Asthenic syndrome

Asthenic syndrome - a syndrome characterized by irritability, weakness, fatigue and unstable mood. Patients are very sensitive and impressionable, over trifles lose self-control. They then grumpy, dissatisfied with everything meticulously, pessimistic configured, then, on the contrary, optimistic and easygoing. For minor reasons occurs tearfulness, followed by a tenderness or resentment. Physical and mental loads quickly comes fatigue, and with it a feeling of hostility to their work and the idea of its neumolimosti. Characteristic restlessness, a sense of anxiety. When fatigue, and often without it, easily unpleasant thoughts that arise spontaneously, and disturbing to think and concentrate. The combination of irritability and weakness in asthenic syndrome diverse. In some cases dominated phenomena irritability, anxiety, restlessness, and other phenomena istoshchaemosti, fatigue, slezlivo. All these symptoms are usually more pronounced in the evening. Permanent sleep disorders - difficulty falling asleep, surface sleep with lots of dreams, early awakening. Ordinary vegetative disturbances - the feeling of coldness, sweating, tachycardia, vasomotor disorders. Asthenic disorders can occur as the initial manifestation of all mental illnesses. They are also found in psychopathy and nervousness. We should always remember that asthenic syndrome may be the first sign of serious mental illness. Patients with asthenic syndrome should be sent for consultation of the doctor-psychiatrist.

Asthenic syndrome (gr. astheneia - helplessness, weakness) - the state of mental weakness, resulting in increased fatigue and istoshchaemosti, inability to long-term mental and physical strain. Patients were characterized by the so-called irritable weakness, in which anxiety is combined with the rapidly approaching exhaustion, and affective lability with predisposition to depression and slezlivo. There is also hyperesthesia - painful intolerance loud noises, bright lights, a sharp odor.
Often the first symptoms of asthenic syndrome are irritability, impatience, the combination of fatigue with the constant urge to act, even in the hours of rest (the so-called fatigue, not seeking peace). For severe forms of asthenic syndrome characterized by passivity, apathy. When A. S. you may experience headaches, increased sleepiness or insomnia, and vegetative disorders.
Asthenic syndrome most often occurs as a consequence of somatic diseases, including infectious diseases, intoxications. A. S. can be observed in the initial stages of organic brain diseases (atherosclerosis, syphilis of the brain, progressive paralysis, encephalitis, traumatic disease). The initial period of schizophrenia also inherent asthenic symptoms.
The clinical picture of asthenic syndrome has features depending on the underlying disease, in which he observed: the atherosclerosis markedly expressed impaired memory and tearfulness; with traumatic brain injury - irritable weakness with vegetative lability; with syphilis of the brain - depression with anxiety and ipohondricescie, explosiveness, persistent headaches, sleep disorder; with progressive paralysis-depression, tearfulness, ipohondricescie, sometimes there comes a light stun. In schizophrenia A. S. characterized by a combination of weakness and irritability with apathy, decreased activity, autism. Thus, the peculiarities of A. S. (and other symptoms, combined with him) have differential diagnostic value. A. S. observed in different somatic diseases and organic brain diseases, should be distinguished from neurasthenic States (see Neurasthenia).
Treatment is to eliminate the cause of asthenic syndrome, as well as in the application of the General tonics - glucose, vitamins, strychnine, iron preparations, as well as Adaksina, meprobamate, trioxazin, small doses of insulin and chlorpromazine. Shows and physiotherapy.