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Hysterical neurosis

 
, medical expert
Last reviewed: 04.07.2025
 
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Hysterical neurosis is a type of neurosis and most often manifests itself in the form of demonstrative emotional reactions (sudden screaming, laughter, loud crying), as well as convulsive hyperkinesis, loss of sensitivity, hallucinations, transient paralysis, fainting, etc. Hysteria is based on a person's increased suggestibility and self-suggestibility, the desire to attract the attention of others.

Causes hysterical neurosis

The word "hystera" is of Greek origin, translated as "uterus", which is due to the opinion of ancient Greek doctors about the prevalence of this pathology among women due to dysfunction of the uterus. Scientific research into the nature of the disease was laid by Charcot in the 19th century. The scientist believed that the causes of the disease are hereditary and constitutional factors. Hysteria began to be considered as a type of neurosis by medical science only at the beginning of the 20th century.

The leading signs of hysteria are seizures with convulsions, a squeezing headache, numbness of some areas of the skin and pressure in the throat. The main cause of this condition is considered to be a mental experience, as a result of which the mechanisms of higher nervous activity have been disrupted due to some external factor or intrapersonal conflict. The disease can develop suddenly as a consequence of severe mental trauma, or due to a prolonged unfavorable situation.

Hysterical neurosis may arise as a result of a person prone to hysterical psychopathy finding themselves in an unfavorable environment or situation that severely traumatizes their psyche. Most often, this is a violent reaction to a family or domestic conflict, as well as conditions in which there is a real threat to life. The disease can develop under the influence of negative factors that arise suddenly or act over a long period of time and constantly depress a person's psyche.

The causes of hysterical neurosis are stressful in nature and are associated with various problems and conflicts that throw a person off balance, cause a feeling of fear and self-doubt, and an inability to cope with the situation. People with an overly excitable or immature psyche, who are characterized by lack of independence of judgment and impressionability, sharp emotional swings, and increased suggestibility, are most often prone to hysterical reactions.

Freud believed that the main factors provoking the development of hysteria are sexual complexes and mental traumas that arose in early childhood. The true cause of the pathology can be considered the predominance of human emotions over reason. Negative emotions that appeared as a result of a certain psychotraumatic situation "spill over" into bodily (somatic) symptoms. Thus, the so-called "conversion mechanism" appears, which is aimed at reducing the level of negative feelings, turning on the self-defense function.

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Pathogenesis

Hysterical neurosis in most cases occurs in people who are often susceptible to suggestion, who are sensitive, vulnerable and prone to experiences.

The pathogenesis of the disease is caused by both exogenous and endogenous reasons. Each neurosis is based on the developmental features of the personality, its psyche and behavior, which often depend on increased emotionality. We are talking about psychogeny as a consequence of stress, frequent conflicts, emotional burnout, neuropsychic overstrain. The main risk factors for the development of hysterical neurosis include physical and mental overstrain, alcohol abuse, family problems, various somatic diseases, professional dissatisfaction, as well as uncontrolled use of medications (in particular, tranquilizers and sleeping pills).

Hysteria most often develops in individuals with pronounced premorbid character traits (prone to overvalued formations, persistence, uncompromisingness, obsessive ideas, pedantry, rigidity). Practice shows that neurasthenic disorders are also possible in individuals lacking neurotic character traits – with vegetoneurosis (disruption of the functioning of the autonomic nervous system), reactive state and excessive neuropsychic stress.

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Symptoms hysterical neurosis

Hysterical neurosis is a classic form of neurosis and often develops as a result of a strong psychotraumatic factor. This disorder is accompanied by various somatovegetative, sensory and motor manifestations. Most often, this disease occurs in people with hysterical psychopathy.

Hysteria as a mental disorder has a code according to ICD 10 and according to it is diagnosed against the background of general factors of personality disorder, which can be combined with three or more signs. Of such signs, first of all, we can highlight:

  • exaggerated expression of emotions;
  • easy suggestibility;
  • self-dramatization;
  • constant desire for increased excitement;
  • excessive concern of a person about his or her physical attractiveness;
  • emotional lability;
  • a person's easy susceptibility to the influence of circumstances and others;
  • inadequate seductiveness (in behavior and appearance), etc.

Additionally, one can highlight such traits of a hysteric as manipulative behavior aimed at immediate satisfaction of personal needs, the desire to be recognized, egocentrism and self-indulgence, excessive touchiness, etc. In hysterical neurosis, the symptoms are clearly expressed and are used by the patient to attract the attention of others to his problems.

