An integrated approach to the treatment of depressive conditions in elderly patients


Hysterical disorders in psychiatry can have a variety of manifestations.
One of them is pseudodementia (false dementia). This condition is reactive and manifests itself in deliberately exaggerated forms of intellectual retardation that have no organic basis. The disease is in the nature of self-hypnosis on the part of the patient. Elderly people are most often affected. Doctors at our Leto mental health center treat pseudodementia in the hospital and at home in the elderly. Prevention of the disease and the rehabilitation process are of no small importance.

What are the causes of the disorder?

Pseudodementia is part of the group of reactive psychoses. Most often it affects older people. But recently, the deviation has often been detected in people of a younger age category. In most cases, a hysterical psychogenic reaction is not accompanied by the presence of organic brain damage.

Psychiatrists have come to the conclusion that pseudodementia in the elderly is most often caused and provoked by:

  • Exposure to a psychotraumatic factor (both short-term powerful and long-term).
  • Increasing conflict within the microsociety (at work, in the family).
  • Natural disaster, accident, catastrophe.
  • Getting into a military conflict zone.
  • Personality characteristics (with a tendency to hysterical and epileptoid type of behavior).
  • Other mental illnesses.
  • Traumatic brain injuries.

Painful manifestations develop as a response of the body to the inability to get out of a stressful situation. Hopelessness creates affective activity in the brain, which inhibits mental processes, leading to a decline in cognitive abilities. But unlike organic pathology, pseudodementia in the elderly is reversible.

What is pseudodementia: causes and treatments of false dementia

Pseudo-dementia is a mental disorder, which in its symptoms is similar to true dementia, but is provoked by other diseases - schizophrenia, depression, hysteria.
This deviation is treatable; at the first signs of the disease, you should seek qualified help to avoid complications. It is also worth considering the fact that some types of pseudodementia are not capable of worsening the patient’s psyche and after some time his condition will return to normal.

How is it different from true dementia?

Depressive pseudodementia is a mental disorder of an organic nature that has a negative impact on memory, performance and vital functions. In most cases, this condition is diagnosed in impulsive and psychologically unstable patients. False dementia is reversible.

With this deviation, the patient demonstrates his pain and weakness, thus trying to attract attention to himself. Most often, the disease develops after the age of 50, but there are cases when it occurs at a younger age.

Differences between dementia and pseudodementia:

  1. Dementia . This deviation develops gradually. Symptoms appear a year after the onset of the disease. Memory deteriorates gradually, the patient becomes disoriented, constantly asks for help, but there are no complaints about his health. The mood changes quickly, and strongly expressed emotions are present. The patient can blame others for anything. Antidepressive therapy does not help.
  2. False dementia . This deviation develops quickly. Symptoms appear in less than six months. There is fluctuation in memory impairment. Orientation is not impaired, the patient asks for help and knows where to look for it. Subjective complaints are expressed. Depression in the morning, there is a feeling of guilt and hopelessness. Antidepressant therapy helps.

Provoking factors

This disorder of an organic nature can be provoked by various reasons and circumstances that can have a negative impact on the mental state.

Psychological factors:

  • defensive reaction of consciousness to a traumatic situation;
  • accident;
  • conflict with a relative or loved one;
  • self-hypnosis
  • depression.

Pseudodementia can also occur in patients as a result of a metabolic disorder. It is mainly diagnosed in patients who are very impulsive.

What does it look like in life

The symptoms of this disorder are no different from those of other types of dementia. Very often the patient is not able to answer the most basic questions, this can cause him to panic or hysteria. The main and most common signs include:

  • disturbance of mental function;
  • speech dysfunction;
  • impaired perception of someone else's speech;
  • memory impairment up to its loss.

Also, with pseudodementia, the patient becomes more confused. This condition occurs against the background of post-traumatic cognitive and intellectual failure.

When the peak of the disease occurs, the patient experiences severe disturbances of consciousness, which are expressed in disorientation, fears, and speech disorders. There are cases when the patient becomes fixated on one thought.

