Emotionally compulsive disorder. Ways of likuvannya env. Obsessive-compulsive disorder: methods of healing

According to the statisticians of the All-World Organization for the Protection of Health, in the last decade, the number of people who suffer on the DKR has been steadily growing. Obsessive-compulsive disorder, although it appears even more often, for most people who are far from psychiatry and medicine in general, is a mystery. Some of them cause ailment with disorders in mental activity, others change in mental illness, which can lead to nervous ailments.

Similar lack of information is most often the reason why people start sickness, do not turn to doctors and do not take their own glee. It is necessary for that mother to be aware of the illness, even if someone close to you knows as a whole can suffer.

What is it?

OCD (obsessive-compulsive disorder) is a neurosis, which is characterized by the appearance of that progressive development of obsessive thoughts, images, ideas. Clearly, illness can be uninterruptedly brought to the psyche of a person, to the processes that go into the brain. In other words, it is brought to the point of mental breakdowns.

The name of the pathology resembles two Latin words:

• obsessio - obsession with a thought, taxation, overkill;
• compulsio - primus.

Previously, the latest description of the clinical picture of this neurosis was given by Felix Plater, a Swiss physician, historian and writer. It happened in the XVII century. Todi was not seen in the okrema, the independent pathology of OCD. The symptoms of this illness were considered a part of the clinical picture, characteristic of melancholia.

In the 19th century, the term “neurosis” appeared, which meant a number of different people for their essence and nature of pathology. OCD tezh began to lead to neuroses, before them yoga can be protected and donin.

Pathology is a closed cycle, which has obsessive thoughts, ideas, images, the titles of obsessions, and zahisnі protidії їm, the titles of compulsions.

How serious is it?

Obsessive-compulsive disorder - what is it in simple words? Phobia? Mania? Obsession? Approximately so people mourn, far away in psychiatry, as if trying to comprehend, what is the disease and how serious it is.

In fact, this disease is known for the stick of phobias, mania and obsession. Obviously, this mental discord is even a serious pathology, it is impossible to get involved with some kind of independence, without the participation of that help from the side of fahivtsiv.

In the lower countries, people with an obsessive-compulsive disorder are insured to the non-practical category of the bulk and receive social assistance, a pension beyond the camp of health. Zrozumіlo, the disease is rejoiced and the diagnosis of "OCD" is not a big one but a "stigma".

What characterizes the pathology? Description of the main manifestations of the disease

Obsessive-compulsive disorder of psychotherapy leads to the most severe special pathologies. Tse means that you show neurosis and are the same in different people. Ale, in the face of a variety of private, individual symptoms, there are signs of illness in general.

The main symptom of rice pathology is distrust, which is approaching absolute. Tobto ailments in the mustache, it’s easy to scatter the subtext, the attachments are hidden, the signs are hidden. Invite the one who suffers from such a discord, feel the weight of tension. A friend of rice, which is characteristic of people who are ill, is integrity. Stink may never talk about those who think right.

The obsessive-compulsive discord, which exalts such difficulty of skritnistyu and distrustfulness, does not interfere with the obviousness of these special features in a hypertrophied look. For the sick, so do the authorities:

• navmisne-calm dominance, so that hysterical people do not publicly rule and do not enter into battles, they show their strength over importantly;
• zvichka to the extreme at resolutions, living in, ways of thinking, vchinkah;
• maximum rіshuchіst, inspire fanaticism for whatever it is;
• the presence of stereotypes, templates, intrusive ideas and thoughts, images, bazhan, what a burden a person will require to leave.

A change of blatant, characteristic for ailments, is a sign of the sad "psychological portraits" of maniacs-intellectuals from foreign films. In connection with this, the obvious similarity is blamed on the reasons for the appearance and development of obsessive-compulsive disorder, the joy of yoga to bring results and unsafe ailments for the sick. Aje skin maniac, who appears on the movie screen, may have a history of fearful psychological trauma and shock, and therapy for movie characters does not help, moreover, they themselves often work on the medical field.

Fortunately, the similarity between the heroes of the films and the right people, who suffer from the DKR, ends up in the name of the memorable, specific rice of the behavior.

Why blame the disease? How does it develop?

This mental disorder develops even more correctly. The period, for which there are no common signs of pathology, remembered by lonely people, can last for about ten years. At the right time, a person, as a rule, is more aware of the irrational nature of thoughts and images that appear at the witness, or rather, they come to other people. For the presence of glee, the sickness progresses and the person loses control over his mind. At this moment, visions in one's psyche become obvious, and they are noticed not only by close people, but also by far.

What is obsessive-compulsive disorder? The reasons for the birth and development of this pathology are definitely not known to psychiatrists. Tse means that the doctors of the dosi could not show unbreakable mutual relations between the ailments and the conditions of life, the transferred ailments, the type of special people who suffer on the DKR. Among the possible reasons, physicians name the recessionary weakness, various disorders in the functionality of the nervous system, pathology of the internal organs, especially the way of life and the mental development of the person.

What is the blame for this development of pathology?

Officials, as if they were guilty of this discord, it was accepted to divide into two groups:

• biological;
• social and psychological.

Before biological factors, the following should be taken into account:

• traumatic brain injury;
• specific disease, such as encephalitis, meningitis;
• pathology of the nervous system;
• disruption of hormonal balance;
• zboї in the processes of metabolism.

To social and psychological factors lie:

• think, in which the child grew up and wobbled, in which his moral and ethical standards are attached;
• the way of life of a person, її social status and income growth;
• manifestation of stress, severe emotional shocks;
• social activity, stages of adaptation in the patient;
• navkolyshnya diysnist, specific mind, realities.

Psychiatrists vvazhayut, scho through spefichnі mind, in some way a person experiences, obsessive-compulsive disorder can develop. An army, a camp, a summer tabir, a hospital, a nursery for children as a whole can become the very same clerk, which launches the mechanism for the development of mental illness.

As for the social status of that equal income, it is no secret to anyone that the most successful people most often become patients of psychotherapists.

As far as the birth of children is concerned, the factors that can lead to the appearance of DKR, are:

• Puritanism;
• hypocrisy;
• transcendent severity;
• maniacal pretentiousness to be-any traditions and pіdvalin;
• vіdmova vіd usogo new abo superchit the accepted way of life.

People who can be folded when in contact with others, like them, who have experienced a serious emotional shock, need to be especially respectful to themselves. Postiyny stress also provokes the development of DKR. As a rule, people who have the first signs of illness show signs of depression and try to overcome it. Zrozumіlo, scho stink less pogirshuyat power camp.

What do sick people think about? The main obsessive ideas, fears, images and thoughts during the DKR

Be obtrusive, without a doubt, with your skin people, your special features are unique. For those who have ailments of the OCD, the authoritative chant is directly related, the subjects, who have progressed mental pathology.

People have impassable fears that they infuse into their behavior, spriynyattya navkolishnogo light that intercourse with others. Most sickness to be afraid of:

• infected with an infection, an unknown scientific disease;
• zabrudnennya drive, repeat, food products, yourself;
• zapodіyannya pain, physical shkodi like sobі, i іnhim;
• spend the necessary items like the impossibility of their pridbati.

The most typical fear in DKR is the fear of getting lost, getting stuck in the mind. For example, a person was talking like a speech in a store, after which in his head thoughts about those, skilki on the subject of rubbish, microbes, sewage, and wines with a fever to go to the nearest toilet, to keep hands off.

The very first part of the mitt of hands is the widest and type sign of the DKR. On the back of this voice, it is taken as a great bridlyness, or an over-the-top arrogance. Therefore, the symptom is often overwhelmed by the pose of respect, until now, until the mittja hands are not in a hypertrophied form.

Nav'azlivі become appearing at the sight of fears. When you are sick, people often draw small images, “pictures”. As a rule, stinks are assigned to upcoming topics:

• zhorstokіst that violence;
• unpleasant pain;
• non-standard sex.

Concern, scho blaming before the thought, you can but be-yakim. For example, a person can be prejudiced to eat with the brain of an alligator, seasoned with lingonberry jam. However, these “pictures” are always super accepted by the supporters of the pudvalins, traditions and the great way of life and behavior.

Intrusive ideas - tse showing obsession, fanaticism. The stench can be connected with religious doctrines, with business plans, with the camp of dovkil. Podnuє tsі ideї "high moral significance." Tobto people do not just like that, not to those who want to reach the singing camp of what can be reached. Yogo diami keruє as a “thing of the meta”, in the im'ya like a wine in the building, be it a vchinok.

As far as the obtrusive thoughts, the power of the mind of a sick person, all the stench always eat one by one. Tse showing distrust, like a half-heartedly taken for scrupulousness, increased respect, if not for an analytical warehouse of reason. Ill DKR can spend half a day talking about those who, when you are in the hospital, a comrade in service stretched out his hand to you for a few seconds later, lower your voice. Visnovki, until such a person comes, as if suffering from mental discord, you can be like that, but the stench is obov'yazkovo vyyavlyatsya negative, heavy.

Who blames you for being ill?

There are no severe age-old frameworks for pathology. Neurosis may arise as in a small child, so in a pensioner. The appointment of the age, in which neurosis is most often blamed, is aggravated by a trivial asymptomatic period. You yourself are sick, wisely, not in your mind to guess, if you thought about those who have water, speech and products can be foolish, and people seem not to be those who really live on the earth.

Obsessive-compulsive disorder in children is often diagnosed. For the sake of medical statistics, ailments for this neurosis are 1 out of 200-500 children and adults. Among mature people, 1 person out of 300 suffers from pathology.

Zgіdno with the average, aggravated by statistical data, most often ill people appear in people aged 25-35. Prote sooner DCC appears, the symptoms become obvious in so many people, it is already impossible to control them, so people go to doctors. In the middle century, in whom a neurosis begins, the period from 10 to 30 years is important.

How is the pathology diagnosed?

Understandably, the basis for the manifestation of this disorder is the symptoms that are described by the patient at the doctor's office. Also tasks of methods of differential diagnostics and testing.

The Yale-Brown scale test is the simplest and most accurate way to diagnose obsessive-compulsive disorder. The test consists of 10 meals, 4 options are added to the skin test. Estimated balls are based on the ordinal number of selected human phrases. The results of the test show how the manifestation of pathology and її daytime, and the first stage of severity will become ill.

How do you rejoice at this disease?

