I was slandered for help. I am in a bad mood. I'm sweating all over. What should I do if my heart hurts and my head hurts? 16 year old girl.

Neurasthenia literally translates as "neurasthenia". The name neurasthenia was first put forward by Gerhard Beard of America. He believes that neurasthenia is a functional disease different from organic diseases of nervous system, and most patients have neurotic characteristics. At present, it is believed that neurasthenia refers to the fact that some existing mental factors cause excessive stress in brain functional activities, which leads to the weakening of mental activity ability. Its main clinical characteristics are easy to get excited and fatigue. Often accompanied by a variety of physical discomfort and sleep disorders, many patients have some susceptible qualities or bad personalities before they get sick.

Among students, due to the pressure of study and abnormal daily life, neurasthenia symptoms will also occur. Need to improve sleep and pay attention to nursed back to health.

At present, most scholars believe that mental factors are the main cause of neurasthenia. Any factor that can cause persistent tension and inner contradiction makes the process of nerve activity in a strong and lasting state of tension, which exceeds the tolerance limit of nervous system tension, and neurasthenia can occur. If you are too tired to have a rest, it means that you are too nervous in the process of excitement; Dissatisfaction with the status quo is excessive tension in the process of repression; Changing the living environment often in the case of inadaptability is an excessive strain on flexibility.

If people encounter some unexpected accidents, or are wrongly accused or slandered, and suddenly encounter some thorny problems, facing some sudden and other powerful ones will undoubtedly cause emotional distress, anxiety and unbearable mental burden. These ideological tensions and contradictions will lead to the nervous breakdown of higher nervous activities. Clinically, it is often not immediately after severe mental trauma, but after a period of time, the environmental conditions improve and the trauma has long since become a thing of the past. This is because in the case of severe mental trauma, the nervous system mobilized all internal forces to deal with this situation and control this reaction. When the "dangerous" and "terrible" situations have passed, the neural response is out of the normal control of the cerebral cortex and neurasthenia occurs.

Among normal people, many people have been hit by accidents, but people do not generally suffer from neurasthenia. Therefore, mental factors are not the only factors that lead to neurasthenia, because whether these factors can cause strong and lasting emotional experience and then lead to illness is largely related to individual qualities, including genetic factors, psychological and physiological characteristics of acquired personality, and attitude towards things dominated by world outlook. The personality of most neurasthenia patients seen in clinic has the following characteristics: timidity, inferiority, sensitivity, suspicion, dependence and lack of self-confidence; Or tend to be subjective, willful, impatient, aggressive and cowardly. A person with obvious susceptibility quality can also induce neurasthenia, even if it is a mental factor that others can encounter from the outside.

Excessive fatigue or malnutrition after infection, poisoning, brain injury or other physical diseases, childbirth, massive blood loss, etc. They all weaken the function of the nervous system and provide favorable conditions for the occurrence and development of some neurasthenia.

Anyone may have several symptoms in life, such as headache, dizziness, insomnia, dreaminess, fatigue and weakness, due to busy work, nervous thoughts, cold and fever or other reasons, but most people are not worried. Others pay too much attention to their health, and when they encounter the above symptoms, they will remind themselves of neurasthenia. Another example is nocturnal emission, which is a common phenomenon of young men and a normal physiological phenomenon. However, some people mistakenly believe that nocturnal emission will cause "kidney deficiency" and lead to physical weakness. Some young people occasionally have nocturnal emission and are very nervous mentally. After marriage, they may be too nervous, and there will be impotence and premature ejaculation, which will make them think that they are suffering from "sexual neurasthenia." This situation is the result of self-suggestion.

As can be seen from the above, mental trauma and susceptibility are the decisive factors of neurasthenia; Sometimes suggestion and self-suggestion also play a role; As for physical diseases, it is an additional factor or inducement of the disease.

Since the formation of neurasthenia is caused by complex factors, everyone or patients should find out the main causes of the disease and actively correct or solve the main and basic causes in light of their own specific conditions, so as to get twice the result with half the effort.

