Psychasthenia is a mental disorder characterized by the impotence and weakness of a person’s mental qualities. For a long time in domestic psychiatry, psychasthenia was related to the classification of psychopathy. It is very important for psychasthenia to differentiate from nervous weakness (neurasthenia).

The modern classification of personality disorders does not have the exact equivalent of psychasthenic psychopathy, however, anancastient personality disorder came closest to it. The term psychasthenia was first introduced in 1894 by Pierre Janet.

Psychiatric causes

The causes of psychasthenia are life-traumatic events. Translated from the Greek language, the disease is called mental weakness. This disease is observed in individuals thinking mindset. Serve the development of the disease can nervous exhaustion, which will lead to the defeat of mental activity. Researchers believe that a decrease in mental stress is caused by impaired nutrition of the brain, as well as blood circulation. It is believed that the basis of obsessive doubt is a violation of induction relations. This is when one hearth is not able to slow down another, which competes with it.

Psychiatric symptoms

Psychasthenia is characterized by excessive suspiciousness, impressionability, vulnerability, shyness, fearfulness, anxiety, lack of initiative, indecision, self-doubt; fears for the future that appear to be unpromising, carrying troubles, as well as failures. For this reason, there is a fear of the unknown, the new.

Psychasthenia and its symptoms: pedantry, endless doubts, slow actions, control over the actions done, rigidity of thinking, painful self-analysis, abstract reasoning, unexpressed inclinations; strong susceptibility from reading, which does not correspond to reality; depersonalization and derealization violations, feelings of incomplete life.

Psychasthenias are distinguished by irritability, impressionability, weakness and vegetative instability, overcompensation reactions, and rapid fatigue.

Psychasthenes have much in common with asthenics, and the distinctive moments of the latter are expressed in acute sensuality, the absence of hypertrophied analyticity and acute depersonalization.

Psychasthenia and its signs are manifested in morality, in mental agony, in difficulties in communication. Psychastenic thoroughly analyzes all the difficulties, ponders. Each important conversation worries about memory, treats its words biased and suffers from what he said absolutely not. Suffering from the disease for a long time worries that he was misunderstood by the interlocutor. The psychiatric patient is waiting for a new meeting with this interlocutor to talk and, finally, calm down. It happens that a psychasthenic cannot wait and worries a person for an apology with a late bell, which surprises a person very much, since for him the conversation has long been in the past.

For such people, everything happens around, as in a dream. Their actions, decisions, are perceived by them too accurately, and also incomprehensibly. These factors are due to their indecision and uncertainty, endless doubts caused by any occasion. Such patients are anxious, suspicious, modest and shy. For patients, both real problems and those that have not yet arisen are important. Thoughts of such a plan torment a person more significantly than with real trouble. People like to reflect on abstract topics and mentally draw in imagination situations where they are already active. But the real reality appears completely different, and the person shies away from it in all sorts of ways. At work, a person also displays professional lack of will. Before performing professional tasks, psychasthenic is tormented by doubts and feels insecure about their own actions.

Psychasthenia is often accompanied by hypochondriacal and obsessive states. Signs of psychasthenia can manifest themselves in youth. Psychasthenic personalities do not live in the present, but in the past or the future. Every trifle, trifle force psychasthenics to think. Every unfamiliar business, any initiative is a source of torment. Some researchers attribute psychasthenics to common hypochondriacs. Permanent anxiety, anxiety, fears - that’s what life of psychasthenics is filled with. All expectations for psychasthenic personalities are very painful.

Therefore, in spite of constant indecision, psychasthenic is persistent and also impatient. He is suspicious, distrustful, skeptical, sad, dreamy, in need of greenhouse conditions. Obsessions are a distinctive symptom of psychasthenia. Often, persons prone to obsessive thoughts are concerned about the fear of falling ill with a mental illness. Psychasthenes have a low percentage of concentration, efficiency and rapid increase in fatigue. They find it difficult to switch to another type of activity.

Often, psychasthenic insecurity turns into a ground for the development of neurotic pathology, which provokes unfavorable prognostic signs. As a result, a complex of disorders associated with uncertainty may occur. Uncertainty in psychasthenia gives rise to the following problems: alcohol dependence, sexual problems (psychogenic impotence in men, in women - anorgasmia and frigidity), long loneliness leads to depression.

Psychiatric treatment

It is very important to observe the regime of work, as well as rest. A person needs to free himself from additional workloads, and increase his walking time to at least one hour. It is necessary to include in the treatment of sleeping pills, hot foot baths, massage of the entire body and limbs.

You should refrain from sunbathing, as they can provoke headaches, weakness, irritability.

Air baths are recommended in well ventilated areas. One of the effective methods of psychotherapy of psychasthenia is autogenic training. This requires active volitional participation of the sick person in treatment, in making certain efforts, rebuilding attitudes towards the disease, as well as mobilizing forces for complete recovery. The purpose of training sessions is to be able to control breathing, cultivate attention, strengthen and develop willpower, manage your actions, feelings, moods.

Drug treatment of psychasthenia includes Sodium Bromide, Valerian, Motherwort drugs. Treatment of diseased is a complex and long process. It is important to eliminate unfavorable situations for the patient that support mental irritation. Without this, the nervous system will not be brought to normal.

How to treat psychasthenia?

Psychasthenia is characterized by disorders that become permanent, which are initially eliminated independently without the help of a doctor. If the circumstances that caused the psychasthenia are not eliminated and systematic treatment is not carried out, then the symptoms of psychasthenia can manifest themselves in a serious form. In women, psychasthenia is especially acute during puberty and during menopause, so it is important to take these features into account during the treatment period.

Psychasthenia and antidepressants are used for the treatment of the following - Amitriptyline, Clomipramine, Tofranil. It is important to carefully follow the instructions of these drugs!