Hysterical neurosis manifests itself in the form of disorders of the nervous system, sensory, vegetative and somatic disorders, therefore it has different variations of symptoms.

The main symptoms of hysterical neurosis are associated with an attack that occurs in response to various psychotraumatic situations, such as a quarrel or unpleasant news. The classic manifestation of hysteria is a demonstrative fall, a suffering expression on the face, sweeping movements of the limbs, screams, tears and laughter. At the same time, consciousness is preserved, and the person can be brought to his senses with a slap in the face or cold water. Before an attack of hysteria, symptoms such as dizziness, nausea, chest pain, a lump in the throat can be observed. Usually, an attack of hysteria occurs in crowded places or near those people whom the patient is trying to manipulate.

As a result of motor disorders, there may be loss of voice, complete or partial paralysis of the limbs, tremor, impaired motor coordination, tics, and tongue paralysis. Such disorders are short-term and are caused by the emotional state of a person. Most often, they are combined with fainting, "theatrical" wringing of hands, unusual poses, and moaning. Emotional disorders manifest themselves in the form of depressed mood, repetition of stereotypical movements, and panic fears.

Somatic manifestations of hysteria are most often observed in the gastrointestinal tract, respiratory and cardiovascular systems. Disturbances in the functioning of the autonomic nervous system manifest themselves in the form of seizures. The manifestation of sensory disturbances is associated with decreased sensitivity in the extremities, deafness and blindness, narrowing of the visual field, hysterical pains that can be localized in various parts of the body.

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First signs

Hysterical neurosis most often manifests itself under the influence of a strong mental experience associated with some event or situation (a conflict in the family or at work, stress, emotional shock).

The first signs of hysterical neurosis can occur by the type of self-hypnosis. A person begins to listen to his body and the work of his internal organs, and any increase in heart rate or the occurrence of pain in the chest, back, stomach and other parts of the body can plunge him into panic. As a result, thoughts about diseases appear, often serious, life-threatening, incurable. In addition, a clear sign of hysteria is hypersensitivity to external stimuli. The patient can be irritated by loud sounds and bright light. Increased fatigue, deterioration of attention and memory are observed. Simple tasks are increasingly difficult for the patient, he performs work duties worse, and cannot cope with work.

Despite the fact that a person feels bad, a medical examination usually does not reveal any serious pathologies in the functioning of internal organs. According to statistics, it is neurotics who make up the largest percentage of outpatients.

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Hysterical neurosis in children

Hysterical neurosis can occur in people of different age categories. Children are no exception, and they are absolutely healthy physically and mentally. Among the most common factors that cause hysteria in a child are errors in upbringing, excessive demands of parents, frequent stress associated with conflicts in the family. With constant exposure to a psychotraumatic factor on a child, hysteria becomes chronic.

Hysterical neurosis in children manifests itself in the form of:

  • crying and screaming;
  • capriciousness;
  • increased heart rate;
  • headaches;
  • loss of appetite and nausea;
  • abdominal cramps;
  • poor sleep;
  • attacks of respiratory arrest;
  • demonstratively falling and hitting the floor.

Children diagnosed with hysteria typically display their fears and want adults to pay more attention to them. Often, an attack of hysteria is a method to achieve what they want, for example, to get a toy they like.

In older children, including teenagers, hysteria may cause changes in skin sensitivity, less often blindness and symptoms seen in adults. It should be noted that hysterical neuroses worsen during the child's puberty (the so-called age crisis) and generally have a favorable prognosis.

Hysterical neurosis in adolescents

Hysterical neurosis often appears in teenagers who are going through an age crisis – i.e. the period of puberty. The symptoms of the pathology are rapid heartbeat, headaches, insomnia. The child has no appetite, nausea and abdominal cramps occur, in some cases – phobias (fears), unreal experience of the present, depressive states, isolation and alienation, as well as confusion of thoughts.

Hysterical neurosis in adolescents is characterized by a change in symptoms depending on the situation. Most often, the development of hysteria is associated with the long-term impact of psychological trauma that infringes on the child's personality. Clinical manifestations of the disease are observed in pampered, weak-willed children, in whose upbringing the moments of instilling hard work, independence, understanding of what is possible and what is not were missed. Such adolescents are dominated by the principle of "I want" - "give", desires contradict reality, dissatisfaction with their position in the school community and family arises.

