If the patient feels the strength and desire to fight for the normalization of his mental status, you can try to regain his "I". It is not necessary to delay and consider the process for a long time, it is necessary to undertake correction of one's way of life.
First of all, you need to analyze your daily routine - do you sleep enough, do you abuse beverages that excite the nervous system, computer games, etc.?
While you are concerned about the symptoms of depersonalization, alcohol and caffeinated drinks are excluded from the diet - coffee, strong tea, Coca-Cola, Pepsi-Cola, energy.
If the appearance of depersonalization was preceded by a course of therapy with drugs that can cause such a side effect, or you continue to take the drugs at this time, you should consult your doctor. Perhaps replacing the drug will save you from a painful condition.
If you are engaged in self-medication (many drugs that can provoke the syndrome of depersonalization / derealization are sold without a prescription), then it is also worth analyzing the situation and switching to alternative treatment (folk remedies, homeopathy).
You can increase the duration of sleep by optimizing the day mode. However, it is worth considering that peresyp is also harmful, as well as nedosyp. Therefore, you need to decide what time you need to sleep to feel good.
Remove the nervous tension, optimize memory and concentration, improve mood, normalize the process of falling asleep and sleep quality can such a drug as Glycine. It is used for various reasons, leading to a decrease in the brain's ability to work. Various conditions - neuroses, vegetovascular dystonia, the use of toxic substances (alcohol, drugs), mental pathologies. The simplest aliphatic amino acid, which is glycine, performs in the body the functions of a neurotransmitter regulating metabolic processes, as well as the activity of glutamate receptors.
Glycine can be used as a mono drug in complex therapy, strengthening the effects of inhibition of the central system and reducing the toxicity of anticonvulsants, antipsychotics and antidepressants. Contraindications, except for hypersensitivity, to Glitsin not. Allergic reactions are possible.
In addition, it is recommended not to focus on your feelings, take them, stop being afraid and think up your own non-existent diseases. Believe yourself that this is just a temporary painful condition and it will necessarily pass. It is necessary to develop an attitude towards depersonalization as a transient symptom. It is very important to replace the terrible negative obsessional thoughts about mental illness with positive ones, to recognize that the symptoms exist and they have to live with them. Do not shut yourself up, on your experiences, but try to live a full life, try to revive your feelings, notice colors, sounds, smells, listen to the interlocutor, catch his intonations, perform duties towards close people. Often engage in what you like, whenever possible in a circle of like-minded people - go to circles, sections, nothing to put off until later, and, perhaps, you can escape from the vicious circle of withdrawal from your own "I".
It is also recommended to communicate with people who experience or overcome the disorder, for example, in forums, listen to their advice, share their feelings, just talk.
Given that the appearance of symptoms of depersonalization is preceded by severe or chronic stress, an increased level of anxiety, and his companions are depressed and depressed, alternative means can be used. There are many plants that have properties to calm the nervous system, stimulate metabolic processes in the brain, and activate cognitive functions. They may well constitute a worthy alternative to pharmacological drugs, however, it is worth noting that the use of alternative treatment is not always combined with medication, so it is advisable to consult a doctor in advance. It's also good to get advice from a professional herbalist.
To speed up the process of falling asleep and improve the quality of sleep can help pads with fragrant dry herbs - flowers and leaves of myrtle tree, juniper, melissa, lavender.
Relaxing and easy sedative effect is provided by warm baths with coniferous broth, infusion of poplar leaves, several spoons of honey, essential oils. The latter add ten drops. For such bathtubs are suitable oils of lavender, lemon balm, sage, lemon and juniper. The duration of the intake is a quarter of an hour, the water temperature in the bath is 37-38 ℃.
These same essential oils can be sprayed indoors, their aroma normalizes the state of the nervous system.
Herbs for the treatment of neurosis-like disorders are selected depending on which processes are predominantly observed in the clinical picture.
Irritant and easily excitable patients prepare decoctions and infusions from medicinal plants with a soothing and easy hypnotic effect. This is valerian, motherwort, kiprej, oregano, peony, linden, melissa, passionflower.
In addition, natural vitamin complexes are recommended, which are sprouted grains of wheat, oats, barley, fruits of sea buckthorn, mountain ash, dog rose, irgi.
