Emergency care for psychogenic paranoids in modern environment

Abstract

The work presents data on the main modern variants of reactive paranoids. Clinical manifestations, differential diagnostic criteria, features of the dynamics, modern approaches to treatment of this pathology are described. The possibility of distinguishing modern variants of psychogenic paranoids is emphasized, taking into account the existing pathomorphosis of manifestations of this pathology. Currently, the most common forms are paranoids of attitude, persecution, litigious, somatogenic-reactive, induced, deprivation variants of psychogenic delusions. The patterns for the development of delusional psychogenic disorders are presented. The manifestations of attitude and persecution paranoid are described, with emphasis on the reflection of psychotraumatic experiences in patients’ statements and behavior. When considering litigious reactive psychosis, the importance of paranoid personality traits is emphasized, which contribute to the formation of a “struggle for justice” with a psychotic interpretation of real events. Information is given about the emergence of a relatively new variant of somatogenic-reactive paranoid in patients with combat injuries. Psychogenic deprivation hallucinosis with paranoid interpretation of experiences in premorbidly healthy individuals is described. Differential diagnosis of reactive paranoids and similar pathology is carried out. A special place is given to emergency care for psychomotor agitation of patients with the need to comply with the requirements of current legislation in psychiatry. Recommendations are given for further treatment of patients after relief of acute conditions, with the need to add psychocorrective measures to restore mental health.