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Several less - the size of the chest, waist, abdomen, thighs - for girls and young women, size and shape of sexual organs - for boys and young men - In the second case, less than forecast favorable because of the low effectiveness of existing treatments, Patients partially aware of their illness and trying to cover gaps in memory of others Psychotherapy is aimed at raising the explanation Essentially disease, injury and its harmful effects on the formulation of installation treatment and long-sober lifestyle. The duration of such period, deposited from memory, may be different from several months to several years. Moreover, it is necessary to take sedatives (seduksen, fenazepam, sonapaks - Table 1-2, Treatment long depends on the severity disease and refraining from alkogolizatsiii. Remission and relapse, There deception perception, visual and auditory. The most easiest way to avoid alkogolizatsii: if a desire "to drink" must be tightly and delicious to eat, and when fed stomach, as you know, this desire disappears - Implemented both individually and in specially selected groups (hypnosis group) - The development of the disease occurs gradually, unlike other psychosis. It must be calorie, vitamin-rich food By involyutsionnym psychosis include involyutsionnuyu depression (melancholy), involyutsionny paranoid. The patient becomes irritability, vzbudorazhennym, "fails" to the wife and children, does not find a place. On the contrary, the forecast favorable, kogdadlya development ideas or fear of physical inferiority there was some "soil" (for example, really not too beautiful nose, but neurodlivy, so much so that it recorded). Patients often attempt to correct their own methods shortcomings There may join auditory perception of deception - "voice" people characteristics For this type of treatment is selected a small group of patients (about 10 per - In other words, "climax" was not the cause involyutsionnyh psychosis White gorjachka may occur acutely, especially if it facilitates autre provoke harmfulness, however, may be the forerunner Because the patient is in a state of consciousness pomrachennogo, gallyutsinatornye images for him represent more relevant than actually developments. Involyutsionnye (presenilnye, predstarcheskie) psychosis Acute alcohol gallyutsinoz inclined to retsidivirovaniyu (repetition) in case of continued abuse of alcohol. Increasingly, patients kupotrebleniyu resort surrogates (denaturat, cologne, medicinal nastoyka etc, The condition can complicate by acceding auditory illusions: in a conversation heard around condemnation, recriminations, accusation - On Throughout the process of treatment should be applied psychotherapy, contributed to the formulation of the installation in a patient for treatment and sober way life. Symptoms and over, The most uslovnoreflektornaya effective therapy in patients in stage 1 and especially for Women are usually poorly transfers vomiting and reacting with disgust at the very spa treatments The treatment of alcoholism, Treatment - t "all drunk" and "everything",
The special situation of mutual respect and trust allows elaborate a certain lifestyle, with the other (Temperance) installations and aspirations, to believe in themselves and their possibilitiesInvolyutsionnaya melancholy - or protracted alarming alarmingly-bredovaya depression, first emerged in involyutsionnom age, Korsakovskin psychosis, The patient hears accusations and threats in his address, condemned his behaviour, drunkenness, requirements Punishment up to physical violence Sometimes Home deliriya provoke various additional factors (operation, high temperature, trauma, a large blood loss), "Symptom photographs" is that patients are categorically refuse pictures, even for very important documents, the true motive of this behaviour is the belief that photography "perpetuate the ugliness, in static form of defect more noticeable This fear concerning alleged improper or ugly buildings of a part of the body, usually accompanied by a critical attitude to their feelings, even though the patient is not able to overcome it, There are brutal (excessive, asotsialnye) are responding, such as aggression, zlobnost, violence, frank cynicism, ), Most often this Concerning visible parts of the body: in shape or size of the nose, ears, forehead, lips, buildings legs Successful treatment of alcoholism is only possible if the patient himself wants this - The patient sees mice and trying to save them: their beats, shouts, abstracted from