Neurosis turns into psychosis or not

The similarities and differences between psychosis and neurosis are understandable only to specialists, despite the fact that these mental problems have many specific differences. Small deviations from the norm are characterized as neurosis. Psychosis is a state of mental instability that is clearly expressed. In practical terms, these diseases have many differences, which we will discuss in this article.

Psychosis is a very deep mental illness in which the perception of reality, activity and even the personality of the patient changes

Difference between neurosis and psychosis: comparison table

Without going into details, we note that neurosis differs from psychosis in virtually all respects: causes, onset and course of the disease, characteristic symptoms, the patient’s attitude to his condition and, of course, approach to treatment.

For clarity, the main differences are presented in the table:

For those who wish to delve into the issues of the difference between neuroses and psychoses in more detail, the following information will be useful.

Differences and similarities using a specific example

Can neurosis turn into psychosis? This is a frequently asked question, the context of which is fundamentally incorrect. The psychopathic state is characterized by many clinical symptoms that are characteristic of each of the diseases under consideration. Below is a list of these symptoms:

• inadequate assessment of one's own personality;
• tendency to apathy, depression and increased sensitivity to external stimuli;
• panic attacks and movement disorders;
• high anxiety, irritability and a tendency to isolate.

Determining the possibility of transition from one state to another is very difficult. Below we propose to consider a situation in which a person is diagnosed with obsessive-compulsive disorder. This disease is often referred to using the term “obsessive-compulsive neurosis,” although in reality the disease has a manifestation of psychosis. This pathology should be considered as a syndrome belonging to the category of anancastic personality disorders.

The complexity of the disease can be determined using the Yale-Brown scale, since this diagnostic tool allows doctors to monitor changes in the severity of the disease. Exacerbation of obsessive-compulsive disorder is determined by the presence of the following signs:

• How often do obsessions occur?
• the severity of emotional changes against the background of their appearance.

Psychologists note that obsessive thoughts are characteristic of every person, however, in a situation where they acquire a dominant role, it makes sense to talk about the presence of mental disorders.

Let's take an example of a situation where a person with obsessive-compulsive disorder (OCD) is late for work due to his obsession. Impaired perception of the real world requires the patient to create safe conditions for the people around him. Let’s say that on his way to work, a person encounters a stone lying on the road. For certain reasons, the patient decides to move the stone where no one can trip over it. Additional obsessions may arise after the action is completed. The person's thought that he could cause injury to people because the stone was moved pushes the individual to move the stone again. This action can be repeated countless times until a person is satisfied with the result of his work.

Neurotic disorders deplete the nervous system and are accompanied by autonomic disorders

It is important to note that only a specialist can identify signs of the disease, in this case OCD. The above example should be viewed in a positive light as the individual is trying to create a safe environment for others. In this situation, when diagnosing the disease, the patient will be diagnosed with “obsessive-compulsive neurosis.” In a situation where a person would move this stone in such a way as to injure others, he would be diagnosed with psychosis, which is characterized as an acute form of mental disorder. The above example proves that the difference between diseases from a medical point of view is completely absent.

The only difference between neurosis and psychosis is that the symptoms of the disease in the first case are reversible.

Treatment of both mental disorders involves the use of various treatment methods and strategies aimed at relieving the main symptoms of the disease. Having the ability to curb your own thoughts and obsessions indicates the effectiveness of therapy. The task of preventing the appearance of such thoughts is not only impossible, but also fundamentally wrong.

The above example of a person diagnosed with OCD reveals the very essence of psychology as a science. In this example, trying to determine the reasons for the appearance of obsessive ideas will not bring a concrete result. Such ideas can be compared to obsession, which is considered from a scientific point of view. It is important to understand that there is no general treatment regimen in a particular case, since therapy methods are selected based on the individual characteristics of the patient’s psyche. Experts note that in some cases, the symptoms of the disease may be pronounced, but several sessions of cognitive therapy are sufficient to eliminate them. In other situations, more “harsh” treatment methods do not achieve the desired result, which contributes to the strengthening of the influence of addiction to obsessive ideas.

Based on all of the above, we can say that understanding the difference between neurosis and psychosis is only available to a qualified specialist with a solid base of knowledge.

Psychosis occurs against the background of sudden negative events that lead to serious mental disorders and loss of a sense of reality.

