Astheno-vestibular dysarthria syndrome in children. Asthenic conditions in children and adolescents

Parents of children with various kinds behavioral disorders, because this problem The majority considers the psychotherapist to be the prerogative. Unfortunately, somewhat less often, and sometimes with great delay, big circle specialists, patients with neuroses (general and systemic) and psychosomotic disorders are brought to the appointment. the main reason for the development of these conditions is psychogeny, usually associated with a clear discrepancy between the applied educational style (on the part of parents and teachers) and personal characteristics child, which creates an intractable problem for the latter. But also I.P. Pavlov, agreeing with the functional nature of the emergence psychogenic diseases, emphasized the importance of the organic background, which is “favorable soil” for their appearance. The leading role among such prerequisites belongs to asthenic conditions.

Asthenia in children occurs with a predominance of motor disorders preferred for this age (hyperdynamic or hypodynamic variant of asthenia). With the so-called hyperdynamic asthenia The child’s behavior is characterized by hyperactivity with productive motor and emotional discharges, incontinence, and impulsiveness, which allowed a number of researchers to introduce the term “explosive asthenia” into practice. Children with hypodynamic asthenia They are inconspicuous, try not to attract too much attention to themselves and always try to hide in the shadows. They also have difficulty concentrating. But instead of excessive motor activity there is lethargy and lethargy. Of the two main processes in the nervous system - excitation and inhibition - in hypodynamic children, in contrast to “hyperdynamics” who have problems with inhibition, the process of excitation is disrupted, or rather, the structures that provide it are damaged.

Researchers from the Institute of Human Brain of the Russian Academy of Sciences. N.P. Bekhtereva and faculty clinical psychology St. Petersburg State Pediatric medical academy, having analyzed 189 cases of astheno-neurotic syndrome, they proposed the following etiopathogenic (cause-and-effect) classification of asthenic disorders in children:

1. Cerebrogenic asthenia. It is a consequence of proven brain damage, often of traumatic or neuroinfectious (meningoencephalitis) origin, and is often combined with increased intracranial pressure. It is characterized by pronounced exhaustion mental processes, extremely low robotic capacity. In the future, manifestations of explosiveness ("explosive character") may appear. This form was diagnosed in 14% of cases of asthenic disorders.
2. Resudual asthenia. Is a consequence of severe perinatal pathology. In the anamnesis of such children one can find obvious pathology perinatal period(prematurity, asphyxia, birth injuries), delay in psychomotor development during the first year of life, delayed speech development. Such children are characterized frequent change moods for no serious reason, tearfulness, rapid transition from a state of animation to apathy, they have poor memory, relatively poor lexicon, weak expression intellectual interests. The clinical picture in such cases is relatively stable. At neurological examination Such children have impaired fine motor skills. This form is often accompanied by: dysgraphia, dyslexia, enuresis. This form occurred in 16% of cases.
3. Dysontogenetic asthenia. Characterized by a predominance of moderate fatigue and inattention. The clinical picture, when compared with previous forms, is less severe. This pathology may be based on long-term consequences of minor hypoxic-ischemic encephalopathy, which is due to the fact that at certain stages of pregnancy and difficult childbirth, certain areas of the cerebral cortex did not receive sufficient blood circulation and oxygen. The behavior of such children can be characterized by capriciousness and irritability. The clinical picture is labile, and deterioration of the condition is observed more often in the spring and autumn periods. Stuttering and stuttering are often encountered as concomitant disorders. And this is not surprising, since it is precisely the brain centers responsible for fine motor skills and speech that are most vulnerable to hypoxia. This form occurred in 20% of cases.

All these forms, varying in degree of severity, have an organic cerebral (brain) subtext.

But asthenia can be a consequence or one of the manifestations somatic disease. This type of asthenia is called somatogenic. T The severity of such asthenia is determined by the severity of the somatic disease. This form was detected in 14% of cases.

Astheno-neurotic condition (ANS) can develop in any child at any age, and even in an adult after a severe viral infection (flu). Infectious disease specialists believe that the process full recovery body after undergoing severe flu takes three months (!). What actually happens? For a child who has been ill, for example a schoolchild, the requirements for full program are presented immediately as soon as he came to class after illness, and his central nervous system is still exhausted and has not recovered. Hence the headaches absentmindedness, “hysterics” in the evenings, which have nothing to do with hysteria. The incorrect behavior of others (family) provokes the layering of various neurotic reactions on this background.