them to bed, at cupboard, flees from home A variation of this type of therapy is to establish a drug depot in organism, which implanted subcutaneously or intramuscularly (more often in gluteus region) esperal medication. Require particular attention Children with valid physical defects - in these cases need to be Physical disability eliminated sooner, if necessary, even surgically through until it caused mental disorders in adolescents Hallucinations kupiruyutsya appointment neyrolepticheskih drugs (haloperidol, triftazin, etaperazin etc. When heavy attendant somatic disorders - up to 10 days. Due to the fact that the patient - not passive sozertsatel their perceptions deceptive, and an active participant in all the "events", he and a danger to themselves (can, "escape", go to the window, jump down from a height suicide) and to bystanders (kill "the pursuer"). If it is unable to do so in the family, you can use the services of doctors narcologist, psychotherapists, Psychiatrists Treatment departs daily or every other day. Quite often develops deliry for admission to hospital (surgical, trauma and others), because in these cases, the patient forced to suspend drunkenness in circumstances beyond his control. On the grounds of alcoholism, mainly in the II and III stages, can develop various psychosis, as acute, and chronic In other cases Medical intervention is required, Initiation reaches its climax at night. The patient begins to claim the belongings from the house, sell them for pittance, steal, beg However, the forecast is more or less favorable only in cases of refraining from drinking and prolonged maintenance therapy. N eobhodi mo observe yuden sensitivity and certainty and on the part of teachers, school doctors and nurses At this age, frequent combination of alcohol slekarstvennymi means We develop normally in a state of acute or pohmelnogo syndrome, or in the period zapoya long, Join bredovye self ideas, convictions, ruin, impoverishment or ipohondricheskogo content Dismorfomaniya accompanied by suppression of mood, careful disguise their experiences and "defects" and the desire to rectify its "lack" in any way - During this period must be rehabilitated at work, forge relationships within the family, compose the "legend" for his drinking companion as justify a sober lifestyle. The essence of the method is to elaborate uslovnoreflektornoy reaction in the form of vomiting on the taste or smell alcohol. Bredrevnosti (adultery) occurs mostly in men, after 40 years, long-term abusers of alcohol and have sex problems (reduction while increasing sexual potency attraction)
Joint discussion various issues allows patients to look at themselves differently, to assess its behavior - The lead in the clinical picture of the disease are auditory verbal (verbal) hallucinations, which occur during clear consciousness and guidance in preserving the environment, At 1 are under detoxification therapy, usually in cases where for admission to hospital expressed pohmelny syndrome or necessary to suspend Record, However, even the most successful operation does not bring calm the patient, he discovers new defects and are still suffering - In the future, and in both cases, when alcohol is already becoming systematic (sometimes daily) or develop real zapoi If the recommendations had not been, you need to see a doctor and possibly undergo preventive treatment The patient provides a daily medication antabus (teturam), which in itself harmless This form of mental disorder characterized teenage and young women, an average of 13 to 20 years, and expresses discontent its appearance, the individual characteristics of the person or figures - Is not uncommon attempted suicide, When expressed pohmelnom syndrome - detoxification therapy If he develops, the consequences of not less dangerous than men, If men are more often associated alcoholism cardiovascular breach, the women - diseases gastrointestinal (pancreatitis, hepatitis, cholecystitis, gastritis) ALCOHOLIC PSIHOZY It may occur sporadically (after the relevant comments from peers or adults) and can be relatively constant (if, for example, in draznyat school, in the yard, etc, ) The selection is carried out together with his patients and his close due to the nature and implications of the proposed methods, Therefore, such patients for masking "ugly" invent ears special hairstyle or do not remove headgear - with the "ugliness" head This is done to combine the use of drugs vomit (broth barantsa, apomorfina injections) and small quantities of alcohol, Psychotropic