If you have been diagnosed with obsessive-compulsive disorder, do you need to deal with it? Why is it necessary to see a psychotherapist? What do you need to visit the neurologist's office? Can you get into the pathology of self-harm, without the help of doctors? What do you need to take faces? These rich and varied diets are super relevant for people who suspect that they have an obsessive-compulsive disorder.

Likuvannya tsієї ailments include:

• psychotherapeutic sessions;
• taking medication

In okremih vipadkah zadіyanі procedures biota fіzioterapії.

The basis of psychotherapeutic sessions is the program "Chotirokh krokiv", compiled by the American doctor and publicist Jeffrey Schwartz. The essence of the matter is that the patient understands his own state, resurrects pathological thoughts in the light of the most significant ones, and learns to repair the opir cyclical disease.

Crimean programs, psychiatrists will design the methodology of exposure ahead of time. It is worth trying the cicavi method of therapy, in case of which the patient is “nurtured” by yoga obsession and not given the “ritual” of compulsion. Tse ruynuє stereotypes, rozrivaє cycle, domineering neurosis. Zrozumіlo, a person to independently repair the opіr needs of the cycle, nothing physical can not be eliminated in the form of a mitt of hands, or be some other ritual.

As far as medical storage therapy, the faces are written individually. When recognized as a doctor, the state of the psyche and the physiological health of a particular person is recognized.

In juicy vicory there are preparations from the advancing groups:

• antidepressants;
• tranquilizers;
• antipsychotics;
• neuroleptics;
• benzodiazepines;
• normotimics.

Various preparations, which lie up to these groups, are notoriously rich. There is no trace of the need to choose from them without the help of a doctor, the shards of the skin from the likiv may not only be a brown infusion, but also side effects.

How can you get out of ills on your own? Prevention of DCC

Different thoughts buvayut people, yakі suspected obsessive-compulsive discord in themselves. “How can I overcome my own neurosis?” - the first and the widest food that is to blame for such situations. Moreover, a characteristic wine for Russians and Meshkants in other lands of post-tradyansk space. For the same European and American, the thought about those who can overcome a serious mental discord is possible without the help of a qualified fahivtsya.

It is impossible to treat pathology without the help of doctors and receive medicines. Of course, you can try to control your thoughts, mock intrusive images of fears, struggle to carry out "rituals that purify." Ale tse brought only to the extent of symptomatic relief, the problem of ciusilla is not to be overcome.

Independently a person can be engaged in the prevention of illness. Change the rizik development of neurosis to help the foot:

• zapobіgannya stressful and traumatic situations, vminnya unikati їх;
• vminnya without hysterics and aggression virishuvati family superchki and conflicts;
• vіdsutnіst zvichki zlovzhivat alcohol;
• more and more properly eaten, without re-admission, or more severe diets;
• deep sleep;
• active way of life;
• drawing of periods of employment and retirement;
• development of communicative skills.

It is impossible to forget about those that the skin has grown up, the people bear the responsibility not only for the power of the mental state, but also for the health of their children. DKR can be avoided, like when a baby is wounded, one can reach the following principles:

• kindness, calmness and kindness;
• the presence of sounds to instill children, be it stereotypes;
• utrimannya vіd zavischennya chi nizhennya child's self-esteem.

It is important to vibuduvat dovirchi vіdnosini with a child, and not instill fear in him, trying to listen to him again and ignoring his interest, relish, likeness.

A lot of terms from the gallery of psychiatry and neurology understood far from skin people. Up to tsієї categorії you can see such a thing as obsessive-compulsive disorder (OCD). Tim for an hour, DKR - it’s not ill, it’s not uncommon to be able to see into lonely people. How difficult is this syndrome, how can you change it?

Ailment OCD

Illness in the International Classification of Diseases (ICL) is designated as OCD (Obsessive-compulsive disorder). The ailment code for MKH-11 is 6V20. Also, among the boundaries of the old terminology, ailment was often called "neurosis of intrusive states." The pathology of the bula was described by ancient and middle-aged doctors.

Obsessive-compulsive syndrome: what is it

Obsessions in psychiatry are called intrusive, ringing, unacceptable, lakayuchi chi dramatic thoughts, and compulsions - intrusive actions, creations for their adoption. There are also known and okremi syndromes - obsessive and compulsive, for which the manifestations are guarded okremo.

The ailment may have a chronic nature, or it may be sporadic. In an important form of DKR, it negatively intervenes in all aspects of life - being in the blue with people, family life, professional activity.

DKR develops over a long period of time. The first symptoms of illness begin to appear between 10 and 30 years. In children, the development of the syndrome is also not excluded. In women up to 65 years, the majority of ailments are people, among people of a frail age, ailments are often found in women. In the middle ailment, it is blamed on the skin cell of a person.

Causes of DCR

The causes of the syndrome have not been precisely established. The most extensive neurotransmitter theory. It’s hard to believe that for DKR there is a damage to the intoxicating serotonin in the nerve lances, and to induce a development of staleness in the form of a “hormone of joy” - which is likely to happen in the process of relieving obsessive thoughts. So, without a doubt, in the development of illness, genetic, psychological and social factors play their role. Seen low genes, yakі spriyat the development of the disease. This is a hypothesis, which transfers the blame for brain ear infections associated with the development of ailments, as a result of streptococcal infection in children.

Provoke DKR Factory:

• somatic disease,
• violence,
• loss of loved ones
• change of place of residence,
• stress on robots,
• conflicts with her.

Unfriendly environmental conditions of life in the majority of the lower half of the years of the DKR. In patients with ailments, before the vinification of the syndrome, they were wary of a life situation that could injure.

Also, the value may be wrong psychological attitudes, mortgages in children.

DKR - is it mentally ill?

Vchenimi DKR lie down to the destruction of the psyche. That is why psychiatrists, psychotherapists and psychologists may be able to exult. Don’t let yourself be swayed, that I’ll go through the camp by myself, such fluctuations are rare.

However, here it is necessary to have mothers on the street, who are far from being obsessed with compulsions and acknowledgments of the DKR. Intrusive thoughts are considered a sign of being ill only in that state of mind, if the stench appears even more often, crying out for the sick person to worry about that suffering. Episodic intrusive thoughts, fears can be blamed on healthy people, as well as on quiet people who suffer from other mental disorders (for example, an anakastic disorder). Those same stosuєtsya and compulsions. Okremі ritualny chi nav'azlivі dії can be recognized as healthy people. Episodic obsessions or compulsions may occur in about 30% of people.

With DKR, obsession and compulsions take a significant hour from the patient (not less than a year a day) or give innocence in everyday activity.

Symptoms and signs in adults

The main sign of OCD, which characterizes, is the one-hour presence of obsessions and compulsions in a sick person. Before the obsessions you can see:

• fear of infection
• fear of confusion
• fear of wasting speeches,
• fear of zapodіyannya shkodi (іnhim chi sobi),
• zaboboni,
• form sexual thoughts,
• religious thoughts,
• sickly predilection for order and symmetry.

Most often (in 45%), mentally ill people are afraid of being infected (by microbes) or by fermentation (by excrement, chemicals, etc.).

Obsessive thoughts are irritating and accompanied by anxiety. The ailment is practical for overcoming the threat, like the consecration of yoga thoughts.

Another element of the symptomatology of DCC is intrusive dizziness, directing to alleviate anxiety. There is often no logical grounding and there is a ritual character. With fear of being infected, zabrudnennya zastrechayutsya dії, created for the sake of zabіgannya tsikh podіy. For example, an ailment for a whole day can mitiate the hands of a body. Characteristically, scho pripinyayutsya dії dії not after the fact that the hands become clean, but only after that, like an ailment, feeling relieved, having escaped obtrusive thoughts.

Compulsions can appear both physical and mental. For example, until compulsions, spells can be seen, which are constantly repeated, conjurations.

In some ways, obsessions can overcome compulsions, in others, they can override obsessive thoughts.

Those who are ill for obsessive-compulsive discord are also often prone to change in the materiality of thoughts, superficially torn apart, almost unsafely, and exercising to perfection.

OCD: what is it in psychology and psychiatry?

The diagnosis is made by a psychiatrist after the patient has been tested. The Yale-Brown scale is the most common. When the test was completed, there were only fewer symptoms, which showed a protracted period. When diagnosing, it is necessary to diagnose DCC in the form of anancaste and anxious disorders,.

Lіkuvannya DKR can be complex. For therapy, medicinal preparations and methods of psychotherapy are required. Among medicinal uses, antidepressants are most commonly used, most notably clomipramin. Also, drugs of the SIZZS group (sertraline, fluoxetine) are being prescribed. Nootropic speech, vitamins and microelements are also prescribed for improving the work of the nervous system.

Among psychotherapeutic methods, the greatest effect is demonstrated by:

• cognitive behavioral therapy,
• aversive therapy,
• group therapy,
• family psychotherapy,
• psychoanalysis,
• hypnosis.

The most widely used cognitive behavioral technique. At її arsenal є є raznі ways to vzaєmodії between a doctor and a patient. For example, a patient can be given a piece. Tse spryaє navchannyu (for the help of a psychiatrist) subdue stresses and phobias. The aversive method of foundations on the relief of obtrusive paths in the patient's discomfort during their convulsions. Family psychotherapy is most often zastosovuetsya under the hour of jubilation of children.

Therapy is aimed at relieving and relieving symptoms. Tim is no less, with a slight degree of illness, it is possible to outwardly exult.

I will remember the role of the middle psychic ailments in the form of syndromes (complexes of symptoms), united in the group of obsessive-compulsive disorder (OCD), having omitted the name of the Latin terms obsessio and compulsio.

Obsessiya (lat. obsessio - podatkuvannya, oblog, blockade).

Compulsions (Latin compello - I will primuse). 1. Intrusive pulls, different types of intrusive manifestations (obsessions). Characterized by inexhaustible pulls, which are blamed against the mind, will, feelings. Quite often the stench is unacceptable for the ailing, who supersedes yoga to the moral and ethical authorities. On the vіdmіnu vіd impulsnyh potyagіv compulsії are not realized. These pulls are perceived as being ill as they are wrong and hard for them, it’s more that they themselves blame them through their ignorance often give rise to fear in an ill person 2. The term compulsion is victorious irritability in the ruhovіy sphere, in that number and intrusive rituals.

In this hour, practically all obtrusive become united in the International classification of illness under the concept of "obsessive-compulsive disorder."

