normalize work and rest, sleep at least 7-8 hours a day, eat right, refuse bad habits, spend more time in the fresh air and avoid nervous overload.

Medicines

Unfortunately, very few people suffering from neuroses are ready to work on themselves and change something. Therefore, medications are widely used. They do not solve problems, but are intended only to relieve the severity of the emotional reaction to a traumatic situation. After them it just becomes easier on the soul - for a while. Maybe then it’s worth looking at the conflict (within yourself, with others or with life) from a different angle and finally resolving it.

By using psychotropic drugs tension, tremor, insomnia are eliminated. Their appointment is permissible only for a short period of time.

For neuroses, the following groups of drugs are usually used:

• tranquilizers – alprazolam, phenazepam.
• antidepressants – fluoxetine, sertraline.
• sleeping pills – zopiclone, zolpidem.

Psychotherapy for neuroses

Currently, the main methods of treating all types of neuroses are psychotherapeutic techniques and hypnotherapy. During psychotherapy sessions, a person gets the opportunity to build a complete picture of his personality, to establish cause-and-effect relationships that gave impetus to the emergence of neurotic reactions.

Treatment methods for neuroses include color therapy. The right color for the brain is beneficial, just like vitamins are for the body.

• To extinguish anger and irritation, avoid the color red.
• When you are in a bad mood, eliminate black and dark blue tones from your wardrobe and surround yourself with light and warm colors.
• To relieve tension, look at blue, greenish tones. Replace the wallpaper at home, choose the appropriate decor.

Folk remedies

Before using any folk remedies for neurosis, we recommend consulting a doctor.

1. At restless sleep, general weakness, those suffering from neurasthenia should pour a teaspoon of verbena herb with a glass of boiling water, then leave for an hour, take small sips throughout the day.
2. Tea with lemon balm - mix 10 g of tea leaves and herbal leaves, pour 1 liter of boiling water, drink tea in the evening and before bed;
3. Mint. Pour 1 cup boiling water over 1 tbsp. a spoonful of mint. Let it brew for 40 minutes and strain. Drink a cup of warm decoction in the morning on an empty stomach and in the evening before bed.
4. Bath with valerian. Take 60 grams of root and boil for 15 minutes, leave to brew for 1 hour, strain and pour into a bath with hot water. Take 15 minutes.

Forecast

The prognosis of neurosis depends on its type, stage of development and duration of course, timeliness and adequacy of the psychological and medication assistance. In most cases, timely initiation of therapy leads, if not to cure, then to a significant improvement in the patient’s condition.

The long-term existence of neurosis is dangerous due to irreversible personality changes and the risk of suicide.

Prevention

Despite the fact that neurosis is treatable, it is still better to prevent than to treat.

Prevention methods for adults:

• The best prevention in this case would be to normalize your emotional background as far as possible.
• Try to exclude irritating factors or change your attitude towards them.
• Avoid overload at work, normalize your work and rest schedule.
• It is very important to give yourself proper rest, eat right, sleep at least 7-8 hours a day, take daily walks, and play sports.

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Symptoms and treatment of anxiety neurosis

Anxiety neurosis is a psychiatric and neurological disorder, which is based on a constant feeling of fear, anxiety, sometimes almost panic, which is difficult to explain. The developed disease begins to significantly limit the person, interfering with full functioning and ability to work. It is worth knowing about the main symptoms and treatment of anxiety neurosis.

Features of the disease

Anxiety neurosis sometimes causes difficulties in diagnosis; often people pay attention to their condition only when vegetative and somatic symptoms, ignoring the suppressed emotional state, constant feeling of anxiety. Therefore, they often begin to look for the cause of illness in the field of cardiology or other neurological disorders, only over time moving towards psychiatry.

Causes and types

Towards the emergence of this disease cite various factors. Experts find it difficult to determine the specific causes of this disease. Usually to occur anxiety state and other symptoms are caused by constant stress, severe emotional and physical activity, unhealthy lifestyle.

Also, some experts highlight a genetic factor; some people are more predisposed to depression and anxiety than others. Some people's nervous systems are not as strong as others. Severe attacks can also provoke attacks of anxiety neurosis. systemic diseases, exhausting the body.