According to I. P. Pavlov, the causes of hysteria are the predominance of the first signal system over the second, i.e. the "hysterical subject" is subjected to emotional experiences that suppress reason. As a result, a condition similar to the symptoms of schizophrenia (gaps in thought or the presence of two streams of thought) arises.

Hysterical neurosis in women

Hysterical neurosis manifests itself in sensitive, susceptible and emotional natures, therefore it is more common in women than in men. This explains the origin of the word "hystera", which in Greek means "uterus".

Hysterical neurosis in women has the following symptoms:

  • sexual dysfunction;
  • blood pressure disturbance;
  • sleep pathologies;
  • pain in the heart area
  • nausea;
  • pain in the abdomen;
  • tendency to fatigue;
  • trembling hands;
  • the appearance of sweating;
  • strong emotional experiences;
  • tendency to conflict;
  • respiratory disorders;
  • depressive mood;
  • severe sensitivity to bright light and loud sounds;
  • obsessive thoughts and actions;
  • severe irritability;
  • darkening of the vision;
  • attacks of angina pectoris;
  • convulsions (less common).

Hysteria in women is characterized by increased suggestibility, a distinctive feature of the disease is pronounced demonstrativeness. The primary cause may be a severe emotional shock or mental experience that arose as a result of some external circumstances (quarrel, stress, a series of failures), as well as an internal conflict. Nervous shock can be associated with mental overload and fatigue, weakened immunity after an illness, lack of proper sleep and rest. An attack of hysteria in women is accompanied by a lump in the throat, lack of air, heaviness in the heart area and a strong heartbeat.

Complications and consequences

Hysterical neurosis leads to unpleasant consequences that are associated with psycho-emotional exhaustion, obsessive states, depression. It is important to help the patient in time to prevent the development of concomitant diseases.

The consequences of hysteria can be very diverse:

  • A marked decrease in work capacity. It is difficult for a person to perform their usual work due to deterioration of thinking abilities and poor memory, decreased concentration, rapid fatigue, sleep disorders, and lack of adequate rest.
  • Conflict. Due to accompanying symptoms (touchiness, tearfulness, fear, anxiety), problems arise in the family and at work, the person enters into conflicts with people around him, which leads to misunderstanding.
  • The emergence of obsessive states (thoughts, memories, fears). Because of this symptom, a person is afraid to repeat a mistake, is forced to avoid psychotraumatic situations and constantly monitor the situation to make sure that their decisions are correct.
  • Decompensation of existing diseases and development of new ones. Due to the negative impact of hysterical neurosis on the somatic sphere, the adaptive capabilities of the body deteriorate, which leads to the risk of concomitant diseases of internal organs, infectious and colds.

Thus, neurosis negatively affects the patient's quality of life, significantly worsening well-being and relationships with others. Often, a person feels unwanted and deeply unhappy.

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Complications

Hysterical neurosis occurs against the background of excessive anxiety, psycho-emotional stress, and if the disease is not diagnosed in time, the patient may develop complications. Only an experienced doctor can establish the correct diagnosis. Without medical assistance, the patient will suffer for a long time and think that he is terminally ill.

Complications of hysterical neurosis most often concern the functioning of internal organs. Due to increased excitability, irritability, and hysterical attacks, cardiac neurosis may develop, which will lead to panic attacks. The main signs of panic are shortness of breath, fear of death against the background of a strong heartbeat, and a semi-fainting state. Often, such conditions are accompanied by disorders of the autonomic nervous system.

A person prone to hysteria may experience complications in the form of a malfunction of the gastrointestinal tract (nausea, spasms, constipation), as well as other organs. If the disease has become chronic, a person may experience changes in behavior and character, loss of ability to work, apathy, deterioration of general health, fatigue.

After the seizure, hysterical hemiplegia (unilateral paralysis of the limb) may occur, which passes without a trace, without muscle tone disorders and reflex changes. Another complication should also be noted - dysphagia - difficulty swallowing, discomfort or inability to take a sip (saliva, liquid, solid food).

In addition, a person prone to hysteria experiences disruptions in work and social adaptation due to various neurological disorders (muscle weakness, blindness, deafness, unsteadiness of gait and memory loss). Depression is an extreme degree of emotional suppression of the patient.