Characteristics of neurosis

Neurosis is not a disease, but a painful condition that combines a whole group of psychogenic disorders and is traditionally considered as a functional disorder of the higher nervous activity of the upper nervous system.

Neurosis does not have an unambiguous definition either in biology or in medicine, but to one degree or another it is familiar to every person. In Russia alone, according to WHO, up to 75% of the population suffers from neurotic disorders, and every year the frightening figure is steadily growing.

Neuroses are dangerous. They can cause a lot of inconvenience, including complete loss of ability to work. But if you consult a specialist in a timely manner and follow the recommendations, they are completely curable. Neurologists and psychotherapists treat disorders of this kind.

The forms of neurosis are quite diverse. Conventionally, they can be divided into two large groups. The first group includes conditions associated with stress: various phobias in which anxiety is provoked by external situations and objects that are not currently dangerous. The second group includes conditions associated with physiological (physical) disorders: anorexia nervosa, bulimia, etc.

A term that combines a number of interdependent fears. For example, fear of leaving the apartment and entering the store. Fear of traveling and being in crowds.

The clinical picture of agoraphobia is very diverse. In most cases, symptoms such as dizziness, migraine, lightheadedness or rapid heartbeat are observed. The intensity of anxiety can vary from mild discomfort to panic terror.

Characteristics of psychosis

Psychosis is a serious mental illness that is often not cured, but only corrected by psychiatrists.

Depending on the chronological pattern, manifestations of psychosis are divided into episodic or periodic.

Psychoses characterized by movement disorders, affective disorders and pseudomanic states.

Movement disorders manifest themselves in the form of stupor. Patients freeze in unnatural positions, with wide-open eyes and an expression of suffering on their faces. Stupor may be replaced by increased motor or speech activity. Aggression towards others.

Affective disorders most often manifest as dysphoria. Patients are embittered, withdrawn, tearful, and prone to monotonous lamentations. Less common are fears, depression or euphoria, accompanied by illusory disorders or hallucinations.

Pseudomanic states manifested by senestopathies, rough monotonous pranks, hypochondriacal statements. Visual hallucinations, delusions of jealousy or persecution are possible.

The symptoms of psychosis are extremely broad. A wide variety of disorders may be present in mild or severe forms. Namely:

1. Emotional disorders. Distortions of emotional reactivity (quantitative and qualitative changes in emotions), the sensory sphere (progress or regression of feelings) and mood (its decrease or increase). Patients experience higher feelings (personal dignity, aesthetic satisfaction) or, on the contrary, lower ones (arising from instincts or basic needs). They fall into depression and melancholy or experience euphoria and ecstasy. Sharp transitions from one state to another, emotional inadequacy, ambivalence, parapathy or parathymia are possible.
2. Disorder of consciousness. Distortion of perception, memory and abstract thinking. Illusions and hallucinations. Patients cannot build logical connections between words, make unexpected conclusions, attach random meaning to certain concepts, and distort phrases without new semantic content. They cannot remember recent events, but they reproduce distant ones in their memory. They become disoriented in time, space and their own personality. Hallucinations are mainly visual: polyopic, hemianoptic, microscopic, autoscopic, Charles Bonnet type. Black and white or color. Extracampal, scene-like and others.
3. Psychomotor disorders. Patients speak and move too slowly or too quickly. The transition from hypo to hyperactivity is unpredictable. The quadrigeminal reflex is strengthened.
4. Sleep-wake rhythm disorders. Patients experience drowsiness during the day, but have difficulty falling asleep at night. They sleep restlessly and have nightmares at night, which after waking up can turn into hallucinations. In severe cases, inversion of the sleep-wake rhythm or total loss of sleep is possible.

Can neurosis turn into psychosis under stress?

Neurosis or psychosis in a person can be determined by a psychiatrist or psychotherapist. These pathologies should only be treated by a specialist: you should not try to cure yourself, or treat relatives or friends at home. The sooner therapy is started, the higher the likelihood of a favorable outcome.

What is the difference between diseases is not understood by everyone. The main difference between neurosis and psychosis is that this mental disorder is reversible. The patient is aware of the presence of a problem, often independently turns to the doctor to receive professional help, the personality does not undergo changes.

The reasons for development also differ.

Neuroses most often develop due to psychological trauma experienced in childhood and can appear after severe, prolonged stress; are formed in the absence of pronounced physical abnormalities, disorders, and pathologies. The appearance of psychosis is caused by dysfunction of the nervous and endocrine systems; The disease often develops slowly and is unnoticed in the initial stages.