There are many symptoms of neurasthenia, involving almost all organs and systems of the human body. Mainly has the following clinical manifestations:

(1) Mental fatigue: This kind of patients feel mentally deficient and are prone to fatigue. I felt bad after getting up in the morning and was forced to work. I feel much better at night and my mind is clearer. I usually feel tired after doing a little mental or physical work. Consciously inattention, memory decline. In particular, people's names, place names and people are more difficult to remember, but they remember clearly the development of their own diseases and the people they have diagnosed.

(2) Nervousness: A little outside will cause patients' irritability and anxiety. They are afraid of noise, light and smell. Emotional instability, easy to lose his temper, excited when encountering small things, but soon exhausted.

(3) Head discomfort: it is one of the most common symptoms of neurasthenia, and more than 80% of patients have the above symptoms. Consciously, the mind is not refreshing, top-heavy, dizzy, and the head is tight. My headache gets worse at work, mental work, meetings, reading, and when I encounter some difficulties, nervousness and anxiety, but I can still stick to the necessary work and will not be unbearable.

(4) Sleep disorder: Insomnia is more common, which makes patients feel painful and anxious. They will be afraid and nervous when they sleep in bed, fearing that they will not sleep well. As a result, the more they think about it, the less they can sleep. Every time in the dead of night, patients lie in bed thinking and anxious, and this cycle forms a vicious circle. Difficulty in falling asleep is just a manifestation of insomnia. Common ones are dreaminess, easy waking, early waking and sleepless nights. Some patients reported that they didn't sleep all night, but the people in their room heard him snore like thunder and rang all night. This may be due to the patient's dreaminess and conscious insomnia, which leads to mental insomnia.

(5) Self-doubt: the symptoms of neurasthenia are manifested in various systems, and some are flustered and heartbroken, indicating that they have a heart disease; Some faces are red and fever is considered to be suffering from tuberculosis; Stomach discomfort and unwillingness to eat are considered to be suffering from stomach disease or gastric cancer; Symptoms of urinary system and reproductive system include increased urination, partial nocturnal emission, premature ejaculation and irregular menstruation in female patients.

The essence of neurasthenia is a functional disease, so it can be cured. Some people think that people suffering from neurasthenia must rest and recuperate. It was effective at first admission, but after staying, all the symptoms appeared again, and I still felt weak limbs, headache and insomnia. In the process of recuperation, some people are afraid to read books and newspapers to protect their brains. In fact, their brains will gradually be abandoned when they are not in use. Not only can they not be mentally healthy because of recuperation, but their working ability will gradually decline. The treatment of neurasthenia should be mainly psychotherapy, supplemented by medicine and physical therapy.

Psychotherapy is to collect detailed medical history first, and then take the following measures by talking with patients according to the specific situation:

(1) make patients realize that the cause of neurasthenia is mental trauma, and bad personality is the basis of the disease. It is best to understand the reasons patiently and carefully. If you can solve the problem, if you can't, improve your cognitive ability and treat it correctly. In particular, it is necessary to transform bad personality and firmly believe that neurasthenia can be completely cured.

(2) Free patients from the process of being attracted by symptoms, establish an optimistic spirit, and eliminate any nervousness and ideological concerns.

(3) Arrange work, study and life reasonably, pay attention to the combination of work and rest, combine mental work with manual work, adhere to physical exercise, participate in recreational activities appropriately, and pay attention to both passive rest (sleep, quiet rest, etc.). ) and active rest (cultural and sports activities, etc. ) consolidate the curative effect and prevent recurrence.

Can neurasthenia become psychosis?

Neurasthenia does not turn into psychosis. Clinical practice, a large number of medical records, and careful comparative studies of generations have not found the basis and signs of neurasthenia becoming mental illness.

Neurasthenia belongs to mild psychosis, and psychosis belongs to severe psychosis. Their etiology, clinical manifestations, prognosis and outcome are different. The unchangeable truth is that both trees and weeds are plants, but no matter how short a tree is, it is still a tree, which is essentially different from grass, and no matter how tall a weed is, it can't be a tree. Patients with neurasthenia will not become mentally ill because of serious symptoms.

There are also a few patients who were originally diagnosed with neurasthenia and were diagnosed with psychosis after a long period of time, but this is by no means the evolution of the disease itself, but a mistake in diagnosis. Some mental patients will have symptoms similar to neurasthenia at the initial stage of onset, such as headache, dizziness, fatigue, insomnia and hypochondriasis. Later, the symptoms of mental illness will gradually become obvious, showing that they are not anxious about their own diseases, do not take the initiative to seek medical treatment, and even if they seek medical treatment, they are not vivid. After careful examination, it is found that their emotional reaction is declining, and they are indifferent to their relatives and work, and some even have strange words and behaviors.