The concept of the DKR was recognized as a stretch for the remaining 15 years of fundamental revaluation. Over the course of an hour, the clinical and epidemiological significance of DKR has been reviewed again and again. Previously, it was important that it is a camp, that it is rarely to be guarded, that it is to be guarded by a small number of people, but now it is clear: OCD is common and gives a great deal of sickness, which means the term commitment to the respect of a psycho speakers in the whole world. In parallel with this, our knowledge about the etiology of DCR has expanded: the vaguely formulated psychoanalytic designation of the past two decades has changed to a neurochemical paradigm that continues to be a neurotransmitter disorder that underlies DCR. I, which is the most important, pharmacologically effective, directed specifically at serotonergic neurotransmission, has revolutionized the prospects for raising millions of ill people who suffer from OCD, in the world.

It is evident that intensive suppression of serotonin intoxication (IOZ) - the key to effective OCD treatment - was the first stage of the revolution and stimulated clinical research, as it showed the effectiveness of such selective inhibitors.

According to the description, given in ICD-10, the main features of the DKR are obsessive (obsessive) thoughts and compulsive deeds (rituals) that are repeated.

In a wide range of meanings, the core of DKR is the syndrome of obsessiveness, which is becoming more important in the clinical picture of feelings, thoughts, fears, spogadiv, which is blamed on the crime of sickness, but when it is noted that they are sick and critical and before them. Irrespective of the unnaturalness of the mind, the illogicality of the intrusive ideas of those states, the ailments are powerless in their attempts to overcome them. Obsessive spontaneous ideas are recognized as someone else's particularities, but it's better to go in the middle. Nav'azlivі dії can be vykonannyam rituals, recognized for alleviation of anxiety, for example, mittya hands to fight from the "wanderings" and with the method of zapobigannya "infection". Try to recognize the impending thoughts that spontaneously can lead to an important internal struggle, which is accompanied by strained anxiety.

ICD-10 obsessiveness is up to the group of neurotic disorders.

The breadth of the DKR in the population is high. For some kind of tribute, it is shown as an indicator of 1.5% (they suffer from “fresh” flus and fall ill) or 2-3%, as if they were insured every time they got sick, which they were afraid of prolonging their life. Like suffering from obsessive-compulsive disorder to become 1% of the sick, like otrimuyut exaltation in psychiatric settings. It is important that people and women are irritated approximately the same way.

CLINICAL PICTURE

The problem of intrusive positions turned the respect of clinicians on the cob of the 17th century. Previously, the stench was described by Platter 1617. In 1621 p. Є. Barton Bulo described an obsessive fear of death. Riddles about intrusiveness are heard in the practice of F. Pinel (1829). I. Balinskiy propagated the term “intrusive manifestation”, which took root in the Russian psychiatric literature. In 1871 p. Westphal used the term "agoraphobia" to signify the fear of perebuvannya in the masses. M. Legrand de Sol, analyzing the peculiarities of the dynamics of DKR in the form of “Goddess of sumniviv z marenny dotik”, pointing to the step-by-step aggravation of the clinical picture - intrusive sumnivіy are changed by stupid fears of the “dotik” to nasty objects, rushing rituals. However, less at the turn of the XIX-XX centuries. the survivors were able to describe more clearly the clinical picture and give a syndromic characteristic of obsessive-compulsive disorders. The cob of illness, as a rule, falls on the age of youth. The maximum clinical manifestations of obsessive-compulsive disorder are observed in the age interval of 10-25 years.

Main clinical manifestations of DCC:

Obsessive thoughts are heavy, which they blame without will, but we are ill as if they were our own, ideas, perekonannya, images, as if in stereotyped forms they forcibly invade the sickness of the sick and like wines, like a rank of resistance. The very same internal feeling of compulsive spontaneity and susil repair opir yoma characterizes obsessive symptoms, but tsikh dvoh storable more small steps zusil, which are added. Obsessive thoughts can be formed into the form of a number of words, phrases of chi perfect rows; sound the stench unacceptable for the sick and can be obscene, blues-nir or shocking.

Obsessive images are scenes that often reveal the nature of violence or call out an oath, including, for example, sexual abuse.

Obsessive impulses - tse spontaneously growling, ringing ruins, unsafe building deaths; for example, jump on the road in front of the car, which is collapsing, injuring the child or wiggling, perebubayuchi in suspіlstvі, obscene words.

Obsessive rituals include both psychic activity (for example, the repetition of rahukas, as a special order, or the repetition of singing words), and repetition, but without a head of filling (for example, the mitt of hands twenty or more times a day). Deyakі from them to think of sensible links with intrusive thoughts, which they passed on to them, for example, repeated mittja hands - with thoughts about infection. Other rituals (for example, regularly laying out clothes behind a folding system in front of him, like dressing yoga) do not make such a link. Deyakі ailments vіdchuvayut indiscriminately spontaneously repeat such dії sprat times; if you don’t go out, the stench of zmusheni start everything back. The ailments will surely convince you that the rituals are illogical, and they will sound like they are trying to catch you. Deyaki be afraid that such symptoms are a sign of God-ville that you are beginning. Like obsessive thoughts, rituals will inevitably lead to problems in everyday activities.

Nav'azlivі razdumi ("rozum's zhuyka") - tse internal debates, for which the arguments for and against the simplest everyday ones are constantly looked at. Deyakі ob'yazlivі sumnіvi stosuyuyutsya dіy, yakі could be wrong vykonanі or not completed, such as turning off the tap of the gas stove or zamikannya doors; otherwise, they are standing up for them, as if they could have hurt other people (for example, it’s possible, driving a cyclist in a car, hitting Yogo). Sometimes sumnіvi pov'yazanі z possible disruption of religious orders and rites - "dokori conscience".

Compulsive actions are stereotyped urges that are repeated, sometimes suffocating the nature of zahisnyh rituals. Stop dwelling on the point of fear, whether it be objectively low-moving podia, unsafe for the sick or your loved ones.

In the above descriptions, in a number of obsessive-compulsive disorders, a number of low-grade symptom complexes and middle ones are obsessive sumnivities, contrasting obsessiveness, obnoxious fears - phobias (Greek: phobos).

Obsessive thoughts and compulsive rituals can make up for singing situations; for example, obsessive thoughts about zapodіyannya shkodi to other people often become napoleglivshimi in the kitchen, or for some other place, where knives are saved. Since ailments often uniqy such situations, one can expect superficial similarity from the characteristic model of uniqueness, which is manifested in anxiety-phobic discord. Anxiety is an important component of obsessive-compulsive disorders. Deyakі rituals ease anxiety, even as if others are growing. Obsessions often develop at the borders of depression. In some patients, the reaction to obsessive-compulsive symptoms seems to be psychologically understood, but in other patients, the episodes of a depressive mood are repeated, which is blamed independently.

Obsessions (obsessions) are subdivided into imagery, or feelings, which are accompanied by a development of affect (often severe) and obsessiveness of an affectively neutral tone.

Before sensitive intrusiveness, it is placed intrusive sumniv, guess, manifestation, pulling, dii, fears, intrusive, almost antipathy, intrusive fight against the sons of vince.

Nav'azlivі sumnіvi - stubbornly blaming against the logic and reason the innocence of the correctness of the sloppy and the sloppy ones. Zmіst sumnіvіv razny: nav'zlivі pobutovі poboyuvannya (why the doors are closed, chi dostit schіlno vіknі vіkna or faucets, chi vimknіvі gas, electricity), what is the other document, what is not mixed up addresses on business papers, if inaccurate numbers are not indicated, if they are correctly formulated, or if they are ordered) and in spite of the repeated re-verification of the filed, doubts, as a rule, do not appear, calling out the psychological discomfort of such an obsession that suffers.

To the obsessive minds one can see the arrogant, inexhaustible heavy ones, whether they are summaries, unacceptable, or nasty for the ailing, who are accompanied by some litter, kayattya. The stench dominates the witness of the ill, no matter how much you try not to think about them.

Nav'azlivі pulls — sponkukannya until the introduction of tієї chi іnshoy zhorstkoї chi in the region of unsafe ї ї, scho accompanied by a bit of fuss, fear, sum'yattya with impossibility to rise in the air. I’m sick of the sick, for example, the bazhannya rushes to the train, to pass, or shtovhnut a new near person, kill the squad of a child with a zhorst rank. Patients will be very afraid that this other day will be realized.

Show intrusive manifestations can be different. In some vipadki tse yaskrave "batch" results of obsessive sips, if ill represent the result of a thorough zhorstogo vchinku. In other situations, they are obtrusive, often called names, appear in seemingly unbelievable, sometimes absurd situations, and treat like ailments as real. The butt of obtrusive manifestations can be the pereconanіst of the ill, that the relatives of the relatives are alive, moreover, the ailments are painfully manifested and endure the suffering of the dead in the grave. On the heights of the intrusive manifestations of evidence of their stupidity, the implausibility of the knowledge and, on the contrary, it is manifested in their reality. As a result, intrusiveness swells the nature of supra-principles (dominating ideas that do not show their true meaning), and sometimes madness.

Intrusive, almost antipathy (as well as intrusive, blasphemous and blues thoughts) - nothing is true, we are ill in our own antipathy to the singing, often close people, cynical, unworthy thoughts people, religious osіb schodo saints chi ministers churches .

Nav'azlivі dії - vchinki, yakі zdіysnyuyutsya against bazhannya ill, not respectful to zusillya, scho reported for їх streamuvannya. Some of the obtrusive ones will tighten the sick until the hour when the docks of stink will not be realized, otherwise the sick themselves will not be hurt. Nav'azlivі dії bolyuchi for ailments especially in quiet depressions, if the stench melts as an object of respect for the sick.

To obtrusive fears, or phobias, one can see an obtrusive and stupid fear of heights, great avenues, open spaces, or great stinginess of the people, fear of a future rapt death, fear of being ill for that rank of an unfortunate ailment. Some ailments can be blamed for the most addictive phobias, which sometimes resemble the nature of the fear of everything (panphobia). І, nareshti, possible obtrusive fear of viniknenny fears (phobophobia).

Hypochondria phobia (nosophobia) - obtrusive fear of being seriously ill. Most of all, they are afraid of cardio-, stroke-, syphilo- SNIDophobia, as well as the disease of the development of evil fluff. At the peak of anxieties, ailments sometimes spend critical stature to their own camp - they turn to doctors of a good profile, and exacerbate that exuberance. The realization of hypochondriacal phobias seems to be like a connection with psycho-somatogenic (non-psychic illness) provocations, and spontaneously. As a rule, as a result, a hypochondriacal neurosis develops, which is accompanied by partial injections of drugs and an unprimed intake of drugs.