In old age, pseudodementia manifests itself in the form of severe disinhibition.

The patient easily switches from one thing to another, fools around, is too animated, and his facial expressions are pronounced. Speech becomes confused, thoughts are expressed unclearly and with errors.

Excitement may increase if you pay attention to the patient and make comments to him. Movements in such a situation will be sharp.

But all of the listed symptoms are present temporarily, after a while they are replaced by reduced motor activity. The patient may experience depression, which will further traumatize the psyche. Facial expressions cease to be expressed. In depressive pseudodementia, the patient responds vaguely.

With a mild degree of impairment, the patient may confuse the names of objects or not remember new information at all. A condition may also occur when the patient does not confuse the names, but describes the object according to its functionality.

Diagnostic features

In modern medicine, several criteria are used that help make a diagnosis of false dementia:

The presence of at least one characteristic sign of deviation:

  • decreased ability to think;
  • decreased critical perception;
  • speech disorder;
  • difficulties in performing goal-directed actions;
  • disturbance of perception of the surrounding world;
  • impairments of short-term and long-term memory
  • disruption of interaction with others.

To accurately say that a patient has this pathology, signs of deviation must be present for at least six months. It is also necessary to carry out differential diagnosis.

What can be done?

In most cases, pseudodementia is treated with psychotherapy, sometimes even group therapy. Rarely, but this happens, the patient tries to overcome this deviation on his own.

To prevent a mental disorder, it is necessary to accurately establish the provoking causes, which is why professional examination and diagnosis is required.

Prevention of pathology consists of the following recommendations:

  • healthy lifestyle;
  • avoidance of stressful situations;
  • self-control;
  • giving up bad habits (gambling);
  • outdoor recreation;
  • communication with a psychologist.

After injuries, especially in the head area, it is necessary to monitor the psychological state in order to exclude violations and the development of the syndrome.

If you ignore the recommendations of a specialist, this can lead to serious irreversible consequences, especially for patients with a tendency to depression and psychological instability.

Pseudodementia can manifest itself secondarily, so treatment should be aimed at eliminating the provoking disease. For depressive pseudodementia, the patient is prescribed antidepressants.

For pseudodementia, which is accompanied by increased agitation, the patient is also prescribed antipsychotic drugs that have an inhibitory effect on a certain part of the brain.

At the first manifestations, it is better to immediately seek help, since a professional will immediately be able to make an accurate diagnosis and prescribe therapy. It must be remembered that in any situation you need to help the patient to overcome this deviation.

Source: https://med-anketa.ru/chto-takoe-psevdodemenciya-prichiny-i-lecheniya-lozhnogo-slaboumiya/

Classification

Doctors at our center adhere to the international division of the disease into two main types. Identification is important in subsequent treatment of the disease.

Forms of violation:

  • Agitated. It manifests itself as pronounced excitement, emotional swings from euphoria to phobias.
  • Depressed. She is characterized by an anxious, depressed and melancholy mood, and isolation.

Pseudodementia in the elderly, symptoms

The very initial period of the disease is characterized by subtle general symptoms.

Patients experience:

  • Loss of orientation in space and time.
  • Anxiety, fears.
  • The desire for loneliness.
  • Obsessive experiences.
  • Periodic hallucinatory visions.

During the period of increasing symptoms, the following occur:

  • Loss of self-confidence.
  • Loss of the ability to move independently, eat food, and perform household needs.
  • Whims, facial expressions, relapse into childhood.
  • Incorrect speech - uttering awkward phrases, stupid answers to questions.
  • Inability to tell clearly about yourself, indicate the date, year, tell your age, name.
  • Inability to perform the simplest arithmetic operations.
  • Mimic action (for example, pulling socks onto your hands).

The appearance of signs of agitation is accompanied by an absurd (opposite) nature of the answers: the floor is called the ceiling, summer is called autumn, etc. Depressive dementia in the elderly is characterized by denial (I don’t know, I don’t see, I don’t hear). Patients repeat the words and phrases of the doctor (echolalia). Over time, the symptoms fade and recovery occurs. Complete or partial amnesia of the illness period is formed.

