Sunday, July 6, 2014

May. First psychiatric intervention, not necessarily hospitalization. Is expected to begin later im


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There are many psychiatric disorders that may evolve throughout the life of the patient without sickle cell disease any psychotic symptoms: major depression, bipolar disorder, obsessive-compulsive disorder, generalized anxiety disorder, etc.. But a number of disorders can not be diagnosed except psychosis: brief psychosis disorder, schizophreniform or schizoaffective the schizophrenia. Applies to paranoia (delusional disorder), in which the clinical features clearly differentiate from the other psychoses. The first episode psychosis is difficult to attribute with certainty a disease or another, but always the question whether or not it signifies the onset of schizophrenia. sickle cell disease Medium and long term evolution eventually allow a response.
Premorbid stage is an asymptomatic period, which can be seen relatively stable deficits present at birth: schizoid or schizotypal personality traits (passivity, lack of communication, sickle cell disease introversion, sickle cell disease no friends, avoid the opposite sex, do not participate in group activities, rather solitary activities - reading, tv etc..)
Follow prodromal phase (1-2 years), in which various symptoms occur that will progressively worsen: depression, generalized anxiety, bizarre preoccupations, decreased interest in various activities. After these two steps to reach the first psychotic episode. It is time that could lead to the diagnosis of schizophrenia. In any medical condition, the first priority sickle cell disease is as prompt intervention. If psychotic episodes, this requires careful monitoring in order to identify early signs announcing that constitute prodromal episode. First prodrome is a top challenge for any psychiatrist, because effective treatment may avoid serious symptoms of psychosis, which necessarily requires hospitalization. Refers to the first prodromal symptoms and signs of disease fully developed prior to an episode of illness: sickle cell disease schizophrenia, depression, etc.. This period prepsihotice disorders involves changes within the inner life and behavior of the person affected. sickle cell disease If in the prodrome that occurs before the next episode psychotic symptoms have some tendency to repetition sickle cell disease and are easier to diagnose when things are more complicated prodrome first (and most unexpected).
adapts to stress harder than it was doing before is vague feelings of anxiety or depressed mood may be more uninhibited and more talkative than usual, may be concerned about things that previously showed little interest
person becomes more "sensitive" irritable, has an unexplained nervousness, "moodiness" a state of anxiety which becomes permanent uncharacteristic behaviors such as spending large amounts of money, the desire to travel sudden, unexplained changes of activities / relationships personal
feeling that something strange or inexplicable happens auditory hallucinations in other sensory pathways belief that external forces, identifiable or not exercising remote control severe depression, decreased need for sleep, lack of motivation for all activities, a significant surplus sickle cell disease energy etc..
may accuse sickle cell disease others as they read minds or have hostile intentions patients can claim to have special powers or purposes which at best can be considered unrealistic (preaching a religion, fundamental reforms in various fields, etc..) psychomotor agitation, aggression trends autolytic
May. First psychiatric intervention, not necessarily hospitalization. Is expected to begin later improvement. On this occasion, evaluates and medical history, including prodrome duration based on what the patient and family reports. In the ideal case, the patient require an assessment since she shows symptoms of point (1), or ask for a consultation as soon as the family sees the changes mentioned in paragraph (2). In most situations but it reaches full psychosis or shortly before it. Sometimes losing days, weeks and even months after the onset of psychosis sickle cell disease evident until the start of treatment. sickle cell disease Also desirable would be a mental disorder that starts with a psychotic episode not register and other episodes of this type in its evolution. For many reasons it is likely that they will be repeated.
Prodrome

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