In neurotic disorders, clinical manifestations of physical health are noted; psychotic disorders are characterized only by psychological symptoms.

Such a transition is impossible. The disorders have different etiologies. The severity of symptoms and the main symptoms also differ. Neurotic disorders are not initially a pathology: pathological processes can develop in the absence of help and treatment. Psychotic disorders are a disease from the very beginning and often develop spontaneously.

In psychosis, the characteristic symptoms are visual and auditory hallucinations. A person often has delusional, obsessive ideas. There may be a lack of understanding of reality. The patient is not capable of adequate perception of the surrounding world.

Mood changes frequently, uncontrolled aggression is possible, which can turn into physical violence. People with this pathology are easily irritated; Even a minor reason can cause anger; sometimes anger arises for no reason. Speech is abrupt and chaotic.

Characteristic is a gradual development of symptoms.

Neuroses have other manifestations. The nervous system is exhausted, there is a constant feeling of fatigue, apathy, and reluctance to do anything. A person gets tired quickly, suffers from headaches, and has difficulty falling asleep.

Hysteria is possible: emotional reactions become excessively violent, chaotic movements and speech disturbances are observed during a seizure. Perhaps restlessness, constant causeless anxiety.

Patients are suspicious, prone to obsessive actions and thoughts.

Often only some of the symptoms appear.

You need to be treated by a psychiatrist. Additionally, you are allowed to visit psychologists and psychotherapists.

For neuroses, the main treatment method is psychotherapy. The person is also taught relaxation techniques, which he can easily apply on his own. Mild sedatives may be prescribed.

In addition, they use vitamin therapy, recommend increasing rest time, walking more in the fresh air, giving up bad habits, and reducing the consumption of sweets.

It is important to exclude the stress factor.

Psychoses require strong medications. Neuroleptics, mood stabilizers, and anticholinergics are prescribed. All medications must be selected by a doctor.

Psychotherapy is an additional method. Psychoanalysis, behavioral therapy, and psychoeducation can be used. Work is carried out alone and in a group. Family support is important.

source

People who are not related to medicine are often confused with the definition of neurosis and psychosis, and yet these conditions have nothing in common, the difference between them is very great, and knowing the differences is important at least in order to understand which specialist to turn to for help in case of problems.

Medical definitions, basic characteristics and a comparative table that clearly shows the differences between these diseases will help you distinguish neurosis from psychosis.

Without going into details, we note that neurosis differs from psychosis in virtually all respects: causes, onset and course of the disease, characteristic symptoms, the patient’s attitude to his condition and, of course, approach to treatment.

For clarity, the main differences are presented in the table:

Clinical picture and principles of treatment Neurosis Psychosis

For those who wish to delve into the issues of the difference between neuroses and psychoses in more detail, the following information will be useful.

Neurosis is not a disease, but a painful condition that combines a whole group of psychogenic disorders and is traditionally considered as a functional disorder of the higher nervous activity of the upper nervous system.

Neurosis does not have an unambiguous definition either in biology or in medicine, but to one degree or another it is familiar to every person. In Russia alone, according to WHO, up to 75% of the population suffers from neurotic disorders, and every year the frightening figure is steadily growing.

Neuroses are dangerous. They can cause a lot of inconvenience, including complete loss of ability to work. But if you consult a specialist in a timely manner and follow the recommendations, they are completely curable. Neurologists and psychotherapists treat disorders of this kind.

The forms of neurosis are quite diverse. Conventionally, they can be divided into two large groups. The first group includes conditions associated with stress: various phobias in which anxiety is provoked by external situations and objects that are not currently dangerous. The second group includes conditions associated with physiological (physical) disorders: anorexia nervosa, bulimia, etc.

A term that combines a number of interdependent fears. For example, fear of leaving the apartment and entering the store. Fear of traveling and being in crowds.

The clinical picture of agoraphobia is very diverse. In most cases, symptoms such as dizziness, migraine, lightheadedness or rapid heartbeat are observed. The intensity of anxiety can vary from mild discomfort to panic terror.

Women get sick more often than men. The onset of the disease occurs mainly in adulthood. The main danger is that the patient can completely isolate himself from society, closing himself “within four walls.”

