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Neurotic Disorder

Disorders Neurotic

Neurosis is a functional mental disorder, arising from no apparent organic lesion. It is characterized by anxiety, depression, irritability, mental confusion and avoidance behavior.


Presentation

  • Depressive symptoms were closely associated with this presentation, suggesting that depression may be an important and integral part of a general, changing neurotic disorder.[ncbi.nlm.nih.gov]
  • The personality characteristics of 77 patients seen in general practice with a Catego diagnosis of anxiety state (including phobic state) or depressive neurosis derived from the Present State Examination were compared with those in 77 normal subjects[ncbi.nlm.nih.gov]
  • The present article will present instruments which make it possible to do justice to both points of view. 1995 S. Karger AG, Basel Article / Publication Details First-Page Preview[karger.com]
  • No physical basis of the symptoms presented remains the basis for the diagnosis.[slideshare.net]
Physician
  • Within the previous year, only a third had made contact with their primary care physician for their mental problem: of these 30% were receiving treatment.[ncbi.nlm.nih.gov]
  • In addition, the patient engages in self-analysis under the supervision of the physician.[regionaalhaigla.ee]
  • Within the previous year, only a third had made contact with their primary care physician for their mental problem: of these 30 % were receiving treatment.[discovery.ucl.ac.uk]
  • Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.[mentalhelp.net]
Nightmare
  • Related Psychology Terms NEUROSIS MOOD DISORDER MALE ERECTILE DISORDER MALE ORGASMIC DISORDER PSYCHIATRIC CLASSIFICATION MENTAL RETARDATION (MR) MOOD DISORDER DUE TO A GENERAL MEDICAL CONDI DSM-IV-TR NIGHTMARE DISORDER PERVASIVE DEVELOPMENTAL DISORDER[psychologydictionary.org]
  • Nightmares. Memory problems. Sexual impotence. How is Anxiety treated? Individual and group psychotherapy are used to bring the unconscious conflict into awareness and/or to develop coping skills.[nmihi.com]
  • The symptoms include nightmares, a diffuse anxiety, and guilt over having survived when others perished. Depersonalization disorder consists of the experiencing of the world or oneself as strange, altered, unreal, or mechanical in quality.[britannica.com]
  • Usually a childhood neurosis assumes the form of general apprehensiveness, nightmares, phobias, tics, mannerisms, or ritualistic practices.[encyclopedia.com]
Tachycardia
  • Autonomic and Visceral Symptoms Palpitations, Tachycardia, Sweating, Flushes, Dyspnea, Hyperventilation, Dry Mouth, Frequency and hesitancy of micturition, Dizziness, Diarrhea, Mydriasis 2. Psychic Symptoms A.[rxpgonline.com]
  • […] classified elsewhere Use additional code to identify the associated physical condition, as: psychogenic: asthma (493.9) dermatitis (692.9) duodenal ulcer (532.0-532.9) eczema (691.8, 692.9) gastric ulcer (531.0-531.9) mucous colitis (564.9) paroxysmal tachycardia[icd9.chrisendres.com]
  • Autonomic signs - tachycardia, sweating or flushing, as well as other anxiety or depressive symptoms. The symptoms usually appear within minutes of the impact of the stressful event, and disappear within several hours, maximally 2—3 days. 35.[slideshare.net]
  • Autonomic signs of panic anxiety (tachycardia, sweating, flushing) are commonly present. The symptoms usually appear within minutes of the impact of the stressful stimulus or event, and disappear within two to three days (often within hours).[apps.who.int]
Onychotillomania
  • Psychopathological characteristics of adjustment disorder among outpatients with and without work related stress. ( 29916595 ) Roma P....Ferracuti S. 2017 21 Nail-extracting behaviour as an unusual manifestation of adjustment disorder, confused with onychotillomania[malacards.org]
Cutaneous Manifestation
  • NE is primarily a psychiatric disorder with cutaneous manifestations. Some degree of picking is a part of normal grooming behavior, and at what point this picking becomes N.E. is unclear.[clinicaladvisor.com]
Neglect
  • Childhood abuse and neglect may effectuate different outcomes in neurotic and psychotic disorder.[ncbi.nlm.nih.gov]
  • However, other aspects important for the description and treatment of patients easily become neglected when concentrating on a system of diagnoses which aim at the classification of patients by groups of disorders.[karger.com]
Delusion
  • Relevance A-Z Length Synonyms for neurotic disorder noun emotional disorder insanity mental disorder personality disorder schizophrenia craziness delusions depression derangement disturbed mind emotional disorder emotional instability loss of mind lunacy[thesaurus.com]
