First of all, a treatment corresponding to the underlying disease is prescribed, which is complicated by the lack of willful aspirations.
When schizophrenia manifests in this way, medication is performed by atypical antipsychotics. At an abulia on a background of depression antidepressants are applied.
Therapy is carried out only for strict appointments and under the supervision of a psychiatrist based on anamnesis of the patient and the results of diagnosis.
In disorders of the schizophrenic type with apato-abulic syndrome, with symptoms of retardation of mental and physical activity, Phrenolone is prescribed . This drug has a psychostimulating effect, at recommended dosages does not cause drowsiness. Assigned individually, dosing, is due to the degree of severity: a minimum of 5 mg twice a day, a maximum of 10 mg three times a day. It is not prescribed for arrhythmia, endomyocarditis, renal and / or hepatic insufficiency of medium and more severity. As a result of application, vegetative disturbances, edemas on the face, tremor of the extremities, coordination motor disorders can occur.
Triftazine is also recommended for apatho-abulic conditions in schizophrenics and in old age, they start taking from 5 mg two to three times a day in combination with pyracitam (twice a day, one capsule), increasing the dosage of triftazine by about 5 mg daily, adjusted to a daily dosage 30-80mg. The recommended dosages of trifazine do not cause drowsiness. Contraindicated in acute violations of cardiac activity (in particular, conduction), renal insufficiency of moderate and more severe, acute hepatitis, pregnant women. As a result of the application, tremor of the extremities, movement coordination disorder, allergies, insomnia, dizziness, nausea, and occasionally toxic hepatitis, neutropenia may occur.
Solian has a selective effect on dopamine receptors, without affecting other types of receptors, which contributes to the absence of many side effects of other antipsychotics. The effect of the drug depends on its dosage - in small doses (50-300 mg / day) the drug clears the symptoms of apathy and abulia. According to the instructions, it does not cause drowsiness, but, judging by the reviews, it contributes to falling asleep, simultaneous use with sleeping pills, narcotic drugs, means for local anesthesia enhances their effect. Solian is contraindicated in hypersensitivity to it, prolactinoma of the pituitary gland, malignant tumors of the mammary glands, pheochromocytoma, pregnant and lactating women, aged 0-17 years, kidney diseases. The treatment regimen is appointed and amended only by the attending physician-psychoneurologist, if necessary.
Sulpirid supposes the use in cases of suppression of volitional impulses caused by a depressive syndrome, with manifestations of apathy, sluggishness, a decrease in motor and verbal activity, with senile and acute psychoses with a change in the excited and oppressed state caused by disorders of the schizophrenic spectrum and other psychiatric pathologies. The average dosage is 0.2-0.4 g per day, the maximum dosage is 0.8 g. It is not prescribed to hypertensive patients, in cases of pheochromocytoma and excited states. In addition to limb tremor, movement coordination disorder, insomnia, dizziness, nausea, it acts excitantly, raises blood pressure, causes malfunctions of the menstrual cycle, galactorrhea outside the lactation period, increases mammary glands in male patients.
For the treatment of abulia and the prevention of its relapses, physiotherapy is used: phototherapy, therapeutic swimming, taking medicinal baths, oxigenobarotherapy. Physiotherapy today has many techniques that stimulate the central nervous system. As a rule, their combination with sanatorium treatment is more effective. The stabilization of the patients is favorably affected by the action of mineralized waters of thermal springs, the application of therapeutic mud to the vegetative plexus. Patients suffering from depressive disorders are shown to rest south of their permanent residence, and schizophrenics are favored by high mountains.
In addition, classes with a therapist, individual and group, are conducted. The main goal of individual communication with the patient is to establish a trusting relationship. Lessons in the group, beginning with minimal joint actions, gradually move to involving the patient in the discussion, restoring the ability to communicate with each other and communication skills.
In supporting therapy, the role of the family and each of its members, their relationship is very important. The psychotherapist conducts explanatory work with close people of the patient, helps to resolve intrafamily problems, conflict situations and strive to help establish a harmonious microclimate.
Mental diseases in general are difficult to treat, nevertheless, there is a folk treatment of depressive conditions and even schizophrenia.
Tibetan medicine, the most authoritative among non-traditional methods, recommends rubbing the schizophrenic with olive oil. This can be done at home, even at the same time as drug therapy.
Take a liter of olive oil (you can also sunflower), pour in clay ware, cork and bury in the ground to a depth of about 0.5 m. The oil should lie in the ground for a year. In a year it is dug out and used for grinding.
Massaging with soft movements the entire body, the head - with particular care. On the shoulders, neck, the upper back of the oil do not regret. Duration of rubbing - about half an hour, every other day for two months. Then - a break for a month, and the course of treatment is repeated. You can wash yourself sick in those days when there is no rubbing.
Physical exercises, in particular - yoga, and a cold shower also have a positive effect on the health of schizophrenics.
Instead of a cold shower, you can wipe yourself with salt water at room temperature in the morning: dissolve one teaspoon of sea salt for half a liter of water.
At the same time, you need to eat right. The antidepressant diet is vegetarian, it also involves the exclusion of tea and coffee, alcoholic beverages and chocolates, white wheat flour and sweets, chemical additives and spicy seasonings. You need three times a day. Lunch - with fruits, nuts, a glass of milk. Dine - dishes from vegetables, steamed, bread from wholemeal flour and milk. Dinner - salads from green vegetables, legumes, cheese, kefir or yogurt.
Alternative medicine is replete with phytotherapeutic prescriptions used for depression and nervous exhaustion to raise vitality. Only herbal treatment, of course, will not help to get rid of the abulia, nevertheless, phytotherapy can also be used in the complex of therapeutic measures. In the treatment of depressive disorders apply roots and leaves of ginseng, flowers aster chamomile, roots with rhizomes zamanichi and angelica, grass mountaineer bird and even ordinary straw. However, before using any medicinal plant, it is necessary to consult the attending physician, since interaction with the prescribed medications can adversely affect the treatment process.
For more than two hundred years, there has been a special direction in clinical medicine - homeopathy, based on the law of similarity. The selection of homeopathic remedies is very individual, the patient's complex of symptoms is carefully studied and a drug is prescribed that can trigger similar symptoms in a healthy person. In homeopathic medicine there is no cough medicine, hypertension or fever. Homeopathy treats not a disease, but a person, that is, the whole complex of symptoms inherent in a given patient, with one drug. In this case, the drug is prescribed in ultra low doses.
Properly selected homeopathic drug helps to significantly improve health and get rid of chronic diseases. The therapeutic effect of homeopathic treatment comes, as a rule, in the interval from three months to two years.
In homeopathy there are preparations for conditions, the description of which is similar to abulia and apato-abulic syndrome.
- Carbo vegetabilis (Carbo vegetabilis) - a deep weakening, a decline in vitality;
- Gelsemium - a feeling of exhaustion and slowness of the psyche, all the time you want to sleep, pseudodementia, tremor, weakness in the muscles;
- Glonoinum (Glonoinum) - a strong exhaustion, a deep reluctance to work, a strong irritability; intolerance of wrangling, periodically blood flows to the head;
- Cali phosphoricum is a strong exhaustion, a decline in strength, especially shown at a young age with overexcitation, anxiety, unwillingness to contact others, a state of severe fatigue and a depressive disorder, any actions seem very complicated that can not be performed, absolute disbelief in success every enterprise.
As already mentioned, dosages and treatment regimens are prescribed only individually, the recommended doses of the drug, as in traditional medicine, are not found in classical homeopathy.