Neuroses that combine fears associated with being in society. Isolated (eg, drinking or eating in public) or diffuse (including most situations outside the family circle). They are often combined with a panicky fear of criticism and low levels of self-esteem. Often accompanied by hand tremors, redness of the skin, the urge to urinate, sudden nausea and vomiting.

A term that combines fears that are limited to strictly defined circumstances (the sight of blood, being near an object, a thunderstorm, flying on an airplane, being treated by a doctor, etc.).

They usually appear in childhood or adolescence and, without proper treatment, persist throughout life.

The severity of discomfort resulting from specific phobias depends on how easily the traumatic situation can be avoided.

A group of phobias that are not limited to specific situations. Fears arise suddenly. They have an unpredictable, paroxysmal character.

Typically lasts a few minutes.

Accompanied by chest pain, rapid heartbeat, shortness of breath, a feeling of derealization and depersonalization (loss of the sense of reality of what is happening).

Neurosis characterized by repeated actions or thoughts over and over again. Attractions, images or ideas that are almost always aggressive or distressing.

The disorder is typical for both men and women. Appears, as a rule, in adolescence and eventually develops into a chronic form. Often accompanied by depression.

A disorder characterized by intentional weight loss caused directly by the affected person. It often occurs in teenage girls and young women. The clinical picture is easily recognized: body weight is at least 15% less than expected. The most valuable obsession is the horror of obesity.

A disorder in which strong food cravings are combined with a morbid fear of obesity. A sick person rushes “from one extreme to another”, tends to abuse laxatives or induce vomiting.

There are other physiological disorders: sexual dysfunctions, sleep disorders, etc. However, in practice, they are usually dealt with by specialists of a narrow profile.

Psychosis is a serious mental illness that is often not cured, but only corrected by psychiatrists.

Depending on the chronological pattern, manifestations of psychosis are divided into episodic or periodic.

Psychoses characterized by movement disorders, affective disorders and pseudomanic states.

Movement disorders manifest themselves in the form of stupor. Patients freeze in unnatural positions, with wide-open eyes and an expression of suffering on their faces. Stupor may be replaced by increased motor or speech activity. Aggression towards others.

Affective disorders most often manifest as dysphoria. Patients are embittered, withdrawn, tearful, and prone to monotonous lamentations. Less common are fears, depression or euphoria, accompanied by illusory disorders or hallucinations.

Pseudomanic states manifested by senestopathies, rough monotonous pranks, hypochondriacal statements. Visual hallucinations, delusions of jealousy or persecution are possible.

The symptoms of psychosis are extremely broad. A wide variety of disorders may be present in mild or severe forms. Namely:

1. Emotional disorders . Distortions of emotional reactivity (quantitative and qualitative changes in emotions), the sensory sphere (progress or regression of feelings) and mood (its decrease or increase). Patients experience higher feelings (personal dignity, aesthetic satisfaction) or, on the contrary, lower ones (arising from instincts or basic needs). They fall into depression and melancholy or experience euphoria and ecstasy. Sharp transitions from one state to another, emotional inadequacy, ambivalence, parapathy or parathymia are possible.
2. Disorder of consciousness . Distortion of perception, memory and abstract thinking. Illusions and hallucinations. Patients cannot build logical connections between words, make unexpected conclusions, attach random meaning to certain concepts, and distort phrases without new semantic content. They cannot remember recent events, but they reproduce distant ones in their memory. They become disoriented in time, space and their own personality. Hallucinations are mainly visual: polyopic, hemianoptic, microscopic, autoscopic, Charles Bonnet type. Black and white or color. Extracampal, scene-like and others.
3. Psychomotor disorders . Patients speak and move too slowly or too quickly. The transition from hypo to hyperactivity is unpredictable. The quadrigeminal reflex is strengthened.
4. Sleep-wake rhythm disorders . Patients experience drowsiness during the day, but have difficulty falling asleep at night. They sleep restlessly and have nightmares at night, which after waking up can turn into hallucinations. In severe cases, inversion of the sleep-wake rhythm or total loss of sleep is possible.

Neuroses differ significantly from psychoses. In addition, the forms of these disorders differ from one another. But occasionally in medical practice we encounter psychoneurosis, which combines the symptoms of two diseases.

Do not self-medicate. Symptoms are often blurred, which complicates the diagnostic process. Only a qualified specialist will help you find peace of mind.