Pseudodementia is a reversible dementia. How to diagnose the condition and help the patient?

The concept of pseudodementia means false dementia, which is a special mental disorder in the form of a complex of symptoms (syndrome) reminiscent of true dementia (dementia).

This condition was first described by the German psychiatrist Wernicke. He also proposed the term itself in order to distinguish it from true dementia, associated with organic damage to the cerebral cortex.

Therefore, the disorder was also named after its name - Wernicke's pseudodementia.

Causes and mechanism of development

This syndrome is essentially a hysterical psychogenic reaction (hysterical pseudodementia). Its symptoms are in many ways similar to the psychopathological hysterical syndrome with twilight clouding of consciousness (Ganser syndrome) and to one of the forms of reactive hysterical psychosis, accompanied by childish actions and statements (the so-called puerilism).

Pseudodementia syndrome belongs to a subgroup of psychogenic psychoses of the group of reactive states, also called stress reactions, psychogenic reactions, abnormal reactions, etc.

As a reactive state, it has the character of reversible mental disorders, which are a response to a traumatic effect, in contrast to true dementia.

The latter is associated with organic brain damage, manifested by a decrease in short-term and long-term memory, as well as some other symptoms.

In other words, if the cause of dementia is organic brain damage, then false dementia is a functional disorder of a protective nature, the cause of which is mental trauma. False dementia can develop at any age, including in children, but it is most often observed among older people.

The main causative and provoking factors in the development of pseudodementia, according to psychiatrists, are:

  1. Prolonged stay in a traumatic situation.
  2. A short-term but quite intense traumatic effect on the human psyche.
  3. Protracted or intractable conflict.
  4. Local (most often) external events that are perceived as a personal life disaster.

Contributing factors that significantly increase the likelihood of occurrence of the mental disorder in question:

  1. Personality characteristics of the patient, which include other moderately severe disorders such as psychopathy, or personality characteristics that are within the boundaries of a clinically normal state (accentuation of personality character). Most often, false dementia develops in people with epileptoid or hysterical character traits. Pseudodementia is somewhat less common in schizophrenia, as well as among cycloid personality types, characterized by undulating changes in mood and corresponding behavior.
  2. Various acquired mental disorders, for example, psychogenic depression.
  3. The presence of a psycho-like state or a decrease in intelligence at a certain distant time after a traumatic brain injury.

Presumably, the essence of the mechanism of development of the disorder is that in the presence of a cause, provoking and contributing factors, for example, the perception of the impossibility of a positive resolution of a stressful situation, two negative foci of excessively high activity are formed in the cerebral cortex.

As a result, a widespread process of inhibition occurs in the remaining parts of the cortex. It affects higher cognitive functions (perception, memory, attention, speech, etc.) in approximately the same way as destructive organic processes in brain tissue in the frontal lobes during dementia.

However, in this case, the process itself is functional and completely reversible.

Thus, the development mechanism as a hysterical reaction is not a conscious simulation, but a pathological defensive reaction that does not depend on the patient’s wishes and his will.

Symptoms of pseudodementia

Pseudodementia syndrome is more often observed in men. As a rule, its duration ranges from 2 weeks to 3 months, after which the symptoms gradually decrease and recovery occurs. However, sometimes the flow becomes protracted.

In this case, the clinical picture becomes monotonous, monotonous and occurs against the background of partial immobility and sharply reduced speech activity (substupor), and memories of the state of pain are fragmentary and resemble dreams, or are absent altogether, especially in cases of the agitated variant.

The onset of the pathological condition is acute, with the sudden onset of a disorder of judgment, loss of orientation in time and place, the appearance of a feeling of fear and anxiety, which is externally manifested by an attempt to hide or “hide” in a secluded place.

Experiences of a paranoid nature are not excluded, as well as imaginary sensations that are accompanied by unstable frightening auditory, visual, tactile or logical hallucinations, temporary illusory perceptions that seem to be reality and arise in a state intermediate between wakefulness and sleep (hypnagogic hallucinations).