  • They stand apart from other mental health conditions because they don’t usually have outward manifestations like hallucinations or delusions . This can make them harder to diagnose at first, and also easier for people to suffer unnoticed.[wisegeekhealth.com]
  • ., encephalitis) 300.4 Neurotic depression A neurotic disorder characterized by disproportionate depression which has usually recognizably ensued on a distressing experience; it does not include among its features delusions or hallucinations, and there[centralx.com]
  • In paranoid schizophrenia the person has delusions that he or she is being persecuted by "others" (for example, neighbors, the government, being from outer space), often because the person is someone special such as "the messiah" (a delusion of grandiosity[biology.kenyon.edu]
Depersonalization
  • .-) 300.6 Depersonalization syndrome A neurotic disorder with an unpleasant state of disturbed perception in which external objects or parts of one's own body are experienced as changed in their quality, unreal, remote or automatized.[centralx.com]
  • […] to ICD-10-CM 300.29 Other isolated or specific phobias convert 300.29 to ICD-10-CM 300.3 Obsessive-compulsive disorders convert 300.3 to ICD-10-CM 300.4 Dysthymic disorder convert 300.4 to ICD-10-CM 300.5 Neurasthenia convert 300.5 to ICD-10-CM 300.6 Depersonalization[icd9data.com]
  • Perceptual Symptoms Derealization, Depersonalization c. Affective Symptoms Diffuse, unpleasant, vague sense of apprehension, Fearfulness, Inability to relax, irritability, Feeling of impending doom or (When severe) d.[rxpgonline.com]
  • […] psychological factors F45.41 Pain disorder exclusively related to psychological factors F45.42 Pain disorder with related psychological factors F45.8 Other somatoform disorders F45.9 Somatoform disorder, unspecified F48 Other nonpsychotic mental disorders F48.1 Depersonalization-derealization[icd10data.com]
  • Depersonalization disorder consists of the experiencing of the world or oneself as strange, altered, unreal, or mechanical in quality. Treatment Psychiatrists and psychologists treat neuroses in a variety of ways.[britannica.com]
Compulsive Behavior
  • Compulsive behavior manifests itself in many ways. Where one obsessive compulsive person may have a gambling problem or drug addiction, another may constantly check to make sure she turned off the coffee pot or locked the door.[everydayhealth.com]
  • The obsessive compulsive syndrome and compulsive behaviors are the bases of anankastic neurosis. The last type is anxiety neurosis which covers all phobias.[sfnat.org.nz]
  • Patients who pick the skin may have other impulse-driven or compulsive behaviors such as nail-biting, alcohol dependence, trichotillomania, body dysmorphic disorder or an eating disorder.[clinicaladvisor.com]
  • However, you may notice some of the following: [3] [4] Persistent anxiety Persistent sadness or depression Anger, irritability when faced with stressful situations Low sense of self-worth Phobic avoidance of situations Compulsive behaviors Perfectionism[wikihow.com]
Dysphoric Mood
  • An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.[icd10data.com]
  • Depressive Disorder An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.[cmd.cochrane.org]
Self Mutilation
  • mutilation Clinical Information Class of mental disorders milder than psychosis, including hysteria, fugue, obsession, phobia, etc.[icd10data.com]
  • Self-mutilation The act of injuring one's own body to the extent of cutting off or permanently destroying a limb or other essential part of a body.[cmd.cochrane.org]
Sexual Dysfunction
  • Other somatic symptoms are sexual dysfunction, abnormal functioning of certain organs and partial paralysis. Common symptoms of nervous disorders are obsessions (mental and motor) and phobias (e.g. arachnophobia, agoraphobia, claustrophobia).[sfnat.org.nz]
  • A neurosis may also manifest as a sexual dysfunction, slipping into a trance state (dissociative disorder), a generalized anxiety disorder , or as irritability, mental and physical fatigue, sleep disturbances, and a general sense of instability (neurasthenia[nmihi.com]
  • .- ) hair-plucking ( F98.4 ) lalling ( F80.0 ) lisping ( F80.8 ) nail-biting ( F98.8 ) psychological or behavioural factors associated with disorders or diseases classified elsewhere ( F54 ) sexual dysfunction, not caused by organic disorder or disease[apps.who.int]

Workup

  • […] another mental disorder Diagnostic studies that may be considered for ruling out other conditions include the following: Complete blood count (CBC) with differential Chemistry profile Determination of thyrotropin levels Fasting plasma glucose level Cancer workup[emedicine.medscape.com]

