Hysterical neurosis

Hysterical neurosis is a kind of neurosis and most often manifests itself in the form of demonstrative emotional reactions (sudden crying, laughter, violent crying), as well as convulsive hyperkinesia, loss of sensitivity, hallucinations, transient paralysis, fainting, etc. At the heart of hysteria lies the increased suggestibility and self-hypnosis of a person, the desire to attract the attention of others.

Causes of the hysterical neurosis

The word "hystera" of Greek origin, in translation means "womb", which is due to the opinion of ancient Greek doctors about the prevalence of this pathology among women due to violations of the uterus. Scientific studies of the nature of the disease were laid by Sharko back in the XIX century. The scientist believed that the causes of the disease are hereditary and constitutional factors. As a kind of neurosis, hysteria began to be considered by medical science only at the beginning of the 20th century.

The leading signs of hysteria are seizures with convulsions, constricting headache, insensitivity of some areas of the skin and pressure in the throat. The main reason for this state is considered to be a psychological experience, as a result of which the mechanisms of higher nervous activity disrupted due to some external factor or an intrapersonal conflict. The disease can develop suddenly as a consequence of severe mental trauma, or because of a prolonged unfavorable situation.

Hysterical neurosis can arise due to a person falling into hysterical psychopathy, into an unfavorable environment or situation, which is very traumatic to his psyche. Most often it 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 for a long period of time and constantly depress the human psyche.

The causes of hysterical neurosis are stressful in nature and are associated with various problems and conflicts that lead people out of balance, cause feelings of fear and insecurity, and inability to cope with the situation. Hysterical reactions are most often inclined to people with excessively excitable or immature psyche, which differ in their non-independence of judgments and impressionability, sharp emotional differences, increased suggestibility.

Freud believed that the main factors that provoke the development of hysteria are sexual complexes and mental trauma that occurred in early childhood. The true cause of pathology can be considered the predominance of human emotions over the intellect. Negative emotions, which appeared as a result of a certain psychotraumatic situation, "poured out" into bodily (somatic) symptoms. Thus, there is a so-called "mechanism of conversion", which aims to reduce the level of negative feelings, the inclusion of a self-protective function.

[1], [2], [3],

Pathogenesis

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

The pathogenesis of the disease is determined by both exogenous and endogenous causes. At the heart of each neurosis lie the characteristics of personality development, its psyche and behavior, which often depend on increased emotionality. It is about psychogeny as a consequence of stress, frequent conflicts, emotional burnout, neuro-psychic overstrain. The main risk factors for hysterical neurosis include physical and mental overstrain, alcohol abuse, unhappiness in family life, various physical illnesses, professional dissatisfaction, and uncontrolled use of medications (in particular, tranquilizers and sleeping pills).

Hysteria most often develops in persons with pronounced premorbid character traits (prone to supervalued formations, persistence, uncompromising, intrusive ideas, pedantry, rigidity). Practice shows that neurasthenic disorders are also possible in persons deprived of neurotic character traits, with vegetative neurosis (a violation of the functioning of the autonomic nervous system), a reactive state, and excessive neuropsychic loads.

[4], [5], [6]

Symptoms of the hysterical neurosis

Hysterical neurosis is a classic form of neurosis and often develops due to a strong psychotraumatic factor. This disorder is accompanied by various somatovegetative, sensory and motor manifestations. Most often, this ailment occurs in persons with hysterical psychopathy.

Hysteria as a mental disorder has a code of mb 10 and according to it is diagnosed against a background of common factors of personality disorder that can be combined with three or more symptoms. Of these signs, in the first place, we can distinguish:

• exaggerated expression of emotion;
• easy suggestibility;
• self-dramatization;
• a constant desire for increased excitement;
• excessive concern of a person with his physical attractiveness;
• emotional lability;
• easy exposure of a person to the influence of circumstances and others;
• inadequate seduction (in behavior and in appearance), etc.