In all cases, it is good to drink a course of broths from herbs that have a general strengthening effect - psyllium, nettle, dandelion, birch buds, sage.
To strengthen the vegetative nervous system will help: hawthorn, chamomile, violet tri-color.
Tonic effect on depressed, inhibited patients can be phytopreparations based on eleutherococcus, ginseng, rhodiola rosea, Chinese magnolia vine, rosemary, zamanichi. These plants help to overcome the decline of energy, restore the energy balance of the body. Nevertheless, if the patient suffers from insomnia, increased blood pressure, severe cardiovascular pathologies, these herbs are not advisable.
Herbal treatment does not take much time. For example, in the morning instead of tea you can drink the next drink, which will give vivacity and add strength and energy. Prepare it the night before. In a liter thermos, pour one teaspoon of dry grass of a fine fraction: yarrow, catnip, thyme, St. John's wort. Add to the herbal mixture as many berries of Chinese magnolia vine and pour over the night with steep boiling water. In the morning, the infusion should be filtered and drunk warm in half a cup twice - both wake up and at lunch. At night, it is better not to drink an invigorating drink.
In the evening, it is good to brew Ivan-tea (kiprei). It has sedative properties, well eliminates nervous tension, headache and extinguishes excitement. This herb is also a natural nootropic, has an anticonvulsant and antitumor effect.
It is possible to brew phyto-mixtures that provide not only a sedative, but also a restorative effect. For example, in a teapot to fill a pinch of dried willow-tea, leaves of blueberries, currants, strawberries, raspberries and cowberries, mint and violet tricolor, pour boiling water, insist 45 minutes.
Or: three pinch of willow-tea, two - flowers of chamomile and labaznika, cones of hops, oregano, nettle, mint, powder from the root of ayr, one - seeds of dill and cyanosis. Brew the same way as in the previous recipe.
You can drink three times a day a glass: in the morning and in the afternoon - one hour before a meal, in the evening - an hour before going to bed the next infusion of phyto-slime: take 10 g of chamomile and marigold, 30 g of juniper fruit, 25 g of valerian root, mix. One tablespoon of vegetable raw materials are poured with 500ml of boiling water, insisted for two hours and decant.
When treating herbs should be noted that the root of chicory, fruits of hawthorn and passionflower, in addition to soothing effect, have beneficial effects on the heart and blood vessels, have a mild hypotensive effect.
Juniper and wormwood not only soothe, but also return elasticity to the walls of blood vessels, activate blood flow in the cerebral and peripheral arteries. Chamomile and cucumber cut off the symptoms of vegetative dystonia.
Herbal treatment can be perfectly combined with various psychotherapeutic practices and autotrenning, designed to distract the patient from subjective sensations, and to focus his attention on more productive actions.
Independently, you can do any kind of physical training. Those who prefer extreme sports, you can do, for example, walrus or rock climbing. However, any sport - swimming, running, Nordic walking is suitable. With dynamic sports, the human body produces endogenous antidepressants, attending sports sections, striving to achieve certain successes, mastering new skills will allow one to escape from pathological sensations, get out of the "shell" and reorient.
People who have gone through depersonalization recommend: the main thing is to accept your state and the idea that you can live and perform the necessary actions, first formally, try to feel your need, see the perspective and meaning in your actions. Do not try to get hung up on how to get rid of your condition as soon as possible, otherwise the problems will grow like a snowball.
Yoga of any direction can help, although Hatha Yoga is very common in our territory. In yoga classes, even the most dynamic of her kind, the person's psyche comes to a meditative calm. In all forms of yoga, breathing is of great importance, and when you concentrate on doing exercises, proper posture, inspiration, you begin to meditate involuntarily.
One of the most meditative types of yoga - Kundalini is suitable even for the weakest and untrained people. Exercises with this method are fairly simple, mandatory are the mantras (sacred texts), which begin and end classes. Meditation with depersonalization is very useful, even hardened nihilists, starting to seriously engage in, fall into captivity "silence of the mind."
Yoga nidra or yoga sleep - the practice of total relaxation of every tiny part of the body controlled by the mind with a saved mind. You can do the weakest and even the bedridden patients. Learning to properly and completely relax is not really that easy. This practice completely takes hold of the mind and can quickly help break out of the state of depersonalization.