Somewhat later, such patients develop a feeling of confusion, which is manifested by facial expressions, gestures and certain statements.

They are surprised at the sight of ordinary objects, not understanding their purpose, lose the ability to perform ordinary independent actions (go to bed or sit on a chair), eat without using cutlery, and crawl on the floor.

The facial expressions of such a patient are also characteristic - confusion, surprised eyes, meaningless smiles, etc. Individual elements of puerelism often appear in the form of imitation of children's games, grimacing or children's whims (foolishness).

The thinking of such patients is often slow. Answers to questions often follow only after they are repeated several times, and, as a rule, in the form of denial (“I don’t remember,” “I don’t know,” I forgot,” “I didn’t hear,” etc.).

Perseverations are often observed when different questions following one after another are given the same answers that were given to previous questions.

In addition, reading and writing disorders are possible in the form of agrammatisms, missing letters, and uneven handwriting.

The main thing that pseudodementia is characterized in terms of clinical picture is a sudden and pronounced disorder of intellectual function, which is manifested by two main symptoms:

  1. Incorrect speech, called passing speech, or passing speech, which is incongruous, meaningless answers to posed questions and tasks, which in their essence are clearly understandable to the patient. For example, the patient is unable to correctly answer the question about his location, correctly name the month and current year, time of year, his first and last name, confuses colors and simple names of objects, and is unable to perform the simplest arithmetic operations even with single-digit numbers.
  2. The inability to reproduce automated skills and perform basic actions is called mimetic action. For example, when asked to sit on a chair, they sit on the floor, past the chair; point to the eyes - they point to the nose, and instead of the leg - to the hand; They tend to put their legs into the sleeves of their shirts, and their hands into socks or trousers, etc.

At the same time, despite the incorrectness of the answers and actions, in all cases they retain a semantic connection with the concepts and objects contained in the psychiatrist’s question, that is, the answers are given within the scope of the topic proposed by the doctor. So, for example, the color black is called white (the answer is within the color of the object), autumn is called winter (within the time of year), they can bend 4 fingers instead of 5, etc.

In the clinical classification, two variants of the pathological condition are distinguished:

Agitated pseudodementia

More often diagnosed in patients with organic lesions of the cerebral cortex.

This form is characterized by an acute onset, pronounced psychomotor agitation, fussiness, restlessness, lack of concentration, making many aimless movements (grimacing and writhing, sorting through clothes and objects), sharp emotional fluctuations, inadequacy of mood from unreasonable euphoria to a state of the same unreasonable alertness, worry, anxiety, fear.

The patient's speech is accelerated, answers to questions are quick and, as a rule, opposite in their semantic meaning. Symptoms of passing words and passing actions are clearly expressed, consciousness has a hysterical character. With a more advanced course, the agitated form is often replaced by puerilism.

Depressive pseudodementia

It develops mainly with depression. It is characterized by its gradual development against the background of an anxious and depressed mood. The patient is confused, sits with wide open eyes in a mournful pose, fearfully looks around, silently cries.

His thought processes are slow, the symptom of passing is accompanied by a predominance of denials and perseverations, and the symptom of passing is of an erased nature, in which the patient experiences significant difficulties in performing simple tasks of the doctor.

For example, in response to a request to raise his right hand, he examines each hand for a long time, as if unable to make a choice, after which he finally raises both hands or one of them.

In the case of the development of a deeper course of the pathological condition, the depressive form of pseudodementia is replaced by psychogenic stupor.

Features of pathology in old and senile age

In old age, degenerative processes occur in the brain due to age-related changes in blood vessels, which leads to the development of various cognitive disorders that accompany many neurological diseases inherent in this age.

At the same time, in some patients, despite relatively normal brain functioning, which corresponds to average age-related changes, mental and, often, physical functions can sharply deteriorate over a relatively short period of time.

Such a rapid development of disorders of the cognitive function of the brain in most cases by relatives, and very often by general practitioners and even neurologists, due to their lack of awareness, is regarded as the development of dementia in old age, which is an inevitable and irreversible condition. But in reality, this condition is caused by false dementia and is quite treatable.