Because neurasthenia has many discomforts, they care too much about their health and are afraid of mental illness and other psychological problems. A few years later, they really suffered from mental illness, which cannot be considered as the basis for neurasthenia to become mental illness.

What is neurasthenia?

Many people may have heard of the name neurasthenia. Some people say that poor sleep is caused by neurasthenia; Some people suspect that they are weak because of poor memory; Some people think they lack energy and suffer from neurasthenia. Opinions vary, which makes people specious. But what exactly is neurasthenia?

/kloc-at the end of 0/9, due to Watt's invention of the steam engine, western countries were rapidly industrialized and their material life was improved. At the same time, the pace of people's work and life has obviously accelerated. All kinds of competition are more intense, and people generally feel more pressure to survive. At that time, there was a fashionable disease among middle-and upper-level white-collar workers, especially mental workers, with clinical manifestations such as insomnia, blushing and top-heaviness. The name neurasthenia was first put forward in. In the following period of time, neurasthenia became the most popular diagnostic term in society at that time, and some people even showed off their noble status by suffering from neurasthenia.

In the past hundred years, with the gradual deepening of the understanding of neurasthenia, the spiritual understanding of neurasthenia in European and American countries has changed. In their view, the name of the disease in the past included a wide range, and many of them were misdiagnosed as neurasthenia, which did not belong to neurasthenia. With the separation of various special syndromes, such as anxiety and hypochondriac neurosis, the concept of this disease has rapidly shrunk or even disappeared.

After investigation and study, psychiatrists in China believe that neurasthenia is a neurotic disorder, which is mainly manifested in mental excitement and mental fatigue, emotional distress and difficulty in falling asleep. Some patients also show headache, dizziness, dizziness, tinnitus, palpitation, shortness of breath, impotence, premature ejaculation or menstrual disorder.

Neurasthenia is a mild mental illness and a kind of neurosis. In 2006, the editorial board of China Neuropsychiatry rewritten the definition of neurosis in the Diagnostic Criteria for Clinical Work of Neurosis. "Neurosis refers to a group of mental disorders that are plagued by various physical or mental discomforts, strong inner conflicts or unpleasant emotional experiences. Its pathological examination often persists or recurs, but it lacks any identifiable organic basis; The patient tried to get rid of it, but there was nothing he could do. " Neurasthenia also conforms to the above characteristics. Patients have no organic pathological changes, and often have involuntary symptoms such as insomnia, lack of brain power, and large emotional fluctuations. However, neurasthenia patients do not have serious behavioral disorders, which is different from serious mental diseases such as psychosis.

Generally speaking, neurasthenia patients often have persistent emotional tension and mental stress before onset. For example, students are worried about not doing well in the exam, the relationship between husband and wife, mother-in-law and daughter-in-law, and the drastic changes in personal living environment and life rules may all induce neurasthenia.

A psychiatric survey was conducted in China 12 districts in. It was found that the prevalence rate of neurasthenia among residents aged 15 ~ 59 was 13.03%, accounting for 58.7% of all neurosis cases, which is the most common neurosis in China at present.

Due to mental overload, inattention to the combination of work and rest, and mental fatigue, neurasthenia will occur. This disease is more common in mental workers. The main symptoms are mental and physical fatigue, decreased work and study efficiency, and often accompanied by insomnia, inattention, annoyance and dizziness.

The word neurasthenia was coined by American psychiatry. He combined two Greek roots "nerve" (nerve) and "vulnerability" (weakness) to form a new word; It is considered that this is a functional disorder of the nervous system and there is no verifiable lesion. Under the name of this disease, he listed dozens of symptoms, such as insomnia, blushing, drowsiness, dilated pupils, and heavy head pressure. , including anxiety, depression, illness, hypochondriac neurosis, obsessive-compulsive disorder, phobia, psychosomatic diseases and some physical diseases.