We have just given a simple example here: a child had the flu - and his capabilities immediately changed for a while. but the same condition can also be congenital, due to the pathology of pregnancy and difficult childbirth, and then any requirements made by parents and teachers for such a child will turn out to be excessive and will cause manifestations of the syndrome increased fatigue and, as a consequence, irritable weakness. this syndrome (syndromes) may underlie memory loss when the child remembers poorly educational material, he has to spend the whole day memorizing even a small poem.

ParentsAndTeachers must understand that the cause of behavior (attention) disorder in such a child is not poor upbringing, not the harmfulness of the child, not the family, not a preschool or school institution, but a disease, usually associated with pathology of pregnancy, difficult childbirth or previous pregnancy. infancy injuries and neuroinfections (meningitis, meningoencephalitis).

Stands apart neurasthenia (35%). It is due either mental trauma, or prolonged lack of sleep, prolonged mental or physical stress, associated with mental impact, causing anxiety and the need to overcome feelings of fatigue. The clinical picture of neurasthenia is similar to the manifestations of the dysontogenetic form, but in this case they are determined by an acute or chronic traumatic situation, clinical manifestations more dependent on changes in the external situation.

IN classic version In neurasthenia, there is a neurosthenic personality conflict of the “I want, but I can’t” type, which combines inflated aspirations of the individual without taking into account one’s limited abilities. Here, overwork is caused to a greater extent not by a violation of the daily routine, not by insufficient sleep, and not even by prolonged negative emotions, but by a discrepancy between mental or physical activity physiological capabilities of the body, placing increased demands on the child in the process of education and training. with this form there is no significant decrease in attention and memory. A clear personality reaction to a decrease in performance is revealed. such patients may complain of poor memory, but this is not confirmed during testing. Children strive to cope subjectively significant situation when there is not enough strength to do so. In addition, it should be noted increased level anxiety, difficulty falling asleep, tension headaches. This form is more common at school age.

Patients with neurasthenia are characterized by increased sensitivity to loud sounds, noise, bright light. In addition, there is a decrease in the threshold of sensitivity to interoreception (sensations from internal organs), which is clinically expressed in numerous somatic complaints of such patients, however, a number of authors attribute this feature mainly older teenagers and adults.

ANS is a condition that underlies and/or complicates the course of many diseases. So, enuresis, fears, sleep disorders, and thyroid disorders literally “stick” to him. It is one of the reasons for preschool and school maladjustment of a child. In children, astheno-neurotic syndrome has its own specific features:

1. Such children quickly get tired in class, but at the same time they are restless, hot-tempered and capricious, they may show aggression towards others. At the slightest failure, they immediately “boil”, throwing toys, notebooks, books. Due to general disturbances in the relationship between the processes of excitation and inhibition, their sleep phase structure is disrupted, which provokes neurosis-like enuresis.
2. Children with astheno-neurotic syndrome suffer from learning: despite normal intelligence, it is difficult for them to perceive school curriculum, they have difficulty preparing their lessons, as they literally fall asleep over their textbooks, and they have memory problems. Such children have attention deficit, manifested by absent-mindedness. They are irritable: in class, especially if something doesn’t work out for them, if they lose to someone, they often throw something like a tantrum out of nowhere, conflict with other children, get into fights, and react similarly to comments (even absolutely fair ones) educators or teachers.
3. With this syndrome, children may show signs of depressive behavior disorder, self-aggression, causing themselves pain, biting and pinching themselves. They may bang their heads against the wall, fall to the ground, or scream.

Astheno-neurotic syndrome refers to neurotic diseases and occurs due to exhaustion of the nervous system.

A distinctive feature of this disease is a feeling of extreme fatigue from everything and increased nervous excitability with a hint of irritability.

This illness is often confused with ordinary depression, vegetative-vascular dystonia or chronic fatigue. TO this disease people with a mobile psyche are prone to this, taking events closely to their hearts and reacting emotionally to life circumstances.

People with endocrine, infectious and cardiovascular diseases are also susceptible to asthenia.

Asthenia can affect any person, regardless of age and social adaptation.