drugs and their doses be settled with the doctor They spawn not find places owed, repeating the same words. Secondly, in order to "understand imagine "what they needed correction and how it is better exercise. A special kind of psychotherapy is coding, Rapidly growing tolerance (portability), especially when systematic, sometimes daily, admission alcohol, When expressed psychiatric violations designate tranquillizers (seduksen, relanium, fenazepam, tazepam), Patients are in a position to motor anxiety, fussiness, passing sometimes in disturbingly-tosklivoe excitement U patient usually broken guidance in place (does not know where to find), time (a day, the number), but maintained guidance in their own identity (knows your full name, who he works with, how many years it etc. On the possible consequences of violations of the sobriety patient warned, as he gives a receipt, which, in turn, to the doctor is a legal document justifying its actions, The patient wakes up in full because anxiety However, at hit in the body of alcohol (even small quantities of beer, wine) reaction interaction occurs, the consequences of which can be very serious and unpredictable However, recent better to therapeutic effects In the case of unsuccessful attempts to remedy (or samoispravleniya) of its "shortcomings" may commit suicide, Whiskey paranoid
Behavior patients opredelyaetya content bredovyh ideas and is impulsive in nature, that is can be expressed sudden unpredictable actions (attack on imaginary enemies who escape, jumping from transport, from a window, suicidal attempts)Development of the disease is usually preceded by heavy deliry alcohol, to the clinical picture of which align gross Violations of memory, Treatment, Alcoholic bredovye psychosis Grown anxiety, excitement, With the outset, used large doses of alcohol, without self-control, to severe degree of intoxication, The aim is to suppress his attraction to alcohol and creating conditions for the admission of forced abstinence from alcohol. The emergence and development involyutsionnyh contribute to a kind of psychosis Warehouse personality traits with rigidity, anxiety, hypochondria, various psihotravmiruyuschie situation prior to somatic diseases, The disease is the first time described the SS Korsakov in 1877, calling it polinevriticheskim psychosis vsvyazis because, together with the gross mental disorders arise phenomenon polinevrita (defeat peripheral nerves) The clinical picture is emerging of the disease suppressed sentiments, with alarm, fear, confusion, There was delirium prosecution, which is in bredovoy (untrue) assessment of conduct surrounding persons - To purchase alcohol use any means For detoxification using various means, primarily using parenteralny way of introducing (intravenously or intramuscularly) The treatment will be effective only when the patient believed a doctor when establish the necessary contacts, mutual understanding and trust - Neblagopriyaten forecast in the event of a physical shortage of ideas against the most correct and beautiful parts of the body, Currently deaths are rare, but possible in the event of serious violations cardiovascular activity, liver failure, brain edema. This is known pathology entitled "dismorfofobiya" that is translated from the Greek literally means obsessive fear of bodily deformities - Day same condition is improving, sometimes up to the full "enlightenment" and the emergence of criticism carried over to episode. "disturbing feeling of hopelessness and expectations may also manifested in the form of fantastically ambitious - "all deaths . Also found painful thoughts about distributing the sick unpleasant smells (intestinal gas, urine, sweat, smells from mouth), Depending on the content of ideas bredovyh allocated paranoid alcoholic and alcoholic delirium jealousy, Living with such patients not only intolerable but also dangerous. The husband starts to follow the wife to check her clothes, searched the apartment to find "evidence", confirming its treason, There is trusted and reliable online pharmacy for Topamax Alcoholism among adolescents. Over 2-3 days before the disease is broken dream, which becomes superficial, disturbing, with nightmarish dreams. In cases of severe pohmelnogo syndrome, when expressed somatic and psychological abuses, if in the past psychotic episodes shown inpatient treatment "Symptom Mirrors "is reflected in the constant quest seen in the mirror of its display in order, first, "to find the most successful posture", the expression persons gait to hide from the surrounding his lack of imaginary or, at at least, make it less noticeable Techniques copyrights, which are available to physicians exclusive rights Occasionally against the backdrop of the overall battle, harsh language, threats appear timid single vote "defenders" - The patient begins to see does not exist in reality objects and phenomena. Use unitiol, magnesium sulfate, vitamins B1, B6, C, nootropy (nootropil, PIRACETAM, pirroksan), The logical thinking is not sick violated, so serious memory disorder patients compensate intelligence and Guess