In addition, you can distinguish such traits of hysterics as manipulative behavior aimed at immediate satisfaction of personal needs, the desire to be recognized, self-centeredness and self-indulgence, excessive resentment, etc. With hysterical neurosis, the symptoms are pronounced and used by patients to attract the attention of others to their problems.

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

The main symptoms of a hysterical neurosis are associated with a seizure that occurs in response to various psychotraumatic situations, for example, a quarrel or bad news. The classic manifestation of hysteria is a demonstrative fall, a pained expression, sweeping movements of limbs, cries, tears and laughter. In this case, consciousness is preserved, and a person can be brought to the senses with a slap in the face or with cold water. Before a fit of hysteria, symptoms such as dizziness, nausea, chest pain, lump in the throat may be observed. Usually a fit of hysteria occurs in crowded places or next to the people that the patient is trying to manipulate.

As a result of motor disorders, loss of voice, complete or partial paralysis of the limbs, tremor, impaired motor coordination, teak, paralysis of the tongue may occur. Such disorders are short-lived and conditioned by the emotional state of a person. Most often they are combined with fainting states, "theatrical" wringing of hands, unusual poses and lamentations. Violations of the emotional sphere are manifested in the form of a depressed mood, a repetition of stereotyped movements, panic fears.

Somatic manifestations of hysteria are most often observed from the gastrointestinal tract, respiratory and cardiovascular system. Disturbances in the functioning of the autonomic nervous system manifest themselves in the form of convulsive seizures. The manifestation of sensory disorders is associated with a decrease in sensitivity in the limbs, deafness and blindness, narrowing of the field of vision, hysterical pains that can be localized in various parts of the body.

[7], [8], [9]

First signs

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

The first signs of a hysterical neurosis may arise by the type of autosuggestion. The person begins to listen to his body and the work of internal organs, and any increase in heart rate or the appearance of pain in the chest, back, abdomen and other parts of the body can throw him into a panic. As a result, there are thoughts of diseases, 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. There is increased fatigue, impaired attention and memory. The patient is more difficult to give simple tasks, he performs worse job duties, does not cope with the work.

In spite of the fact that the person feels bad, at medical inspection at it, as a rule, it does not appear any serious pathologies in functioning of internal bodies. According to statistics, neurotics make up a larger percentage of polyclinic patients.

[10], [11],

Hysterical neurosis in children

Hysterical neurosis can occur in people of different age categories. Children are not exception, moreover they are absolutely healthy physically and mentally. Of the most common factors that cause hysteria in a child, it is possible to note inaccuracies in upbringing, overstated requirements of parents, frequent stresses related to conflicts in the family. With the constant impact of the psychotraumatic factor on the child, hysteria becomes chronic.

Hysterical neurosis in children manifests itself in the form of:

• crying and screaming;
• capriciousness;
• heart palpitations;
• headaches;
• loss of appetite and nausea;
• cramping in the abdomen;
• poor sleep;
• bouts of breath stopping;
• demonstrative fall and beating on the floor.

For children with a diagnosis of "hysteria" is characteristic of exhibiting their fears on the show, the desire that adults pay more attention to them. Often an attack of hysteria is a method to achieve the desired, for example, to get your favorite toy.

In older children, including adolescents, hysteria may cause a change in the sensitivity of the skin, less often blindness and signs that occur in adults. It should be noted that hysterical neuroses are aggravated during the period of puberty of the child (the so-called age-related crisis) and generally have a favorable prognosis.

Hysterical neurosis in adolescents

Hysterical neurosis often appears in adolescents who are experiencing an age-related crisis - i.e. Puberty. Symptoms of the pathology are heart palpitations, headaches, insomnia. The child has no appetite, nausea and abdominal cramps, in some cases - phobias (fears), unreal experience of the present, depressive states, isolation and alienation, and confusion of thoughts.

