Thursday, December 2, 2010

insomnia, depression, anxiety disorders

 First, disease:
good sleep is the main indicator of physical and mental health. Insomnia is the most common sleep disorder, is caused by lack of sleep for various reasons, is generally believed that the physiological sleep (also called normal sleep) is less than 5,6 hours, usually manifested: difficulty falling asleep, early awakening, patients often have mental fatigue, dizziness, headache, tinnitus, palpitations, shortness of breath, memory lack of concentration, decreased work efficiency and so on. <> patients generally go to sleep latency, sleep shorten the time in physiological arousal during sleep increase. mainly: Light by difficulty falling asleep,Discount UGG boots, sleep fitfully, and difficult to sleep again; early morning wake up too early. severe sleep at night, often accompanied by headache, dizziness, God fatigue strength, heart palpitations, forgetfulness, malaise, many dreams, patients often feel anxiety and fear of insomnia.
two causes:
insomnia can be caused by a variety of different reasons.
can be divided into: < ; snoring sleep, especially those with large sleeper also affect sleep. <circadian rhythm and, therefore, insomnia. <others have work to worry about is a common cause of temporary insomnia.
(4) physical illness: a variety of painful diseases, painful diseases such as heart and lung disease, arthritis, advanced cancer, nocturia disease, gastrointestinal diseases, renal failure, hyperthyroidism, Parkinson's disease and other often cause insomnia. <insomnia symptoms. <
(7) sleep disorders associated with: such as nightmares, night terrors. <. <1, transient insomnia (less than a week) <> Most people experienced stress, stimulation, excitement, anxiety; ill; high altitude areas; or changes in sleep patterns (such as the time difference; shift work etc.) will have transient insomnia disorder. such as the events of insomnia usually disappear or lengthen the time to improve, but the short-term insomnia, such as improper handling of people will lead to chronic insomnia. <> transient primary insomnia the principle of intermittent treatment with low doses of sedative or other sleep aids *** of medicine such as antidepressants and good sleep hygiene habits.
2, short-term insomnia (one week to one month) <> severe or persistent stress, such as a major physical illness or surgery, friends and family died, serious family, work or relationship problems may lead to short-term insomnia. This obviously insomnia and stress related. <> Ye principles for short-term treatment with low amounts of sedation *** or other sleep aids of medicine such as antidepressants and acts of medical treatments (such as muscle relaxation, etc.). short-term insomnia, if handled improperly may lead to chronic insomnia. < br> 3, chronic insomnia (greater than one month) <> causes of chronic insomnia is a very complicated and difficult to find many many reasons for chronic insomnia is caused by the combined. may result in chronic insomnia for the following reasons:
(1), the body's disease will lead to insomnia; (According to the study of many chronic diseases and insomnia are related) <(3), with traditional Chinese medicine, alcohol, irritants, or drugs which lead to insomnia; <have discomfort or sleep in the foot will result in involuntary twitching and insomnia; <primary insomnia.
IV, treatment with Chinese medicine
*** no advantage, that is not addictive, it does not produce the characteristics of dependence, so the use of Chinese medicine for insomnia were also Differential Treatment A good treatment methods, such as properly dialectical behavior therapy combined with psychological, for insomnia can often get very satisfactory results. modern medicine, Anshen, regulating qi and blood, balance of yin and yang; treatment and conditioning combination, enhance immunity, improve the human biological rhythms, to improve the role of cell viability and improve the nutritional status of brain tissue, nerve cells to eliminate the energy consumption caused by dysfunction to reduce the morbid excitability of the cerebral cortex to enhance the inhibition, sedation, improvement of sleep a role in regulating the function of the body, Chinese and Western, syndrome differentiation, to solve the problem of purpose. to break the traditional situation of palliative care, and traditional Chinese medicine treatment of insomnia, depression, neurosis set a new milestone in the field. to enable patients to say goodbye to insomnia, depression, neurasthenia, neurosis, headaches, fantasy, obsession, anxiety, fear, menopausal syndrome, mental illness disorders such difficulties scratch, to rid itself of dependence and side effects of traditional Chinese medicine, the lighter one to three days, severe cases, three to seven days, you can return to normal sleep and a good mental state, into the sweet dreams.
depression
depression, also known as depression, depression as the main feature is a class of mental illness, the clinical manifestations of light outside the patient as usual, inside a painful experience. slightly heavier people can be manifested as depressed, anxious, sighed, low self-esteem, and some Patients often present with symptoms of neurosis, such as: concentration, memory loss, slow response and, insomnia and other symptoms. Severe depression occurs pessimism, despair, guilt from sin, hallucinations, delusions, loss of appetite weight dropped, dysfunction, and associated with serious suicide attempts, or suicidal behavior. poses a serious threat to human health, it must attach great importance to timely treatment.
