Diagnosis of the disease is based on identifying characterological, emotional, typical, and cognitive personality changes.
The following methods are used to diagnose organic personality disorder: MRI, EEG, psychological methods (Rorschach test, MMPI, thematic apperceptive test).
Organic disorders of brain structures (trauma, illness or dysfunction of the brain), lack of memory and consciousness disorders, manifestations of typical changes in the character of behavior and speech are determined.
However, for the accuracy of diagnosis, it is important long-term, at least six months, monitoring the patient. During this period, the patient should show at least two signs in an organic personality disorder.
The diagnosis of organic personality disorder is established in accordance with the requirements of ICD-10 in the presence of two of the following criteria:
- a significant reduction in the ability to carry out targeted activities that require a long time and not so quickly lead to success;
- altered emotional behavior, which is characterized by emotional lability, unjustified fun (euphoria, passing easily into dysphoria with short-term attacks of aggression and anger, in some cases, the manifestation of apathy);
- cravings and needs that arise without taking into account social conventions and consequences (antisocial orientation - theft, intimate claims, voracity, not observing the rules of personal hygiene);
- paranoid ideas, as well as suspicion, excessive concern with an abstract topic, often a religion;
- change of pace in speech, hypergraph, super-inclusion (inclusion of side associations);
- Changes in sexual behavior, including a decrease in sexual activity.
Organic personality disorder must be differentiated from dementia, in which personality disorders are often combined with memory disorders, with the exception of dementia in Pick's disease. More precisely, the disease is diagnosed on the basis of neurological data, neuropsychological research, CT and EEG.
Treatment for Organic Personality Disorder
The effectiveness of the treatment of organic personality disorder depends on an integrated approach. It is important in the treatment of a combination of drug and psychotherapeutic effects, which, if properly used, reinforce each other's effects.
Drug therapy is based on the use of several types of drugs:
- anti-anxiety drugs (Diazepam, Phenazepam, Elenium, Oxazepam);
- antidepressants (Clomipramine, Amitriptyline) are used in the development of a depressive state, as well as exacerbation of obsessive-compulsive disorder;
- neuroleptics (Triftazin, Levomepromazin, Haloperidol, Eglonil) are used for aggressive behavior, as well as during the period of exacerbation of paranoid disorder and psychomotor agitation;
- Nootropics (Phenibut, Nootropil, Aminalon);
- Lithium, hormones, anticonvulsants.
Often medications affect only the symptoms of the disease and after the drug is discontinued, the disease progresses again.
The main goal in the application of psychotherapeutic methods is to ease the psychological state of the patient, help in overcoming intimate problems, depression, obsessive states and fears, learning new behaviors.
Assistance is provided in the presence of both physical and mental problems in the form of a series of exercises or conversations. Psychotherapeutic effects with the use of individual, group, family therapy will allow the patient to build a competent relationship with family members, which will provide him with emotional support from relatives. Placement of the patient in a psychiatric hospital is not always necessary, but only in cases where he represents a danger to himself or to others.
Prevention of organic disorders includes adequate obstetric care and postnatal rehabilitation. Of great importance is the proper upbringing in the family and at school.