Hysterical neurosis in adolescents is characterized by a change in symptoms depending on the situation. More often than not, the development of hysteria is associated with a prolonged exposure to a trauma that infringes the child's personality. Clinical manifestations of the disease are observed in pampered, weak-willed children, in the education of which the moments of instilling industriousness, independence, understanding of what was possible and what can not be missed. Such adolescents are dominated by the principle of "want" - "give," desires contradict reality, there is discontent with their position in the school community and family.

According to IP Pavlov, the causes of hysteria are the predominance of the first signal system over the second one, i.e. "Hysterical subject" is subjected to emotional experiences that suppress the mind. As a result, there is a condition similar to the symptoms of schizophrenia (failures in thoughts or the presence of two streams of thinking).

Hysterical neurosis in women

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

Hysterical neurosis in women has the following symptoms:

• disorders of sexual relations;
• violation of blood pressure;
• sleep pathology;
• pain in the region of the heart
• nausea;
• pain in the abdomen;
• tendency to fatigue;
• trembling in the hands;
• the appearance of sweating;
• strong emotional experiences;
• propensity to conflict;
• respiratory system disorders;
• depressed mood;
• sharp sensitivity to bright light and loud sounds;
• obsessive thoughts and actions;
• strong irritability;
• darkening in the eyes;
• attacks of angina pectoris;
• convulsive seizures (less often).

Hysteria in women is characterized by increased suggestibility, a distinctive feature of the disease is marked demonstrativeness. The primary cause may be the strongest emotional shock or psychic experience that has arisen due to some external circumstances (quarrels, stress, series of failures), as well as internal conflict. Nervous shock is associated with mental overload and fatigue, weakened after illness by immunity, lack of proper sleep and rest. A fit of hysteria in women is accompanied by a lump in the throat, a lack of air, a weight in the heart and a strong palpitation.

Complications and consequences

Hysterical neurosis leads to unpleasant consequences, which are associated with psychoemotional 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:

• Severe disability. It is difficult for a person to do the usual work because of a deterioration of his cognitive abilities and poor memory, a loss of concentration, rapid fatigue, sleep disturbance, and lack of proper rest.
• Conflict. Because of the attendant symptoms (resentment, tearfulness, fear, anxiety), problems arise in the family and at work, a person conflicts with surrounding people, which leads to misunderstanding.
• The emergence of obsessive states (thoughts, memories, fears). Because of this symptom, a person is afraid of repeating a mistake, is forced to avoid psychotraumatic situations and constantly monitor the situation to make sure of the correctness of his decisions.
• Decompensation of existing diseases and development of new ones. Because of the negative impact of hysterical neurosis on the somatic sphere, the adaptive capabilities of the organism deteriorate, which leads to the risk of the appearance of concomitant diseases of internal organs, infectious and colds.

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

[12], [13], [14], [15], [16], [17]

Complications

Hysterical neurosis arises against excessive excitement, psycho-emotional stress, and if the disease is not diagnosed in time, the patient may develop complications. The correct diagnosis can be established only by an experienced doctor. Without medical care, the patient will be tormented 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, attacks of hysteria, neurosis of the heart can develop, which will lead to panic attacks. The main signs of panic are a lack of air, a fear of death against the background of a strong palpitations, a fainting condition. Often, such conditions are accompanied by disorders of the autonomic nervous system.

A person prone to hysteria can experience complications in the form of a malfunction in the gastrointestinal tract (nausea, spasms, constipation), as well as other organs. If the disease has passed to a chronic stage, then a person may have changes in behavior and character, loss of ability to work, apathy, deterioration in overall well-being, fatigue.

After a fit, hysterical hemiplegia (one-sided paralysis of the limb) can occur, which completely passes without disturbances in muscle tone and changes in reflexes. It should also be noted and another complication - dysphagia - difficulty swallowing, discomfort or inability to take a sip (saliva, liquid, solid food).

