HealthMental Health

Obsessive-compulsive disorder.

In the modern world, with its rapid variability and the availability of a huge amount of information, the human body is not always able to exist mentally normally. As a result, cases of inadequate assessment of events, depression and other disorders of the psyche and its disorder are not uncommon.

One of the variants of mental disorders is obsessive-compulsive disorder. This mental disorder manifests itself as obsessive actions and thoughts. Abscesses are those obsessive thoughts, and the actions that arise under their influence are nothing more than compulsions. Images, ideas and inclinations, in the form of stereotypes, are repeated in the mind many times.

Such obsessions somehow (no matter how they resisted the patient) lead to a response - action (compulsion).

How to understand when actions turn into compulsions? These are actions performed as a stereotype, which do not carry a semantic load. Even the patient himself often notes their senselessness or tries to assert that these actions prevent or cause any events. Objectively, it becomes clear that these actions have no relation to the events that occur. Often an obsessive-compulsive disorder manifests itself in the form of a ritual.

Often, with this type of mental disorder, changes are observed on the part of the autonomic nervous system, and a feeling of gravity and anxiety on the soul develops for no apparent reason. Sometimes obsessive-compulsive disorder is accompanied by a depressive disorder. Such a relationship is characterized by a directly proportional relationship, that is, the more one, the stronger the manifestation of the second.

In general, obsessive-compulsive disorder can be divided into several options, depending on the prevalence of obsessive actions (compulsions) or obsessive thoughts (obsessions).

In a separate group, mixed forms are distinguished, in which compulsive behavior and obsessional thoughts are manifested in virtually the same way.

This disorder most often develops as a result of the influence of various psychogenic factors. So, a high level of anxiety, excitement or aggression leads to the formation of this disease.

Examples of compulsive actions can be: obsessive doubts (whether the light is turned off, the door is closed, the iron is turned off and others), obsessive fears (which lead to a person afraid to leave the house, ride in the elevator and others).

For such a mental disorder as obsessive-compulsive disorder, treatment consists not only in the use of pharmaceuticals, but also in the conduct of psychoanalysis, and also in severe cases - electroconvulsive therapy.

Treatment for obsessive-compulsive disorder includes the use of drugs from the group of antidepressants, as well as antiepileptic drugs (such as carbamazepine).

Previously used drugs of other groups after the introduction of the concept of "evidence-based medicine" showed their ineffectiveness in the treatment of this type of pathology. As a result, the use of these drugs could be considered inexpedient. The best result was shown by the above two groups of drugs - antiepileptic and antidepressants. The latter, in addition, are a kind of prevention of the development of depressive states.

Thus, a mental disorder is a very common pathology, with varying degrees of expression of compulsions and obsessions. Treatment of this type of mental illness at the initial stages gives hope for a favorable outcome, but in the case of prolonged absence of therapy, the mental state may worsen and the depressive state may develop, the treatment of which is somewhat more difficult and prolonged.

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