Pseudodementia in older people is most often caused by senile depression in the absence of pronounced degenerative changes in the brain. Senile depression is one of the most common syndromes of elderly and senile age.

It is manifested by a predominant state of lethargy, depression, apathy, loss of interest in people and hobbies, loss of appetite and refusal to eat, weight loss, which is often regarded as an oncological pathology.

In addition, there is an increase in cognitive deficit - a decrease in memory, attention, pace and productivity of thinking. This symptomatology is accompanied by statements of a depressive nature, touchiness and aggressiveness, and inadequacy of the assessment of one’s emotional problems are noted.

With false dementia, a pronounced decrease in intelligence in elderly patients is a significant obstacle to communication with them. At the same time, they demonstrate their indifference and passively reject any possibility of contact with the doctor.

Their condition may be close to depressive stupor.

At the same time, senile depression, and hence the resulting pseudodementia in the absence of significant degenerative brain pathology, is benign and relatively easy to treat.

Principles of treatment of the syndrome

Treatment of pseudodementia in most cases is carried out in an inpatient setting. Medications include antidepressants (in the presence of depression), tranquilizers (in cases of severe agitation in persons with an agitated variant of pseudodementia) and, much less frequently, antipsychotics.

In addition, after eliminating acute manifestations, a psychological form of assistance is used in the form of psychoanalysis, behavioral and group psychotherapy, the essence of which is to identify situations of a traumatic nature, correct behavior and attitude towards them. Physiotherapeutic procedures in the form of electrosleep, massage and other techniques help reduce anxiety and normalize the psychological state.

Eliminating or possibly minimizing the influence of the factor that led to mental trauma is one of the main conditions for successful therapy.

Source: https://ponervam.ru/psevdodemenciya.html

Pseudo-dementia in the elderly. Diagnostics

The diagnosis in our center is made by a psychiatrist. If necessary, he attracts other specialists.

Reasons for establishing the form of the disease:

  • Identifying a traumatic situation.
  • The appearance of characteristic symptoms.
  • Inspection and survey data.
  • Psychological examination.

Depressive dementia should be distinguished from:

  • Manifestations of schizophrenia.
  • Diseases causing organic dementia.
  • Simulation syndrome.

Features of admission to the clinic

It is most convenient to make a preliminary call to our center. Phone number 8(969)060-93-93 . It is not difficult to call it, since it is multi-channel and works in hotline mode. Dispatchers answer calls around the clock. Call us even on holidays and weekends. Any type of consultation, both telephone and at a doctor’s appointment, diagnosis and treatment are carried out anonymously. Respecting confidentiality, we do not provide any information about our clients. Information can only be received by the person who was declared when the patient was registered for treatment.

The receptionist will make an appointment for you to see a psychiatrist. During the conversation and examination, the doctor will make his suggestions. If you need hospitalization, you can choose the most suitable class of room, differing in the degree of comfort and price.

We have the following room options:

  • Standard (for 4, 3 and 2 people).
  • Double comfort.
  • Single VIP.

In addition to diagnostic and therapeutic procedures, we provide patients with high-quality nutrition and, if necessary, provide an individual nursing station.

Treatment

Therapy should be preceded by the elimination of the causative factor that caused pseudodementia in the elderly.

The healing program includes:

  • Pharmacotherapy.
  • Psychotherapy.
  • Physiotherapeutic procedures.
  • Rehabilitation and preventive measures.

Drug therapy includes the following:

  • Neuroleptics. They are used rarely, for severe hallucinations and delusional statements, especially if we are talking about combined pathology with other mental illnesses that cause these deviations.
  • Antidepressants. The selection of these drugs is required when the clinical depression is dominant. Taking the selected remedy should continue for a long time, even after the main symptoms disappear.
  • Tranquilizers. These pharmaceuticals are beneficial for severe phobias and agitation. Against the background of their use, fears gradually disappear. It is important not to suddenly stop taking the pills.