In addition, a person prone to hysteria, there are violations of labor and social adaptation due to various neurological disorders (muscle weakness, blindness, deafness, gait unsteadiness and memory loss). Depression is an extreme degree of emotional depression of the patient.

[18], [19], [20]

Diagnostics of the hysterical neurosis

Hysterical neurosis is diagnosed on the basis of clinical manifestations, which are characteristic for this pathological condition. When examining a patient, a neurologist can detect a tremor in the fingers of the patient, increased tendon and periosteal reflexes.

Diagnosis of hysterical neurosis is carried out using instrumental studies to confirm the presence or absence of organic disorders from the internal organs. When motor disorders are prescribed MRI of the spinal cord and CT of the spine, these same methods confirm the absence of any organic pathology. To exclude vascular pathology, ultrasound of the vessels of the neck and head, rheoencephalography, angiography of cerebral vessels. To confirm the diagnosis of hysteria, EMG (electromyography) and EEG (electroencephalography) also help.

It may be necessary to consult other doctors - an epileptologist, a neurosurgeon, depending on the patient's complaints and the clinical picture. An important role is played by the analysis of the anamnesis of the disease (clarification of questions that preceded the emergence of hysteria, whether there are any psychotraumatic factors at the moment).

Neurological examination is aimed at finding signs that would confirm an organic pathology. These include pathological reflexes, nystagmus, vegetative skin disorders (numbness, thinning of the skin). An examination by a psychiatrist makes it possible to find out the nature of the disease (the presence of stress, depression).

[21], [22], [23], [24], [25]

Differential diagnosis

Hysterical neurosis requires diagnosis to confirm that the patient has no organic disorders. Neurasthenic-like complaints of the patient are forced to differentiate the disease with neurasthenia or obsessive-phobic neurosis (the differences are in exhibiting phobias, demonstrative expression of discontent and making complaints, demanding increased attention to one's personality).

Differential diagnosis 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 "rudeness," and there is no characteristic change in hysteria in accordance with this or that situation.

Vegetative crises, which are characteristic of organic brain lesions, can be difficult for differential diagnosis of hysteria. Such crises often arise 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 study of the patient. The doctor performs a differential diagnosis of the classic picture of a hysterical neurosis (attacks of aggression, blindness, deafness, nervous attacks with a fall, paralysis of the limbs) with organic diseases of the central nervous system and epilepsy.

Treatment of the hysterical neurosis

Hysterical neurosis requires an integrated approach in the treatment and selection of the most effective methods aimed at eliminating traumatic stress factors, creating favorable conditions for adequate sleep and rest, psychotherapy and general restorative therapy. The main goal is to save the patient from obsessive conditions, phobias, restore the psycho-emotional background.

Treatment of hysterical neurosis includes:

• taking medications (tranquilizers, sedatives and hypnotics, antidepressants, neuroleptics);
• occupational therapy;
• manual therapy and massage;
• exercise therapy;
• general strengthening procedures;
• auto-training;
• phytotherapy and alternative medicine.

The central place in the treatment, of course, is psychotherapy. In individual sessions the doctor will try to find out the reasons that triggered the development of hysteria, help the patient to understand the problems that led to such a condition, reveal the main psychotraumatic factor with the aim of eliminating it.

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

Medications

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

Medications that are most often prescribed for neuroses, including hysterical type:

• tranquilizers in tablets and capsules (Elenium, Sibazon, Diazepam, Relanium, Oxazepam, Phenazepam, etc.);
• tranquilizers in injections (Diazepam, Chlordiazepoxide) - in severe situations, accompanied by persistent obsessions, massive hysterical disorders);
• Neuroleptics in small doses (Neuleptil, Etaperazin, Thioridazine, Eglonil);
• preparations of prolonged action (Fluuspirilene, Fluorophenazindecanoate);
• antidepressants (amitriptyline, doxepin, melipramine, anafranil, fluoxetine, sertraline, citalopram, etc.);
• hypnotics for insomnia (Nitrazepam, Melaxen, Donormil, Chlorprotixen);
• biogenic stimulants - as a tonic (Apilak, Pantocrin);
• vitamin complexes (Apitonus II, preparations of group B).

