Presentation
Patients with medical conditions may present with psychiatric symptoms, which may lead to worse physical health care. Here we present the case of a patient with acute aortic dissection masked by psychiatric symptoms after a stressful event. [ncbi.nlm.nih.gov]
Entire Body System
-
Fatigue
In hysteria, the main shift has been from motor symptoms to sensory complaints such as chronic fatigue; in catatonia, the major change has been the virtual disappearance of negativistic or oppositional behaviour. [ncbi.nlm.nih.gov]
And with flu season coming up -- with its symptoms of fever, ache and fatigue that are very similar to Ebola's -- expect the hysteria to ramp up. [cnn.com]
All that was apparent was that she complained of great pain in walking and of being quickly overcome by fatigue both in walking and… standing, and that after a short time she had to rest, which lessened the pains but did not do away with them altogether [encyclopedia.com]
Housewives also experienced an increased frequency of psychosomatic symptoms, such as headache, excessive fatigue, feelings of worthlessness, and often reported suffering from the conviction that people did not recognize the importance of their role, [doi.org]
Although manual, hydriatic, and steam-powered mechanical massage offered some of these advantages, the electromechanical vibrator was less fatiguing and required less skill than manual massage, was less capital intensive than either hydriatic or steam-powered [nytimes.com]
-
Galactorrhea
This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and [ncbi.nlm.nih.gov]
Gastrointestinal
-
Overeating
Show more Melvyn Bragg and guests discuss a problematic notion which can be an emotional condition, a syndrome, an extreme or over-reaction, or the physical signs of trauma. [bbc.co.uk]
Over 4000 years of history, this disease was considered from two perspectives: scientific and demonological. [ncbi.nlm.nih.gov]
Oxford Collocations Dictionary adjective mass, public, mild, … … of hysteria fit, note verb hysteria border on, cause, create, … hysteria verb sweep something, sweep across something, sweep through something, … preposition hysteria about, hysteria over [oxfordlearnersdictionaries.com]
-
Abdominal Pain
However the girl still complained of the abdominal pains ‘which had played the chief part in the clinical picture of hysteria.’ Two months later she died of sarcoma of the abdominal glands. [richardwebster.net]
Most cases of epidemic hysteria are characterised by symptoms such as nausea, abdominal pain, dizziness and lightheadedness, but there are also several documented cases of rash as a psychogenic symptom. [theguardian.com]
-
Hiccup
“Alex,” she says, hiccupping through tears. “I’m holding his cuuuuuuup.” All I wanted to do was hug her when I heard this story — I’ve had my own nervous breakdowns about musicians. [thehairpin.com]
About two dozen teenagers at the Essex Agricultural and Technical School began having “mysterious” hiccups and vocal tics. [theatlantic.com]
Eyes
-
Blurred Vision
Characteristic manifestations of such seizures include blurred vision, double-vision, feelings of de-personalisation, prosopagnosia (the inability to recognise faces), visual illusions which include the misidentification of objects, distortions in which [richardwebster.net]
Musculoskeletal
-
Hip Pain
Another said her hip pain had returned. [lithub.com]
Face, Head & Neck
-
Facial Spasm
Wellcome L0074997.jpg 4 453 5 824; 6,01 MB Example of facial spasms, or hysterics Wellcome L0040302.jpg 2 999 3 864; 2,7 MB Female patient with melancolie catalepsy Wellcome L0040298 (cropped).jpg 1 920 2 618; 1,47 MB Female patient with melancolie catalepsy [commons.wikimedia.org]
Psychiatrical
-
Fear
[…] of hysteria 2 : a situation in which many people behave or react in an extreme or uncontrolled way because of fear, anger, etc. [learnersdictionary.com]
1 a state of extreme excitement, fear or anger in which a person, or a group of people, loses control of their emotions and starts to cry, laugh, etc. There was mass hysteria when the band came on stage. A note of hysteria crept into her voice. [oxfordlearnersdictionaries.com]
WordReference Random House Learner's Dictionary of American English 2019 hys•te•ri•a /hɪˈstɛriə, -ˈstɪr-/ USA pronunciation n. [ uncountable ] a wild, violent, or uncontrollable emotional behavior, as from fear or grief. [wordreference.com]
Obama then accused his political foes of fearing "widows and orphans," saying "apparently they are scared of widows and orphans coming into the United States of America." [dw.com]
[…] coffins with your misery Faith holding outright criminals safe This is just the world we live in Can you justify the pain The death of fiction will save us all Hysteria We live We die I wont give up In a world worth saving goodbye I don't have anything to fear [azlyrics.com]
Urogenital
-
Amenorrhea
This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and [ncbi.nlm.nih.gov]
Neurologic
-
Amnesia
The first main group of paroxysms, attacks, and acute manifestations includes major hysterical attacks, such as prodrome, trance and epileptic states, minor hysterical attacks such as syncope and tetany, twilight states, paroxysmal amnesia, and cataleptic [ncbi.nlm.nih.gov]
[…] far more common than we currently think.’ 2 An old-fashioned term for a psychological disorder characterized by conversion of psychological stress into physical symptoms (somatization) or a change in self-awareness (such as a fugue state or selective amnesia [en.oxforddictionaries.com]