Specific (isolated) phobias - intrusive fears, surrounded by a strictly singing situation - fear of heights, boredom, thunderstorms, other creatures, exultation at the dentist's skinny. Shards of confusion with situations that exclaim fear are accompanied by intense anxiety, which is characteristic of sickness to the point of uniqueness.

Intrusive fears are often accompanied by a development of rituals - diy, which may mean the meaning of “magic” spells, which are carried out, regardless of the critical setting of the sick to obsession, with the method of zahistu in the light of the most obvious misfortune: before the cob importantly, take care of ailments like a singing song, so that the unsuccessful can be put to rest. Rituals can, for example, turn out at the clapping of fingers, in the wake of illness, whether it be melody, or the repetition of singing phrases is too thin. In these moods, people close to you do not guess about the reasons for such discords. The rituals of the pojdnanny z ob'azlivimi є dosit stable system, yak іsnuіє zazvichay rich fates and navit ten years.

Intrusive affective-neutral zmіstu - obtrusive wisdom, obtrusive rahunok, a riddle of neutral podia, terms, formulary and in.

Contrasting intrusiveness (“aggressive obsessions”) - unimportant, blues-natured thoughts, fear of spoofing shoddy yourself is soothing. Psychopathological enlightenment of the group is seen to be important to figurative obtrusiveness with a clearly pronounced affective intensity and enchantment with ailing manifestations. They are aware of foreignness, they are absolutely unmotivated to change, as well as even more closely with intrusive pulls and such actions. Ailments with contrasting intrusiveness and swearing at the non-exhaustiveness of the exercise, add to the sense of replicas of the end, to give what was said an unacceptable sound of a menacing sensation, repeat after the sooty, but also with a hint of irony and malice, phrases of religion I don’t care, vigukuvati cynical take control of yourself that possible infliction of unsafe chi without a head, inflicting kalitsva on yourself and your loved ones. In the rest of the cases of obtrusiveness, one often encounters phobias of objects (fear of the most important objects - knives, video cameras, etc.). To a group of contrasts, one can often see the obtrusiveness of sexual suspense (the obsession with the fence of the fence about the manifestations of twisted sexual acts, the object of which are children, representatives of those states, creatures).

Intrusive ideas of confusion (mysophobia). Up to the third group of obsessions, one can see both the fear of straying (earth, saw, slash, feces and other impurities), as well as the fear of penetration into the body of coarse and blasted speeches (cement, dobriv, toxic vents), other objects (ulamkiv skla, head ok, specific views ) saw), microorganisms. In a number of behaviors, the fear of confusion can be a mother’s temperament, overwhelmed by the stretching of rich fates on the pre-clinical level, showing less in certain features of special hygiene (frequent changes in the life, a bagatar’s hand) or in the order of keeping a home master arts (retelna obrobka produktіv kharchuvannya, schodenne mittya pіdlog, "taboo" on our creatures). Such monophobias do not really add to the quality of life and are assessed as drowsy like little stars (exaggerated arrogance, super-worldly bridality). Clinically manifested variants of mysophobia lie up to a group of important obsessions. Zahisnі rituals come to the fore in these vipadkahs, which step by step become more complicated: the uniqueness of the dzherel zabrudnennya and dotikіv to “impure” objects, the processing of speeches, on which you could spend brood, the song of succession in vikoristannі miyuchih zaobіv and rushnikіv, which you allow є save "sterility" bath room. Perebuvannya beyond the boundaries of the apartment is also furnished with a series of zakhodіv: going out to the street in a special dress that covers the body as much as possible, especially the wrapping of strong speeches after returning home. At the last stages, the sickness of the patient, uniquely wandering, not only does not go out into the street, but does not suffocate between the vlasnoy kіmnati. In order to get away from the plan of unsafe contacts and dotics, patients are not allowed to visit their closest relatives. The fear of being infected by some kind of ailment, which does not fall into the category of hypochondriacal phobias, also approaches mesophobia, the shards do not show up as a fear of the presence of an ailing person on the OCD of that chi іnshoy ailment. On the first plane - the fear of a threat to the call: the fear of penetration into the body of disease-causing bacteria. Zvіdsi i viroblennya vіdpovіdnih zahisnih protsesіv.

A special place in a number of obsessions is occupied by obnoxious diseases in apparently isolated, monosymptomatic rukhovy disorders. Among them, especially in a child's head, tiki, yak, on the vіdmіnu in the face of organically embroidered mimic ruhіv, є richly folded ruhovyh acts that have spent their first money. Tіkі іnоdі іnоdі to cope vrazhennja bіlshеnіh fіziologicheskіch ruhіv. This is a peculiar caricature of the songs of the rugged act, natural tin. Ailments, as if suffering from tics, can shake your head (nebi pervert, why it’s good to sit in drops), shake your hand (nebi let your hair out, what you care), blink your eyes (nebly take care of the sight of a smitnik). In a series of annoying tics, pathological symptoms are often suspected (lip biting, gnashing of teeth, spitting, etc.) eminence and experience as if they were strangers, sick. Neurotic become, which are characterized by less obtrusive tics, may sound a pleasant prognosis. Happening most often in preschool and young school age, tics begin to ring out until the end of the period of state maturity. However, such discord can appear and become more stable, save by stretching rich fates and less often look at the developments.

Overcoming obsessive-compulsive disorder.

Unfortunately, as the most typical trend in the dynamics of the DKR, it is necessary to indicate a chronicle. Falls of episodic manifestations of ailment and total dressing are rarely trodden. However, for those who are ill, especially with the development of this saving of one type of manifestations (agoraphobia, intrusive rahunok, ritual mittya of hands, etc.), it is possible to stabilize the state. In these behaviors, steps are indicated (sound in the other half of life) to reduce psychopathological symptoms and social readaptation. For example, ailments, as if they felt the fear of traveling on singing modes of transport, chi public speeches, cease to feel incompetent and practice healthier. In mild forms of DCC, ailment, sound, proceeds pleasantly (on an outpatient basis). Reversal development of symptoms occurs in 1 rіk - 5 rіv from the moment of manifestation.

More important and folding DKR, such as phobias of infection, confusion, hostile objects, contrasting manifestations, numerical rituals, navpaki, can become stable, resistant to healing, or show a tendency to relapse with disorders that are saved, unimportant ayuchi for active therapy. Farther away, the dynamics of these states is negative.

DIFFERENTIAL DIAGNOSIS

It is necessary to treat OCD in other cases of illness, for which rituals are blamed for obtrusiveness. In a number of behaviors, obsessive-compulsive disorder is necessary to differentiate from schizophrenia, especially if obsessive thoughts are not related to the theme (for example, mixed with sexual and blues topics) or the rituals are completely eccentric. The development of a schizophrenic process cannot be turned off even with the growth of ritual rituals, stamina, vindictive antagonistic tendencies in mental activity (inconsistency of thoughts and impulses), one-manality of emotional manifestations c. The protracted obsessive beds of the folding structure must be taken into account in case of manifestations of attack-like schizophrenia. At the sight of neurotic intrusive states, the stench sounds accompanied by sharply increasing anxiety, significant expansion and systematization of the number of intrusive associations, which increase the nature of intrusiveness of "special significance": earlier different objects, similar, vipadkovy respect for otochyuyuchih tell ill about zmіst phobias , about zmist phobias, which have a special, menacing meaning. In such situations, it is necessary to turn to a psychiatrist with a method of excluding schizophrenia. Pevnі difficulties can also become a differentiation of DKR and become more important than generalizations of disorders, in the name of Gilles de la Tourette's syndrome. Tics at times are localized in the sphere of appearance, shii, upper and lower kinks, and are accompanied by grimaces, mouth expressions, moving movements, intense gestures. Inclusion in Danish behaviors, the syndrome is supplemented by the characteristic rudeness of ruddy disorders and folded structure and severe mental impairment.

Genetic factors

Speaking about the recession to DCC, it should be noted that obsessive-compulsive disorders are manifested in approximately 5-7% of the fathers who are ill in such a disorder. Although this indicator is low, it is higher, lower in the upper population of the population. Even though the evidence for recessionary stubbornness to DKR is still unknown, the risk of psychasthenic specificity can be explained by genetic factors.

Approximately in two-thirds of the cases, depression during DKR is prolonged, often until the end of the period. As if falling ill over the rivers, they are afraid of colivans for a long time - periods of sickness are interspersed with periods of replenishment, I will become healthy, that I will try from many months to many years. The prognosis is worse, as there is a psychosthenic specialty with severe symptoms of illness, or as in the life of a sick person there is an uninterrupted stress. Severe depressions can be supra-lingually persistent; For example, as a result of follow-up hospitalization of patients with DCC, it was revealed that in three quarters of them, the symptoms disappeared without change and after 13-20 years.

LIQUVANNYA: BASIC METHODS AND PIDHODI

Irrespective of those who DKR is a collapsible group of symptom complexes, there are only one principle for them. The most important and most effective method of treating OCD is drug therapy, which is due to the manifestation of individual signs to the skin patient with the improvement of the features of the manifestation of OCD, vice, stat, obvious tension, and other contagious diseases yuvans. At zv'yazku z tsim mi is guilty of guarding the sick and their relatives in the form of self-admiration. In the event of the appearance of some sort of disorders similar to mental ones, it is necessary to turn to the fahivtsiv of a psycho-neurological dispensary for a place of residence, or other lucrative pledges of a psychiatric profile in order to establish a correct diagnosis and recognition of a competent adequate likuvannya. With any trace of memory, that at a given hour a visit to a psychiatrist does not threaten with everyday negative consequences - the summative “look” is related to more than 10 fates and replacements by the understandings of the consultative-literal and dispensary guards.

When you are happy, it is necessary to remember that obsessive-compulsive disorders often have a fluctuating nature of going through trivial periods of remissions (I will be reduced). Obvious suffering of the ailing often nebimagayut energetic divine rejoicing, but trace the memory of the natural perebіg tskogo camp, schob to escape the typical pardon, which is used in super-intense therapy. It is also important to be aware that DCC often accompanies depression, which can often lead to relief of obsessive symptoms.