If treatment without the use of medicines is not successful, then drugs of different groups are used. Psychotropic medications can only be used under the supervision of a doctor who, if necessary, makes a correction to the treatment regimen or dosing regimen.
There is no medicine for depersonalization. In general, the effectiveness of drug therapy has not been conclusively proven, but some patients are helped by opioid receptor antagonists, serotonin reuptake inhibitors, tricyclic antidepressants, tranquilizers, psychostimulants and nootropics. The drugs are prescribed depending on the prevailing symptoms and the presence of comorbid conditions.
The most popular drug that is prescribed for patients with isolated depersonalization / derealization syndrome is Naloxone, a drug used to remove narcotic and acute alcohol intoxication, and to withdraw patients from narcosis with opiate preparations. At least, Yu.L. Nuller widely used this drug to treat patients with depersonalization and spoke positively about its effect. The positive therapeutic effect of Naloxone is based on the hypothesis of the role of endogenous morphine (their receptors) in the mechanism of development of depersonalization. Especially in cases of type 1 syndrome, accompanied by severe symptomatology of mental anesthesia, the use of this drug, counteracting the effects of endorphins, quickly corrects the symptoms, leaving the perception threshold unchanged. The drug reduces such effects of opioids as hypalgesia, hypotension and respiratory center depression. May cause, especially with rapid intravenous administration, various side effects from tremors, arrhythmias and nausea to pulmonary edema, so it is only used under the supervision of a physician. Dosage individually, duration and speed of action depends on the mode of administration. With intravenous injection, the action occurs faster, but it is short-term, with intramuscular injection - it occurs about three quarters of an hour, but lasts about four hours.
With depersonalization of the first type, tranquilizers are also used, for example, the "daytime" anti-anxiety medication Grandaxin. Can be used for outpatient treatment, since it is available in tablets. Has a specific action different from other benzodiazepines, regulates psycho-vegetative functions without causing an anticonvulsant, hypnotic and relaxing muscular effect, therefore, it is prescribed to people who retain their labor activity during the treatment period. The drug is prescribed for patients with moderate manifestations of isolated depersonalization (reduces anxiety and emotional tension, relieves obtrusiveness, improves work capacity) and is not recommended for use in cases where the syndrome is included in the symptomatic complex of epilepsy, schizophrenia, and expressed psychogenic disorders. In epileptics, Grandaxin can cause seizures. It is transferred well, does not cause dependence, however, side effects from the gastrointestinal tract and central nervous system (insomnia, headache, increased excitation), and also - pain in muscles and joints are not excluded. Apply courses, the doctor prescribes the administration of one to three tablets three times a day. It is acceptable to take one or two tablets as an emergency aid to relieve the symptoms of depersonalization. More than 0.3 g per day can not be taken. When taken in therapeutic doses does not cause withdrawal syndrome when discontinuing use and does not even potentiate the effects of alcohol, although drinking, taking Grandaxin, is still not recommended.
Tranquilizer Atarax is not a pronounced antidepressant, however, it has a mild effect that eliminates anxiety, improves sleep and sleep quality, moderately relieving muscular tension. Has the ability to dilate the bronchi, eliminate the itching and dander the symptoms of dermatosis. Paradoxical undesirable consequences of reception are possible. Dosage the drug depending on the patient's condition, its response to treatment individually. The standard dosage consists in taking a daily dose of 50 mg of Atarax. In cases of severe disorder, the daily intake dose is increased, but no more than 300 mg. Patients with hepatic and renal insufficiency require adjustment of dosing.
At the first type of depersonalization, low-intensity neuroleptics, for example, Teralen, can be used. In addition to blocking the dopamine D2 receptors of the mesolimbic neural pathway, it also affects the level of serotonin and is a moderate α-adrenoblocker, thereby achieving an antipsychotic effect. The drug also provides sedation, normalization of temperature and elimination of emetic pushes. It lasts only a quarter of an hour after taking and long enough - from six to eight hours. Naturally, like all neuroleptics, can cause a lot of unpleasant side effects - from dryness in the mouth to violations of hemopoiesis occurring in the spinal cord. Depending on the individual duration of the action, the patient is prescribed to take the drug three to four times a day. To achieve an anti-anxiety effect, usually appoint no more than 2.5 mg per reception, the hypnotic effect provides a daily dose of 60 to 80 mg, with psychotic disorders, a dose that is twice as low.
