What Is Adjustment Disorder with Disturbance of Conduct?

Will refers to the psychological process that people consciously propose a clear purpose in social life and practical activities, and consciously control and regulate their behavior in order to achieve the goal, constantly overcome difficulties, persist in action, and finally complete the task. The process of will occurs The abnormality is called behavior adjust disorder. Common in schizophrenia, manic-depressive psychosis, paranoid psychosis, mental disorders caused by alcoholism, and cerebral organic psychosis.

Behavior regulation disorder

In social life and practical activities, people consciously propose a clear purpose, and consciously control and regulate their behavior in order to achieve the purpose, constantly overcome difficulties, persist in action, and finally complete the task. This psychological process appears abnormal called behavior regulation obstacle. Common in schizophrenia, manic-depressive psychosis, paranoid psychosis, mental disorders caused by alcoholism, and cerebral organic psychosis.

Brief Introduction to Behavioral Disorders

Behavioral regulation disorder concept

Causes and mechanisms of behavioral disorders

Behavioral regulation disorder is a common psychiatric symptom. The cause and mechanism of this disorder are still unclear. Clinical studies consider the following factors to be relevant:

1. Schizophrenia: Dominated by hallucinations and delusions and manifesting pathological will. Or under the influence of introverted thinking and emotional imbalances, showing reduced or lack of will. Depression can also be an early symptom of schizophrenia.

2. Manic-depressive psychosis: Increased will in mania and decreased will in depression.

3. Paranoid psychosis: Behavioural disorder manifested by increased delusion when dominated by delusion.

4. Alcoholic toxic psychosis: a large number of long-term alcohol addictions, personality changes, and more manifested decreased will.

5. Drug abuse: Abuse of drugs, sedative sleeping pills, etc., can significantly affect people's will activity, and more often show decreased will activity.

6. Brain organic diseases: such as sequelae of traumatic brain injury, tumors in the third ventricle, etc. can cause abnormalities in voluntary activity.

7. Mental disorders caused by physical diseases: such as hypothyroidism or hyperthyroidism, diabetes, etc. can cause changes in voluntary activity.

Clinical manifestations of behavioral disorder

Behavioral disorder

Refers to the patient's stubborn will. In order to achieve his purpose, the patient insisted on a certain behavior, regardless of any obstacles encountered in the behavior, and how many difficulties occurred, he continued to go forward and persisted, showing great stubbornness. For example, in the case of jealousy and delusion, in order to detect the "third party", the patient does not hesitate to take a break during work breaks to follow up the evidence. On the other hand, increased will also shows a marked increase in willingness and intentions. Patients are excited, energetic, not tired, have a wide range of interests, and have agile thinking, but because they often change their goals and behavioral orientations with changes in the external environment, There is no beginning and no end, and it cannot be carried through to the end. Because the patient's will activity is closely related to his thinking and emotions, and the unity with the environment is still basically intact, the patient's activity can still be understood by people. This kind of excitement is clinically called manic Excited.

Behavioral disorder

Willingness activities are significantly reduced, lack of initiative and initiative, work has no beginnings and ends, can not persist to the end, emotionally fragile, can not stand grievances and setbacks, and is easily discouraged; The patient knew nothing about it.

Behavioral regulation disorder lack of will

There is a lack of willingness and intention activities, but there are also hyperactive intention activities. The patient's performance is passive, there is no obvious motivation and purpose in any activity, and he completely loses any conscious and active actions. He is withdrawn and withdrawn, living very lazily, has no concern for family business, and even lacks his own instinct for life. Certain requirements.

Behavioral regulation ambivalence will

Hesitation on very simple things, or contradictory and contradictory will activities on the same thing at the same time, but the patient is not conscious of this, nor confused, unable to realize the contradiction between them, and does not automatically correct it. Shaking hands with friends and drinking water after eating are important symptoms of schizophrenia.

Differential diagnosis of behavioral disorders

Behavioral disorder

(1) Schizophrenia's increased will is based on delusion. To achieve its purpose, at any cost, stubbornly, tracing evidence, litigating around, attacking revenge, forcing a confession partner, or abandoning normal work, and working tirelessly. Carry out "invention". Although all of them lack any objective basis, even ridiculous and contradictory, the patient is convinced, stubborn and unable to persuade. In addition to increased willpower, the patient also had other symptoms of schizophrenia. More common in paranoid schizophrenia.

(2) The increase of the will of such diseases is different from that of schizophrenia. Patients show high emotions, full of energy, wide range of interests, increased intent and willingness, busy all day, sleep less and eat more.

(3) Paranoid psychiatric disease is clinically characterized by a slowly developing system and firm delusions. In order to confirm the authenticity of the delusions, the patient pursues the evidence at any cost, showing an obvious pathological increase in will. But when its delusional content is not involved, its will activity can appear normal.

(4) Cerebral organic psychiatric patients may sometimes show increased will activity, similar to the performance of mania or schizophrenia, but the corresponding positive signs can be found by physical examination.

Behavioral disorder

(1) Schizophrenia is a symptom of schizophrenia that appears earlier, with reduced performance, lack of initiative, passive withdrawal of behavior, inactivity with people, and lack of initiative and initiative in learning, life, and labor.

(B) Depression. Decreased volition is the main symptom of depression. Reduction in performance activities, slow response, lazy grooming, passive life, difficulty in work and study, and other depression symptoms such as low mood and slow thinking.

(3) Psychiatric disorders caused by psychoactive substances. Long-term use of psychoactive substances can lead to significant decline in mental activity, decreased will activity, narrow expression of interest, indifferent to new things, indifferent to others, reduced work ability, and inability to fulfill their duties Unmotivated, compassionate towards others, loss of self-esteem, etc.

(4) Brain diseases such as brain trauma, brain trauma, brain tumors, encephalitis and other brain diseases can show reduced will, narrow interest, indifferent to external affairs, incompetence at work, reduced responsibility, progressive disappearance, passive life , Lack of initiative, physical examination can find positive signs.

Behavioral regulation disorder lack of will

(A) Schizophrenia The simple type of schizophrenia and the mental decline in the late stages can appear lack of will, withdrawn behavior, withdrawn, extremely lazy life, no concern for family career, and even lack of a certain instinct for their own life. Requirements, completely lost any conscious initiative. These symptoms occur simultaneously with poor thinking and indifferent emotions, which constitute the basic symptoms of schizophrenia.

(2) Dementia caused by various causes of dementia can manifest lack of will, behavior withdrawn and solitary, extreme laziness, no requirements in life, lack of obvious motivation for any activity. Sometimes it can show hyperactivity of instinct, such as hypersexual instinct. According to medical history, physical examination and intelligent test can make a clear diagnosis.

Behavioral regulation ambivalence will

Contradictory will is a first-level symptom of schizophrenia and has diagnostic value for schizophrenia. The patient is unaware of this and cannot realize the contradiction between them, so he never corrects it automatically.