<> Cause: <> patients may based on one or more of the following factors to depression: <> a. genetic factors <> b. volatile personality factors in mood, tension, always persistent, asking too much. <> c. environmental factors their loved ones died, a broken marriage, her parents divorced, were not going well, retirement, debt, long-term illness, will have the pressure, some people can be strong enough to face, some are induced depression. <> d. physiological factors of brain hormone chemical imbalance, that affect mood, causing depression. other physiological factors such as disease, infection, impact of alcohol and drugs.
<> Performance: <> mood disorder: patients dysphoria, emotional depression, or anxiety, irritability, restlessness; loss of interest in daily activities, loss of sense of pleasure, all day anxious, worried; energy loss, often feel persistent fatigue; that live without meaning, serious helpless despair, living death, Day Break, Most patients end their lives with the idea, and some have said, Slow thinking and self-evaluation .<><> lower: <> show reduced ability to think, patients often feel slow thinking, the mind does not help, and the capacity has fallen, often has no conscience from responsibility, self-evaluation is too low, obviously a very good study and work, but then their own are not satisfied with everything, his past, some small mistakes, small problems said as heinous crimes, and even consider themselves Zuigaiwansi is the cause of suicide, the main factors of self-mutilation .<><> psychomotor retardation: <> spiritual movement were inhibited, Lenovo difficulties, speech reduction, voice low, slow. sometimes alone behind closed doors, indifferent family, inability to learn, work, not housework, severe, without a word, do not move, eat, drink .<><> other symptoms: <> Patients often appears appetite, decreased sexual desire was obvious weight loss, weight loss; severe insomnia, most sleep difficulties, nightmares easy to wake up, wake up early, unable to sleep after waking, depression often show the law of the morning light weight night .<><> associated symptoms: <> emotional response not only In the state of mind, but also always accompanied by some changes in the body, such as dry mouth, constipation, indigestion, gastrointestinal function, and or variable parts of the body pain, and sometimes prominent and obscure because of physical symptoms of depression symptoms, resulting in temporary misdiagnosis. <> symptoms of depression vary, according to clinical severity can have mild, moderate, and severe depression range. In China, many patients with depression suffer in silence rather than the symptoms appeared to specialist hospital, so that delaying the treatment, lead to consequences. Therefore, there can not be relieved of the symptoms persist, should immediately go to hospital for treatment, diagnosis and timely treatment, early recovery and reintegration .<><> treatment: < > Depression is a very easy to treat the disease. Almost eighty percent of depressed patients after proper treatment,Bailey UGG boots, can return to normal, happy life .<><> The following are commonly used treatment :<><> 1. Drug treatment: <> used to change the neurochemical imbalance in the brain, including antidepressants, sedatives, ***, antipsychotics. medicines treatment, need to resort to the spirit of specialists. <> 2. psychological treatment: <> is mainly used to change the habits of inappropriate cognitive or thinking, or behavior. can fundamentally solve the problem. psychological treatment,UGG bailey button, the treatment needs of professional psychological help staff (including medical institutions, clinical psychologists, clinical psychology doctoral or private sector professional psychological therapists), if the problems are relatively minor and can be obtained from telephone advice or psychological counseling agency to get help. < ;> 3. sunshine and exercise: <> more than the sun and sports to accept patients for depression beneficial effect; multi-activity physical activity, can be an unexpected feeling of relaxation effect; sun's ultraviolet rays can be more or less improve a person's mood. <> 4. good habits: <> Law and depression in patients with stable life is most in need, early hours, maintaining pleasant stay, not to fall into the whirlpool of psychological self-conceived as . Life is short, regardless of wealth are just a few years of poor and lowly, why not the pleasure to face every day, everything to keep a positive attitude, to increase the personal life of saturation and brightness.

