Shuboobraznaya schizophrenia: symptoms, the course of the disease, treatment and prognosis

A fairly large percentage of the population in our country suffers from mental illness. They can develop against the background of congenital pathologies or be acquired. The severity of such diseases can vary from mild to severe cases in which isolation of the patient from others is required. In this article, let's try to understand what shoe-like schizophrenia is. Symptoms, course, treatment and prognosis for this pathology will also be considered.

The essence of the disease

This type of disease is also called paroxysmal-progredient schizophrenia. It is characterized by the alternation of acute attacks with light intervals. The effects of seizures may not be observed, and in some cases some personality changes are noticeable.

With such a disease there are also this type of exacerbation, which are called fur coats, hence the name of the pathology. They necessarily influence the human psyche, carrying out a kind of "shift".The result is the appearance of a pronounced mental defect.

Clinical manifestations of the schizophrenic schizophrenia

For all types of schizophrenia, negative personality changes are characteristic, with this type of disease they begin to manifest gradually, after each attack everything is growing. Shuboobraznaya schizophrenia symptoms can initially have the following:

• There are obsessions.
• The patient begins to consider all his actions as if from the outside, he believes that they can not control them and control them.
• There are paranoid ideas that lead to the emergence of excessive suspicion, a person everywhere is looking for his enemies, there is delirium grandeur.

Subsequent symptoms appear as qualitatively new manifestations of mental disorder. Attacks of this disease have a different clinical picture. Most often it is:

• Depressive-hallucinatory conditions.
• Acute paranoid.
• Catatonic-depressive.
• Depressive-obsessional states.

This is only a small part, in fact, manifestations of the ailment are much broader.

Shuboobraznaya schizophrenia can have varying degrees of depth of emerging mental defects. They differ not only in their variations, but also in the degree of their progress.

In some cases, this form of the disease is close to malignant and may result in schizophrenic dementia. In other situations, the progression tendencies are poorly expressed, and the disease is lethargic, the personality defects are insignificant.

Quite often it happens, when the coat-like schizophrenia occupies an intermediate position between two variants of the current. If you ask a doctor about how often attacks occur in such patients, he will answer that almost a third of all patients with this disease can tolerate an exacerbation only once, while in others the pathology reminds itself once every few years.

The number of attacks does not directly affect personality changes. Even numerous exacerbations can not end with pronounced manifestations of mental defects.

Different forms of manifestation of the disease

And yet, what does schizophrenia look like? The form of the disease can be different. Allocate the following options:

1. Schizoaffective psychosis.
2. Paroxysmal-progredient form, which resembles a paranoid variety of pathology.
3. Periodic.
4. Malignant form.

Consider each little bit more.

Schizoaffective form of schizophrenia

On the eve of the development of this form of pathology, periodic mood changes can be observed, which gradually become more frequent and become more pronounced. Psychotic symptoms, mania and depression develop.

In the intervals between such outbursts, there may be the appearance of obsessions, hypochondriacal and hysterical disorders. If we talk about pronounced personality changes, then the shuboiform schizophrenia of this form, as a rule, has none. The defect of the psyche is more noticeable when in the period of exacerbations there are not mood disorders, but psychotic symptoms.

Paroxysmal-progredient form of

The apparent development of the clinical picture of this form is preceded by a visible change in the character of the patient. There is already a circle of interests, emotional reactions to surrounding events are flattened. A person becomes suspicious, can express paranoid ideas.

The disease can have a continuous course or paroxysmal. In the first scenario, in the intervals between attacks, the patient retains delirium and mental disorders. If the pathology proceeds paroxysmatically, during the period of remission the psychotic symptoms are practically absent, and during exacerbations one can observe hallucinations and delusions.

Seizures can have different duration, it can be a month, and in some patients they are delayed for several years. Throughout the life of such periods can be from three or more. During exacerbations, the symptomatology is determined not only by the form of the disease, but also by the stage of its development.

One can observe the following:

• Expressed hallucinations.
• Interpretative delirium.
• Syndrome Kandinsky - Clerambo.
• Paraphrenia.

Even during the remission of the disease, you can observe residual mental disorders in the form of fragmentary hallucinations, delusions. Patients are not prone to a critical attitude to attacks.

This form of schizophrenia is characterized by more or less pronounced personality disorders, beginning with minor changes in the character and ending with the total inability of a person to exist in society.

Malignant form of the disease

Unfortunately, quite often this form of a terrible ailment develops in adolescents. How does the teenage schubopathic schizophrenia go? The medical history, as a rule, contains information about exacerbations that can be observed for a year or more. At this time there is a pronounced psychotic symptomatology. During the life of such exacerbations there may be 3 or 4, the duration of remission is gradually reduced, and the disease can acquire a continuous course.

Manifestations of this form of the disease are sometimes quite diverse and changeable. Perhaps the emergence of various symptoms, from catatonia and ending with shestopatiey. In the period between attacks, a pronounced mental defect remains.

Periodic, or circular form of

Characterized by single depressive and manic attacks. It happens that there are double seizures, that is, one type of current replaces another.

If there is schizophrenia, the coat-like current in this form resembles a depressive psychosis. The very first attacks are practically indistinguishable from him. The following already occur with such symptoms:

• There are ideas of persecution.
• Fantastic delirium.
• Catatonic disorders.
• Merry mood can be replaced by stupid behavior and foolishness, and the desire for work - disinhibition.

Therapy of the disease may vary depending on the form of the pathology, so any decision in this regard should only be made by a physician.

The reasons for the development of the shrouded schizophrenia

Currently, until now, until the end and did not understand what causes lead to the fact that develops a coat-like schizophrenia. Pathological genesis is not clear, but consider that development factors include:

1. Genetic features.
2. Features of the constitution of man.
3. Affiliation to a specific sex and age.

To recognize the main cause of the development of schizophrenia is difficult, but more often it is:

• Anomalies in the development of the brain.
• Hereditary predisposition.
• Exhaustion of the female body during pregnancy.