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A person’s mental health is subject to various negative influences, which is why diseases such as psychosis and neurosis often develop. These two diseases have some common symptoms, but have different effects on the patient's character and behavior. It is much more difficult to rid a subject of psychosis than to overcome neurosis.

A group of disorders that arise in a person due to destructive psychological attitudes and stress is called neurosis. Situations conducive to the development of neurosis:

• hereditary tendency to nervous disorders;
• periodic conflicts at home or at work. Often occur in children and adolescents who grow up in dysfunctional families;
• excessive suspiciousness of the subject. The habit of reacting painfully to minor troubles exhausts the nervous system - a person with low self-esteem and a pessimistic attitude towards life is much more likely to develop neurosis than a positive-minded person;
• physical overload;
• chronic diseases that cause constant discomfort or acute pain (psoriasis, arthritis);
• a strong shock that the subject experienced in the recent past (death of a relative, fire, bankruptcy);
• long stay in a place where he was in danger.

• neurasthenia;
• fear;
• obsessive states;
• hysteria.

How the disease manifests itself: the patient’s mood changes sharply, the level of sensitivity increases. You can cry for half a day over a broken plate and be offended for a month at a colleague who did not invite you to his wedding. Self-esteem changes: some patients are overly critical of themselves. Inflated self-esteem is also not uncommon in neurosis.

Source: //deltarecycling.ru/stress/mozhet-li-nevroz-pereyti-v-psihoz-pri-stresse/

The main differences between psychosis and neurosis

What is the difference between diseases is not understood by everyone. The main difference between neurosis and psychosis is that this mental disorder is reversible. The patient is aware of the presence of a problem, often independently turns to the doctor to receive professional help, the personality does not undergo changes.

The reasons for development also differ. Neuroses most often develop due to psychological trauma experienced in childhood and can appear after severe, prolonged stress; are formed in the absence of pronounced physical abnormalities, disorders, and pathologies. The appearance of psychosis is caused by dysfunction of the nervous and endocrine systems; The disease often develops slowly and is unnoticed in the initial stages.

In neurotic disorders, clinical manifestations of physical health are noted; psychotic disorders are characterized only by psychological symptoms.

Such a transition is impossible. The disorders have different etiologies. The severity of symptoms and the main symptoms also differ. Neurotic disorders are not initially a pathology: pathological processes can develop in the absence of help and treatment. Psychotic disorders are a disease from the very beginning and often develop spontaneously.

Neurosis does not turn into psychosis but guarantees

We are so used to throwing around the words “hysterical”, “neurasthenic”, “psychopath” that we often forget that we use medical terms as curses or even ridicule. Meanwhile, there is nothing funny in these words.

Neurosis

Neurosis can be briefly described as follows:

• This is nervous exhaustion, a long-term chronic disorder that can develop in a person against the background of stress or a traumatic event.
• The personality of a patient suffering from neurosis usually does not undergo major changes. The person maintains a critical attitude towards the disease; he can control his behavior.
• As a rule, neurosis is manifested by vegetative, somatic and affective disorders.
• This is a reversible (curable) disease.

The most common types of this disease are:

• neurasthenia (asthenic neurosis, fatigue syndrome);
• hysteria (hysterical neurosis);
• various phobias (fears, panic attacks) and obsessive states (obsessive neurosis).

One of the main reasons for the formation of neurosis is stress in the broadest sense of the word, be it a childhood trauma, an unfavorable climate in the family, a crisis at work, nervous strain, interpersonal conflict or emotional shock.

According to medical statistics, the state of neurosis is familiar firsthand to 10-20% of the population of our planet, and approximately 5% of the world's inhabitants suffer from various types of psychosis.

Psychosis

Speaking about psychosis, it is necessary to note the following:

• This is a mental disorder characterized by inappropriate human behavior and an atypical reaction to events and phenomena.
• It manifests itself as mental disorders, in particular, disturbances in the perception of reality (hallucinations, delusions).
• It develops unnoticed by the patient and may be a consequence of pathologies of the endocrine and nervous systems.
• Capable of completely changing the patient's personality.
• This is a difficult to cure disease.

Psychoses according to their origin are usually divided into:

• Endogenous, that is, associated with internal causes (somatic diseases, hereditary mental disorders, age);
• Exoorganic, caused by external factors (infections, intoxication, etc.) or directly related to a violation of the structure of the brain (trauma, hemorrhage, neoplasms, etc.).