However, polinevrita designate for the treatment of massage, medical gymnastics, physiotherapy procedures Korsakov psychosis suffer both men and women In the course of treatment - 2025 sessions - Group psychotherapy sound, When violations of sleep radedorm apply, as in cases of insomnia with a nightmarish dream, fear, alarm - barbiturates (barbamil, lyuminal). Significantly fewer delirium jealousy happens to women suffering from alcoholism. Dismorfomaniya - is a more profound disorder, psychotic level when painful conviction of the existence of an imaginary physical shortage sverhtsenny bredovoy acquires or character, that is defy correction and accompanied by a lack of criticism from the patient, Breached primarily on the memory of current events, that is memorizing (fixation amnesia). One method of treatment is uslovnoreflektornaya therapy Deliry usually develops suddenly, desperately, and not in a position intoxication, but on fonepohmelnogo withdrawal symptoms syndrome, after 1-3 days after termination of drunkenness In such a state possible suicidal attempt, Basically suffer alcoholism middle-aged women (from 35 to 50 years), starting with drunkenness, or has the nature of episodic (situation), or cyclical, when women take alcohol as drugs to improve mood, as a calming tool to remove tension, anxiety, irritability, lachrymose, violations of sleep, which often before menstruation (premenstrual syndrome - see below). In such cases would be sick as "used" to their "voices", there is clear their division into two groups: branyaschih and protect, After discharge from hospital the most difficult for a patient are the first 1-2 months, when it comes to adapt to new role trezvennika There may be illusory short-term deception of perception: it seems "living" drawing on both, the image on the pictures, etc In some cases, fears are painful extreme forms of denial of individual organs and functioning of entire systems -- "stops blood", "decompose stomach, intestine decomposed", "lacking chair and not allocated urine. The patient loses qualifications, performance falls down the stairs with the transition to unskilled jobs, casual jobs and, finally, parasitic way of life In seeking medical intervention, most plastic surgery, patients showing such activity and ingenuity that in some cases they succeed to convince doctors and parents in its rightness. Esperal represents a 10 tablets, covered with a special casing, sealed in a sterile bottle At first, find excuses, excuses, searching for pretexts vypivok. Of particular importance in the prevention and especially dismorfomanicheskih dismorfofobicheskih disorders has the right to child care age, to avoid the formation of diminished self-esteem, complex inferiority The patient recommend abundant drink (mineral water, juice, sea) with simultaneous appointment diuretic funds Recovery in abortivnom (short) deliry comes after a long sleep, Therefore such a condition that occurs against a backdrop of absolute sobriety, is called psevdoabstinentnym syndrome. It is also necessary to protivoalkogolnoe treatment, which, in turn, is prevention gallyutsinoza alcohol Patients with a doctor and discuss among themselves very different life problems, primarily related to alcoholism Often seen accumulations of small animals (mice, rats, cats), insects (flies, cockroaches, bugs), fewer large animals "as in a zoo", devil (so say - "add up to chertikov"), Moral support in the family, from Friends, employees - a prerequisite for the development of quality remission, The patient first hears simple noise, tap wheels, and then there are "voices", host of dialogue or even an entire assembly, condemning his behavior. The choice of treatment modalities, on the one hand, is determined by the desire patient, and on the other hand, depends on his mental and physical condition Accompanies the progression of alcoholism and social decline Psychotherapy applies to first visit the sick physician and accompanied throughout treatment process.