With violations of motor functions, mutism, surdutism, amytal-caffeine disinhibition (injection of 20% caffeine solution and 5% amytal sodium injection) has a good effect. When observing a patient's protracted hysterical seizures, a clitoral administration of chloral hydrate is shown, as well as slow intravenous administration of solutions of magnesium sulfate 25% and calcium chloride 10%. Therapy includes restorative methods, sanatorium treatment, massages, etc.

Alternative treatment

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

For example, to relieve tension and fatigue in hysteria, you can use this herbal collection: hop cones (3 tablespoons) mixed with mint and melissa (2 tablespoons), and chamomile (1 tablespoon) and chopped using a meat grinder. Then 3 tbsp. Spoons of the resulting mixture should be poured with boiling water (800 g), soaked in a water bath for 20 minutes, insist and strain. Take this drug is recommended for 0.5 cup three times a day for 30 minutes. Before meals.

Alternative treatment also reduces to hydrotherapy in the form of saline wraps, mud therapy, clay, earth, oils, sand, etc. For example, compresses with hot sand, which are applied to the feet for 20 minutes, help to relieve nervous tension. The patient thus needs to be put in bed and wrapped up, it is good, if after such procedure he falls asleep.

Favorably act on the nervous system essential oils of lavender, ginger, rosemary, nutmeg. Every evening before going to sleep, the patient is recommended to drink 1 glass of warm milk, which promotes a sound, healthy sleep.

[26], [27]

Herbal Treatment

Hysterical neurosis can be well treated with herbs - in combination with drug therapy, as well as general strengthening methods, massage, physiotherapy exercises and other types of treatment. The main direction of herbal treatment is the restoration of the functions of the nervous system, reducing irritability, anxiety, strengthening immunity, improving overall health, eliminating the symptoms of depression, and getting rid of insomnia.

Treatment with herbs involves the use of various decoctions and infusions of valerian, hawthorn, motherwort, St. John's Wort, Kalina, Melissa - medicinal plants, which are famous for their soothing properties. Below are the most effective recipes for the treatment of hysterical neurosis.

• Infusion from the root of valerian. 1 tablespoon of the plant (crushed roots) should be poured a glass of boiling water and insist for 12 hours (you can leave the broth for the night), using a thermos bottle. The finished product must be taken at 1 tbsp. Spoon three times a day for not more than 1 month; the dose can be increased with strong excitability.
• Decoction of melissa (mint). 1 tablespoon of the plant must be filled with a glass of boiled water, boil for 10-15 minutes, then strain. Take half a cup in the morning and at night. •
• Infusion of hawthorn. For the recipe, you need the dried fruits of the plant (2 tablespoons), which you need to grind, then pour a half cup of boiling water and insist. Ready to divide into three divided doses, take for 30 minutes. Before meals.
• Decoction from the birch bark. To prepare the recipe, you need to pour 10 g of chopped bark of the viburnum with a glass of boiling water, then boil for 30 minutes, strain, add the boiled water to the resulting broth to a volume of 200 ml. Take the medication three times a day on a tablespoon before eating.
• Funds from the motherwort. For the treatment of hysterical neurosis, you can use a decoction of the plant (15 g of shoots tops - a glass of boiling water), as well as juice (30-40 drops taken several times a day).

Homeopathy

Hysterical neurosis can be well treated, based on the use of homeopathic medicines (in combination with drug therapy and other methods). So, to improve mental performance, mindfulness and physical endurance in hysteria, which is accompanied by asthenic syndrome, the so-called so-called. "Adaptogens". They have a mild stimulating effect, which manifests itself in reducing fatigue, accelerating recovery processes, increasing immunity. In the role of natural adaptogens, both aquatic and terrestrial plants, various microorganisms and even animals act. Today, the most common adaptogenes of plant origin are tinctures of medicinal plants: magnolia vine, ginseng, aralia and zamanichi, as well as extracts of Eleutherococcus and Leuzea. Adaptogens of animal origin include complex preparations of Pantocrin, Rantarine, Apilac, Panta-Forte, and others.