Antidofaminergic effect has atypical neuroleptic Eglonil, which is prescribed in more severe cases, when the symptomatology is marked by the affect of excitation, propensity to self-harm, with pronounced depressive moods. The action of the drug is dose-dependent - low doses stop dizziness of various etiologies. In standard doses has a moderate anti-anxiety, antipsychotic and antidepressant action, while stimulating brain activity. Side effects of Eglonil are less likely to develop than other neuroleptics, a list of them is long enough and paradoxical phenomena, including. Reversible hyperprolactinemia may also develop.
Patients are trying to prescribe a minimally effective dose, depending on the effect, it can be from 0.2 to 1 g per day. In the second half of the day, Egonil is not recommended because of its stimulating effect.
Patients with depersonalization of varying severity and having a different etiology are often prescribed diazepam - a powerful benzodiazepine anxiolytic, which has the ability to cramp seizures, relax the muscles, provide a hypnotic effect. The effect of this drug is based on its ability to enhance the central function of inhibition, which is provided by γ-aminobutyric acid, thereby reducing excitation, nervous tension, feeling anxiety and fear, obsessive thoughts of hypochondriacal content, oppressed or hysterical state. Delusions and hallucinations with the help of this drug are not eliminated.
In addition, Diazepam has a relaxing effect on the musculature (relieves convulsions), increases the pain threshold, has antihistamine action, reduces blood pressure. Effects of the drug depend on the dose: a low-dose (up to 15 mg / day) reception provides stimulation of the central nervous system, high-dose - soothes. Diazepam is not compatible with alcohol and other benzodiazepines. Taking this drug, you do not need to bring down the heat with paracetamol, because in this combination the elimination of Diazepam slows and the likelihood of an overdose is high. With simultaneous reception with painkillers and antispasmodics, these effects are potentiated, which can lead to the stopping of breathing. The long course of the drug requires a gradual cancellation, a sudden discontinuation of reception may cause depersonalization. Paradoxical side effects are possible. Patients with suicidal tendencies should not be prescribed.
A potent benzodiazepine anticonvulsant Clonazepam is also used to treat depersonalization / derealization states. First of all, he is prescribed epileptics, and he can also help with neuroleptic depersonalization. The drug has a strong anti-anxiety effect, soothes and restores the process of falling asleep, especially at the beginning of therapy. Eliminates headache, acute manic syndrome, panic attacks. Nevertheless, the drug of choice is not even for epileptics, since it is withdrawn from the body for a long time, poses a serious danger of the withdrawal syndrome. More modern anxiolytics and anticonvulsants surpass him in safety. Clonazepam negatively affects hematopoiesis and depresses liver function, so with a long course it is necessary to control the composition of blood and its biochemical parameters.
Patients with an initial stage of depersonalization, in whom a diagnostic diazepam test showed a delayed anxiety reaction, is treated with phenazepam, which alleviates anxiety and mental pain associated with the recent state of depersonalization. Symptoms disappear usually quickly enough and the regress of the disease comes in the first days - first, internal mental tension and anxiety disappeared, then the symptoms of alienation of one's body disappeared, autopsical signs were eliminated by the latter. Phenazepam, like other drugs of his group, acts on benzodiazepine receptors, reduces the likelihood of convulsions, provides a quick sleep and a full night's rest. It strengthens the action of other soothing and anticonvulsants, as well as - ethyl alcohol. Short-term use of the drug does not lead to a withdrawal syndrome when discontinuing admission.
Depersonalization and antidepressants
With prolonged autonomously existing depersonalization, in a clinical picture that already lacks mental suffering, it acquires a monotonous chronic character. This form is already resistant to treatment with anti-anxiety drugs. In this case, the treatment is applied by combining powerful antidepressants with neuroleptics with a predominant effect in their spectrum of the stimulating effect.
Antidepressants can be effective in treating depersonalization of the third type, developing against a background of various depressions. Preference is given to antidepressants from the group of serotonin and norepinephrine reuptake inhibitors.