In psychotherapy, the leading importance is given to:

  • Individual psychocorrection.
  • Hypnotherapy.
  • Group formats of mental correction.
  • Art therapy, which is very effective in eliminating the manifestations of pseudodementia in the elderly.
  • Cognitive behavioral therapy.

Properly selected treatment can achieve rapid and lasting improvement in almost all patients. It is important to follow all doctor’s orders not only in the hospital, but also upon discharge.

A number of patients may require auxiliary techniques: physiotherapy, massage, exercise therapy, electrosleep, microresonance therapy, laser therapy and other procedures. They help calm clients, eliminate anxiety, and stabilize their mental state.

Pseudodementia (false dementia): causes, symptoms and treatment of the syndrome

Depressive pseudodementia is a mental disorder of an organic nature that has a negative impact on memory, performance and vital functions. In most cases, this condition is diagnosed in impulsive and psychologically unstable patients. False dementia is reversible.

With this deviation, the patient demonstrates his pain and weakness, thus trying to attract attention to himself. Most often, the disease develops after the age of 50, but there are cases when it occurs at a younger age.

Differences between dementia and pseudodementia:

  1. Dementia . This deviation develops gradually. Symptoms appear a year after the onset of the disease. Memory deteriorates gradually, the patient becomes disoriented, constantly asks for help, but there are no complaints about his health. The mood changes quickly, and strongly expressed emotions are present. The patient can blame others for anything. Antidepressive therapy does not help.
  2. False dementia . This deviation develops quickly. Symptoms appear in less than six months. There is fluctuation in memory impairment. Orientation is not impaired, the patient asks for help and knows where to look for it. Subjective complaints are expressed. Depression in the morning, there is a feeling of guilt and hopelessness. Antidepressant therapy helps.

Diagnostics

The diagnosis is made by a psychiatrist based on medical history (previous traumatic situation) and characteristic clinical symptoms.

Pseudodementia is differentiated from schizophrenia, organic dementia, malingering, and, less commonly, from other diseases and conditions accompanied by aphasia and apraxia.

The answers of patients with schizophrenia “fall out” from the semantic field of questions. Simulation lacks the integrity of the clinical picture and the typical dynamics of the disease.

In severe organic dementia, the unconscious ability to protect one’s interests, characteristic of pseudodementia, is not revealed (the symptoms have a certain benefit for the patient, they allow one to get rid of traumatic circumstances, receive care and attention). The symptoms of dementia are more stable, there are indications of previous brain lesions, and in some cases it is possible to identify the organic basis of the disease using objective techniques (CT, MRI).

Reasons for appearance

Unlike dementia, which occurs due to the destruction of brain cells, pseudodementia appears as a result of certain mental disorders. Most often, signs of the pathology in question appear after prolonged depression, accidents with the patient or his relatives, conflict situations, and so on.

False dementia is one of the ways the human psyche protects itself from adverse external influences and forgets a stressful situation. Many experts, including Wernicke himself, believe that pseudodementia appears to a large extent as a result of self-hypnosis. This is partly proven by the fact that the disease in question is more often diagnosed in impulsive individuals.

Symptoms

The external manifestations of the disorder are similar to the symptoms of classic dementia. Pseudodementia is characterized by:

  • loss of mental functions in the brain;
  • inability to perceive sound information and use speech;
  • impairment of short-term and long-term memory;
  • inability to recognize one's immediate surroundings.

The acute form of the disease is distinguished separately. It is characterized by a significant impairment of consciousness, the appearance of fears and the inability to navigate in space, and a narrowing of consciousness. A person cannot switch to thoughts different from those that caused the exacerbation.

Pseudo-dementia can increase significantly if strangers pay attention to it. In response to a remark, the patient may react with sharp and loud laughter, grimaces, and aggressive movements. However, such manifestations are short-lived and are replaced by lethargy and decreased activity, including motor activity.

The main sign of false dementia is partial or complete loss of memory and basic knowledge. The patient feels defenseless and helpless. Cannot remember basic information, makes mistakes in mental calculations. The patient refuses to answer basic questions.