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

Ginsan's preparation in the form of highly standardized extract of ginseng without alcohol content proved itself in this respect. It is made from carefully selected rhizomes of ginseng by special technology, with which it is possible to maintain the maximum amount of useful substances.

Levsei's preparation in the form of a liquid extract possesses psycho-stimulating 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 work of the nervous system, increasing reflex excitability, as well as motor activity.

Ginseng tincture, as well as the Eleutherococcus liquid extract, exerts a toning and stimulating effect on the body and has proved effective in overwork, stress, neurasthenia, asthenia, and with a weakened sexual function that has arisen against a background of neurosis. Both drugs have no side effects, but are contraindicated for insomnia, hypertension and increased excitability.

Operative treatment

Hysterical neurosis is a pathological condition that combines motor, vegetative and sensory disorders. In this case, the patient may have impaired function of sensitivity and perception.

Sometimes, surgical operations (laparotomy) under "Munchhausen's syndrome" take place, when the patient consciously simulates the disease and requires doctors to heal from one hospital to another. This condition is caused by a severe emotional disturbance. In most cases, people who suffer from this mental disorder are resourceful and smart enough. They not only skilfully simulate the symptoms of the disease, but also have reliable information about the signs and methods of diagnosis, and therefore independently "manage" their treatment, requiring doctors to carefully examine and intensively treat, including surgical intervention for the so-called. "Hysterical pain." Against the background of conscious deception, subconscious motivations arise and an increased need for attention from the medical staff.

Sensory disorders in hysteria are characterized by various impairments of sensitivity (hypostases, hyperesthesias and anesthetics), which can occur in different parts of the body. Hysterical algies can also be observed in different parts of the body - both in the joints and limbs, and in the organs of the abdominal cavity, in the heart, etc. Such patients are often referred to surgeons, they make mistaken surgical diagnoses and perform cavitary operations.

Prevention

Hysterical neurosis can be prevented if timely to resort to preventive methods. First and foremost, a person should avoid in every possible way situations that have an adverse effect on his emotional system and psyche. Recommended auto-training, listening to relaxing music, yoga, walking in the fresh air, hobbies, sports (for example, playing tennis or badminton, swimming, morning and evening jogging).

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

• normalization of working and rest conditions;
• provision of adequate nutrition and sleep;
• rejection of bad habits;
• adjustment of family and interpersonal relations;
• prevention of stress;
• adequate sports loads;
• healthy lifestyle.

People who are prone to hysteria should avoid a drastic change of climate, as they have developed a meteorological dependence. Close and family need to take care of the patient, keeping it from shocking news, quarrels, conflicts that can cause an emotional outburst. Restraint and absolute calm are in this case the best way to cope with the attack of hysteria. If the patient behaves rudely, you can not answer him with the same "coin" - this will only exacerbate the situation.

[28], [29]

Forecast

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

The prognosis of the disease depends on the degree of severity, the characteristics of the patient's personality. Thus, patients with signs of somnambulism, anorexia, suicidal tendencies require more prolonged treatment. Unfavorable outcome is observed if hysteria is combined with somatic diseases and organic lesions of the nervous system. In such cases, additional studies are required, the appointment of complex therapy, the constant observation of the patient. Invalidization with a hysterical neurosis is extremely rare.

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

Hysterical neurosis, except for medicamental and psychotherapeutic treatment, requires a healthy lifestyle, a full rest for a quick recovery of the body. A key role is played by the prevention of the disease, which is based on the observance of measures to prevent nervous processes and mental disorders, the preparation of the nervous system for the upcoming strains.