anxiety disorder anxiety disorder (Anxiety) is a paroxysmal or persistent feelings of anxiety and tension as the main clinical phase of the neurosis. often accompanied by lightheadedness, dizziness, chest tightness, heart palpitations, breathing difficulties, dry mouth, frequent urination , sweating, tremor and movement and other obvious physical symptoms of anxiety, the degree of tension or horror does not match reality.
anxiety disorders are common, foreign reports in the general population incidence rate of 4%, accounting for out-patient psychiatric 6 to 27%. U.S. normal population is estimated at 5% probability of life-long illness, a lower incidence of domestic average of 7 ‰. wartime wartime anxiety neurosis accounting for 1%. often onset in adolescence, men and women ratio of 2:3.
anxiety is a feeling that future threats, and fear of difference, while the latter is the objective of a particular response to the threat. normal anxiety is that people expected some kind of dangerous or painful situation an adaptation will occur as a biological defense reaction or phenomenon is a complex integrated emotions. anxiety can also be a symptom of mental illness of all. pathologic anxiety is unable to control, there is no clear target or the content of fear, the threat is very consistent with the degree of anxiety.
[Etiology and pathogenesis]
cause is unknown, different schools have different interpretations. <> a, genetic factors: the occurrence of anxiety disorders play an important role, the blood relatives with the disease was 15%, far higher than the normal population; dizygotic twins with the disease was 2.5%, while the monozygotic twins is 50%. Some people think that anxiety is by environmental factors the quality of the result of both susceptible, susceptible quality is determined by genetics. <> Second, premorbid personality traits: low self-esteem, lack of confidence, timid, cautious, frustration or physical discomfort of minor nervous, anxious or mood swings. <> Third, the spirit of factors: mild mental factors such as frustration and dissatisfaction can be predisposing factors. <> Fourth, the biological factors: the physiological basis of anxiety reaction is sympathetic and parasympathetic nervous system activity in general hyperthyroidism, epinephrine and norepinephrine are often over-release. physical manifestations of change depends on the patient's sympathetic, parasympathetic function of the characteristics of balance. <> on the pathogenesis have different versions, some scholars emphasize the amygdala and hypothalamus, and other agent can effectively improve the symptoms of the body, relieve anxiety, anxiety support, Anxiety is a habitual behavior that, due to stimulus and neutral stimulus induced anxiety conditions of contact between the conditioned stimulus generalization, the formation of a wide range of anxiety. Lader proposed: genetic predisposition is important in this disease based on psychological and physiological, once produced strong anxiety reaction, enhanced by the environment or self-reinforcing, the formation of anxiety disorders.
[clinical]
can onset at any age, onset before the age of 40 is more common. onset can be acute and may slow , often before the patient's psychological or physical causes. <> a, acute anxiety disorder, also known as panic attack (panic attack). sudden intense fear, accompanied by autonomic dysfunction as the main performance. the patient suddenly fear, as sweating, pale, trembling and so on. Each attack lasted for several hours, the number can be made in January, the interim period may be no obvious symptoms. <> Second, the universality of chronic anxiety or anxiety disorder, also known as generalized anxiety disorder (Generalized anxiety) is a can not control, there is no clear object or content of the fear, feel that there is a real threat does not exist around the corner, but nervous, nervous about the pain experience. fibrillation and other sports is also associated with anxiety, pressed chest discomfort and palpitation and other local, breath and looking pale, sweating, urinary frequency, urgency and other symptoms of autonomic hyperfunction. <> in the basis of chronic anxiety disorders can have a panic attack.
[ ,cheap UGG boots,course and prognosis]
course of varying lengths, longer duration of disease in some patients. female patients, short duration, premorbid personality well, not much change in those symptoms, the prognosis is good; somatic symptoms were a poor prognosis. However, after proper treatment, most of the good prognosis.
