Anorexia nervosa
It is an eating disorder that results in significant weight loss due to intentional dieting. It is mostly seen in adolescent females.
Diagnosis
1.Significant weight loss, more than 25% from the original weight or standard weight.
2.Intentional diet control, while taking various ways to lose weight.
3.Fear of gaining weight, even if very thin, still have this consciousness, the doctor’s explanation is ineffective.
4.Female amenorrhea, male hypogonadism.
5, Not any kind of physical disease caused by weight loss, dieting is not any kind of mental disorder referred to secondary symptoms.
Bulimia nervosa
Characterized by periodic episodes of uncontrollable binge eating.
Diagnosis
1. Irresistible desire and behavior to eat, with at least 2 episodes per week for at least 3 months.
2.Fear of gaining weight
3.To prevent gaining weight, methods such as inducing vomiting, inducing diarrhea and fasting are often used.
4.Binge eating not caused by organic lesions of the nervous system or mental illness.
Neurotic vomiting disorder
Also known as psychogenic vomiting. It is a recurrent episode of vomiting caused by mental factors without clear organic disease. Vomiting can occur in response to adverse mental stimuli.
Diagnosis
1. Recurrent episodes of spontaneous or intentionally induced vomiting after eating, with the vomit being freshly eaten food crumbs.
2. Body weight is maintained at more than 80% of normal weight.
3.No subjective desire to lose weight.
4.No neurological and somatic diseases causing vomiting and no other hysterical symptoms.
Insomnia
Persistent and persistent poor sleep quality for a considerable period of time.
Clinical manifestations
Difficulty in falling asleep, sleep is not deep, easy to wake up, self-conscious dreaming. Early awakening, difficulty in falling asleep after waking, tiredness in the morning, and sleepiness during the day. Patients feel anxious about sleep.
Diagnosis
1. The only symptom is sleep disorder, and all other symptoms are secondary to insomnia. It includes difficulty in falling asleep, poor sleep, easy to wake up, dreamy, early awakening, not easy to go back to sleep after waking up, discomfort after waking up, fatigue and weakness, sleepiness and fatigue during the day.
2.Sleep disorder lasts for more than one month.
3.Insomnia hinders social function and causes significant distress or decreased efficiency of mental activities.
4.Not caused by any somatic diseases or mental disorders.
Narcolepsy
It is excessive daytime or nighttime sleepiness, not due to sleep deprivation or caused by neuropsychiatric disorders, and often associated with psychological factors.
Diagnosis
1. Excessive daytime sleep that lasts for more than a month.
2. Absence of the following conditions.
(1) Insufficient sleep duration.
(2) prolonged time from arousal to full wakefulness.
(3) Sleep apnea
(4) Sudden collapse, sleep paralysis, hypnagogic hallucinations
(5) Sleepiness caused by organic brain diseases or somatic diseases
(6) Mental disorders caused by
Sleep walking disorder
Commonly known as “sleepwalking disorder”.
Clinical manifestations
Patients suddenly get up during sleep, get up, walk and dress, or even more complex behavior. At this time, the level of consciousness is reduced, and there is still a simple response to the environment, but after waking up, there is more forgetfulness. It is common in children and adolescents.
Diagnosis
1. Getting up and moving around during sleep, usually lasting for a number of minutes, less than an hour.
2.No verbal response, not easy to wake up.
3.After the seizure, go back to bed automatically and continue to sleep, or lie on the floor and continue to sleep.
4.Wake up the next morning and cannot recall what happened.
5.No evidence of dementia or hysteria, may coexist with epilepsy but not seizures.