Whatever factor causes the development of this pathology, therapy should always be carried out. A competent specialist will help improve the patient's quality of life and maximally return it to a normal existence.

Symptoms of the disease

The more frequent attacks of schizophrenia, the more noticeable becomes endogenization. The condition of the patient is aggravated by the following conditions:

• sadness;
• motor retardation;
• ideas of guilt.

If already at this stage do not start adequate therapy, then depression is aggravated, a person has illusions, the desire to assign his thoughts to others. When maniacal conditions prevail expansive nonsense:

• conversion;
• greatness;
• of invention.

Exacerbations can last up to three years, negative symptoms are complicated by emotional decline right up to autism. But it should be noted that gross defects in the psyche may not manifest itself. In some cases, amidst paranoid changes, affective-delusional attacks develop. In many patients, the coat-like schizophrenia symptoms are as follows:

• hallucinations;
• delirium poisoning, intoxication;
• depressive states, which are burdened by the idea of ​​persecution.

Between seizures disorders can be present in a reduced form, mental changes in personality gradually become more prominent. If the disease is not treated, it can acquire a continuous flow.

If you mean childish shuboobraznaya schizophrenia, the case history of such patients contains information that children become uninformative, constantly irritated, alienated. They go into opposition to others, they have a significantly reduced mental activity. Hallucinations are most often visual, and instead of crazy ideas appear delusions of fantasy. Such children often show discontent, they are capricious, there is motor disinhibition when the mood is elevated.

How the attack of schizophrenia develops

Most often, seizures with this form of the disease go through one scheme:

1. The initial stage of the disease is characterized by emotional disturbances. Periods of high spirits are replaced by indifference and a negative attitude to everything around him.
2. The next stage is accompanied by delirium. It seems to the patient that he is a participant in the film, and around him are actors who direct his actions. He also believes that his thoughts do not belong to him, they are put into his head by others.
3. Progressing, the disease is complicated by antagonistic delirium. The patient divides all people into two opposing camps. Delirious ideas and megalomania develop.
4. The peak of the pathology is manifested by the canonical impairment. The patient may not respond at all to comments, for a long time freezes in one pose. In such cases, there is a clouding of consciousness, a person begins to see fantastic visions that do not correspond to reality.
5. When the regressive condition comes, the symptoms of emotional disorders again appear.

It should be noted that the seizures do not always go in this order. Development can end at one stage, while others will manifest themselves in short intervals. The duration of the attack can range from several days to several months.

Features of schizophrenia

If we take into account the many studies carried out, it can be concluded that in most patients who suffer from schizophrenic schizophrenia, even the periods of remission are accompanied by chronic disorders that gradually develop. The degree of the disease and the depth of the psyche can vary.

The peculiarity of the disease is mood swings, which are most often observed before the development of the first attack. Over time, such changes become more and more noticeable, the patient may fall into severe depression, mania and psychotic symptoms appear.

In the period between attacks for a sick person are characterized by hysterics, obsession. If we compare this type of schizophrenia with others, then it can be noted that changes in the psyche are usually insignificant.

Therapy of the disease

We found out what a shuboid schizophrenia is. Symptoms, the course of the ailment is also considered. It's time to stop at the treatment. Earlier it was believed that such a pathology is practically not amenable to therapy, but, given the current level of medical development, it can be argued that it is now realistic to achieve long-term remission and improve the patient's quality of life.

The basis of therapy is the administration of neuroleptics. They eliminate not only the signs of psychosis, but also the characteristic clinical manifestations of the disease.

Most often, doctors prefer monotherapy, that is, the use of one drug, usually a new generation. Here you can include:

• "Solian".
• "Serokvyav".
• "Rispolept".

These drugs slow the growth of symptoms, prevent the appearance of hallucinations, delirium. A significant disadvantage of such drugs is their high cost, and treatment should be carried out long and systematically.

Types of shuboiform schizophrenia are different, so the choice of drugs is also not the same. For example, in the paranoid form, the following preparations are preferred:

• "Triftazine".
• "Rispolept".
• "Azaleptin".

Treatment of malignant form is usually accompanied by a reception:

• "Aminazina".
• Clopixol.
• "Rispolepta".

In the presence of soft forms appoint "Truksal", "Sonapaks", "Neuleptil."

Relatives of the patient should understand that the treatment of shuboiform schizophrenia should be performed only by a specialist, it is unacceptable to independently purchase medicines in a pharmacy - this can only aggravate a person's condition.

Not only are medications important in the treatment of schizophrenia, psychotherapy is also essential. It is important that the patient is supported by doctors and relatives: irritability and skepticism lead only to the emergence of aggressiveness and detachment. Only with a comprehensive therapy, the schubo shaped schizophrenia forecast will be favorable.

Treatment can be performed not only in a hospital environment, it all depends on the degree of disease and the condition of the patient. If the patient does not pose a danger to themselves and others, therapy is also possible at home.

Which doctor does the therapy?

Neurologist and psychiatrist can help to overcome this disease. It is best if these two specialists work together. The task of doctors is as follows:

1. To study how pathology manifests itself during seizures and between them.
2. Analyze the patient's medical history.
3. Talk with the patient's loved ones.

Only after the diagnosis is confirmed and the form of the disease is determined, the tactic of treatment is chosen.

With the current level of development of medicine, even the most severe mental disorders can be treated. Maybe it will not be a 100% recovery, but the patient's quality of life can significantly improve, remissions will have a longer period. With the slightest suspicion of the pathology of the psyche, be sure to visit a specialist, only so you can not allow the aggravation of the disease.