What hallucinations

Content

  • Hallucinations
  • Diagnosis hallucinations
  • Emergency care in a fit of hallucinations



  • Hallucinations

    When hallucinations the patient perceives the objects in
    It does not really exist as real objects of the world.
    There are auditory, visual, gustatory, olfactory hallucinations and
    hallucinations ooschego feelings. Most often there are a variety of
    auditory hallucinations. Patients hear calls, knock some vague
    sounds, words, phrases, calls one or more persons. Voters are
    loud and quiet, familiar and unfamiliar, the content of their most frustrating
    for the patient: they scold him, threaten, punish or collude
    cause any harm to the patient or his relatives. often hearing
    hallucinations are imperative (orders), and often ill
    they irrevocably submits.

    Visual hallucinations are also
    diverse: from the vision of sparks, smoke and flame to the more complex when
    in front of the patient's eyes are deployed colorful pictures of war, fire,
    floods, and so on. Visual hallucinations can be frozen,
    fixed or, on the contrary, constantly changing, both on the stage or in
    cinema. Their content advantageously unpleasant, but in some
    cases of visual hallucinations cause the patient a sense of
    pleasure. Taste hallucinations usually coexist with
    olfactory: the sick smell of rot, feces, pus, food
    It gets disgusting taste. When hallucinations shared sense (or,
    as they are otherwise called, bodily hallucinations) patients experience
    unpleasant sensations in different parts of the body: they think that they inject,
    nips, an electric current, etc. Unlike described
    true hallucinations occur during the so-called pseudohallucinations
    the same phenomena, but they have the nature of alienation, violence, "made". Most patients say that they hear voices not
    distance as well inside the head, the "inner ear" or see
    anything not in front of the eyes and behind the eyes, "the inner eye".



    Diagnosis hallucinations

    What hallucinations
    In practice, it is important to distinguish hallucinations illusions. If the patient
    it seems that the cupboard, standing in his room, changed its shape and became
    like a bear or hanging on a hanger coat to show him
    the outline of a human figure, it is an illusion. But if the patient
    He says that he sees animals, people, etc., pointing out the empty
    space, or declares that hears the voices of some people when
    Nearby there is no one, in these cases we are talking about hallucinations. Illusions
    - Distorted perception of real objects. When illusions
    man making his mistake, willingly agrees that he
    this "thought"; when hallucinations are all trying to prove to the patient
    the fallacy of his claims are inconclusive.

    If illusion
    there are healthy people, for example, when frightened man
    it seems that the corner he sees lurking figure, the hallucinations
    They are a sure sign of mental illness and require
    emergency room. The behavior of the patient can be a careful
    surveillance to establish the presence of hallucinations. This is of great
    practical importance, as there are cases when patients fear
    placement in a mental hospital, or on some delusional
    reasons, trying to hide his hallucinatory dissimulirovat
    experiences. Hallucinating patient centered, wary. is he
    intently peering into space to something intensely
    or listens silently moving his lips, answering his imaginary
    interlocutors.

    Sometimes hallucinations occasionally occur in a patient. AT
    these cases, they are short-lived, and it is important not to miss a period
    hallucination. Mimicry patient often corresponds to the content
    hallucinations and reflects surprise, anger, fear, terror, less joy,
    admiration, delight. In more severe hallucinations patients aloud
    meet their voices audible, plug your ears, pinch the nose, zazhmurivayut
    eyes or spit in disgust food, hiding under the covers,
    kicking against imaginary monsters. Influenced by ordering to (mandatory)
    auditory hallucinations patients often jump out of the window, pop-up
    the moving train, attack others. The isolated form
    hallucinations are relatively rare. they are usually
    part of various psychotic syndromes often
    combined with various forms of delirium.
    The emergence of hallucinations, especially early in the disease, usually shakes
    patient, accompanied by a sharp excitement, fear, anxiety that
    It calls for emergency treatment.



    Emergency care in a fit of hallucinations

    Construction on the general principles of the relief and treatment of excitation
    hallucinatory-delusional states. At the same time it is necessary to take into account
    the nature of the disease, in which the developed hallucinations. So,
    visual hallucinations during a fever (febrile
    delirium) or delirium tremens (delirium tremens)
    require different treatment strategies aimed at treatment
    disease in general. First aid is to ensure the safety of
    patient and others, to prevent dangerous effects caused by
    fear, anxiety, excitement. Therefore, for patients on supervision measures
    become paramount, especially in acute
    hallucinatory state. They do not differ significantly from alcoholic
    measures in delirium. Medical assistance is aimed at reducing the arousal and mood disorders.

    The psychiatric institution is necessary in cases where the
    hallucinatory (hallucinatory-delusional) syndrome is not caused by
    serious physical illness. In the latter case, treatment with
    all precautions should be exercised with
    the participation of a psychiatrist on site or with the translation in psychosomatic
    office. Transportation of patients is carried out in accordance with the
    the basic principles of transport of patients with mental disorders.

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