Neurosis

Introduction

Refers to a group of specific conditions which manifest as maladaptive patterns in life as a result of which persons afflicted have difficulty in forming harmonious relationship. A neurotic also underestimates his own competence and ability, and experiences varying emotional disturbance. Anxiety is a predominant feature in all the types of neuroses. It becomes abnormal phenomenon, when it is of excessive intensity, continuing for a prolonged period and also, when it interferes with the individual’s sense of well-being and daily routine.

Common types of Neurosis

1. Acute and chronic anxiety
2. Phobic anxiety states
3. Depressive neuroses
4. Hysterical conversions
5. obsessive compulsive disorder

General Principles of Management of Neurosis

1. Early diagnosis of the condition is of paramount importance
2. Avoid numerous investigations
3. Avoid erratic prescriptions and polypharmacy
4. The patient should be explained the relationship between the stress and the onset of the symptoms if possible, taking into account the individual history.
5. Encourage the patient’s positive strength in coping with the life’s stresses.
6. Drugs have only temporary supportive role.
7. Dosage of drugs depends on clinical improvement and appearance of side effects. 8. The drug should be tapered off once improvement occurs.

A Psychiatrist’s help should be called for:

1. When posed with diagnostic problem
2. When there is no response to conventional management
3. When there is relapse of symptoms
4. When there is severe degree of psychosocial complications.