He regards neurasthenia as a civilized disease caused by the rapid industrialization of American society, and thinks that this disease is mainly seen in middle and upper-class white-collar workers. Thirty or forty years later, this name became the most popular diagnostic term in society at that time, and some people even showed off their noble status by suffering from neurasthenia.

Later Freud classified neurasthenia as a real neurosis. In 1930s, the American Psychiatric Association classified this disease as a kind of neurosis. CCMD-2 () in China regards this disease as a type of neurosis. D-III () canceled the name of diagnosis of neurasthenia. ICD-L0(F48) classifies this disease as other neuroqualitative diseases.

In the past century, the concept of neurasthenia has undergone a series of changes. In the United States and western Europe, the diagnosis of this disease turned from prosperity to decline and eventually disappeared. In East Asia, this disease is still relatively common, and the main reason is not only the influence of social and cultural factors on the prevalence rate, but also the change in the understanding of neurasthenia.

In the past, the name of this disease was too broad. Since then, with the separation of various special syndromes, the concept of this disease has shrunk rapidly. Due to the lack of specificity of neurasthenia symptoms, almost all of them can be found in other neurosis, such as anxiety, depressive neurosis, hypochondriac neurosis, somatization disorder and so on. This makes the diagnosis of this disease more difficult. On the basis of clinical practice, psychiatrists in China have formulated clear diagnostic criteria for neurosis to standardize the clinical diagnosis of neurasthenia. The survey results show that this disease is still the most common neurosis. The epidemiological survey of mental illness in China 12 shows that the prevalence rate of neurasthenia among residents aged 15-59 is 13.03‰, accounting for 58.7% of all neurosis cases, ranking first among all neurosis cases. According to the investigation in Tianjin, the prevalence rate of this disease is 9. 1‰, accounting for 68.0% of all neurosis cases. The prevalence rate of women (15.78‰) was significantly higher than that of men (2.30‰). The onset age is mostly in young adults, especially 15-29 years old.

In foreign countries, there is a lack of epidemiological data of the disease. From the etiology and pathogenesis, neurasthenia is considered to be a holistic disease caused by many factors such as quality, body, psychology, society and environment. Infection, poisoning, malnutrition and endocrine disorders may all be the causes of neurasthenia.

Others think that the disease is caused entirely by psychological factors. Excessive tension, especially unpleasant emotions caused by excessive tension, is the cause of neurasthenia. Others think that neurasthenia is a state of fatigue, which is caused by too many psychological conflicts.

Psychologists believe that neurasthenia is caused by the frustration of sexual instinct, the inhibition of aggression, the need to resist unconscious dependence, the strengthening of inhibition, and other unresolved conflicts in infancy.

At the end of 1950s and the beginning of 1960s, China conducted a lot of investigation and study on the etiology of neurasthenia, and considered that the nervous system function was overstretched as one of the main causes. The survey data of neurasthenia in different occupations show that the incidence of mental workers is the highest. More than half of the patients reported work or study, mainly mental activities, and excessive stress. Not only the mental activity time is too long, but also the work task is too heavy: it is very difficult to study or work, and the requirements are particularly strict. Attention requires highly concentrated mental work, which is more likely to cause excessive tension and fatigue.

Secondly, the negative emotional experience caused by psychological conflict and trauma is another common cause of this disease. The maladjustment between study and work, family disputes, improper handling of marriage and love issues, and tense interpersonal relationships have mostly caused patients' inner conflicts and become the source of pain. For example, the sudden death of a loved one, major changes in the family, and frustration in life. It can also cause negative emotional experiences such as sadness and pain, leading to neurasthenia.

Thirdly, the hectic life, the destruction of work and rest rules and sleep habits, and lack of rest make it impossible to recover from tension and fatigue, which also provides conditions for neurasthenia.

In addition, infection, poisoning, brain trauma and chronic somatic diseases have adverse effects on the function of the nervous system and can also be induced factors of neurasthenia.

Pavlov believes that people's higher nervous activity type belongs to weak type and intermediate type, which is prone to neurasthenia. This kind of individual is often withdrawn, timid, sensitive, suspicious, impatient or easily nervous when something happens. However, people without personality defects will also get sick under strong and lasting mental factors.

