Ralph Lauren deutschland Shop Obsessive-compulsive

Obsessive-compulsive disorder


4 Exclusion criteria ① the exclusion of other mental disorders caused by secondary obsessive-compulsive symptoms such as psychosis, depression, fear psychosis; ② exclude organic diseases of brain, especially basal ganglia lesions due to secondary obsessive-compulsive symptoms. 2.5 the differential diagnosis of obsessive-compulsive symptoms typical, and the urgent need treatment, usually difficult to diagnose. However, in chronic cases after the failure of attempts to get rid of obsessive-compulsive symptoms, easy to adapt to the formation of pathological behavior experience, required to seek treatment at this time is not very urgent. Clinical needs with the following diseases: ① psychosis: psychosis, there may be obsessive-compulsive symptoms, obsessive-compulsive symptoms, but often not for the distress, no active restraint or to get rid of desire, no treatment required, and the content more absurd bizarre symptoms, the symptoms without self- force. The main feature of patients with negative or positive psychotic symptoms. ② Depression: Depression can occur in patients with obsessive-compulsive symptoms, and obsessive-compulsive disorder patients may also have depression. Identification is to identify what the main symptoms of primary, and what are the main associated clinical symptoms. Depression in patients with obsessive-compulsive symptoms may disappear with the elimination of depression; and obsessive-compulsive disorder and depression in patients with obsessive-compulsive symptoms may also be due to the ease and better. Independent existence of two types of symptoms, should be made two diagnostics. ③ brain organic mental disorders: central nervous system of organic disease,Ralph Lauren Outlet, especially in the basal ganglia lesions, can lead to obsessive-compulsive symptoms. At this point whether the nervous system mainly based on history and signs and laboratory examinations to identify relevant. In addition to mental disorders are often associated with forced and depression coexist, but also with Tourette syndrome, tic disorder, panic disorder, simple phobia and social phobia, eating disorders, autism, etc. exist. Shall be made according to diagnostic criteria were the diagnosis. 3 treatment 3.1 3.1.1 clomipramine drug treatment starting dose of 25mg / d, a gradual increase in dose of 150 ~ 300mg / d. Therapeutic dose is generally 2 to 3 weeks after starting to show results. The treatment time should not be less than 6 months. Common side effects include: dry mouth, tremor, sedation, nausea, constipation, difficulty urinating, and men can not. Daily dose of 6> 250mg, the body can cause seizure. 3.1.2 5-HT selective reuptake inhibitors of these new antidepressants with fewer side effects, its therapeutic dose of obsessive-compulsive disorder when compared with the treatment of depression is high. ① Fluoxetine: therapeutic dose of 60 ~ 80mg / d, usually from 10 ~ 20mg / d starting within two weeks to 60mg / d. ② fluvoxamine: therapeutic dose of 100 ~ 300mg / d, from 50mg / d beginning. ③ paroxetine: therapeutic dose of 60 ~ 80mg / d, from 20mg / d beginning. ④ sertraline: treatment dose of 50 ~ 200mg / d, from 50mg / d beginning. The obstacles are first-line treatment of forced medication. When using one of the drugs reached the highest dose, and efficacy of long enough, no noticeable effect, could try another drug. 3.2 The purpose of psychotherapy psychotherapy, is to enable patients to their own personality and the illness have a correct and objective understanding of the surrounding environment, the objective reality of the situation have the right to judge, throw away the spirit of burden, to reduce the sense of insecurity; reasonable way to study stress, increase self-confidence, to reduce its uncertainty; not ambitious, but points excellence, in order to reduce its endless beauty. Mobilizing their relatives, colleagues, the patient is neither tolerated nor too far, to help patients actively engaged in sports, culture and entertainment, social activities, and he gradually from indulge rumination position freed. Behavioral therapy,Ralph Lauren Polos, cognitive therapy, psychoanalytic therapy, family therapy can be used to treat obsessive-compulsive disorder. 3.3 psychosurgery very small number of chronic treatment of patients with obsessive-compulsive disorder,Ralph Lauren deutschland Shop, the system specifications are medications and psychotherapy fail, and patients and in extreme pain, patients and their relatives in the request,Tory Burch Outlet, the rigorous assessment of professional authority , you can consider surgery. Common surgical methods are four kinds: anterior cingulate cortex resection, limb internal capsule incision, cut off the edge of the white matter bundle branch surgery and amputation tail Nucleation. Adverse reactions, including epilepsy. Research and practice has shown that drug therapy combined with psychotherapy more effective than single treatments. Fear neurosis Wu Feng Ma Huan (Mental Health Hospital,Abercrombie Forms of public ownership of health in, China Medical University, Shenyang 110001) CLC: I 42 set Document code: A Article ID :1672 -7185 (2006) 01-0006-03 fear neurosis is a kind of excessive and unreasonable fear of the outside world some kind of objective things or situations as the main manifestation of neurosis. zhongguoshiyongxiangcunyishengzazhi, 2006,13 (1)