Whiskey humor inherent in such sick, it is becoming increasingly flat, primitive, cynical, like behavior in generalThis is reflected in a heightened excitability, with aggressive manifestations of explosives, either in reducing activity, initiative, intellectual capacity, apathy He appealed to his physician each time as a stranger to humans, has repeatedly reiterated the same request, In achieving good condition, mental and somatic, spend protivoalkogolnoe treatment. There is often a women aged 50-65 years. podpilivayut. Possible deaths Sam psychosis usually develops evening. He did not distinguish from real objects gallyutsinatornyh, therefore may, for example, in self-defence to attack this militiamen instead of seeming to him Great importance that they have free money, they themselves are able to earn. In some cases, a chronic alcoholic gallyutsinoz develops gradually, without preceding the acute episode, usually with long daily phenomena with the use of alcohol intoxication, followed by chronic development of dementia. Along with mental disorders identifies and somatonevrologicheskie: redness facial skin, sharp sweating, heartbeat, blood pressure fluctuations, acute toxic hepatitis or cirrhosis, increased suhozhilnyh reflexes - It is usually accompanied by the same vegetative and mental disorders, which had been observed in a state of hangover, The reaction to medication in the body occurs only in the case of alcohol - Sometimes such patients commit suicide expanded: kill wife "lover" and themselves, " Dismorfomanii Syndrome (dismorfofobii) may occur as in patients with border disorders (with the special nature of the stock, after exposure psychogenic factors) and with schizophrenia. Described personality changes usually occur after 40 years with alcohol experience of more than 20 years - In the future, alcoholic no longer hides its desire for drinking, drink in any, even not very appropriate for this environment, that is lost situational control Initially, jealousy appears only in a state of intoxication or hangover and is perceived as wives usual drunken swearing When heavy somatic violations (diseases of internal organs) patient consults therapist and further treatment is appointed, aimed at eliminating those or other disorders. For example, stubbornly refuse to eat or hold a special diet, invent a special set of debilitating exercises, cut himself nose, teeth, etc When heavy somatic appointed by the state of funds for maintenance cardiovascular system, liver, kidneys. Treatment complex. Involyutsionnye develop psychosis among women, typically after menopause (Menopause), ie after a period of adjustment hormone in the body, Quite quickly formed pohmelny syndrome, in which the structure dominated by mental disorders, Name of psychosis "delirium tremens" due to the fact that in patients notes tremor with an original total jitter hand, uncertainty unstable gait, illegible handwriting, inaudibility speech When a woman starts to appear in a drunk (or in a state of hangover) to work or to freshen the nip in the same range with a drunkard from early morning trade "points", it shows nothing of the far zashedshem alcoholism and degradation person, in these cases is usually expressed strong moral decline women, reducing social interests with their concentration only on the extraction and Reception alcohol; emotional ogrubenie with the loss of love for children and caring for his own family; unbraked with indiscriminate sexual relations without taking into account the possible consequences. The patient in a position to be urgently deliriya hospitalized. Deliry whiskey (white gorjachka) - the most common form psychosis. Neurological disorders manifest themselves in varying degrees polinevritah Expression: weakening of reflexes, skin sensitivity to violations complete lack of reflexes, muscle atrophy, Step A gross violation. Patients also often forget that they treated, and continue to drink, Treatment can be conducted in ambulatory conditions, and hospital, The family retained only in those cases when there is hope for cure, the change in the life of the installation, or when both husband abused alcohol (and sometimes attracted to this and children with an early age),
Vision deception (hallucinations) may be single, multiple or stsenopodobnymiaddition awareness of psychotherapy, and other techniques are applied - Professional customer service, prescription drugs online. Given the fact that alcoholics in most cases do not consider themselves as such, must be pre - to conduct explanatory work with them - Sometimes there are between psychosis spasmodic epileptic seizures, Alcoholism among women. Gaps in memory, he replaces events that happened to him before, or just fiction and fantasy - Give a description of the most characteristic and frequent forms of alcohol psychosis Ipohondricheskie idea is to belief in the existence of heavy patients somatic diseases (cancer, Heart diseases, gastrointestinal tract) that was not confirmed in an objective study. This fact must be taken into account and the sick, and medical personnel, because not possible aggravation of the state to the next night. The disease may limit a few days, but more often continues weeks. Individual phrases, gestures, partying attached particular importance as the clear hint of a threat to their lives, the massacre with them, Used neyrolepticheskie various means and done protivoalkogolnoe treatment, Of the memory also fall events preceding the disease If a strong depletion Designate a patient small (4-6 ED) doses of insulin to enhance the appetite. Possible episodes reception drugs ( "to test", "for interest") ) and take them regularly to improve state and the disappearance of attraction to alcohol. In-hospital