Pavlov school believes that the main pathophysiological basis of this disease is the weakening of cerebral cortex inhibition process. When the internal inhibition process is weakened, the excitability of nerve cells is relatively increased, which can produce a strong and rapid response to the outside world, thus consuming a lot of energy of nerve cells. Clinically, such patients are often prone to excitement and fatigue. On the other hand, the function of the cerebral cortex is weakened, and its function of regulating the subcortical autonomic nervous system is also weakened, resulting in various symptoms of autonomic hyperactivity. Clinical manifestations: Patients with this disease often have a variety of mental and physical symptoms at the same time, which can be roughly summarized into the following categories.

First, the symptoms of weakness

This is a common basic symptom of this disease. Patients often feel lack of energy, listlessness, inability to use their brains, or mental retardation, physical weakness, drowsiness and lethargy, especially after working for a long time, that is, they feel unable to concentrate, have difficulty thinking, and their work efficiency is obviously reduced. Even adequate rest is not enough to restore their fatigue.

Many patients complain that they are careless, often make mistakes and can't remember what they have just experienced.

Second, the symptoms of excitement

Patients are easily excited when reading books, newspapers or watching TV, and their involuntary memories and associations increase. Patients struggle with directional thinking, while thinking without direction is very active and uncontrollable; This phenomenon is particularly obvious before going to bed, which makes patients feel deeply distressed. Some patients are also sensitive to sound and light.

Third, emotional symptoms

Mainly manifested as easy to worry, easy to anger. The content of troubles often involves various contradictions in real life, which is difficult to solve. On the other hand, the strength is weakened, and it is easy to get excited when things happen: or irritable, angry with family members, and regret afterwards; Or easy to cry. About14 patients have anxiety, doubt, worry and nervousness about their diseases; For example, patients may suspect that they have heart disease because of palpitation and rapid pulse, or worry about stomach cancer because of abdominal distension and anorexia, or think that they have an incurable disease because of ineffective treatment. This hypochondriac psychology will aggravate patients' anxiety and nervous complex, forming a vicious circle. In addition, about 40% patients have short-term mild depression during the course of the disease, and they may blame themselves, but generally have no suicidal thoughts or attempts. Some patients will have resentment and blame others for the disease.

Fourth, tension and pain.

Often caused by tension, tension headache is the most common. Patients feel heavy, bloated, tight or stiff neck; Others complain of back pain or muscle pain in their limbs.

Verb (abbreviation for verb) sleep disorder

The most common are difficulty in falling asleep and difficulty in sleeping, which makes it more difficult to fall asleep. Secondly, I complain that I dream too much, I wake up easily, or I feel that my sleep is very shallow, as if I didn't fall asleep all night. Some patients feel tired and still sleepy after waking up; Or feel sleepy during the day, feel excited when going to bed, and find it difficult to fall asleep, which is manifested as a disorder of sleep rhythm. Although some patients have fallen asleep and snored loudly, they firmly deny that they have slept after waking up and lack real sleep. Such patients' worries and worries about insomnia often exceed the pain caused by sleep disorder itself; It reflects the patient's anxiety.

Six, his psychological and physical obstacles

The common symptoms are dizziness, dizziness, tinnitus, palpitation, palpitation, shortness of breath, chest tightness, abdominal distension, dyspepsia, frequent urination, hyperhidrosis, impotence, premature ejaculation or menstrual disorder. Although these symptoms lack specificity, they are also common in anxiety, depression or somatization disorder, but they can become the chief complaint of patients seeking treatment and cover up the basic symptoms of neurasthenia. The onset form, course of disease and prognosis are mostly slow, which can be traced back to the stress factors that lead to mental tension and fatigue. Occasional insomnia or headache, no obvious external reasons can be found. The course of the disease lasts, sometimes light and sometimes heavy. If proper treatment is given in time, most cases can be relieved within six months to two years. Chronic cases with a course of more than two years, or those with personality disorder, have a poor prognosis. Diagnosis and differential diagnosis of this disease patients have obvious symptoms of weakness or persistent fatigue, but no physical disease or brain organic disease can explain the causes of such symptoms; Plus any two of the four symptoms of the disease, such as excitability and fatigue (excitability weakness), emotional symptoms, tension pain and sleep disorder; It has a bad influence on study, work and social interaction; The course of disease is more than 3 months; If other neurosis and psychosis are excluded, neurasthenia can be diagnosed.