The rejoicing of the DKR is repaired from the clarification of the ailment of symptoms and, if necessary, from the fact that the stink is the cob manifestation of Goddess (the prime reason for the anxiety of the ailments from the nav'zlivistyu). Those who suffer on those chi іnshi intrusiveness, often get other members of this family from their rituals, that relatives need to be put to the sick firmly, but calmly, easing the symptoms as much as possible, and not overpowering them to the sickly fantasies of the sick .

Medical therapy

Hundreds of sights of nine types of DCR are used to explain such therapeutic approaches. Of the pharmacological drugs in OCD, the most commonly used drugs are serotoninergic antidepressants, anxiolytics (the main rank of the benzodiazepine series), beta-blockers (for the treatment of vegetative manifestations), MAO inhibitors (werewolves) and triazole benzodiazepines (prase ). Anxiolytic preparations and give a short-term relief of symptoms, but they cannot be attributed to a sprat of late sleep. Although treatment with anxiolytics is needed for a period of more than one or two months, sometimes small doses of tricyclic antidepressants or small antipsychotics are supplemented. The main line in the scheme of treatment of OCD, which overlap with negative symptoms or with ritualized obsessions, is with atypical antipsychotics - risperidone, olanzapine, quetiapine, in either case with antidepressants of the SIOS class, or with antidepressants other rows - moclobemide azepine (alprazolam, clonazepam, bromazepam) .

Any kind of adversarial depressive disorder rejoice with antidepressants in an adequate dose. Data show that one of the tricyclic antidepressants, clomipramine, may have a specific effect on obsessive symptoms, but the results of a controlled clinical trial showed that the effect of ingestion of this drug is insignificant and is manifested only in patients with viruses them with depressive symptoms.

In depression, if obsessive-phobic symptoms are associated with schizophrenia, the greatest effect may be intensive psychopharmacotherapy with proportional to high doses of serotonergic antidepressants (fluoxetine, fluvoxamine, sertraline, par oxetine, citalopram). In a number of cases, the addition of traditional antipsychotics (small doses of haloperidol, trifluoperazine, fluanxol) and parenteral administration of similar benzodiazepines.

Psychotherapy

Povedinkova psychotherapy

One of the main tasks of the specialist in the treatment of DKR is the establishment of a good remedy for ailments. It is necessary to instill a patient’s faith in the possibility of dressing up, to improve your lead against the “shkodi”, to control psychotropic diseases, to transfer your perekonanіst in the efficiency of exaltation for the mind and systematic dotrimanny of recognition of the signs. It is necessary to support the faith of the sick for the possibility of exaltation in every possible way and to relatives suffering from OCD. For the presence of the ailing on the rituals, it is necessary to remember that the prayers are heard when you victorious against the method of fearing the reaction from the premises of the ill to the mind, that these rituals will help. Significant, scarlet full of pompshennya ochіkuetsya approximately in two thirds of the ailments with peaceably important rituals. As in the wake of such jubilation, the variety of rituals decreases, then the sound of obtrusive thoughts comes into play. In case of panphobia, behavioral techniques are most important, directed at reducing sensitivity to phobic stimuli, which are supplemented with elements of emotional-stimulating psychotherapy. In the case of the overriding of ritualized phobias, the order of desensitization is actively victorious behavioral training, which combines the behavior of the behavior, which is unique. Behavioral therapy is significantly less effective if there are intrusive thoughts that are not accompanied by rituals. Deyakі fahіvtsі protyazh rich roki zastosovuyt method "supinennya dumok", but yogo specific effect reconciled not finishing.

Social rehabilitation

We have already indicated that obsessive-compulsive discord can fluctuate, which is important, and in an hour the camp of the ailing can grow independently, in addition, as the very methods of exuberance zastosovuvalis. Before we are dressed, we are ill, we can bring the greed of supportive conversations, which will ensure a constant hope for dressing. Psychotherapy in the complex of treatment and rehabilitation approaches for patients with OCD is directed both to the correction of behavior, which is unique, and to the reduction of sensitivity to phobic situations (behavioral therapy), as well as family psychotherapy with the method of ektsії disruption of behavior and improvement of internal waterways. As a friend of the problem, the symptoms are indicated, the indications are in the case of spying with a person (team). Patients with panphobia (at the stage of active illness recovery) will require both medical and social and labor rehabilitation due to the intensity and pathological persistence of symptoms. For this important purpose, adequate terms of treatment - trival (less than 2 months) therapy at a hospital with an upcoming follow-up course in outpatient minds, and navit conducted visits from the promotion of social contacts, professions their newcomers, internal mutuals. Social rehabilitation is a set of programs for teaching OCD ailments to the methods of rational behavior as a way and minds of a hospital. Rehabilitation is aimed at teaching social beginners the right way to interact with other people, professional training, as well as beginners who are necessary for everyday life. Psychotherapy helps to help people who are especially aware of the impotence of innocence, more quickly and correctly put themselves in front of themselves, discover ways to solve everyday problems, gain confidence in their own strength.

All these methods, with reasonable vicariousness, can increase the effectiveness of drug therapy, but not necessarily replace drugs. It should be noted that the method of psychotherapy, which explains, does not help, does not help, but in some ailments from DKD, it is possible to suffer from worsening, the shards of such procedures lead them to sick and unproductive thoughts about the subjects that I will discuss be in the process of likuvannya. Unfortunately, dosі nauci do not know ways once and for all to bring about mental ailments. Quite often, DKR may be able to relapse, which will require a trial and prophylactic drug intake.

The skin of a person, if only once in his life, experienced a “rejection” of unacceptable thoughts, like they licked, leading to a stingy camp. Luckily, a better person can not concentrate his respect on them, and, having lightly shaken, live far away, for the sake of life. But, unfortunately, there are people who cannot work like that. The stench cannot let in an unacceptable thought, but they begin to dig and find the reason for the appearance of such thoughts and fears. Such people see their own specific actions, vikonuyuchi yakі can calm down timchasovo. This manifestation took away the name DKR.

And in today's article we will talk about such a special disorder, like OCD (Obsesive-Compulsive Disorder).

Obsessions - thoughts, form and inspire impulses, like lakayut sick and do not allow yoga. Compulsions are more concrete, like to rob a person in order to get rid of your thoughts and calm down.

In an ailing person, such a camp can progress, and in whatever mood a person has to work more compulsively, to calm down.

DKR itself can be chronic or episodic. More important are those who are in charge of the real incompetence of people, venturing into all spheres of life.

Top parts of obsessive thoughts

On the rahunok of this diet, a little study was carried out, which helped to reveal such obsessive thoughts that are most common in people.

Obviously, indeed, there are a lot of obsessive, different people, who suffer from different discord, see different thoughts and fears. But more than that, we refurbished the widest ones for today.

How sickness manifests itself

The most characteristic for this illness are the following symptoms:

• If the thought of the ailing person appears, the wine will not be accepted as the voice of another call, but as the master.
• The ailment of mind itself, it’s not normal and to rob the susilla, to repair the opir їm: to fight with these thoughts, try to switch your respect to other speeches, but all to no avail.
• For the whole hour, a person has been feeling a little guilty of fear, through those yogo fantasies, thoughts can sink into life.
• Obsessions have a permanent character and can often be repeated.
• Even though it’s hard to make a person exhausted, but in the meantime a person becomes inactive and fearful, curls up in the ethereal world.

It’s a pity, I don’t know that I don’t understand all the complexity of this discord, but I don’t understand that people can have a real problem. In rich people, if they do not know about obsessive-compulsive disorder, the symptoms may be only a little funny or incomprehensible. Prote, DKR is a serious special discord, which, hostile to a person, spills into all spheres of life.

Pure DKR

For whom the discord is overwhelmed, either compulsions or obsessions. However, a pure DKR can be used. At this point of view, a person has a mind, that there may be a discord. Razumіє, scho buvayut intrusive thoughts, yakі do not show their values ​​and perekonannyam. Ale stinks insinuated that they don’t make compulsive manifestations, in other words, don’t shy away the daily rituals for the sound of lakayuchih thoughts.

We don’t really know that, even if in this variant of the DKR, a person may not knock on wood, may not touch the handle, and so on, but at the same hour, maybe for a long time, sometimes change oneself, so you don’t need to give respect to your thoughts chi fears.

That stink itself sings songs. Tsі dії may not be visible to those who are lonely, but still inspire in this type of obsessive-compulsive discord a person is relieved of the emotional stress of the winds of the singing diam: it is possible to have a quiet prayer, rahunok until 10, shaking the head, stepping over one foot on another and more like that.

Everything can be incomparable for others and for the sick themselves. However, even if it doesn't look like OCD, everything is accompanied by like compulsions: it doesn't matter, tsі dії svіdomі or not svіdomі.

What do you blame OCD for?

Yak and be-yak іnsha problem, sickness chi discord. і OCD є causes manifestation. І for a new picture of the problems, we should begin to eliminate the very causes.

On this day, the last days of this problem have gone visnovka, which until the obsessive-compulsive disorder induces three factors: social, psychological and biological.

The leaders of new technologies in the field can already study the anatomy and physiology of the human brain. The first study of the brain of ailments on DKR showed that there are some symptoms in the robotic brain of these people. Basically, є vіdminnostі in different vіddіlakh, such as the anterior part of the frontal part, the thalamus and swarthy body of the anterior cingulate measles.

Studies have also shown that in ailments there are deuce anomalies, which are caused by nerve impulses between the synapse of neurons.

Prior to that, a mutation of the genes was detected, which is supposed to be responsible for the transfer of serotonin and glutamate. All these anomalies lead to the fact that in humans, the overworking of neurotransmitters occurs first, lower zumiya to transmit an impulse to the advancing neuron.

Most scientists, speaking about the causes of DCC, rely on genetics. That's why 90% of ailments are more low for each discord and relatives' ailments. If you want to be able to be and sleep, to that in these ways of a child, living with your mother, having an OCD, you can simply accept this discord as if by itself you understand and stop in your life.

As a cause, it is possible to induce streptococcal infection in Group A.

And if there are psychological reasons, then fahivtsy of this sphere zapevnyayut, that people, who are shy to DKR, tend to be special in thought:

• Overcontrol - such people believe that they have the power to control everything, including the power of thought.
• Superficiality - people are so enthralled that a skin person carries superficiality not only for their inclinations, but also for their thoughts.
• The materiality of thoughts - the whole psychology of such people is inspired by those who have a material thought. The stench is holy to believe in those who, as a person, can manifest themselves, if you will. Cause the stench to believe that the building is famously calling on itself.
• Perfectionism - Volodar DKR є the most infamous representatives of perfectionism, the stink of singing, that a person is not guilty of mercy and can be ideal.