Apply antidepressants of a wide spectrum of action, for example, Melipramine. The drug copes with depression of various genesis, providing an anti-anxiety, soothing effect. It is an antagonist of acetylcholine - it blocks the transmission of an exciting pulse and an α-adrenoblocker. It prevents urinary incontinence that occurs on nervous soil, has an antiulcer effect, positively affects the concentration of monoamine and opiate receptors. It restores the balance of serotonergic and adrenergic systems, the disorders of which lead to depressive disorders - background states for the development of depersonalization. The consequence of successful therapy is the elimination of motor retardation, improving mood and quality of sleep, normalization of digestion and urination. Can be used in children from the age of six.
Nevertheless, one of the paradoxical side effects of the drug is the development of depersonalization syndrome. The drug is hematotoxic.
Accept it start with low doses, which if necessary increase and after achieving the therapeutic effect again lower. The maximum admissible dose of reception in outpatient conditions is 200 mg per day. Take medicine in the morning, so as not to provoke insomnia. The supporting dose is taken, on the contrary, in the evening.
To the antidepressants of the new generation, recognized as the most effective in the treatment of depressive disorders and neuroses, is the preparation of Velafax. It differs in chemical structure from known modern drugs with antidepressant effect. It is a racemic mixture of two (left- and right-handed) active antipodes of venaflexin hydrochloride. The active substance of the drug and its main metabolite potentiates transmission of the nerve impulse by inhibiting postsynaptic serotonin and noradrenaline receptors, to some extent - dopamine receptors, and increasing the concentration of these neurotransmitters in the synaptic cleft. Active components of Velafax also reduce β-adrenergic reactivity, without affecting the activity of monoamine oxidase and without affecting other receptors (benzodiazepine, pyridine, histamine, etc.). The drug is not assigned to children of childhood, persons with decompensated hepatic and renal dysfunction, pregnant and lactating women.
There is a likelihood of mania or hypomania on the background of taking the medication, especially in patients with such abnormalities in the anamnesis. The drug can provoke epileptic seizures, hypertension and increased heart rate, especially when adjusting the dose upwards.
Before starting therapy, it is necessary to take into account the fact that patients with depression are prone to commit suicide.
Given the possible side effects of antidepressants, the patient's health during the treatment period should be controlled by the doctor.
The possibility of cognitive impairment and a disorder of the patient's psychomotor functions should also be prevented, although this drug is negligible.
Assign intake from low doses, which if necessary increase during therapy. At the beginning of treatment, a daily dose of 75 mg, divided into two doses, is prescribed. After a while, it can be doubled, with inefficiency increasing every two or three days by 75 mg. The maximum allowable dose is 375 mg per day. At visible achievement of efficiency the dose reduce to minimally effective. In order to prevent exacerbations and for preventive purposes, taking an antidepressant at this dose continues for six months or more.
Velafax is incompatible with drugs that inhibit the activity of monoamine oxidase. After the course of treatment with irreversible inhibitors, the antidepressant course begins no earlier than two weeks later, reversible - in a day. If Velafax was first used, treatment with monoamine oxidase inhibitors should be started a week or more after discontinuation.
In the course of treatment with any psychotropic medication, one should refrain from works that can be dangerous with reduced concentration of attention, do not combine treatment with alcohol intake, strictly follow the instructions of the attending physician, inform him of negative reactions to taking medications.
As an alternative to classical antidepressant medications, you can try to remove depression and depression with Gelarium Hypericum. This drug is released on the basis of St. John's wort. Its extract retains the main quality characteristics of the plant, yet Hippocrates and Avicenna recognized an effective antidepressant. This medicine is produced in Germany by Bionorica, which specializes in the production of herbal products, using the experience gained by alternative healers. Produces raw materials in Mallorca, in suitable climatic conditions and an ecologically clean area.
The mechanism of combating depression with the help of St. John's wort is not yet fully revealed, however, hyperphorin and / or hypericin are considered to be the main components of the herb helping to overcome an oppressed mental state. Experiments in the laboratory have established that these substances, or one of them, can inhibit the reuptake of neurotransmitters - serotonin, norepinephrine, dopamine, gamma-aminobutyric acid and glutamate, increasing their concentration in the synapse.
Clinical studies have shown that in cases of treatment of patients with small depressive episodes and in stages of moderate severity, the drug proved to be effective. The satisfactory effect of the treatment was noted two weeks later, and a month later - the positive results of the treatment did not cause doubts. Side effects were observed in no more than five percent of patients and did not reach the height that is typical for the use of classical antidepressants. Basically, these were phototoxic and cutaneous allergic reactions.
