BASICS Psychiatrie by Eva Wunn

By Eva Wunn

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Bipolare Störungen: Die Patienten erleben in aufeinander folgenden Phasen abwechselnd manische und depressive Episoden. Auch diese Patienten können zwischen den Phasen beschwerdefrei sein. reaktiv" Störungen I ~~:~mmenhang mit affektiven sind überholt. depressive Episode" (ICD-10) und .. Major Depression" (DSM-IV). Depressive Gefühle kennen wir alle. Sie können eine normale emotionale Reak· tion darstellen, als Symptom oder als eigenständige Krankheit auftreten. Erst Letztere wird als Depression (Syn.

T Die Spätdyskinesien zeigen sich nach Monaten bis Jahren und sind häufig irreversibel. Klinisch handelt sich um spontane und unkontrollierte Mund- und Gesichtsbewegungen, Schmatzen und Leckbewegungen der Zunge. Therapeutisch kommen schwach potente Neuroleptika als Alternativpräparat oder Clozapin in Betracht 34 I 35 Soziotherapie Dazu gehören die Miteinbeziehung der Angehörigen, Wohnungs- und Arbeitsplatzbeschaffung oder -sicherung; Milieutherapie, indem durch Veränderung des sozialen Milieus eine bessere Voraussetzung für den Patienten geschaffen werden soll, im Alltag zu bestehen.

Für negative Ereignisse verantwortlich zu sein t Versündigungswahn: Überzeugung, schwere (moralische) Schuld auf sich geladen zu haben Wochenbettdepression Etwa 10%der Frauen entwickeln eine depressive Symptomatik nach der Entbindung. Diese hohe Zahl erklärt man sich durch dramatische hormonelle Umstellungen nach der Geburt des Kindes. Die Mütter sehen sich mit einer neuen Situation konfrontiert, die hohe Anforderungen an sie stellt; auch Schlafmangel kann eine Rolle spielen (I Abb. 2). a. Kopf-, Rückenschmerzen Störung der Geschlechtsfunktionen • Libido-, Potenzverlust • Amenorrhö I Abb .

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