Symptoms of the syndrome

Let's study the symptoms that characterize astheno neurotic syndrome:

• excessive emotionality;
• sudden mood swings;
• lack of self-control;
• restlessness;
• impatience;
• intolerance;
• disturbed sleep;
• intolerance to strong odors, loud sounds, bright lighting;
• tearfulness, moodiness;
• constant irritation;
• headaches and dizziness;
• poor digestion.

Patients are prone to worry, exaggerating the situation, and exaggerating the significance of events.

During attacks of illness it begins rapid heartbeat (tachycardia), dizziness. Quite often an attack of asthenia is accompanied by stabbing pains in the heart and lack of air.

However, in accordance with the type of nervous system, the manifestation of the syndrome can be either extreme excitability or inhibition.

In this case, an inadequate reaction to the event occurs, a kind of “stupor”, and a lack of control over the situation.

Often there is a manifestation such as hypochondria. The patient begins to invent non-existent diseases that he suffers from.

Such a person can go to doctors for months and complain about a non-existent illness. But suggestibility itself can lead to a real illness invented by such a “sick”!

Against the background of constant nervous abnormalities, disruptions in the gastrointestinal tract. Patients may develop indigestion, suffer from heartburn, and belch after eating. When examining the gastrointestinal tract, the doctor, as a rule, does not detect any abnormalities.

Stages of the disease

Depending on the manifestation of the symptoms of the disease, the nature of the course of asthenia can be divided into three stages:

• increased excitability;
• sleep disturbance;
• depression.

These three stages of development of the disease do not occur without a reason, but are a consequence of a violation of the neurotic structures of the body.

First stage is not perceived as a disease, but is considered a character trait. A tendency to hysterics and sudden mood swings are considered a disadvantage character or bad manners. Such uncontrollability of behavior is no longer a disadvantage, but a symptom of asthenia!

At the second stage psychopathological processes are aggravated and astheno-neurotic syndrome is already pronounced. Fatigue occurs on its own, without physical or mental stress.

I am haunted by a feeling of “being overwhelmed”, I don’t want to work, my appetite decreases, my sleep is disturbed, and causeless headaches appear. Against the backdrop of this whole picture of the disease, immunity decreases, which provokes frequent colds. A sore throat may go away and then appear again!

Third stage characterized by a decrease in vital interests, sometimes by an unwillingness to live.

Lethargy, apathy, desire for solitude, avoidance active work, development of phobias and panic moods, - characteristic features deep damage to neurotic structures. At this stage the person falls into a state prolonged depression, does not make contact, avoids a wide circle of communication.

On physical level noticed pathological change the musculoskeletal system in one form or another (teeth may deteriorate, for example).

Causes of the disease

The reasons why astheno-neurotic occurs syndrome:

• high load on nervous system: stress, mental overstrain;
• disruption of brain metabolic processes;
• poisoning and intoxication with alcohol, drugs or nicotine;
• inflammation of the cerebral cortex;
• chronic kidney and liver diseases;
• diseases thyroid gland;
• lack of vitamins;
• heredity.

Among the various causes of asthenia, the social factor stands out. Mental and mental stress associated with failures of social adaptation and everyday troubles easily provokes disorders of an asthenic nature.

Especially this applies to people with a very flexible psyche.

The desire to advance career ladder can lead to damage to neurotic structures if a person deprives himself of sleep and rest.

And if increased psychogenic loads are accompanied chronic diseases kidney or hormonal disorders, then avoid acute form asthenia will not succeed.

Astheno-neurotic syndrome in children

Causes of astheno-neurotic syndrome in children there are:

• suffered hypoxia at birth;
• birth injuries;
• bacterial and viral infections complicated by neurotoxicosis;
• underdevelopment of the central nervous system;
• malnutrition.

Symptoms of the disease are expressed in hysterics, causeless crying, constant whims. The appearance of asthenic disorders in childhood and adolescence caused by a fragile nervous system and inferior neurotic structures.

Viral diseases that occur with convulsions, disorders of consciousness and other manifestations of neurotoxicosis can also cause anamnesis.

Also on appearance asthenic disorder Place of residence may also affect this. For example, in the Arctic, a constant lack of solar insolation negatively affects the development of child's body and psyche.

Diagnosis of asthenia

Only a qualified physician can diagnose asthenia. During the examination, the following are revealed: moments:

• heredity;
• past illnesses;
• surgical interventions;
• injuries;
• sleep pattern;
• accommodations.

