MENTAL ILLNESS : ALCOHOLISM - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
There are alcoholism chronic and acute alcohol poisoning.
Alcoholic hallucinosis occurs on the soil of chronic alcoholism.
Chronic alcoholism symptoms:
Frequent companion is the so-called delusions of jealousy drunkards. Headaches, dizziness, hand tremors, sleep disturbances, polyneuritis phenomena. From somatic disorders - Qatar gastrointestinal tract, liver and kidneys.
For long, depends on the psycho-somatic body resistance, the number and concentration of alcohol, from attempts at abstinence.
Alcoholic hallucinosis symptoms. The abundance of auditory hallucinations, often threatening and insulting. Crazy ideas that are appropriate for the content of these hallucinations; for the most part the ideas of persecution, delusions of jealousy. The emotion of fear. Often blended with characteristic touches of humor. Clear consciousness.
A period of from several days to several months. Immediate danger to life is not.
Alcoholic hallucinosis recognition. From delirium tremens is clarity of consciousness, the prevalence of auditory hallucinations, systematized delusions hallucinatory origin and preservation of memory.
Treatment is primarily due to the complete separation of the alcohol. Treatment should be started on an outpatient basis, in case of failure in a special hospital. Appropriate psychotherapeutic conversations, in some cases hypnosis. It is recommended that collective hypnosis, and more efficient (due to mutual induction), and saves the time of the doctor. Great importance is occupational therapy. Along with bracing means, hydrotherapy (wash and rubbing cold water). Abundant food, vegetable and milk diet.
A big step forward was the use of the method of conditioned reflexes I. P. Pavlova: a combination of emetics (apomorphine and other) with giving alcohol. With symptoms of abstinence (anxiety, fear, shaking, insomnia, along with bed mode, to prescribe barbiturates (0.25 to 0.5 medinal, 0.1 - 0.2 luminal or Barbara, 0.5 to 1.0 veronal) or chloral hydrate.
Treatment in severe cases mainly comes down to care. In the first days of the disease - bed mode. Requires strict supervision, due to the excitement, the desire to commit suicide. Contact with the patient to establish a successful, but brad is not correctable.
Physiotherapeutic measures: the electric field of ultrahigh frequency per head athermal doses, diathermy head (bitemporal), a warm bath in the evening. In chronic cases, along with medical interventions, psychotherapy.