Symptoms and manifestations of hypochondriasis

Hypochondriasis is a relatively common disease. This disease is sometimes quite serious. Both family members and patients should pay attention to it. When depression occurs, it often leads to emotional outbursts, emotional excitement, and crying. At this time, it is also easy to cause identity disorders and self-identity recognition disorders. It also has a great impact on physical health, so it is necessary to receive timely and effective treatment.

1. Emotional Outbursts

The disturbance of consciousness is relatively mild, and often occurs suddenly when arguing with others or when emotionally excited, and the patient expresses himself by venting his emotions, crying incessantly, beating his chest and stamping his feet, banging his head and rolling around. When many people are watching, the attack is particularly severe. The duration of the attack is closely related to the degree of attention of the people around. The greater the degree of attention, the longer the attack lasts. Sometimes, in order to escape from difficulties, patients may experience a major seizure under slight mental stimulation. The seizure usually lasts for tens of minutes and may cause partial amnesia. It almost never occurs when no one is paying attention.

2. Hysterical identity disorder

It is an acute, transient mental disorder characterized by self-identity disorder. Loss of sense of self-identity, having dual or multiple personalities, usually with a superstitious tone. It manifests as an impairment of awareness of one's own identity, inability to recognize one's original identity, and is often possessed by ghosts or spirits. At this time, the patient temporarily loses the ability to identify his personal identity and the surrounding environment, lacks awareness of the surrounding environment, has a narrow peripheral consciousness, or has an unusually narrow and selective attention to external stimuli, which is related to the patient's changed identity. The patient behaves as if replaced by another personality, spirit, ghost, deity, or outside force. The patient's attention and awareness are focused only on individual aspects of the environment with which he or she is in close contact, often with a limited and repetitive series of movements, postures, and pronunciations. Some patients show alternating appearance of two or more distinct personalities (called dual personality and multiple personality respectively), but only one of them is prominent at a time. Each personality involved is complete, with its own memories, behaviors, preferences, and can be completely opposite to the patient's pre-morbid personality. The transition from one personality to another is usually sudden at first and is closely associated with a traumatic event. Afterwards, the transformation usually occurs only when encountering stressful events or receiving relaxation, hypnosis or catharsis treatments, at which time the patient lacks full awareness of the surrounding environment.

3. Hysterical disorder of consciousness

The main manifestation is a narrowing of the scope of consciousness. The onset of the disease is sudden, and the patient's speech, movements, and expressions reflect the content of the psychological trauma. It usually takes tens of minutes to recover, and after waking up, the patient cannot fully recall the experience during the illness.

4. Hysterical amnesia

The patient has no organic brain damage, and the main manifestation is selective amnesia, partial or complete amnesia. The forgotten period of time or events is often or still is associated with a traumatic or stressful event. The main feature is memory loss, usually partial or complete amnesia for recent events that are traumatic or stressful in nature. Amnesia is usually partial and selective and usually revolves around a traumatic event, such as an accident or unexpected death of a loved one. The degree and completeness of amnesia can vary easily and even from day to day. At the same time, different examiners may see different things at different times. Despite this, there is always a fixed core content that cannot be recalled in the waking state. The emotional states that accompany amnesia vary widely and are generally characterized by confusion, distress, and varying degrees of attention-seeking behavior, but severe depression is rare. The disorder is most common in young adults. It is often accompanied by aimless wandering in the local area and apparent self-neglect. Generally, it lasts for no more than 1 to 2 days.

5. Hysterical wandering

In addition to all the features of hysterical amnesia, there is also wandering away from home or work during the day when awake, which appears to be purposeful but is actually unplanned and aimless. During the wandering period, the patient retains basic self-care abilities (such as eating, washing, etc.) and can engage in simple social interactions with others (such as buying tickets, asking for directions, ordering food). Brief and in-depth contact with others does not reveal any mental abnormalities. To uninformed bystanders, the patient's behavior during this period appears to be quite normal. Some cases even take on a new identity, which generally lasts only a few days but can last up to several months. The trips they arrange may be to places that are known and have emotional significance. The patient's range of consciousness is reduced at this time. There may be self-identity disorder, but not hysterical multiple personality. The beginning and the end are sudden, and there is forgetfulness afterwards.

6. Hysterical pseudodementia

The patient suddenly develops severe intellectual disability after psychological trauma, but has no organic brain disease or other mental illness. If the patient can understand the questions but gives similar answers, giving people the impression of being deliberately contrived, it is called Ganser syndrome. Such as after psychological trauma. Suddenly appear childish things, words, expressions and actions like a child. If the child regards himself as a child, it is called childhood dementia.

7. Hysterical psychosis

The patient suddenly developed the disease after suffering severe psychological trauma. The symptoms are variable, mainly manifested as recurring fragmentary hallucinations or delusions with fantasy life plots as the content, thinking disorders, blurred consciousness, histrionic movements, or obvious behavioral disorders, crying and laughing erratically, histrionic movements, childish and chaotic behavior, or stupor, or personality disintegration, etc. It is more common in women, and the course of the disease rarely exceeds 3 weeks. It can heal suddenly without sequelae, but it may recur.