Asthenic syndrome as part of disorders

Next in frequency and duration is asthenic syndrome that is presented with symptoms of hyper hysterical weakness and reduced threshold of perception. These symptoms lead to extreme sensitivity to physical and emotional influences, and the response was reflected in increased emotionality and rapid exhaustion. One of the related manifestations was emotional lability or increased explosivity. At the peak of this emotions behavioral responses were seen in conflicts relating to accompanying people and personnel or in general unwillingness to continue treatment explaining it as ineffective.

But both these types of reaction were quickly exhausted and short-termed. This was maintained by sleep disorders symptoms and reversible reduction of attention and memory.

The most expressive by its external manifestations was dysphoria with malicious and spiteful affect with angry and destructive actions. The patients themselves searched for a reason to have a conflict. These emotional disorders had paroxysmal character, without medical treatment they repeated even after the reduction of withdrawal syndrome. Patients with a long history of drug treatment (over 10 years), revealed signs of toxic encephalopathy during neurological examination, EEG showed diffuse brain damage, psychological testing determined intellectual and mental defect. Fixation processes suffered and the capacity to accumulate knowledge was violated. The patients had active attention disorder (presumably associated with concomitant asthenia symptoms) as well as mnestic personality disorder. This category of patients was particularly difficult for psychotherapeutic treatment, because after dysphoria’s completion (duration from 20 minutes to 3 hours) the meaninglessness of the problem was obvious to the patient, but he still tried to find and prove his right. A change in the subjective perception of the running of time is an interesting feature that appears. Patients perceive it slowly, one can often hear the statement that the time has "stopped", " stretched" . These conclusions shape a feeling of painfully prolonged stay in the center, and lead to another conflict and impulsive discharge from hospital without discussion with family and doctors.