Depersonalization is a mental disorder related to the absence or violation of self-perception. Sick
perceived their thoughts, feelings and actions with a sense of observation and by exclusion. This disorder is often a symptom of mental illness.
Causes and symptoms of depersonalization
Depersonalization of the individual is associated with other diseases of the psyche and central nervous system. The most common causes of depersonalization are panic disorder, depression, stress, schizophrenia and bipolar disorder.
The disease can be worn as a short-term and long-term nature. Prolonged and severe depersonalization can lead to suicide.
The main reasons of depersonalization are:
- severe mental shock, stress and shock;
- severe mental illness, including psychosis, schizophrenia, mania, etc .;
- neurological disorders;
- Congenital defects of the central nervous system;
- mental disorders under the influence of physical injury.
Depersonalization of the individual can act as a protective mechanism in an emergency situation requiring rapid decisions or actions without emotion. In this case, the state is only temporary and is not a disease.
Biochemical and neurological disorders can lead to a prolonged state, which is caused by disturbances in the functioning of serotonin and opioid receptors, failures in the functioning of the pituitary and adrenal glands.
The symptoms of depersonalization are the following mental states and feelings of the patient:
- full or partial erase the perception of self and its features;
- lack of emotion and involvement in life processes, events, etc .;
- emotional indifference to family and people around;
- obscured perception of reality (without sound and color perception);
- indifference and a lack of perception of music, art and nature;
- poor memory;
- reduced vision and hearing;
- loss of tactile and olfactory disorders;
- depression, melancholy and spiritual emptiness;
- the perception of their own body and its parts as a machine, an inanimate object and impersonal;
- a sense of time dilation and events;
- lack of creative thinking;
- disorientation in time and space;
- no pain, flavor and temperature sensitivity.
When stress symptoms of depersonalization personality are anhedonia, detachment and isolation. Influenced
emotional stress neurochemical disturbed homeostasis, which leads to blocking and a depressive state of emotion. It violated the sensitivity of receptors, distorted perception of reality and places the individual in it. Prolonged depersonalisation leads to cascading disruption of receptor systems.
Types of depersonalization personality
In psychiatry and neurology depersonalization autopsihicheskuyu classified as a violation of the perception of the self, in violation of the external perception of reality, as well as somatopsychic violation perception of their body and its organs.
By type of depersonalization, and because the person is divided into the following types:
- easy self-sustained breach or incomplete perception of his personality and actions;
- the loss of specificity of individual and social isolation, accompanied by a lack of personal philosophy (ideas, opinions, etc.) and impersonal;
- anesthetic depression, emotional blunting or complete insensitivity.
Treatment of depersonalization
Treatment begins with depersonalization disorder eliminate the causes and symptoms of mental illness. The psychiatrist and neurologist have to find a relationship between depersonalization and anxiety, as well as other pathological manifestations.
In severe panic attacks and anxiety, accompanied by uncontrolled actions of the patient, prescribe tranquilizers (Phenazepam, Adaptol, Bellataminal etc.), antidepressants (amitriptyline, etc.) and antipsychotics (Sonapaks, Etaperazin etc.).
The attending physician is necessary to pick up the patient with the syndrome of depersonalization of the individual drugs with high anticholinergic effect, and assign medical therapy designed to relieve anxiety and to maintain a normal mental state.
If the patient has irregularities in the functioning of the opioid system in the brain, the treatment is carried out using depersonalization drug-opioid receptor antagonists, such as naltrexone, naloxone, etc. The most effective is a combination of anticonvulsant drugs and inhibitors of serotonin.
In the US and some European countries, treatment is carried out by depersonalization of high doses of nootropics with antioxidant effect, such as Cavinton, Citoflavin, Mexidol etc.
Medical studies have found that the use of anticonvulsants in the syndrome of depersonalization personality is contradictory. In case of cancellation of these drugs in patients often Syndrome feedback and returning symptoms are manifested before the treatment. Neurotransmitter chaos that occurs after the abolition of Anafranil and other anticonvulsants, have severe course, require long and intensive treatment.
At the early stages of depersonalization patients prescribed drugs with a gentle stimulating effect, including caffeine and amphetamine. In some cases, it is advisable to appoint a course of MAO inhibitors, but it is better that the admission of neuroleptics.
As adjunctive therapy in the syndrome of depersonalization appoint regular sessions with a psychiatrist, physical therapy, massage, physiotherapy and special procedures to restore sensitivity.