Diseases that need to be differentiated from neurasthenia are:

I. Brain organic and somatic diseases

Neurasthenia symptoms are common in various brain organic diseases, such as cerebral arteriosclerosis, intracranial space-occupying lesions, intracranial infection, acute and chronic industrial poisoning after craniocerebral injury, and various chronic somatic diseases, such as tuberculosis, ulcer, chronic hepatitis, sinusitis, thyroid and adrenal diseases. If neurasthenia symptoms appear after the above diseases, they should be diagnosed as corresponding brain or body diseases.

Second, serious mental illness.

The symptoms of neurasthenia can be seen in the early stage, course and remission stage of severe psychosis such as psychosis and depression. Such patients often do not take the initiative to care about their own health, do not take the initiative to ask for treatment, and have corresponding psychotic symptoms, which can be used for identification.

Third, other neurosis.

Neurasthenia symptoms are also common in anxiety and depressive neurosis. Neuroses, such as somatization disorder and hypochondriac neurosis. If the patient has typical symptoms of this kind of disease, according to the principle of graded diagnosis, neurasthenia is no longer diagnosed, but various corresponding neurosis are diagnosed.

Fourthly, fatigue reaction.

After mental or physical overwork, normal people often have fatigue reactions, such as headache, dizziness, lethargy, listlessness, inattention, insomnia or irritability. However, these symptoms last for a short time, and after the factors causing fatigue are eliminated, they can quickly return to normal after adequate rest; Generally, it will not bring too much trouble or unpleasant emotional experience to patients. If the workload has been reduced, the above symptoms still exist after proper rest, or the symptoms are mild and severe and last for more than 3 months, it should be diagnosed as neurasthenia. In epidemiological investigation, in addition to meeting the criteria of symptoms and severity, the course of disease must last for more than 2 months, which is very important for excluding other diseases.

Verb (abbreviation for verb) chronic fatigue syndrome

This is the name recommended by the US Centers for Disease Control for a chronic fatigue syndrome with unknown etiology. Diagnostic criteria for this syndrome are as follows:

Main criteria: ① Recent severe debilitating fatigue lasting at least 6 months; ② No internal medicine or mental illness causing fatigue was found.

Secondary criteria: including generalized headache, myalgia, joint pain, fever, sore throat, lymph node pain, muscle weakness, persistent fatigue after exercise, neuropsychological symptoms (such as irritability, forgetfulness, inattention, difficulty in thinking, depression, etc.). ), sleep disorders, sudden fatigue, etc. (At least 8 symptoms are required)

Objective criteria: including low fever (37.6℃-38.0℃ on the oral surface or 37.9℃-38.8℃ on the anal surface), no exudative pharyngitis, swollen lymph nodes in front of neck or armpit and tenderness.

This disease is suspected to be Epstein-Barr virus infection or immune abnormality, which is different from neurasthenia because of its objective signs such as low fever, sore throat and enlarged lymph nodes.

neurosism

Etiology:

The activity of human central nervous system plays a leading role in various activities of the body. However, the nerve cells in the cerebral cortex have high tolerance and are not easy to cause neurasthenia or failure under normal circumstances. After intense mental work, although fatigue occurs, it can be recovered after a short rest or sleep. However, nervous activity under high tension may lead to neurasthenia once it exceeds the tolerance limit.

Pathogenesis:

Neurasthenia is mainly due to various reasons leading to the weakening of the inhibition process in the cerebral cortex. Because the internal inhibition process occurs in the late stage of human race development and individual development, it is relatively fragile. When higher nervous activity is excessively nervous or even unbalanced or accompanied by other harmful factors (such as; Other diseases of the body), it is not only easy to be damaged, but also often the first to be damaged, which is manifested in the relative excitement of the excitement process, that is, the early stage of neurasthenia. At this point, the patient's ability is reduced, and some emotions and emotional reactions that can be controlled at ordinary times will be out of control, such as; Irritable and unstable. Excitatory release increases the energy consumption of nerve cells, and makes higher nervous activity's excitation inhibition disorder. In addition, due to the weakening of the internal inhibition process, the recovery ability of nerve cells is reduced, which leads to the decrease of energy and the increase of nerve cell exhaustion. So in clinic, patients are easily excited, and people who fail are also quick.

