Many people are concerned about the question: "how to get out of the stupor"? Naturally, only specialists - psychotherapists and psychologists can help in this. However, one should still know how to help a loved one or someone in the environment, if there are noticeable signs that the subject intends to fall into a stupor or has already entered such a state and needs help.
So, in the first turn, massage of special points located exactly in the middle above the pupils, equidistant from eyebrows and hairline, will help relieve tension. Massage these points should be using the pads of the index finger and thumb. In addition, it is recommended to try to provoke strong emotions in an individual in a stuporized state, whether positive or negative (better than negative). For example, you can slap.
Bending the individual fingers and pressing them firmly against the palms can help to get out of the stupor, while the big fingers remain straight. So, the answer to the question: "how to get out of stupor," is hidden in the emotional shake-up of the body and the synchronization of the breathing of the sufferer with the subject helping him. To this end, you can put your hand on the chest of an individual who has fallen into a stupor and adjust to his breathing rate.
In a stupor, emergency care is limited to ensuring the safety of subjects and the prevention of dangerous acts on their part. For example, in the case of a catatonic stuporous state, emergency care will consist in the readiness to stop unexpected impulsive agitation.
When a depressive stupor - preventing the likelihood of unexpected development of depressive arousal with a focus on suicide, as well as the elimination of the refusal of food. In addition, we must bear in mind that the stupor may suddenly be replaced by excitement.
Treatment often occurs in stationary conditions. Use barbamil-caffeine liberation. Thanks to which it is possible to detect the features of the patient's experiences and anxieties, which helps to determine the nature of the stuporous state. Such a disinhibition is also a therapeutic method that helps with a steady rejection of food.
Stuporoznoe condition arising on the background of severe somatic ailments, requires treatment of the underlying disease.
When stupor accompanied by hallucinations and delusions use Stelazin, Trisedal as well as in the treatment of hallucinatory and delusional states. In the depressed stuporous state, disinhibition is also performed and Melipramine is used up to 300 mg per day orally or intramuscularly. When psychogenic stuporous state - Diazepam up to 30 mg per day orally or intramuscularly, Elennium or Fenazepam.
Psychopathological syndrome, the main manifestation of which are disorders of motor orientation, called catatonic stupor.
The catatonic stupor was first described by Calbaum as an independent mental illness, subsequently Kraepelin was attributed to schizophrenia. Catatonic stupor is a form of schizophrenia characterized by psychomotor disorders. Such a stuporous state may have a duration of several months, and for a more serious course, several years. It manifests itself in the preservation by the subject of an uncomfortable, unnatural posture over a rather long period and mutism. At the same time being in a similar position, the person does not feel fatigue. Stuporous state may be accompanied by increased plastic tone or extreme tension of the whole musculature.
Catatonic stupor is a form of schizophrenia characterized by a state in which individuals refuse food, defecate by themselves. However, their consciousness is preserved, as a result of which the patients, having recovered, can describe in detail the incidents that occurred during a stupor around them.
At the beginning of the twentieth century, catatonic syndrome was considered primarily as a subspecies of schizophrenia. Today, catatonia is understood as a syndrome that develops in affective and other mental disorders, somatic ailments, and poisonings. Catatonic syndrome is the alternation of stupor with periods of catatonic arousal.
Catatonic stupor is expressed in motor inhibition, mutism, muscle hypertonus. In the clamped state, patients can sometimes even stay for several months. In this state, all forms of activity are violated, including the instinctive one. The following types of catatonic stupor are distinguished: with wax flexibility, negativistic and with stupor.
Catatonic stupor often develops as a manifestation of catatonic syndrome. Being in a stuporous state, patients do not contact with the environment, they do not have a response to occurring phenomena or various inconveniences (for example, a wet bed). They completely refuse to eat, they have no pupil dilation in response to pain.
Patients suffering from catatonic stupor, first fall silent, can repeat phrases uttered by another individual (echolalia) or not answer questions at all, but still produce the necessary everyday (everyday) actions. Then they stop moving, freeze in a strange position, for example, resembling the fetal position in the womb of the mother (catalepsy), remain in a position, a dowry upon examination, show negativity.
Against this background, short-term excited states may occur, other psychopathological manifestations are also found: delusions of persecution, auditory hallucinations. Могут наблюдаться импульсивные действия, которые проявляются в виде внезапной агрессивности в отношении окружения.
Motor inhibition occurs in combination with vegetative manifestations: bluish color of the limbs (acrocyanosis), their cooling, increased sweating, along with slowing the pulse. A thorough examination of the internal organs of the catatonica often does not reveal changes that would indicate the presence of a disease of the body.
A sign of catatonic stupor is considered a symptom of "airbag". It is a long stay of the patient in a position with a raised head (the head is located at a distance of about 15 cm from the pillow). In this case, such a patient lies either on the side or on the back. If the patient is pressed on the head, then it will drop, but after some time, will return to its original position. This situation can persist for hours and disappears after the onset of sleep.