therapy is appointed to docking excitation (tranquilizers, neuroleptics, barbiturates), as well as at detoxification (cleansing the body of an exchange of alcohol products) Patients disturbing, lost, persecutors see almost every meeting Therefore, the patient may not be correctly described as the date, place of their finding, disoriented in the setting, because sees everything as just saw and heard Gipnoterapiya (hypnosis) - hypnotic suggestion in a state of sleep, ) The treatment of such patients is only possible in stationary conditions, because critical attitude to her as completely absent They carry out a massive detoxification and metabolic therapy, using large doses of vitamin B 1, Vb, 12 V, S, nootropov (nootropil, piratsetam - drops intravenously, intramuscularly), In doing so, izvorotlivost show, the lie to arguments in their actions, Prilechenii patients with the syndrome described it is necessary to avoid operational intervene at the request of patients, because it leads typically have to more heaviness disease, ), Approximately 1 / 4 patients, he Takes prolonged period of chronic, continuing months or even years For timely detection of mental disorder described use Two objective indicator: "symptom of mirrors" and "a symptom of photographs" - Approximately half as a result of the treatment of patients recover the ability to remember and polinevrita anti symptoms Distributed to a lesser degree than among men, that linked to the historical intolerance in society to women drunkenness. ) united by common psychological and social problems that facilitates between them emotional ties, a sense of mutual trust, belonging to a particular group, Mental illness Late age divided nainvolyutsionnye functional (invertible) psychosis, does not lead to the development of dementia and senile organic psychosis, emerging against the backdrop of a destructive process in the brain and accompanied by gross violations of intelligence (see Starcheskie psychosis)
It is also desirable as soon as possible to ask for through to a psychiatrist, because the effectiveness of treatment is inversely proportional duration syndromeThe patient must understand that drink "as All he is no longer in a position, and that without the help of a doctor can not do it already, Deliry usually 3-5 days continues, even without treatment Character also is changing rapidly, buying psihopaticheskie features In the process of applying as medical treatment means (neuroleptics, antidepressant) and different methods psychotherapeutic impact and social rehabilitation, At times, hallucinations stihayut or discontinued altogether, appears critical to them, awareness of the disease Quite a common phenomenon, especially in those families where relaxed control over the behavior of adolescents, as well as in families alcoholics, Feel free to doctors, mostly surgeons and cosmetology, with the request "correct" his ears, nose, lips, make transplantation of skin, remove fat from the abdomen, thighs, remove all teeth and insert new ones, change the form of jaw, withdraw all birth-stains, etc Vlechenie to alcohol may persist for quite a long time, according severity of the disease Signs pomracheniya consciousness, usually lacking, Teens use alcohol in company peers, rarely - adults (for example, to work with parents), Dismorfofobiya idnsmorfomannya It should be noted that alcoholism usually begins to develop in 13-15 years, rarely - in the earlier age (child alcoholism) Any action wife is due to bredovomu: not immediately opened the door -- Hide lover or waited for when he leaves; erases clothes - zastiryvaet spots, went to the hairdresser - is preparing for a meeting with the lover, Patients under the influence These votes are in a state of fear, anxiety, trying to escape from them, sometimes go far from home, requesting assistance in the militia, The patient did not recall that he ate for lunch, who came to him to the hospital that he had done during the day, Save your time and buy everything you need, Family relations crumble until the divorce, children do not wish usually fathers communicate with alcoholics Only when the suspicion of adultery become permanent, unlikely, but used the system evidence - illogicality, ridiculous, only then beginning to suspect in the family the existence of disease in "revnivtsa Therefore, all behavior is determined by the patient painful visions and "votes" rather than the real situation " The object of suspicion is often a man from the nearest environment (neighbour, sosluzhivets rarely - son) In addition, women themselves to a certain extent conceal their alcohol problems, using alcohol alone or in a circle close girlfriends This usually precedes the record (before the first psychosis -- Long). Should not be insulting comments about the child, his appearance (for example, "What you have lopouhy", "well, and fat are you", "in whom you have such a long nose, etc, Sometimes after a long sleep the patient wakes up almost healthy He can commit any violent actions not only against the wife, but also imaginary lover Patients see themselves in the mirror at a time when, in their are convinced that they no one is watching Duration of psychosis - from several days to several weeks. Developed against the backdrop of withdrawal symptoms or syndrome the status of the long zapoya - Physician usually with the statement advises what to do in such cases to avoid was a "breakdown" - a return to drunkenness. If a child has some shortcomings in appearance (excessive obesity, youth eels), you must help him get rid of this and not sharpen his attention to this. Shown sick easily inspire and believe in the efficacy of this method. Gallyutsinoz whiskey - the second frequency after deliriya alcoholic psychosis.