Symptomatic physical illness

1. Excited and irritable. 2. Mental fatigue is easy. If you read and study for a long time, you will feel bloated and dizzy. Lack of concentration. 3. Headache and loose posture. 4. Sleep disorders are mostly difficult to fall asleep, wake up early, or it is difficult to fall asleep after waking up, and there are many nightmares. 5. Vegetative nerve dysfunction, including tachycardia, sweating, anorexia, constipation, diarrhea, menstrual disorder and premature ejaculation. 6. The concept of secondary hypochondriasis.

Diagnostic basis

1. There are social and psychological factors that lead to excessive stress in brain functional activities. 2. Having impressionable quality or personality characteristics. 3. The clinical symptoms are excitability, mental fatigue, headache, sleep disorder and secondary anxiety. 4. The course of the disease is at least 3 months, showing repeated fluctuations or delays. Every fluctuation of the illness is related to mental factors. 5. Comprehensive physical examination, including neuropsychiatric examination or other necessary examinations, can really exclude other physical diseases or early mental diseases.

Principles of treatment

1. Psychotherapy is the main method. 2. Assisted by medication. 3. supplemented by physical or other therapies.

Curative effect evaluation

1. Close to recovery: the mental and physical symptoms disappeared and the consciousness was good; Can restore the ability of work and life before illness. 2. Improvement: Mental symptoms and physical symptoms basically disappeared; Can engage in mental and physical activities. 3. Not healed: Mental symptoms and physical symptoms are basically unchanged.

Expert tips

Neurasthenia is often overdiagnosed, so neurasthenia is everywhere, but it is actually rare. When some patients suffer from neurasthenia for a long time, it is necessary to consider whether it is possible to misdiagnose anxiety neurosis and depressive neurosis as neurasthenia. Because, like anxiety neurosis and depressive neurosis, neurasthenia also has some symptoms, such as insomnia, fatigue, dreaminess, memory loss, inattention and lack of energy. Neurasthenia is generally treated by integrated traditional Chinese and western medicine, which is mainly composed of sedation and supportive psychotherapy. It is the most important factor for patients to get enough rest during the treatment.

Neurasthenia does not lead to mental illness. February 16, 1 1:34:29.

Neurasthenia is mainly manifested as the symptoms of brain weakness. Patients often feel lack of energy, poor brain use, or lethargy, especially when studying or working for a long time, that is, they feel unable to concentrate, have difficulty thinking, and their study or work efficiency is obviously reduced, and their memory is also obviously reduced. At the same time, it may be accompanied by symptoms such as tension headache, insomnia and easy temper.

Neurasthenia mostly occurs among intellectuals, college students and middle school students. Treatment is not difficult, as long as we pay attention to the rest of the brain, avoid using the brain for a long time, and properly apply some symptomatic drugs, it is not difficult to cure. But in clinic, there are often some patients who may not be cured for many years, even lose confidence in treating diseases, and some even fear that they will become mentally ill.

Mental illness, as we usually say, mainly refers to patients' obvious abnormalities in cognition, emotion, will and behavior under the control of the disease, so that they can't correctly reflect the objective reality, can't work and study normally, or have behaviors that endanger themselves and the social collective. Such patients have no self-knowledge, do not admit that they are sick, and are forced to see a doctor. The etiology and pathological changes are not clear at present, so the therapeutic effect is not ideal. This is a very different disease from neurasthenia, so people with neurasthenia need not worry about causing mental illness.

However, in some patients with mental illness, due to the slow onset, there are clinical symptoms similar to neurasthenia in the early stage. After several years of course evolution, typical symptoms of mental illness gradually appear. Such patients may also be diagnosed as neurasthenia when they seek medical treatment in the early stage, and then they will be diagnosed as mental illness after they have psychotic symptoms. Therefore, although this patient has had symptoms of neurasthenia, it cannot be said that he is a mental illness caused by neurasthenia.

Because neurasthenia is a kind of neurosis, although it will not lead to psychosis, serious patients may develop into other types of neurosis if they are not actively treated, such as obsessive-compulsive neurosis, panic neurosis, anxiety neurosis, depressive neurosis and so on. Although these diseases are not mental diseases, they may also affect people's social functions, and in severe cases, they have to be hospitalized.