The first group includes:

• affective insanity;
• senile (senile);
• affective;
• schizophrenic;
• epileptic;
• symptomatic psychosis, etc.

The exogenous group includes:

• reactive acute psychosis;
• intoxication;
• infectious;
• alcoholic psychosis, etc.

The main differences between psychosis and neurosis

What is the difference between diseases is not understood by everyone. The main difference between neurosis and psychosis is that this mental disorder is reversible. The patient is aware of the presence of a problem, often independently turns to the doctor to receive professional help, the personality does not undergo changes.

The reasons for development also differ.

Neuroses most often develop due to psychological trauma experienced in childhood and can appear after severe, prolonged stress; are formed in the absence of pronounced physical abnormalities, disorders, and pathologies. The appearance of psychosis is caused by dysfunction of the nervous and endocrine systems; The disease often develops slowly and is unnoticed in the initial stages.

Such a transition is impossible. The disorders have different etiologies. The severity of symptoms and the main symptoms also differ. Neurotic disorders are not initially a pathology: pathological processes can develop in the absence of help and treatment. Psychotic disorders are a disease from the very beginning and often develop spontaneously.

Symptoms of neurosis

It is quite difficult for a non-specialist to identify a nervous disorder. And yet the clinic of neurosis has characteristic features.

Neurosis may be indicated by:

• decreased cognitive abilities;
• depressed mood, tearfulness;
• self-doubt, low self-esteem;
• irritability, dissatisfaction;
• frequent changes of mood;
• obsessive thoughts;
• fixation on bad news and events;
• unmotivated anxiety states;
• poor appetite, disturbances in the gastrointestinal tract;/li{amp}gt;
• cardiovascular symptoms;
• insomnia and other sleep disorders;
• violations in the sexual sphere;
• increased sensitivity to noise, light, vibrations, etc.

Children's fears and facial tics are also symptoms of neurosis.

Very often in everyday life people confuse the concepts of “neurosis” and “neurasthenia”. Let us repeat once again: neurasthenia is a type of neurosis, one of its most common forms.

Symptoms of psychoses and neuroses

In psychosis, the characteristic symptoms are visual and auditory hallucinations. A person often has delusional, obsessive ideas. There may be a lack of understanding of reality. The patient is not capable of adequate perception of the surrounding world. Mood changes frequently, uncontrolled aggression is possible, which can turn into physical violence.

Neuroses have other manifestations. The nervous system is exhausted, there is a constant feeling of fatigue, apathy, and reluctance to do anything. A person gets tired quickly, suffers from headaches, and has difficulty falling asleep.

Hysteria is possible: emotional reactions become excessively violent, chaotic movements and speech disturbances are observed during a seizure. Perhaps restlessness, constant causeless anxiety.

Patients are suspicious, prone to obsessive actions and thoughts.

Why you should visit a MedicCity neurologist

If you experience psychological discomfort and tension, feel trapped, and cannot relax even in your sleep, do not delay visiting a doctor. Delicately and professionally, our specialist will help you understand the causes of your condition and give all the necessary recommendations. Don't be left alone with your troubles!

We provide assistance for various neurological diseases, as well as disorders in the functioning of other organs and systems of the body. If necessary, you can get advice from another specialist - doctors from over 30 specialties conduct appointments at the clinic every day.

Source: //aleluya.ru/nevroz-perekhodit-psikhoz/

Symptoms of psychoses and neuroses

In psychosis, the characteristic symptoms are visual and auditory hallucinations. A person often has delusional, obsessive ideas. There may be a lack of understanding of reality. The patient is not capable of adequate perception of the surrounding world. Mood changes frequently, uncontrolled aggression is possible, which can turn into physical violence. People with this pathology are easily irritated; Even a minor reason can cause anger; sometimes anger arises for no reason. Speech is abrupt and chaotic. Characteristic is a gradual development of symptoms.

Neuroses have other manifestations. The nervous system is exhausted, there is a constant feeling of fatigue, apathy, and reluctance to do anything. A person gets tired quickly, suffers from headaches, and has difficulty falling asleep. Hysteria is possible: emotional reactions become excessively violent, chaotic movements and speech disturbances are observed during a seizure. Perhaps restlessness, constant causeless anxiety. Patients are suspicious, prone to obsessive actions and thoughts.

Often only some of the symptoms appear.