This discord often occurs among quiet people, as if they were swaying among their families, the debates controlled all the little children, set the bar for that goal. І child marno want to give advice to cim vimog.

And in this way: it’s like a person’s peculiarity of thought (appointed higher) and the overcontrol of fathers in children, the appearance of an obsessive-compulsive discord - on the right, just over an hour. Only one, the smallest post, stressful situation (separation, death of a loved one, relocation, loss of work, too little), exhaustion, stress, or the congestion of great quantities of psychotropic speeches can become the cause of the appearance of OCD.

Nature discord

Tsey discord of the zdebіlshoy may be cyclical character, that and the samі dії ailing in cycles. On the cob, a person has a thought, like yoga lakaє. Then, with the growing number of thoughts, the new one's thoughts are rubbish, sorry, anxiety. If a person does not care about anything, the Daedalians concentrate more on their thoughts. For the whole hour, the new growth has a tension, anxiety that is almost like fear.

Naturally, in the minds of the minds of a person, it is impossible for a long time to be left behind in a hopeless state and in the residual bag to know how to calm down: roblyachi sings, rituals. After the end of stereotypic processes in people, there is relief for a certain hour.

But it’s not enough for a long time, to that person’s mind, that it’s not so with her, and it seems to be afraid to turn to wondrous and lakayuchih thoughts anew and anew. And then the whole cycle starts over again.

A lot of people are naїvna vvazhayut, scho tsі ritualnі ії ill innocent, proté, in fact, the ailing person begins to fallow in tsіkh dіy. Tse guess drugs, the more you try, the more important it is to try them. In fact, the rituals are more and more rooting out this discord and leading to the fact that a person is unique in quiet situations, like an obsession.

At the result, it turns out that a person is unique in unsafe moments and starts to change himself, that he does not have problems. And it’s better to bring it to the point that wines don’t live and come in for brilliance, which as a result will make the situation even more difficult.

And in the meantime, the problem is growing stronger, the shards from the side of the native ailments feel thrown, yoga is vvazhivat for the divine and begin to harrow the robes of the sound and calm the ailing rituals. You can’t calm down in these types of ailments and still lead a person to various difficult situations.

If you want, in such vipadkas, you will be and so, that people will want these rituals, that it is permissible to bring them to the point that you start ailments in the future.

How to make a diagnosis and treat your ailment?

Diagnosing DCR in a person is an important task for fahivtsya, because the symptoms are even similar to those of schizophrenia.

For the most reason, in the majority of depressions, a differential diagnosis is carried out for diagnosis (especially in quiet depressions, if the patient's obsessive thoughts are too late, and the compulsions are clearly eccentric).
For diagnostics, it is important to understand that, like ailments, you take thoughts about what to come: like your own power, or like calling you.

It is necessary to remember one more important nuance: depression itself is often accompanied by DCR.
And in order to fahivets zmіg zaznachiti rіven vraznostі danoy razladu vikoristovuєtsya test for OCD or Yale-Brown scale. The scale has two parts, the skin part has 5 parts. The first part of the diet helps to understand the frequency of the appearance of obsessive thoughts and shows what stinks lead to DCR, and the other part of the diet gives the ability to analyze the patient's compulsions.

In quiet moods, if the discord is not so strong and the same as strong expressions, a person can turn herself into an ailment. For whom it is enough not to dwell on these thoughts and turn your respect to other speeches. You can, for example, start reading, otherwise you will marvel at a garniy and a cicavy film, call a friend too soon.

As if you blame the bazhannya, the need to win the ritual day, try putting it on 5 whilins, and then step by step increase the hour and the daedal more quickly spend the night of the day. To give you the opportunity to understand that you can calm down without any stereotyped actions.

And in quiet moods, if a person is in a state of discord in moderate severity and more, then the help of a doctor is necessary: ​​a psychiatrist, a psychologist, or a psychotherapist.

In the strongest cases, the psychiatrist prescribes medication treatment. But, unfortunately, medicines do not always heal happy discord, that effect is not permanent with them. Later, after the course of preparations ends, the discord turns again.

For the same reason, psychotherapy has become very widespread. Zavdyaks їy on this day wore out close to 75% of ailments for OCD. The psychotherapist's tools can be different: cognitive-behavioral psychotherapy, exposure or hypnosis. The most important are those that all stinks give good help and help achieve good results.

The best results are given by the exposure technique. It is the essence of the fact that the ailing zishtovkhnutis with his fears in situations, devine control of the situation. For example, people, as if they are afraid of microbes, “tick” the elevator button with your finger and do not shake your hands. And so with the skin at the same time, they make it easier, and as a result, a person’s mind, that it’s not so safe anymore and for her becomes the voice of speech, as if earlier they lapped її.

Deshcho nasamkinets

It is important to understand and accept the fact that the DKR is such a very serious special disorder, like all other disorders. Even more important for the ailing is the appointment of those relatives and relatives. Aje in a different mood, smelling slurs, likes and not otrimuyuchi rozuminnya, a person can shut up even more, but he will lead to an increase in tension, which will bring a bunch of new problems.

For whom it is advisable to seek help for a psychologist, not one by one. Family therapy will help the members of this family to understand not only the sick, but also to understand the cause of the disease. The leaders of this therapy are right to understand how it is necessary to behave properly with ailments and how to help them.

It is also important for the skin person to understand that in order to avoid obsessive-compulsive syndrome, it is necessary to follow simple preventive reasons:

• Do not overdo:
• Don't forget about fixes;
• Zastosovuvati tekhnіki u borobi z_ stress;
• At the same time, virishiti internal conflicts.

Remember, DKR is not a mental illness, but a neurotic disorder and do not bring people to special changes. The worst ones are those that are reversible and with the right approach, you can easily overcome OCD. Be healthy and enjoy life.

Obsessive-compulsive disorder (OCD) - expansion of mental disorder, which is characterized by obsessive thoughts, spogads, disruptions and deeds, as well as various pathological fears (phobias), which require singing zusil to fight with them and cry out distress chi is broken I am the life of a patient .

Nine information about the prevalence of obsessive-compulsive disorders in Ukraine is super clear. This is related to the variety of different methodological approaches, diagnostic criteria in the course of investigations, disimulation and hyperdiagnostics. The width of the DCR in adults becomes approximately 1-3: 100, in children and adolescents - 1: 200-500. Clinically recognized differences in the incidence of DKR are more common and vary between 1-3%. It’s mindful of them that among rich people, their discord is not diagnosed through stigmatization. DKR is observed in patients regardless of their age, race, socio-economic status, religion.

Illness may have two peaks with different genders: the first peak is childishness; Another peak is observed in the early mature age, in the middle 21 years, with an insignificant advantage in women. For the diagnosis of DCC in children, there are diagnostic criteria for adults, but recent studies show that the disorder in children and adolescents are considered clinically and etiologically heterogeneous signs. Deyakі eksperti DKR іz early іn_festatsієyu qualіfіkuyu yak okremі diagnostic category.

The longest hour in children and children was considered to be a rare pathology, until the investigation, published in 1988 in the USA, did not demonstrate a significant wideness of 0.7%. In case of lack of support for the mental health of the child population of Great Britain, the spread of discord was set to be no more than 0.25% of the average number of children from 5 to 15 years of age.

Symptoms of DCC appear to the present age of maturity in about half of the cases, which may cause discord.

For example, in the course of the study, which included 330 older patients with DCC, it was found that 49% of respondents demonstrated primary symptoms up to age 11 and 23% in children from age 11 to 18. Deyakі fahivtsі vіdnayut, scho first obsessions and compulsions in 5-80% of cases of illness manifest before the 18th century, which gives an idea to look at DKR as a pervasive disorder of the development (neurodevelopment).

Most of the patients in no way take away the glee - similar to the results of the epidemiological studies of middle-aged adults. Іsnuyut problems with early diagnosis and availability of specialized medical care for patients with DCC. More than 60% of ailments on DKR in the United States do not take away exaltation through the presence of medical practitioners, as they may be necessary for the development of DKR competence.

History

Obsession and compulsions are told by medical doctors of the 17th century. Intrusive ideas and ideas were looked at as if they were manifesting religious melancholy, and the suffering ones were respected by "obsessed" - stunned by the outer forces. The first clinical description of the discord is due to Felix Plater (1614). In 1621, Robert Barton, in his book Anatomy of Melancholy, described an obsessive fear of death. Similar intrusive doubts and battles were described in 1660 by the priests Jeremy Taylor and John Moore, Bishop of Elsk. In the 17th century in England, the intrusive statues were also protected to the point of "religious melancholy" and respected that they blame the stench after the supernatural devotion to God.

In the 19th century, the term "neurosis" was wide-spread, which was called obsessiveness. Obsessions began to differentiate as absurdity, and compulsions as impulsive acts. Psychiatrists discussed how to protect OCD until the emotions break down, the will to break up the intellect. In 1827, Jean-Etienne Dominique Esquirol, the father of Jean-Etienne Dominique Esquirol, first described a mental disorder that was similar to the modern DKR. Vіn klasifіkuvav tsey discord like "sickness sumnіvіv" (fr. Folie de doute) - a variety of chastkovy madder.

Naprikintsy of the 19th century obsessive-compulsive disorder Bulo was classified as neurasthenia. In the last quarter of the 19th century, neurasthenia slandered the majestic resemblance of various discords, among them DKR, which they did not respect for other discords. At the beginning of the 20th century, Sigmund Freud and Pierre Janet described clinical signs of neurasthenia in kerosene stoves. In 1903, Pier Janet, in his robot Les Obsessions et la Psychasthenie (Obsessions and Psychasthenia), saw a neurosis with intrusive camps from neurasthenia, as if he were ill, calling it yoga psychasthenia. Stverzhuvav, that the patient is suffering from psychosthenia, at the sight of neurasthenia, may be damaged special, signs of some kind of anxiety, over the world restlessness and confusion.

P'ier Janet also described the success of obsession rituals with methods that are similar to those that are now used in behavioral therapy for DKD. The vcheniy described the clinical disposition of a five-year-old boy with psychosthenia, a kind of intrusive repetition of thoughts. This publication is considered the first clinical description in a child. 1905 rock S.A. Sukhanov formulated close to the understanding of psychasthenia about an anxious and mistrustful character. The term "psychasthenia" began to be widely used by Russian and French psychiatrists, while German and English psychiatrists were also called the term "neurosis of irritating states". Their discord began to be called obsessive-compulsive neurosis, and then - DKR.