In addition, Gelarium Hypericum did not cause patients in the control group to weaken the ability to focus on certain actions and slow motor reactions.
An overdose of St. John's wort extract is also almost impossible to hypothetically achieve this effect, the recommended dose should be exceeded 50 times.
It is not recommended to take the drug for children under the age of twelve and future mothers, since studies with this category of patients have not been conducted. Unwanted interaction with other drugs was practically not observed, except for a decrease in the effectiveness of such drugs as theophylline and cyclosporine.
The drug is recognized as safe and effective enough to treat mild to moderate depressive disorders.
Homeopathy as an alternative to psychotropic drugs
Replace psychotropic pharmacological drugs can be homeopathic, not having so many impressive side effects. Allergic reactions are unlikely, but not excluded. Naturally, for effective individual treatment, you need to go to a doctor-homeopath. This direction of medicine copes quite successfully with problems that are beyond the power of official medicine, in particular, neuroses and neurosis-like disorders are cured by homeopathy completely and without consequences. In case of depersonalization, the physician will select the drug individually, based on the causes of the disorder, the current sensations of the patient, his preferences, the constitution and character traits.
Many representatives of official medicine are well acquainted with the effect of complex low-dose medicines produced by the German company Heel. Strictly speaking, they can not be called homeopathy, but they contain drugs used in certain conditions in homeopathic practice. They are deprived of individuality, but the manufacturer adheres to the principle of homeopathic dilutions and small doses. With depersonalization, Valerian-heel drops can be used, stopping the excitement, soothing, making it easier to fall asleep. The complex solution contains eight ingredients that have a central effect and normalize the nervous system.
Valeriana officinalis (Valerian) - used in classical homeopathy as a mono drug in cases where a patient complains of mental alienation (seems to be another person), perceives reality as if in a dream, feels anxiety and unmotivated anxiety, fears and panic disorder. The tablet contains natural antidepressants: plant Hypericum perforatum (St. John's wort) and mineral Ammonium bromatum (Ammonium bromide) origin. Stress as a result of physical and / or mental overstrain is well controlled by the substance Acidum picrinicum (Picric acid). Patients with darkened consciousness, but retained mental functions are often prescribed Humulus lupulus (Hop common). Nootropic action is provided by Crataegus (Hawthorn) and Avena sativa (Oats sown). Components such as Chamomilla reutita (Chamomile Pharmacy) and Melissa officinalis (Melissa officinalis) provide sedation to patients with neurotic disorders, strengthen immunity. Asthenic symptoms are cut off by Natrium bromatum (sodium bromide), and Kalium bromatum (potassium bromide) soothes, improves mood, has antispasmodic effect.
The drug can be used from the age of two in a dose of five droplets per reception, dissolved in half a glass of filtered water, children who have reached the age of six also dissolve ten drops, from the age of twelve, patients take 15 drops (adult dose) sleep it can be increased to 20 drops. Multiplicity of reception - every eight hours, half an hour after which you can eat. Alternatively, you can take the necessary dose an hour after eating.
Medication Engistol, available in tablets and ampoules, better known as a drug for the treatment of viral infections, can also be used in cases of impaired behavioral function and perception. It has a two-component composition: Pharmacy Lash in three homeopathic dilutions (Vincetoxicum hirundinaria), which is used as a mono drug for the treatment of cardiac pathologies and stimulation of immunity, and two dilutions of Sulfur used for psychoneurological disorders and depressions, for loss of strength.
The tablet form is used sublingually. One-time reception for patients over the age of twelve is a whole pill.
For younger children, a solution is prepared from one well-ground tablet in four tablespoons of water.
To receive infants give one teaspoon of solution, 1-5 years - two, 6-11 years - three.
The scheme for arresting acute conditions is as follows: taking a single dose with a fifteen-minute break, but no more than eight times in a row, then every eight hours half an hour before meals or an hour afterwards.
There is also an injection form of the drug. The injections in acute condition are done daily (no more than five times), then switch to the regimen from once every two or three days to once a week.