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Diagnostics hysterical neurosis

Hysterical neurosis is diagnosed based on clinical manifestations that are characteristic of this pathological condition. When examining a patient, a neurologist may detect tremors in the fingers, increased tendon and periosteal reflexes.

Hysterical neurosis is diagnosed using instrumental studies to confirm the presence or absence of organic disorders in the internal organs. In case of movement disorders, MRI of the spinal cord and CT of the spine are prescribed; these same methods confirm the absence of any organic pathology. To exclude vascular pathology, ultrasound dopplerography of the neck and head vessels, rheoencephalography, and angiography of the cerebral vessels are performed. EMG (electromyography) and EEG (electroencephalography) also help confirm the diagnosis of hysteria.

Consultations with other doctors may be necessary - an epileptologist, a neurosurgeon, depending on the patient's complaints and the clinical picture. An analysis of the disease history plays an important role (clarification of questions about what preceded the onset of hysteria, whether there are any psychotraumatic factors at the moment).

A neurological examination is aimed at finding signs that would confirm organic pathology. These include pathological reflexes, nystagmus, vegetative skin disorders (numbness, thinning of the skin). An examination by a psychiatrist allows you to determine the nature of the disease (the presence of stress, depression).

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Differential diagnosis

Hysterical neurosis requires diagnosis to confirm the absence of any organic disorders in the patient. The patient's neurasthenic complaints force one to differentiate the disease from neurasthenia or obsessive-phobic neurosis (the differences lie in the display of phobias, demonstrative expression of discontent and complaints, demand for increased attention to one's person).

Differential diagnostics is aimed at comparing similar pathological conditions and establishing a final diagnosis. A picture similar to hysteria can be observed in a patient with sluggish schizophrenia, in which hysterical symptoms are characterized by stability and "roughness", and there is no change in signs characteristic of hysteria in accordance with a particular situation.

Vegetative crises, which are characteristic of organic brain lesions, can be difficult for differential diagnosis of hysteria. Such crises often occur spontaneously, they either lack a psychogenic factor, or it has no selective significance. To clarify the diagnosis, it is necessary to conduct a neurological and electroencephalographic examination of the patient. The doctor carries out a differential diagnosis of the classic picture of hysterical neurosis (attacks of aggression, blindness, deafness, nervous attacks with falls, paralysis of the limbs) with organic diseases of the central nervous system and epilepsy.

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Treatment hysterical neurosis

Hysterical neurosis requires a comprehensive approach to treatment and selection of the most effective methods aimed at eliminating psychotraumatic factors, creating favorable conditions for good sleep and rest, psychotherapy and general strengthening therapy. The main goal is to rid the patient of obsessive states, phobias, and restore the psychoemotional background.

Treatment of hysterical neurosis includes:

  • taking medications (tranquilizers, sedatives and sleeping pills, antidepressants, neuroleptics);
  • occupational therapy;
  • manual therapy and massage;
  • therapeutic exercise;
  • general strengthening procedures;
  • auto-training;
  • herbal medicine and traditional medicine.

The central place in treatment, of course, is occupied by psychotherapy. During individual sessions, the doctor will try to find out the reasons that provoked the development of hysteria, will help the patient to understand the problems that led to this condition, will identify the main psychotraumatic factor in order to eliminate it.

In the case of a protracted hysterical neurosis, tranquilizers (Phenazepam, Diazepam) are combined with neuroleptics (Eglonil, Neuleptil, Chlorprothixene), which have a corrective effect on human behavior. In severe forms of the disease, the patient needs hospitalization.

Medicines

Hysterical neurosis is treated with various medications, the prescription of which requires responsibility and purposefulness. The doctor will select the most effective medications depending on the degree of development of the disease, the clinical picture, and the patient's condition.

Medicines that are most often prescribed for neuroses, including hysterical ones:

  • tranquilizers in tablets and capsules (Elenium, Sibazon, Diazepam, Relanium, Oxazepam, Phenazepam, etc.);
  • tranquilizers injected (Diazepam, Chlordiazepoxide) - in severe situations accompanied by persistent obsessions, massive hysterical disorders);
  • neuroleptics in small doses (Neuleptil, Etaperazine, Thioridazine, Eglonil);
  • prolonged-release drugs (Fluspirilene, Fluorphenazine decanoate);
  • antidepressants (Amitriptyline, Doxepin, Melipramine, Anafranil; Fluoxetine, Sertraline, Citalopram, etc.);
  • sleeping pills for insomnia (Nitrazepam, Melaxen, Donormil, Chlorprothixene);
  • biogenic stimulants – as a tonic (Apilak, Pantocrin);
  • vitamin complexes (Apitonus P, group B drugs).