Pathogenesis

Experts believe that the cause of the development of pseudodementia is an unbearable stressful situation for the patient, from which he strives to get out, while simultaneously realizing the hopelessness of his situation.

Two affectively “charged” processes create two foci of extremely high activity in the brain.

As a result, global inhibition occurs in the remaining parts of the neocortex, which has approximately the same effect on cognitive functions as the destruction of the brain tissue of the frontal lobes in organic dementia.

In pseudodementia, this process is functional and completely reversible. The disorder is a hysterical reaction, but not a simulation, it is a pathological defensive reaction, caused by an objectively existing pathogenetic mechanism, and does not depend on the will and intentions of the patient.

Classification

Both in the Russian and foreign clinical classification of the disease, two variants of pseudodementia are distinguished, but these variants do not completely coincide with each other, which is associated with different views of domestic and foreign researchers on this disease.

In accordance with the Russian classification, there are the following types of pathology:

  • Agitated pseudodementia
    . It is more often diagnosed in patients with organic brain lesions.

    It is characterized by an acute onset, pronounced psychomotor agitation, sharp emotional fluctuations from euphoria to anxiety and fear, rapid speech, absurdity of answers to questions, and a pronounced symptom of incorrect actions.

  • Depressive pseudodementia.
    Usually occurs against a background of depression.

    Typically gradual development, predominance of anxious-depressed mood, slowing of thinking and speech. Responses in the form of denial are often observed; incorrect actions are not clearly expressed.

Cost of services

CONSULTATIONS OF SPECIALISTS
Initial consultation with a psychiatrist (60 min.)3,500 rub.
Repeated consultation2,500 rub.
Consultation with a psychiatrist-narcologist (60 min.)3,500 rub.
Consultation with a psychologist2,500 rub.
PSYCHOTHERAPY
Psychotherapy (session)6,500 rub.
Psychotherapy (5 sessions)25,000 rub.
Psychotherapy (10 sessions)48,000 rub.
Group psychotherapy (3-7 people)3,500 rub.
Hypnosis (1 session)10,000 rub.
Hypnotherapy course (5 sessions)45,000 rub.
TREATMENT IN A HOSPITAL
Ward for 4 persons8,500 rub./day
Ward for 3 persons9,500 rub./day
Ward for 2 persons11,500 rub./day
Ward for 2 persons Comfort12,500 rub./day
Ward 1 bed VIP16,500 rub./day

This list does not contain all prices for services provided by our clinic. The full price list can be found on the “Prices” , or by calling: 8(969)060-93-93. Initial consultation is FREE!

Rehabilitation period and prevention

Pseudodementia in the elderly has a favorable course. In most cases, it is possible to achieve reversibility of all symptoms and restore mental abilities. Subsequently, slight deviations periodically occur, but with timely contact with the specialists of our clinic, they are quickly eliminated.

Patients should lead a healthy lifestyle, avoid alcohol and smoking. We always warn relatives about the need to treat sick people correctly.

The Leto Mental Health Center will help you quickly get rid of the manifestations of this psychopathology and reliably consolidate the results of therapy through rehabilitation programs. Contact us, call 8(969)060-93-93 . After completing a course of treatment for pseudodementia in the elderly, you will be satisfied with the level, attitude and, most importantly, the result obtained.

Treatment of pseudodementia

Treatment of this type of pathology is carried out in a hospital setting. First of all, because the first condition is the elimination of the traumatic factor. Drug therapy is prescribed depending on the form of the disease - for the agitated form and depressive pseudodementia, completely different drugs are indicated. When the acute stage is stopped, psychotherapy and physiotherapy are added.

The prognosis for a disease such as pseudodementia is quite favorable. Recovery is possible within a few months. But, like any other disease, this pathology can and should be prevented with the help of preventive measures. In the modern world it is quite difficult to avoid stressful situations. But it is quite possible to control reactions to them.

First of all, you need to lead the healthiest lifestyle possible and get enough sleep. If there are signs of a prolonged stressful situation, contact specialists in time to prevent favorable conditions for the development of such an illness as pseudodementia.

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