Anxious-phobic neurosis can be called the most common form of the disease, which is mainly haunted by unreasonable anxieties and fears. They can vary in intensity and worsen periodically, but there is no pronounced depression.

Anxiety-depressive neurosis is sometimes called a mixed disorder, in which anxiety and fears manifest themselves as strongly as depressive symptoms. With a mixed disorder, the patient feels more depressed and tired.

Often people consult a doctor when chronic anxiety neurosis develops. Anxiety and other symptoms become constant with periodic worsening of the condition. At the very beginning of the disease, on the contrary, anxious episodes are rare, provoked by physical and emotional fatigue, otherwise the patient feels quite well.

Important! If you suspect anxiety neurosis, you should contact a neurologist or psychotherapist.

Symptoms

There are several groups of signs of the disorder; you should pay attention to their appearance first:

1. Emotional signs of anxiety. These include permanent anxious thoughts associated with various events and concerns about the future. Such thoughts often have no basis and seem irrational from the outside.
2. Physical manifestations of anxiety. Usually they manifest themselves in the inability to relax, constant muscle tension, and a feeling of physical fatigue that does not go away after rest.
3. Motor manifestations of anxiety. People often call them nervous tics, the patient may constantly adjust his clothes, things, fuss, and tremble. Sometimes it is impossible to literally sit still; a person needs to constantly walk or do something.

This is the main symptom of this disease. Also, over time, various vegetative symptoms may develop, these include heartbeat disturbances, the appearance pain in the area of ​​the heart muscle, shortness of breath, headaches and dizziness.

Some patients develop pronounced violations sleep, insomnia may occur, haunt constant drowsiness. Some people with this disease become more fearful and become more afraid of even ordinary everyday situations. In rare cases, urinary problems occur.

Advanced neurosis leads to serious limitations in performance. This disorder usually does not lead to disability, but it has been noted that patients with late stages illnesses begin to cope worse with the usual volumes of work, everything begins to be more difficult.

Important! Similar symptoms may indicate other psychiatric and neurological disorders; a comprehensive diagnosis is required.

Treatment at home

This disease usually does not require hospitalization or hospital treatment, so you can start therapy at home under the supervision of a specialist. It is worth preparing for the fact that treatment anxiety disorder can be quite lengthy, sometimes taking years. However, with the right treatment regimen, relief will become noticeable very soon.

Treatment on your own, without the help of a neurologist or psychotherapist, is unacceptable; it is impossible to get out of a depressed state and constant fear on your own. In addition, often starting full-fledged psychotherapy is one of the main steps on the path to getting rid of neurosis.

Tablets and other drugs often only help relieve symptoms; treatment is based on sessions with a psychotherapist, anti-stress therapy, normalization of work and rest schedules, transition to healthy eating and an appropriate lifestyle in general. Only in this case will it be possible to achieve a stable result.

For severe anxiety, constant fear which interferes with normal life activities, tranquilizers may be prescribed. Treatment with Atarax and its analogues is common; Grandaxin and other drugs of this group can be prescribed.

Antidepressants are prescribed less frequently and are usually required if depression is the most prominent symptom of the disorder. Only in this case will taking medications be most effective. It's worth remembering that similar drugs can only be prescribed by the attending physician; taking them independently is dangerous to health.

Various physiotherapeutic and manual techniques can also be used. They use massage, warm baths, electrophoresis and other methods of combating anxiety. They may also recommend doing sports.

Treatment with homeopathy and other non-standard methods can only be carried out simultaneously with official therapy; it is also advised to treat them with caution, incorrect treatment can seriously harm a patient with neurosis. Homeopathy is best used to strengthen the immune system.

Treatment with traditional methods

For neurosis, herbal treatment with a sedative effect is most effective. They will help relieve severe anxiety, fears, and cope with sleep problems that arise with this disease.

It is recommended to use dried mint, sage, lemon balm, chamomile, and other medicinal herbs with a sedative effect. They are added to tea or an infusion based on them is brewed. For one glass hot water Take one tablespoon of dried herb, brew it for 15 - 30 minutes, the finished infusion can be diluted. One glass before bed is enough; you can add milk to the infusion. Instead of sugar, it is recommended to take the infusion as a bite.

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The information is provided for informational purposes.