In case of motor function disorders, mutism, and surdomutism, amytal-caffeine disinhibitions (injections of 20% caffeine solution and 5% amytal sodium) are effective. When observing prolonged hysterical attacks in a patient, enemas of chloral hydrate are indicated, as well as slow intravenous administration of 25% magnesium sulfate and 10% calcium chloride solutions. Therapy includes general strengthening methods, sanatorium treatment, massages, etc.

Folk remedies

Hysterical neurosis is well treated with medications in combination with folk methods aimed at strengthening the immune system, eliminating irritation, attacks of aggression, insomnia, etc. These are infusions of medicinal herbs, drinking fresh juices, milk, bee products (royal jelly).

For example, to relieve tension and fatigue during hysteria, you can use this herbal infusion: mix hop cones (3 tablespoons) with mint and lemon balm (2 tablespoons each), as well as chamomile (1 tablespoon) and grind using a meat grinder. Then pour 3 tablespoons of the resulting mixture with boiling water (800 g), keep in a water bath for 20 minutes, infuse and strain. It is recommended to take this remedy 0.5 cups three times a day 30 minutes before meals.

Traditional medicine also comes down to hydrotherapy in the form of salt wraps, therapy with mud, clay, earth, oils, sand, etc. For example, hot sand compresses applied to the feet for 20 minutes help relieve nervous tension. The patient must be put to bed and wrapped up, it is good if he falls asleep after such a procedure.

Essential oils of lavender, ginger, rosemary, and nutmeg have a beneficial effect on the nervous system. Every evening before going to bed, the patient is recommended to drink 1 glass of warm milk - this promotes sound, healthy sleep.

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Herbal treatment

Hysterical neurosis responds well to herbal treatment, in combination with drug therapy, as well as general strengthening methods, massage, therapeutic exercise and other types of treatment. The main focus of herbal treatment is to restore the functions of the nervous system, reduce irritability, anxiety, strengthen the immune system, improve overall well-being, eliminate symptoms of depression, and get rid of insomnia.

Herbal treatment involves the use of various decoctions and infusions of valerian, hawthorn, motherwort, St. John's wort, viburnum, lemon balm - medicinal plants that are famous for their calming properties. Below are the most effective recipes for the treatment of hysterical neurosis.

  • Infusion of valerian root. 1 tablespoon of the plant (chopped roots) should be poured with a glass of boiling water and infused for 12 hours (you can leave the decoction overnight), using a thermos. The finished product should be taken 1 tablespoon three times a day for no more than 1 month; the dose can be increased in case of severe excitability.
  • Melissa (mint) decoction. 1 tablespoon of the plant should be poured with a glass of boiled water, boiled for 10-15 minutes, then strained. Take half a glass in the morning and at night. •
  • Hawthorn infusion. For the recipe, you will need dry fruits of the plant (2 tablespoons), which need to be ground, then pour one and a half glasses of boiling water and insist. The finished infusion is divided into three doses, take 30 minutes before meals.
  • Viburnum bark decoction. To prepare the recipe, pour 10 g of crushed viburnum bark with a glass of boiling water, then boil for 30 minutes, strain, add boiled water to the resulting decoction to a volume of 200 ml. Take the remedy three times a day, one tablespoon before meals.
  • Motherwort remedies. To treat hysterical neurosis, you can use a decoction of the plant (15 g of shoot tips per glass of boiling water), as well as juice (30-40 drops taken several times a day).

Homeopathy

Hysterical neurosis responds well to treatment based on taking homeopathic preparations (in combination with drug therapy and other methods). Thus, to improve mental performance, attentiveness and physical endurance in hysteria, which is accompanied by asthenic syndrome, the so-called "adaptogens" are widely used. They have a mild stimulating effect, which is manifested in reducing fatigue, accelerating recovery processes, and increasing immunity. Both aquatic and terrestrial plants, various microorganisms and even animals act as sources of natural adaptogens. Today, the most common adaptogens of plant origin include tinctures of medicinal plants: Chinese magnolia vine, ginseng, aralia and zamaniha, as well as extracts of eleutherococcus and leuzea. Adaptogens of animal origin include complex preparations Pantocrin, Rantarin, Apilak, Panta-Forte, etc.