Clinical features of DCC in children and adolescents

DKR is characterized by the presence of obnoxious thoughts, which are obnoxious, which take up a lot of hours (take 1 year of the day), call out subjective distress, respect the life of the patient and his mind. Intrusive, intrusive ideas, images, fears, thoughts call out to the unhanded, unacceptable, uneasy, provoke anxieties. Compulsions are models of behavior that are repeated, as if the patient is victorious for change, or he is restless or stressed, which is the result of obsessive thoughts. Compulsions, as a rule, follow the same rules, as a patient of confusions. Obsessive-compulsive symptoms appear in about 10 patients, and in one patient for a long time.

For the obviousness of the overt features in the clinical picture, children and children from the DKR demonstrate specific features. For example, as a young patient, it is mostly the ability to manifest compulsions without obsessions. Children also, ymovirno, recognize their symptoms as dystonic, so that they can rob their children by preparing to repair the opir bazhannu and overcome compulsive deeds. Therefore, the DSM-IV criteria are not needed, since the children were small enough to be diagnosed with obsession and compulsion to establish a diagnosis. Children can also demonstrate tick-like intrusive stands, as it is important to differentiate with folding tics, especially for the obviousness of intrusive rituals in looking dots. At different times, compulsions can be accompanied by both obsessive thoughts and various sensory phenomena.

Sensory phenomena - a term that is used to designate unhanded or unacceptable sensations, sprinyattya, sensible, like provoking, reworking, or accompanying sounds that are repeated, such as compulsions or tics. Patients obsessive-compulsive disorders may feel irritated by repeating the songs, docks may feel a slight relief of these unacceptable sensory phenomena. Sensory phenomena are subdivided into physical and mental. For example, the deacons can recognize the "appearance of oily speeches on their hands and the bazhannya resolutely imitate them," they suffer from the behavior caused by these actions, which are repeated. One feels “unhandled” through those who have been declared “wrong” by the police, and rearrange them, until you take, on one thought, “correct dressing”.

Evaluation of the severity and severity of sensory phenomena in May is of great importance, and the results of the studies have shown that in patients with early onset DCC, there are tics at the same time, pathological lesions associated with sensory impairments. Deyakі patsienti podomlyayut, schvodnіdnі sensory disturbances cause more distress, lower compulsions.

On the cob of obsessive-compulsive disorders

There is not a single thought about those, how to better signify the discord of the manifestation. Deyakі eksperti proponuyut vіk vіk by hr, if the first obsessions and compulsions were diagnosed, if the symptoms of DKR begin to take over from normal functioning. At the end of the follow-up period of comorbidity in 330 patients with DCC, it was established that there were two peaks in the manifestation disorder (in 10 and 17 patients). Tse allowed the authors to form subgroups with early and late onset pathology.

Vik manifestation - important information. According to the criterion of the early onset of OCD, it is possible to name the particular subtype of disorder. Later studies showed that they have grown up, as if to tell about the early cob of discord, to demonstrate the preservation of symptoms for a three-hour hour, less sensitive to glee. In addition, at the time of the clinical break obsessive-compulsive disorders with an early cob, less intrusive ideas, and more tic-like myoclonus, compulsive deeds, more sensory phenomena.

Irrespective of the accuracy of the diagnosis of ailments for a century on the cob of obsessive-compulsive disorders (OCD) for the designation of similar subgroups, the distribution of patients with OCD for symptom complexes (monoqualitative signs) may be of great importance. The following investigations allowed us to list the clinical phenotypes of DCC up to the number of clinically significant groups: debridement/purification; intrusiveness / reverberation; symmetry / well-being and accumulation. Indicated clinical phenotypes correspond to discrete stereotypes of manifestations, staged pathoplasty of symptoms, clinical polymorphism, which is characteristic of all age groups. Discrete relatively stable monoqualitative signs correspond to a number of discrete emotional-behavioral manifestations of functioning, standard, “normal”, inherent since childhood, certain biologically determined markers (genetic, neuroimaging), demonstrate excellent sensitivity to various therapeutic interventions, both drug and non-pharmacological. Investigations have shown that in patients with early onset DKD, power is more severe for aggressive obsessive ideas and associated compulsions, sexual and religious obsessions and sexual compulsions, obsessions and compulsions cії, pov'yazanі z symmetry, landscaping that organization.

Comorbid discord

As I grew up with DKR, as 60 to 80% of ill children and children may have one or more comorbid mental disorders. The most widespread are tic disorders, disorders with a lack of respect and hyperactivity (ADHD), anxious disorders, mood disorders and eating behavior.

The biggest difficulties in the diagnosis and evaluation of clinical manifestations of amalgams obsessive-compulsive disorders and tic disorders. In OCD, tics are diagnosed in 20-59% of children and 6-9% of adolescents and adults. Similarly, 48% of older patients with DCC with early manifestation may have tics or Tourette's syndrome, equal to 10% of those who may manifest disorder. According to the results of the divinely predicted, there was seen a small sign - “tics associated with DKR”, which, as it was established, was characterized by a greater recessive severity of subclinical DKD and tic disorders among the closest relatives; greater breadth among people; early age on the cob ill; filthy experience in therapeutic intervention.

Other clinical phenotypes obsessive-compulsive disorders caused by a spectrum of disorders and other anxiety disorders, dysmorphophobia, trichotilomania, disorders of eating behavior (anorexia, bulimia), paroxysmal anxiety, impulsive disorders. It is also described a variant of the flow of DCC, which is powerful without interruption, clinical polymorphism of symptoms, such as intrusive thoughts, anxiety, repeated behavior, which sometimes change among themselves in the clinical picture. Listed variants of clinical polymorphism are included in the spectrum of DKR.

Perebіg and prognosis of obsessive-compulsive disorders

The flow of DKR is most often unstable. The symptoms appear and develop rapidly, demonstrate the inconsistency between patient and patient for an hour, regardless of those that stench often emphasizes the same thematic sequence. Similar to that, as it happens in grown-ups, in children it can take a little more than an hour until the diagnosis is established and the rejoicing begins. The study found that in the United States in an average of 2.5 years from the moment symptoms appeared before a diagnosis was made, and in Germany it was more. Among the reasons for the diagnosis is stigmatization and dissimulation.

Patients are ashamed of symptoms of discord, blame for their behavior, to be prihovyut їх, until the struggle with the manifestations of ailment does not show, does not begin to be respectful of everyday activity. Easy chi pomirnі vpadki obsessive-compulsive disorders it is possible to diagnose only through indirect signs, for example, an increase in the hour for attending school tasks, a cracked coat after a frequent meeting. In other cases, the symptoms of obsessive rituals can give rise to pathological sounds in a child. True, some forms of behavior that are repeated can be normal at certain stages of development. Small children sing richly ritualistic, repetitive and compulsive actions, as if they are looked at as part of their normal behavioral repertoire; stench, zokrema, often perform ritual procedures before going to bed, eating, evaluating school knowledge. Active aspects of childish rituals and obtrusive actions connected with childish fears and phobias. From the first glance of the DKR, it is possible as a continuum of stanіv vіd rozladіv up to normal behavior by stretching different periods of development.

Retrospective study, in which 145 children and children took part obsessive-compulsive disorder, demonstrated that, most often in the future, such diagnoses were made, such as generalized anxiety disorder (25%), depressive disorder (16%) and tic disorder (16%). Approximately two-thirds of the patients rated their state as significantly better than DKR. Mayzhe half (49%) of the participants said that they needed a little more jubilation. The greatest predictor of obsessive-compulsive symptoms in whom the disease was experienced. The severity of symptoms during manifestation did not add to the severity of the pathology overrun.

The injection of DKR on the disrupted functioning and the agility of life kolivavsya from a light degree of severity to death. There are no data to indicate that DCC in children is chronic or may often relapse / improve symptoms and require careful treatment. The last studies have shown that some children show subclinical symptoms over time, the success of the result of treatment to fall in the early stage.

Clinical assessment

Curative severity of symptoms obsessive-compulsive disorders Since otochyuchih, it is important for members of this family to identify early signs of ritual behavior. In case of suspicion of DCC, a comprehensive clinical assessment is required, including reports from interviews with fathers and, as well as possible, with readers, to assess obsession, compulsions, and sensory phenomena. Children of a young age, especially DKR, can sometimes show up during the hour and the pain of painting. It is also important to understand the difference between obsessive-compulsive symptoms and rituals, which are considered normal for a child's behavior, characteristic of specific phases of development, for example, rituals for an hour or two before bedtime. The most recent information about the problem, the damage that is blamed on the past, and the hour that is spent on vikonnannya rituals, the responsibility is to secure enough data obsessive-compulsive disorders. In addition, it is important to assess the understanding and spontaneity of the symptoms of the family, with the help of those members of the family, as if they were directly concerned with the patient. Estimating scales are adapted for reporting information about the symptoms of DCC, tics, and other aspects that are worth diagnosing. It is important to sing for the assessment of the severity and the activation of the flood for a long period of caution and rejoicing.

Genetic factors

With a stretch of rich fates, it was emphasized that DKR, in fact, was a slandered disease of environmental factors in ailment, the presence of twins, families, a connection from segregation showed that DKR in their families declined in the range in ID 45 to 65%, which is explained by genetic factors. Genetically, family studies have brought, which earlier blame the symptoms of DCC in the proband, the greater risk for members of the same family of the first mother, obsessive-compulsive symptoms, DCC, tics or Tourette's disease. On the other hand, subwinning studies have shown that the frequency of concordance in monozygotic twins is significantly higher than in dizygotic twins. Also, the rate of concordance does not become 100%, moreover, genetic studies show that non-genetic factors also play an important role in the etiology of DCC.

Genetic studies of the chain have identified the genome of the seedlings, yak, ymovirno, vengeance are friendly for development obsessive-compulsive disorder loci on chromosomes 1q, 3q, 6q, 7p, 9p, 10p and 15q. Numerical studies were carried out on the candidate gene, in which respect was determined more importantly on serotonergic, glutamatergic and dopaminergic genes; dosi reconciliation results are not taken away. Among the most recent variants of gene polymorphism, promising mutations have been established for the diagnosis of DCC, associated with damage to glutamatergic genes; These mutations correlate with the behavior that is repeated in humans and rodents.