Also, Nerve-Heel tablets can help to stabilize the nervous system during depersonalization. The preparation contains homeopathic dilutions of three drugs used as antidepressants: St. Ignatia beans, Sepia officinalis ink, Psorinum-Nosode. They are also prescribed to patients in the treatment of various mental illnesses (schizophrenia, epilepsy) and more mild disorders. Moreover, the tablets include: Valerian-zinc salt (Zincum isovalerianicum), which stabilizes the nervous system and cures signs of vegetative dystonia. Fear of going insane, overexcitation, other kinds of anxiety, cramps can eliminate one more component - Potassium bromide (Kalium bromatum). Patients with a depleted psyche who survived emotional shocks, with reluctance to live prescribe Phosphoric Acid (Acidum phosphoricum), which is also part of the drug.
The tablets are resorbed to complete dissolution under the tongue. Dosage in half the tablets to patients under the age of three, the rest give a whole. Acute fits of excitement, anguish and anxiety, irritability are stopped by taking a single dose every quarter of an hour, but no more than eight times in a row, then - go to a regular three-time reception.
Homeopathic composition of 26 components - Cerebrum compositum has a regulatory effect on metabolic processes occurring in the central nervous system, is prescribed when the nervous system is depleted, depression, vegetovascular and neurocirculatory dystonia, and various neurotic states. Injections are administered at a frequency of one to three ampoules per week, can be used as a drinking solution. For this purpose, one ampoule is dissolved in ¼ cup of water and drunk in equal parts at regular intervals throughout the day.
Psychotherapy of depersonalization
Drug therapy must necessarily be combined with psychotherapeutic treatment. Adequate therapeutic tactics will help to quickly cope with depersonalization, the danger of which is undesirable to underestimate.
Psychotherapy is aimed at interrupting the action of stressors that were either present during the onset of the symptoms of the disorder, or arose earlier (negative childhood impressions) and could become its cause.
To different categories of patients, the methods of psychotherapy are selected individually.
For example, cognitive-behavioral therapy, based on the assertion that the emotions, feelings and model of the individual's behavior are determined not by circumstances, but by the way he perceives them, they block obsessive thoughts about rejection of the psychic component of the personality and / or parts of the body, loss of reason and unwillingness to live. Techniques are used to make it possible to identify and transform a non-constructive life strategy by flexible rational thinking, and also to help patients perform tasks that distract them from depersonalization and derealization.
Sensory techniques by affecting human senses (for example, hearing, sight, tactility) help patients to regain self-perception and / or perception of the outside world, to feel its reality.
Psychoanalysis (psychodynamic treatment) helps to solve the problems associated with the dynamic aspects of the patient's psyche: motivation, drives for action, and - to resolve internal contradictions, increase the threshold of stress resistance.
Hypnosis sessions and autogenic training are also used. This approach is most effective in the depersonalization of the first type.
Authoritarian formulas of hypnotic suggestion are used extremely rarely, in general, they are advisable to use in rare cases of acute transient depersonalization disorders.
In the field of view of psychiatrists, people with a protracted course of the disease are more likely to fall, so it is advisable to combine hypnosis with explanatory therapy. It is not authoritarian suggestion, but motivated. The patient is thus in a state of drowsiness, and the main provisions of suggestion are based on rational psychotherapy. Patients are taught that when anxiety symptoms arise, they can easily reorient their attention to the environment, people or activities, and also that this practice reduces feelings of alienation, they weaken and cease to be frightening.
The construction of autogenic training is based on a similar basis. Most often these practices are combined, and the content of suggested formulas is addressed to social rehabilitation.
With mild cases of depersonalization, such treatment is enough. In addition, vitamin and plant preparations can be prescribed for light stimulants.
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Medical expert editor
Portnov Alexey Alexandrovich
Education: Kiev National Medical University. A.A. Bogomolets, Specialty - "General Medicine"
The first signs are manifested as a feeling of a sharp qualitative change of today's self in relation to his former. Manifest the disorder severely immediately after severe stress, sometimes in premorbid anxiety disorder is observed, gradually evolving into depersonalization.
Most experts are inclined to believe that it is almost impossible to detect depersonalization in children before adolescence. It is difficult for even adults to communicate their complaints to the verbal form, it is simply impossible for children to deliver them to a doctor.
This phenomenon refers to deviations in the sphere of self-awareness, including both the self-awareness disorder and its cognitive form. Normally, each person delineates his own "I" from the whole surrounding world, somehow evaluating himself, his physical data, the level of knowledge and moral and moral values, his place in society.
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