Based on a detailed survey, a clinical picture diseases.

Treatment of astheno-neurotic syndrome

How to treat astheno-neurotic syndrome and what methods exist for this?

I highlight three method:

• medicinal;
• psychological;
• regime.

Major role in healing asthenic syndrome plays a well-established daily routine and a nutritious diet.

Regular walks outdoors, accessible physical exercise, adequate rest and healthy sleep will help you get rid of suffering faster.

If these conditions are not met, the treatment process may be delayed or may not produce any effect at all, even when taking medications.

Drug treatment of astheno-neurotic syndrome assumes taking antidepressants, sedatives, mild nervous system stimulants and tranquilizers.

Drugs that regulate metabolic processes in brain structures that increase blood circulation in the brain and various adaptogens (schizandra, ginseng).

Depending on the severity of the disease, the doctor prescribes a certain medicine. At initial stage illness can be cured with vitamin complexes and medicinal teas with valerian.

In more advanced forms of asthenia, it is prescribed sedatives And tranquilizers:

• afobazole;
• adaptol;
• PC sedative;
• other medicines.

If the disease has deeply affected the nervous system, they are prescribed strong antidepressants. This group of drugs is prescribed in extremely advanced cases. In some cases, treatment occurs with the help of physiotherapeutic procedures - electrosleep, darsonvalization, etc.

Psychological and regime treatment involves the patient’s individual work on himself. It is necessary to understand the work and rest schedule, to establish good sleep, exclude abuse of pathogens (coffee, cigarettes, chocolate, alcohol).

It is also necessary to eliminate conflict situations in your life, at least to move away from them as much as possible.

There are also methods traditional treatment herbs. After consulting a doctor, you can take a course of herbal therapy. Especially at the first stage of the disease, herbal therapy gives amazing results.

Diet

Review your diet! It is necessary to exclude foods that provoke aggressiveness and stimulate excessive expressions of emotions.

You may need to give up red meat. But a decision to exclude foods from the diet must be made after consultation with a nutritionist.

Consequences

Astheno-neurotic syndrome can have the most negative consequences.

A person can be haunted by panic attacks, which have a wide variety of colors - from an attack of “everything is lost” to panic fear of death.

The attacks are temporary and begin and end unexpectedly. At this time, tachycardia, a state of mental agitation or lethargy is observed.

Among physical manifestations During an attack, stool upset and excessive urination are possible.

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Disease prevention

In the event of asthenic disorders caused by psychogenic stress and social factor, it is necessary to take preventive measures that will minimize the risk of resumption or appearance of asthenia.

To them relate:

• change of place of work;
• change of environment;
• complete rest;
• quality sleep at a certain time;
• accessible physical exercise;
• relaxing massage;
• swimming;
• reflexology;
• meditative techniques.

What else can you do?

In the modern social environment, stress and physical strain cannot be avoided. But it is necessary to strive to reduce the influence of psychogenic stress on the body. If you are overextended at work, change it.

If you have conflicting relationships with your superiors, find new job. If you strive to achieve career heights - engage in auto-training or oriental techniques(wu-shu, kung fu, qigong).

Set aside special time for sports, swimming, fitness, yoga. Take time for walks in nature. Get a pet - spending time with pets relieves stress!

Aquarium fish are simply a wonderful way to calm down. domestic cat Russian breed - purrs mesmerizingly. A little playful lap dog - and the stress is relieved!

Don't go into deep depression over the loss of a loved one. Life is fleeting!

Helps a lot of people visiting church and attending services. Make it a rule to attend church services on Sundays and holidays. The Church heals the soul, which means that the nerves will be in order.

Do some handicrafts, various crafts. Find yourself a hobby and devote part of your time to your favorite activity.

Finally love yourself. Your happiness should not depend on the whims of fate and other people. Be healthy!

Video: Astheno-neurotic syndrome and its treatment

What can cause astheno-neurotic syndrome and what methods of treatment and self-medication exist you will learn from this video.

In children it falls into the category of mental disorders. In childhood it is provoked by excessive overload and exhaustion of the nervous system. Doctors call this pathology irritable fatigue, since such a child exhibits both asthenia and excitability. The disease is common to both children and adults. But in childhood it has special symptoms.