[…] claims, most times based on sheer hysteria and emotion.’ 1.1 Psychiatry A psychological disorder (not now regarded as a single definite condition) whose symptoms include conversion of psychological stress into physical symptoms (somatization), selective amnesia [oxforddictionaries.com]
These types of disorders include dissociative fugue, dissociative identity disorder, and dissociative amnesia. Somatoform disorder is a class of psychological disorder that involves physical symptoms that do not have a physical cause. [psychology.about.com]
[…] in the separation of dissasociative type of hysteria and a conversion type, based on dubious or unsubstantiated psychodynamic theory, and feel that the term conversion if used at all should refer to symptoms which mimic neurological disease (such as amnesia [nature.com]
-
Dizziness
But no matter how long you stuck with them, AIDS Wolf always managed to incite dizziness through chaos. In his solo project Drainolith, AIDS Wolf guitarist Alexander Moskos has a similar goal, but comes at it from an opposite side. [pitchfork.com]
Hippocrates ( c. 460–377 BC) described how the female reproductive parts, moving, convulsing or prolapsing caused dizziness, motor paralysis and sensory disturbance. Galen (AD 129–216?) [nature.com]
Most cases of epidemic hysteria are characterised by symptoms such as nausea, abdominal pain, dizziness and lightheadedness, but there are also several documented cases of rash as a psychogenic symptom. [theguardian.com]
[…] outbreaks since then include a 1962 incident at an all-girls boarding school in Kashasha, Tanzania, where there was a “ laughing epidemic ,” and a 1965 incident in Blackburn, England at another girls school, where 85 girls were sent to the hospital with dizziness [theatlantic.com]
-
Stupor
I have examined many hysterical women, some stuporous, others with anxiety attacks [...]: the disease manifests itself with different symptoms, but always refers to the uterus”. [doi.org]
-
Vertigo
More recently, in the winter of 2012, there was an outbreak of MPI that affected more than 1,000 students and five teachers across 15 different schools in Sri Lanka, where people complained that they were having vertigo and uncontrollable coughing. [theatlantic.com]
-
Opisthotonus
Wellcome L0033539.jpg 2 272 3 752; 1,64 MB Opisthotonus in a patient suffering from tetanus - Painting by Sir Charles Bell - 1809.jpg 610 396; 25 KB Ostendorfer Madonna in Regensburg.jpg 1 459 2 119; 2,07 MB Paul Richer, 'Gonflement du cou chez un hysterique [commons.wikimedia.org]
Workup
Serum
-
Hyperprolactinemia
This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and [ncbi.nlm.nih.gov]
Treatment
[email protected] Abstract This paper explores evolving treatments for hysteria in the eighteenth century by examining a selection of works by both physician-writers and educated literary women. [ncbi.nlm.nih.gov]
Prognosis
Prognosis Hysterical disorders The outcome for hysterical disorders varies by type. Somatization is typically a lifelong disorder, while conversion disorder may last for months or years. [medical-dictionary.thefreedictionary.com]
Etiology
This etiological schema organized the next psychopathological writing Freud did, his "Fragment of an Analysis of a Case of Hysteria," in which Ida Bauer's hysteria was seen as due to oral zone autoerotic overstimulation and, later, to her object-directed [ncbi.nlm.nih.gov]
Willis introduces a new etiology of hysteria, no longer attached to the central role of the uterus but rather related to the brain and to the nervous system [ 24 ]. [doi.org]
Freud's Contributions to the Theory of Hysteria (Summary): 1) Etiology not based in heredity (Charcot); 2) Nurture, not nature, as cause; 3) Pubescent experience not cause, but mere "provoking agent" ("trigger"); 4) Hysteria no longer tied to physiology [courses.washington.edu]
(Breuer & Freud [1893-1895] 1955, p. 166) Etiology. The mechanism of the pathogenesis of hysteria was subsequently elaborated and refined by Freud and other psychoanalysts and came to include certain other features. [encyclopedia.com]
Epidemiology
Abstract An 'explanatory epidemiology' of disorders labelled 'hysteria' towards the end of the 19th century provides precious information--through the numerous statistical works of the period - about the conceptions of practitioners and the various cultural [ncbi.nlm.nih.gov]
The epidemiology is hazy; one commonly cited statistic is that conversion disorder accounts for 1 percent to 4 percent of all diagnoses in Western hospitals. [nytimes.com]
Clinical Practice and Epidemiology in Mental Health. 8 : 110–9. doi : 10.2174/1745017901208010110. PMC 3480686. PMID 23115576. a b Merskey, Harold; Potter, Paul (1989). "The womb lay still in ancient Egypt". [en.wikipedia.org]
Prevention
Abstract Conversion hysteria, a common affliction, requires prompt diagnosis and treatment to prevent fixation of the incapacity and secondary contractures, and to protect the patient from unnecessary surgery. [ncbi.nlm.nih.gov]
‘Many people thought they knew the end of the world was nigh, but were lying to prevent mass hysteria.’ ‘The world cannot tolerate these old claims, most times based on sheer hysteria and emotion.’ [en.oxforddictionaries.com]
‘Many people thought they knew the end of the world was nigh, but were lying to prevent mass hysteria.’ ‘This invoked a further outbreak of mass hysteria amongst the fleet.’ [oxforddictionaries.com]