[Diagnosis and differential diagnosis based on]
one recurring no clear reason, the object or content of the fear, anxiety and other intense emotional experience, accompanied by exercise-induced anxiety and plants hyperthyroidism and other physical symptoms of nerve function. <> Second, a complete insight to require treatment. <> Third, the course for 1 month or more, Development of similar Dengjun diagnosis. <> V, has affected the patient's work, study and life. <> VI, ruled out hysteria, depression, schizophrenia, heart disease and other physical diseases and mental disease with anxiety state. <> Differential Diagnosis: <> a, heart diseases: a panic attack occurs when the chest pain, palpitations, sweating, etc. misdiagnosed as acute myocardial infarction, through the examination, onset time, induced factors and ECG can be identified. It is noteworthy that can be associated with mitral valve prolapse and panic attacks. <> Second, Hyperthyroidism: Hyperthyroidism associated with anxiety symptoms after treatment, anxiety symptoms, along with the recovery of thyroid function improvement. persistent anxiety, chronic anxiety disorders should be considered. <> Third, hysteria: the emotional hysteria and panic attack episodes easily confused, the former with a strong emotional colors, laughing and crying impermanence, mood changes; the latter strong and uncontrollable anxiety, tension, as the main feature. <> Fourth, depression: often accompanied by anxiety. depression to depression, interested in dull, poor sense of self, self-evaluation is low, and negative concepts such as reduced ability to Main; anxiety disorder Zeyi premonition to the future does not exist unfortunately, the threat of or actual approach of the tension, fear.
[therapy]
a mental treatment: supportive psychotherapy in the main, so that patients understand the disease nature, to lift the psychological burden, and enhance treatment of confidence. supplemented by various forms of relaxation training, especially the system of relaxation therapy. <> Second, drug treatment: <> Western medicine treatment: both anti-anxiety drugs the emotional stability of patients, but also contribute to psychological treatment to the most commonly used benzodiazepine, such as Squeak stability 0.4 ~ 0.8mg2 ~ 3 times / d, estazolam 1 ~ 2mg2 ~ 3 times / d. may choose a dual role of antidepressant and antianxiety antidepressants, such as doxepin 12.5 ~ 25mg2 ~ 3 times / d, maprotiline 12.5 ~ 25mg2 ~ 3 times / d, our admiration be 2 ~ 4mg2 ~ 3 times / d. panic slow intravenous injection attack can be stable. antianxiety drugs, but there are many side effects such as drowsiness, depression. long-term use and even some internal organs are damaged. and anti-anxiety drugs are often addictive. anxiolytic drugs biggest problem is Once patients stopped taking almost certainly, the symptoms will reappear. When the patient is to reduce anxiety symptoms through medication, they (correctly) to the improvement of their symptoms attributed to the role of drugs, rather than their own change. So , when they stop taking their medication, of course, feel Situation is not controlled, then become anxious. <> Chinese Medicine: Traditional Chinese Medicine to promote treatment and conditioning combination, liver kidney and spleen, Ning Anshen, air conditioning blood, balancing yin and yang; enhance immunity, improve the human biological rhythms, to improve the role of cell viability and improve the nutritional status of brain tissue, the energy consumption due to elimination of nerve cells resulting dysfunction, reduce the excitability of the cerebral cortex of the sick, strengthen the suppression, sedation, improvement of sleep a role in regulating the body's functions, syndrome can achieve both the root causes.
<> <> Chengdu small town hospital, is a non-profit medical institutions. set of medical, prevention, scientific, medical, rehabilitation as one of the general hospital, medical insurance designated units. less historic city of Chengdu, the hospital, with the development of society, the development of health care reform, with the times and the health departments in the Government's strong support , decided to Chengdu, the city less of brand development and better serve the public. Chengdu City Hospital, Department of Neurology, less the experts after decades of clinical trials and research, at the conclusion on the basis of traditional medicine with modern medicine, social science and social psychology, and gradually form a complete set of theoretical system - the use of modern medical science advanced diagnostic testing methods and theory, combined with traditional Chinese medicine soothe the nerves, blood conditioning, balance of yin and yang; treatment and conditioning combination, enhance immunity, improve human biological rhythm and improve the role of cell viability and improve the nutritional status of brain tissue, the energy consumption due to elimination of nerve cells resulting dysfunction, reduce the excitability of the cerebral cortex of the sick, strengthen the suppression, sedation, improvement of sleep a role in regulating the function of the body, Chinese and Western, syndrome differentiation, to solve the problem of purpose. to break the traditional palliative care situation, and Chinese medicine treatment insomnia, depression, neurosis set a new milestone in the field. to enable patients to say goodbye to insomnia, depression, neurasthenia, neurosis, headaches, fantasy, obsession, anxiety, fear, menopausal syndrome, mental disorders such diseases plague , to rid itself of dependence and side effects of traditional Chinese medicine, the lighter one to three days, severe three to seven days, you can return to normal sleep and a good mental state, into the sweet dreams. generally one to three courses can be cured.
(the above information, reproduced from a small city of Chengdu, insomnia, depression and Rehabilitation Hospital Network:)

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