Origin of the disease

The etiology of the disease can be genetic or acquired. The latter form is often provoked by previous injuries in the spine and can appear after severe psychological stress, constant worries and worries.

Astheno-neurotic syndrome in a 3-year-old child indicates a genetic basis for the disease. Melancholic temperament, which is inherited, is considered a weak type nervous activity. It is in children with such a character that such pathology most often manifests itself.

It is possible that it was also observed in the baby’s parents. Then the treatment will take much longer.

In any case, if there is astheno-neurotic syndrome, the child needs the help of a qualified psychologist. It is also required for parents to help develop communication skills with a young patient. If astheno-neurotic syndrome in a child or adolescent is not isolated and complicated, then, as a rule, the prognosis of the disease is favorable.

Usually the child passes course treatment. The course changes every 3-4 months.

Causes of the disease

What are the causes of the disease? Astheno-neurotic syndrome in children can appear due to a number of circumstances.

The main factors include:

• genetic predisposition;
• hypoxia;
• intense mental and physical stress;
• frequent stress;
• disruption of brain metabolism, leading to a lack of certain substances;
• previous inflammation of the brain such as meningitis or encephalitis;
• traumatic brain injury;
• intoxication of the body various substances, which disrupt metabolic processes (often in the role toxic substances in childhood, medications are used, especially if dosages are not observed);
• chronic liver and kidney diseases;
• pathology of the thyroid gland, which manifests itself in increased production of hormones that increase excitability;
• deficiency of B vitamins;
• negative social factors.

Modern ideas about the disease, knowledge of its causes and basic mechanisms of development make it possible to carry out effective therapy.

Changing the child’s lifestyle, which involves eliminating external causes that provoke the development of neurasthenia (social factors, mental or emotional sphere), prevents the development of a functional malfunction of the child’s nervous system in the future.

Symptoms of the disease

How is astheno-neurotic syndrome expressed in children? Symptoms of neurasthenia in childhood include: large quantities various signs.

Conventionally, they are divided into functional disorders autonomic nervous system and cerebral cortex.

Failure of the autonomic system

Manifestations of neurasthenia from the autonomic nervous system can mask the pathology of internal organs. How does astheno-neurotic syndrome occur in children?

The main manifestations include:

• unpleasant sensations and a tingling feeling in the heart area, these manifestations are most expressed during stress, mental and emotional overload;
• presence of tachycardia;
• increased sweat production.

Sometimes asthenia may be accompanied slight increase body temperature to 37.5º C, especially if a malfunction of the central nervous system was caused by an increase in the production of thyroid hormones.

Malfunction of the cerebral cortex

As for manifestations from the cerebral cortex, first of all, changes of a psychological nature should be included here.

Among them are:

• increased level of fatigue, fatigue does not give the child the opportunity to perform mental work;
• inability to sit still and concentrate;
• disturbances in the sphere of memory and attention (short-term memory suffers first, the child cannot remember information because he is not collected);
• altered child, which manifests itself in increased irritability, tearfulness and hot temper;
• sleep disorders (child long time cannot sleep, has difficulty waking up in the morning);
• frequent mood swings.

In general, astheno-neurotic syndrome in children has clear manifestations:

• hyperactive behavior of the child;
• decreased attention;
• capriciousness and disobedience.

The appearance of such symptoms should be a reason to contact a specialist who can determine a possible violation.

It should be noted that in childhood the signs of the disease are more pronounced than in adults. This is due to insufficient development of higher nervous activity. Sometimes the impetus for the development of neurasthenia is minor emotional or mental stress.

How else does astheno-neurotic disease manifest itself in children? It is expressed in general malaise. For example, while in transport, a child complains of motion sickness, nausea, and dizziness. Such a child often experiences fainting.

If we talk about the symptoms of neurasthenia in children of primary school and preschool age, then they often have enuresis. With the development of pathology, the child may complain about painful sensations in the neck area, eye twitching. The limbs may be cramped.

This symptomatology characterizes an advanced form of astheno-neurotic syndrome, when the parents did not take any radical steps for treatment. In this case, the child is characterized by hysteria and increased aggression.

As for the signs of the disease in schoolchildren and adolescents, they are expressed in the inability to concentrate. Such children experience difficulties both at school and at home.

In this case, parents should show maximum patience, not raise their tone at the child, and not punish him for mistakes and excessive nervousness. Punishment and speaking in a raised voice will only aggravate the situation and become fertile ground for rooting psychological problem. In this case, the child may completely lose sensitivity and memory.