Non-genetic factors

In moderate subjects, middle-ranking officials, such as emotional stress and craniocerebral trauma, can cause DCR. Above-world increase in the vagary of the hour of vagity, trivality of the front canopy, zhovtyanitsі є risk factors for OCD.

β-hemolytic streptococcal infection group A (GABHS).

Link between GABHS-infection and rheumatism (systemic autoimmune disease caused by GABHS-infection) and on the cob or worse obsessive-compulsive disorders but with ticks, it will bring significant respect by stretching the remaining two decades. It is a hypothesis that GABHS-infection can induce the generation of autoantibodies, thus interfering with the cellular components of the basal ganglia. This hypothesis is supported by only a small part of children, like DCC, and is supported by neuroimaging and immunological findings. OCD and other psycho-neurological disorders are more often, lower, blamed on probands for rheumatism of the first stage.

Family factors.

p align="justify"> An important non-genetic factor is sіm'ya. Small children are smart enough to get relatives to their own rituals, which will bring family stress to a high level. Some people try to instill a child in the form of rituals, and some people “pidkriplyu” or induce symptoms.

Neurobiology substrate.

There was an admission, which is the main deregulation of the fronto-cortico-striato-thalamus system in patients with HCC. Functional studies of neuroimaging showed that the orbitofrontal cortex of the brain, the anterior part of the cingulate and the smug body in patients with obsessive-compulsive disorder activated and after the activation changes. Neuropsychological tests revealed a deficit of cognitive functions and ruddy dysplasias, adjustments to zonal-spatial orientation, as well as deviant cognitive functions in patients with obsessive-compulsive symptoms and DCC. The cases of these deficiencies were also diagnosed in relatives of ailments at the DCC of the first stage of spores. This is why it was suggested that some neurophysiological changes that are expected in childhood, for example, a deficiency of the star-spatial orientation, can be an early sign of the manifestation of DCC in a mature age.

The serotonergic system also takes part in pathophysiology obsessive-compulsive disorders. In the lower case, symptom relief was demonstrated with the ingestion of serotonergic drugs. The cream of the strengthening of the transmission of monoamines, the deacons admit that oxytocin may have a positive therapeutic effect in DCC.

Before the cob of the cob, take some nutrition to respect, so that the most problematic symptoms of obsessive-compulsive disorders (OCD), the hour of illness, having poured into life those difficulties that are blamed on this patient, are correctly diagnosed. The rating for the participation as a patient is significant, so the members of this family and the readers are superbly important. Another important nutrition is an accurate assessment of concomitant illnesses, as it sounds to accompany DKR. It was not revealed that the assessment of the subsequent illness of the building worsened the prognosis of the recovery.

Recommendations for the treatment of OCD in children and adolescents, as well as recommendations for adults based on cognitive behavioral therapy (CBT), pharmacotherapy and psychocorrection. Selective inhibitors of serotonin intoxication (SIZZS) and CPT were systematically studied: it was found that the stench is corrosive when treating children and children with DCC. Non-pharmacological treatment of CBT is the only option for psychotherapy, the effectiveness of which is the treatment of OCD in children has been scientifically proven.

Celebration obsessive-compulsive disorders in children, start with CPT in cases of mild and moderate severity, with a combination of CPT and pharmacotherapy - with more severe disorders, or if CPT is inaccessible. CBT in DKD integrates behavior and cognitive involvement and demonstrates a significant effectiveness, especially if it is safe to take into account preventive interventions and cognitive restructuring. Cognitive restructuring helps patients to learn by injecting thoughts and changing their behavior (rituals and behavior are unique), functional dependency between intrusive ideas and rituals, as well as strategies to help neutralize them , crying out relieved.

Povedinkov's model of Vikoristov's method and influx of that reaction zabigannya, which are grounded on vіdnosinah between intrusive ideas and primuses, with the method of weakening the connection with the problem, like the stench called out. The therapist demonstrates the patient's objects, people or situations, what kind of wines to be afraid of, and zapobigaє vykonanny primus in order to step by step reduce the level of anxiety. Cognitive and behavioral methods complement and help one another, to lie in the right direction with other methods of therapy.

Practical aspects of CBT in obsessive-compulsive disorders

Most of the benefits of CBT for the treatment of OCD are recommended for 12 to 25 sessions. Helpers from DKR let you know that the doctors will win one hour or two sessions, so that they can collect the report information about the patient’s symptoms and how they react to them, influencing the family’s sharpening, success with the doctor and our actual nutrition of the patient's life. It is also necessary to carry out psycho-educational work, as well as to include basic information about all aspects of illness, including possible clinical symptoms, infusion of concomitant illness, methods of treatment, trivality of illness and treatment, risks for family otochennya and how better to behave with a member of the family obsessive-compulsive disorder. As a rule, the 50-minute session of CBT provides an overview of goals, analysis of the previous day, new information, practice of therapeutic assistance, home tasks of the coming day, as well as monitoring.

The success of the CBT to lie in the wake of the rose of ailment is the basis of jubilant approaches and cognitive processes that take the fate of the sickness. Clinical tests have shown that CBT demonstrates the best results when people who are in close contact with the patient (fathers, members of the family and teachers) take the fate of the jubilant. Members of this can react to the patient's symptoms, make it easier to see the behavior, help with the existing ritual behavior, or hatefully take part in the rituals. At the same time, high levels of radiation were associated with symptomatic relief and worsening results of therapy. The fathers are also guilty of coming to likuvannya and even more often the stench becomes the therapist's helpers and cherish the likuvannyam at home minds.

Medical treatment

The introduction of CBT due to the lack of drug therapy was promoted as a therapy of choice in order to achieve the greatest effectiveness in the treatment of mild and severe depressions of DCC. SSRIs are the first line of choice for the treatment of DCC in children, adolescents and adults. Clomipramin is a serotoninergic tricyclic drug, which has become the first of the medicinal drugs with clinically proven efficacy in the treatment of DCC. Regardless of its effectiveness, this antidepressant may have a number of significant side effects: from the side of the intestinal tract, ANS, liver and cardiovascular system, intervening clinical clomipramin intake, especially in children and adults c. For example, zastosuvannya klomіpramіnu vimagaє elektrokardiografіchnoї (EKG) assessment before vikoristannya that stretching likuvannya.

Clinical trials have demonstrated great efficacy and safety of SS33C: sertraline, fluoxetine and fluvoxamine (okremo or in common CPT) in children and in patients with DCC. The effectiveness of sertraline in the treatment of DCR in children was assessed in a clinical trial of POTS for 5 years; The design was further developed by evaluating the efficacy of placebo, sertraline, CBT and subse- quent CBT with sertraline. Taken together, the results showed that the combination therapy (CPT + sertraline) was the most effective combination of CPT and sertraline. Other CVDs, such as paroxetine, citalopram, and escitalopram, have also been shown to be effective in children and patients with DCC, although the U.S. Food and Drug Administration (FDA) has yet to approve them. station in pediatric practice.

Treatment of SIZZS is begun with a low dose to reduce the risk of developing side effects. To achieve a therapeutic effect, the course of treatment should be 10 to 16 times in adequate doses. The optimal trivality of glee for children with DKR is not at home. Most experts care that the treatment can take no less than 12 months after the onset of symptoms or stabilization, and then we can even more step-by-step apply to the doctor.

Patients with revealed resistance to lubrication

Irrespective of the effectiveness of CIZZZ, about half of the patients do not respond to therapy and may have significant excess symptoms, induce with adequate treatment and with a high dose, which is recommended or be tolerated. For these patients, a number of strategies have been proposed, as described below. It is a pity, while there are no regular systematic follow-ups, in the course of them they would either change the preparations or continue the polytherapy.

The first strategy is to switch the drug to another SSRI. In adults with a frequent reaction to SSRIs, antipsychotic drugs and clomipramine were used as adjunctive therapy. It is necessary to study further these pharmacological effects in children. Neuroleptics can be used in case of adversarial tic disorders or worse therapeutic symptoms. Clinical studies show that haloperidol, risperidone, and quetiapine may be effective. Olanzapine should not be given to children due to the risk of metabolic syndrome. Side effects of neuroleptics: sedative diarrhoea, dysphoria, increased vaginal and extrapyramidal symptoms. The results of new clinical trials indicate the possibility of vicarious stimulants, gabapentin, sumatriptan, pindolol, inositol, opiates, St. John's wort, N-acetylcysteine, memantine and riluzole їх routine tricks.

Another strategy affects the marked manifestation of adversarial disorders (such as ADHD, tics, depression and behavioral disorders). The presence of adversarial disorders is associated with greater severity of mental disorders, social adaptation of the child, and greater stress for the family, which can result in aggravation of good fortune. Doctors in such situations look at the underlying diagnostics, diagnostics of several mental disorders and the possibility of polytherapy. Consider also the possibility of using pharmacotherapy from CBT. According to Franklin (2011), the effect of therapy with antidepressants in children was stronger, as they rejoiced at the CBT victories and small partial responses to the rejoicing. The study included 124 patients with DCC for a period of 7 to 17 years, which were randomized into three groups: treatment with only SIZZS; СІЗЗЗ at the last CBT (14 one-year sessions in a stretch of 12 years from the received psychoeducation); medicamentous treatment at the same time with CPT (7 sessions for 12 days from an average trial of 45 minutes). After 12 days of treatment, the reduction of symptoms was 68.6% in the other group, the same in the third group - 34.0%; Pershoi - 30.0%. That therapeutic introduction, which included 14 year-old sessions of CBT in the course of medical treatments, was two effective.

Prevention of obsessive-compulsive disorders

Let's look at the search for new strategies for healing, it is necessary to identify the development of the DKR as a high risk for the development of a prevention strategy. Krim zagalnykh zakhodіv schodo zmіtsnennya psikhіchnogo zdorov'ya, on this year not іsnuіє zhodnih programs profilaktiki z brought effektivnіstyu.

Additional groups and associations

If people seem to be suffering in their homeland obsessive-compulsive disorder, then the stench, as a rule, can take away the severity of the children's groups, to get into trouble, especially if the child is ill and the children are sick. The fate of the groups is supportive of the stress that a child is experiencing from DKR. Groups of educators, to the warehouse of which fahіvtsі enter the halls of mental health, provide psychoeducational training, help people recognize symptoms, change their negative impact on sim'yu that is more correct. In contact with people who suffer from the same problems, it is possible to exchange control of symptoms and learn more about the disease. Groups of support can also be similar for patients, although there is less peace in children with DCC.