Treatment of obsessive-compulsive disorder: features of drug therapy
Obsessive neurosis is a mental disorder accompanied by constant obsessive memories, fears, resentments and doubts. The condition is quite serious and requires long-term treatment and supervision by a specialist.
Obsessive compulsive neurosis has three forms of course: remitive (periodic recurrence of symptoms), progressive (increasing symptoms) and permanent. Factors provoking exacerbation of the disease are overwork, infections, constant lack of sleep, unfavorable situation in the family or at work. Neurosis of the soul, neurosis of movements most often develops in people who take everything too close to the heart.
Factors contributing to the development of the syndrome:
- psychological injuries received in childhood;
- increased guardianship;
- strong stresses;
- constant fatigue;
- infections and brain injuries;
- mental deviations;
- autoimmune disorders.
The main manifestations of pathology and symptoms of neurosis in children will be discussed later.
Clinical manifestations of the disease
Symptoms of the disorder are obsessions (obsessive thoughts), phobias (fears) and compulsions (performance of rituals aimed at eliminating intrusive thoughts).
Types of obsession:
- fear of infection;
- fear of losing personal belongings;
- excessive superstition;
- fear of getting dirty;
- excessive fear for the lives of relatives;
- morbid desire for order;
- aggression;
- morbid sexual fantasies.
It is impossible to get rid of obsessive thoughts on your own, obsessions are usually followed by compulsions - the same type of often repeated actions. This fact must be taken into account in the complex treatment of obsessive-compulsive neurosis.
What are the compulsions:
- hair pulling and nail biting;
- constant wiping of door handles;
- established arrangement of things and strict control over it;
- collection of unnecessary things (old newspapers, bottles, etc.);
- control over the whereabouts of relatives;
- constant repetition of certain words and phrases, which, according to the patient, help to avoid danger.
Symptoms of children's neurosis
Vivid manifestations of the syndrome in childhood are a nervous tic during an emotional outburst and uncontrolled movements (trembling, patting a hand on the table or knee, turning the head, flicking the nose). This category also includes phobic neurosis (fear of closed spaces, heights, public speaking, etc.)
The clinical signs of childhood neurosis in adolescence include quiet speech and depressed mood, drowsiness, low physical activity and a desire for solitude.
Our specialist will tell you more about the manifestations of the syndrome in childhood. You can make an appointment with him on the Dobrobut.com website. The doctor will talk about diagnostic methods and how to treat anxiety neurosis.
Diagnostics
As a rule, the diagnosis of this condition does not cause difficulties. A good specialist will conduct additional differential diagnosis, which will allow to exclude diseases such as schizophrenia, brain tumor, etc. The main methods of diagnosis are the collection of anamnesis, an examination, a conversation with the patient's relatives. Cardiologist consultation is recommended for suspected cardiac neurosis in adults.
An interesting fact: upon careful examination, 60% of patients also have other mental disorders.
How to treat anxiety neurosis
Psychotherapeutic methods of treatment: psychoanalysis, cognitive-behavioral psychotherapy, hypnosuggestive therapy and group therapy with the use of soothing music for depression and neurosis.
The goal of psychoanalysis is to identify a psychotraumatic situation and the thoughts associated with it. The method of free association is used.
The goal of cognitive-behavioral psychotherapy is to learn to calmly treat intrusive thoughts without reacting to them with certain actions.
The goal of hypnosuggestive therapy is to instill in the patient the correct model of behavior.
Group therapy is used to support the patient.
Drug therapy of the syndrome includes the use of various antidepressants, anticonvulsants and selective serotonin reuptake inhibitors. The dosage and duration of treatment is determined by the doctor.
Ancillary methods of treatment of fear neurosis and panic attacks: acupressure (point massage), phytotherapy, use of omega-3 fatty acid preparations.
With timely diagnosis and comprehensive treatment, the prognosis is favorable.
Prevention of obsessive-compulsive neurosis
The main method of prevention of neurosis in children is a favorable atmosphere in the family. Parents need to exclude the influence of factors that provoke the development of pathology. Communicating with a child, traveling, visiting interesting places, shared hobbies will help to avoid gloomy thoughts and fill free time. An extremely important role is played by the child's employment in various types of activities, in particular physical exercises. In case of detection of violations in behavior, urgent consultation of a specialist is necessary.
General prevention:
- normal sleep and strengthening of immunity;
- full nutrition;
- prophylactic use of vitamin-mineral complexes;
- favorable atmosphere at work, in the family;
- avoidance of conflicts and quarrels;
- increasing the brightness of light in the premises;
- measured consumption of coffee;
- timely treatment of chronic pathologies.
If you have any questions, contact our medical center. At a personal appointment, the specialist will tell you which doctor treats neuroses and which diagnostic methods are necessary in your case. You can make an appointment on the website and by calling the above-mentioned phones.
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