Differential diagnosis and prognosis of phobic disorders
Lakosina, N.D.; Kolupaev, G.P.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 98(10): 8-11
1998
ISSN/ISBN: 1997-7298 PMID: 9819881 Document Number: 487488
The paper presents differential-diagnostic signs of phobic disorders of different etiology. Acute episodes of depersonalization preceding phobias and fears arising during the first age crisis are considered as some diagnostic signs of endogenous phobias. The significante criteria for diagnosis of psychogenic phobias are anxious suspiciousness, affective unstability, susceptibility, spontaneity of reactivity and the presence of personally important psychic trauma. An autonomic paroxysm caused by alcoholic situation in exogenic organic pathology (alcoholism) was transformed quite fast into some senestopathias, which themselves maintained the of fear. The relationships of phobias and depressions in endogenous disorders was different: in slow-progredient variations of the disease depression resulted in a decrease of the manifestations of the phobias, and vice versa; in shift-like variations depression is an independent syndrome in the depressive-phobic complex. Depressions and phobias are closely connected in psychogenic phobias, they complicated and developed in parallel. In exogenic-organic phobias both affective disorders and phobias had a paroxismal character and transformed into dysphorias.