Treatment

  • Patients were randomly allocated to drug treatment, cognitive and behaviour therapy, or a self-help treatment programme.[ncbi.nlm.nih.gov]
  • In previously published papers from the Nottingham Study of Neurotic Disorder a short treatment package of cognitive-behaviour therapy was no more effective than placebo drug treatment after 10 weeks' assessment in a cohort of 210 patients with neurotic[ncbi.nlm.nih.gov]
  • The initial DSM diagnosis and original treatment given, together with ten other variables, were of no predictive value.[ncbi.nlm.nih.gov]
  • It is suggested that greater attention be paid to the concurrent treatment of personality disorder and environmental factors rather than symptoms as these may be the real cause of apparent treatment resistance.[ncbi.nlm.nih.gov]
  • Treatment access was affected by employment status, marital status, and age, but the major determinant was symptom severity. Neither sex nor social class influenced which people received treatment.[ncbi.nlm.nih.gov]

Prognosis

  • Analysis of the value of initial data in predicting outcome using polychotomous step-wise logistic regression revealed that five variables were significant predictors of poor prognosis: older age; recurrent episodes; the presence of personality disorder[ncbi.nlm.nih.gov]
  • F45.3 Somatoform Autonomic Dysfunction Therapy and Prognosis Similar chronic relapsing condition as the somatization disorder.[slideshare.net]
  • Both disorders have substantial similarities in clinical characteristics and overlapping risk factors. [1] Prognosis Except in mild transient cases triggered by an immediate stress, the prognosis for cure is poor.[emedicine.medscape.com]

Etiology

  • Dissociation, though understood as a response to trauma, lacks a proven etiology.[ncbi.nlm.nih.gov]
  • […] behavior does not actively violate gross social norms although it may be quite disabling; the disturbance is relatively enduring or recurrent without treatment and is not limited to a mild transitory reaction to stress; there is no demonstrable organic etiology[medical-dictionary.thefreedictionary.com]
  • The diagnosis is usually established on 'Echo' (echocardiography) 1.5 - 2%/ with 3-4% Etiology Is not clearly known. There are many theories of which more than one may be correct. 1.[rxpgonline.com]
  • Etiology of Anxiety Disorders The etiology of anxiety disorders is not exactly known. Genetic factors were found to play a role.[slideshare.net]

Epidemiology

  • Psychiatric Epidemiology: An International Symposium, Hare, E. H. Wing, J. K. (eds.) Oxford University Press, 1970. Google Scholar Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H.[link.springer.com]
  • Livingston Bruce, M, Leaf, P J, Rozal, GPM, Florio, M S, & Hoff, R A. (1994) Psychiatric status and 9-year mortality data in the New Haven Epidemiologic Catchment Area Study. Am.J.Psychiatry, 151, 716-721.[priory.com]
  • Psychosexual dysfunctions, term hysteria has been replaced in ICD-10 by dissociative (conversion) disorders Epidemiology Hysteria (comprising of conversion, dissociation and somatization disorder) 6-15% of OPD 14-20% of all neurotic disorders.[rxpgonline.com]
Sex distribution
Age distribution

Pathophysiology

  • Etiology Pathophysiology Recognized psychosocial stress precedes picking in 30-90% of patients. Stress as a trigger is common in those who have anxiety, depression, impulse-control issues or one of the personality disorders.[clinicaladvisor.com]
  • Mood and anxiety disorders are also common. [1] Pathophysiology and Etiology Neurotic excoriations are due either to an underlying psychopathology or to the formation of habit. Accordingly, their pathophysiology is poorly understood.[emedicine.medscape.com]

Prevention

  • Exposure and response prevention. iv. Relaxation techniques 3. Drug Treatment The drugs used in the treatment of phobia are: i. Benzodiazepines Alprazolam ii.[rxpgonline.com]
  • Published on behalf of the Royal College of Psychiatrists, the journal’s overriding concern is to improve the prevention, investigation, diagnosis, treatment, and care of mental illness, as well as the promotion of mental health globally.[bjp.rcpsych.org]
  • Such intense fears of various situations may be severe enough to prevent individuals from conducting routine activities. Phobias, the most common type of anxiety disorder, involve specific situations which cause irrational anxiety attacks.[questia.com]
  • Treatment and Prevention Dysthymia is treated with a similar approach to that used for depression - with medication and psychotherapy. The most effective treatment is a combination of strategies.[chealth.canoe.com]

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Last updated: 2018-06-22 07:21