Homeopathy, used in the treatment of hysteria, has a beneficial effect on all organs and systems, promoting better absorption of oxygen by tissues, as well as stimulating cellular activity in the human body and restoring metabolism.

The Ginsana preparation has proven itself in this regard in the form of a highly standardized ginseng extract without alcohol. It is made from carefully selected ginseng rhizomes using a special technology that allows preserving the maximum amount of useful substances.

The drug Leuzea in the form of a liquid extract has a psychostimulating activity and is used in the treatment of hysterical neurosis. It contains useful components: essential oils, alkaloids, organic acids and resins, a complex of vitamins. Stimulates the nervous system, increasing reflex excitability, as well as motor activity.

Ginseng tincture, as well as Eleutherococcus liquid extract, have a tonic and stimulating effect on the body and have proven their effectiveness in cases of fatigue, stress, neurasthenia, asthenia, as well as in cases of weakened sexual function that has arisen against the background of neurosis. Both drugs have no side effects, but are contraindicated in cases of insomnia, hypertension, and increased excitability.

Surgical treatment

Hysterical neurosis is a pathological condition that combines motor, vegetative and sensory disorders. The patient may experience disturbances in the functions of sensitivity and perception.

Sometimes surgical treatment takes place, i.e. performing surgical operations (laparotomy) for "Munchausen syndrome", when the patient consciously simulates the disease and demands treatment from doctors, moving from one hospital to another. This condition is caused by a severe emotional disorder. In most cases, people who suffer from this mental disorder are resourceful and quite smart. They not only skillfully simulate the symptoms of the disease, but also have reliable information about the signs, diagnostic methods, so they independently "manage" their treatment, demanding a thorough examination and intensive therapy from doctors, including surgical intervention for so-called "hysterical pain". Against the background of conscious deception, subconscious motivations and an increased need for attention from medical personnel arise.

Sensory disorders in hysteria are characterized by various disturbances of sensitivity (hypoesthesia, hyperesthesia, and anesthesia), which can occur in different parts of the body. Hysterical algias can also be observed in different parts of the body - both in the joints and limbs, and in the abdominal organs, in the heart, etc. Such patients are often referred to surgeons, who give them erroneous surgical diagnoses and perform abdominal operations.

Prevention

Hysterical neurosis can be prevented if preventive methods are used in time. First of all, a person should avoid situations that have an adverse effect on his emotional system and psyche. Auto-training, listening to relaxing music, yoga, walks in the fresh air, hobbies, sports (for example, playing tennis or badminton, swimming, morning and evening jogging) are recommended.

Prevention is aimed at preventing attacks of hysteria, strengthening the nervous system and includes:

  • normalization of working and rest conditions;
  • ensuring adequate nutrition and sleep;
  • giving up bad habits;
  • establishing family and interpersonal relationships;
  • prevention of stress tension;
  • adequate exercise;
  • healthy lifestyle.

People prone to hysteria should avoid sudden climate changes, as they are weather-sensitive. Relatives and friends should take care of the patient, protecting him from shocking news, quarrels, conflicts that can cause an emotional outburst. Restraint and absolute calm are the best way to cope with an attack of hysteria in this case. If the patient behaves rudely, you cannot respond to him in the same "coin" - this will only worsen the situation.

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Forecast

Hysterical neurosis has a favorable prognosis with timely diagnosis and treatment (this is especially true for children and adolescents). There are cases when, against the background of a prolonged conflict situation, hysteria turns into hysterical development of personality. This condition is characterized by prolonged neurasthenia and hysterical hypochondria.

The prognosis of the disease depends on the severity and personality traits of the patient. Thus, patients with signs of somnambulism, anorexia, and suicidal tendencies require longer treatment. An unfavorable outcome is observed if hysteria is combined with somatic diseases and organic lesions of the nervous system. In such cases, additional research, the appointment of complex therapy, and constant observation of the patient are required. Disability in hysterical neurosis is extremely rare.

If the psychotraumatic situation is successfully eliminated and treatment is started in a timely manner, the symptoms of neurosis disappear almost completely, and the person will again be able to lead a normal, full life.

Hysterical neurosis, in addition to drug and psychotherapeutic treatment, requires a healthy lifestyle, adequate rest for rapid recovery of the body. Prevention of the disease plays a key role, which is based on compliance with measures to prevent nervous processes and mental disorders, preparing the nervous system for upcoming overstrain.

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