Phobias and panic attacks

A sign of the disease may be the development of fears. IN preschool age This symptom is extremely rare. Sometimes seizures can become a sign of neurasthenia and may occur. This manifests itself by beating your head against the wall, screaming, hysterics, or falling to the ground. In this case, punishment is strictly prohibited.

All of the above symptoms are a reason to seek help from a neurologist.

How is the treatment carried out?

Many people are interested in how to treat astheno-neurotic syndrome in children. Therapy is complex. Treatment begins only after a thorough diagnosis of the causes of dysfunction of the nervous system. There are special tests to determine the level of violations, methods instrumental diagnostics to identify possible pathologies in the brain or malfunction of internal organs (X-ray, magnetic resonance imaging, encephalography). Therapy includes recommendations general and treatment through medication and psychotherapy.

As a rule, drug therapy is complemented by gymnastics and physiotherapeutic procedures that are aimed at calming the nervous system. Among them, darsonvalization, electrosleep and hydrotherapy should be noted.

How is astheno-neurotic syndrome eliminated in children? Treatment involves general events regardless of the reasons that provoked the onset of the disease in the child.

These include:

• staying in the fresh air, allowing you to saturate the brain tissue with oxygen;
• sufficient duration of sleep, which should correspond to the child’s age and be at least 8 hours;
• establishing a diet that includes sufficient quantity essential vitamins;
• hardening;
• eliminating negative impacts on the child’s psyche;
• periodic change of impressions (trips outside the city, walks in nature with the family).

Treatment with medications

How is astheno-neurotic syndrome treated in children? Treatment with medications is indicated for severe disturbances in the functional activity of the central nervous system.

As a rule, drugs that relieve excitability are used. They help normalize the functioning of the autonomic and central nervous systems. "Atarax", "Adaptol", "Sedative" and other means are used.

How to properly eliminate astheno-neurotic syndrome? Treatment with medications in children is carried out on a strictly individual basis. At the same time, the course may include tools from other pharmacological groups in the presence of diseases of internal organs. Drug treatment can only be prescribed by a neurologist.

Treatment with traditional methods

Astheno-neurotic syndrome in children is also treated with herbs. Below are some recipes that help relieve anxiety.

• Valerian. A tablespoon of plant roots is poured with a glass of boiling water and infused for 20 minutes. You should drink the infusion three times a day. The last dose is taken before bedtime.
• Motherwort. Two tbsp. spoons of dry herb are poured into a glass of boiling water and kept in a water bath for 15 minutes. The product is filtered and drunk twice after lunch and before bed.
• Herbal mixture, including mint, valerian, in equal proportions. A tablespoon of the mixture is poured into a glass of boiling water and left for half an hour. After straining, the product is drunk half a glass in the mornings and evenings.

The duration of herbal treatment is a month.

Diet

The child's nutrition must be of high quality. The diet should include beef liver, sea fish, fresh chicken eggs, dairy products, nuts, citruses, sauerkraut, fruits and vegetables that are rich in vitamin C.

Treatment with psychotherapy

How to treat the disease? Astheno-neurotic syndrome in children can also be eliminated through psychotherapy. It is the basis for successful treatment nervous pathology. Depending on the severity of the dysfunction of the nervous system, different methods can be used.

Psychotherapy is a verbal intervention, during which factors traumatic to the psyche are identified, and the child’s attitude towards them changes.

Neurolinguistic programming is one of the methods of psychotherapy in which verbal modeling of a child’s attitude to a stressful situation is carried out.

Conducting individual or group trainings that make it possible to relieve phobias and improve social adaptation, especially when changing teams.

Psychotherapeutic techniques are selected on a strictly individual basis based on diagnostics. Provided that the therapy is carried out well, the prognosis is favorable.

Rehabilitation measures

Astheno-neurotic syndrome in children, the causes of which are described in this article, manifests itself in the child’s aggression towards others. Such children are immediately noticeable in the team. They are conflictual, tend to offend others and speak to them in high tones.

Patients often cry, scream, and protest against their usual actions. For example, they may refuse to eat and throw a tantrum.

Such children are registered with kindergarten and school. They need the help of psychologists. Restrained behavior with them is recommended.

It should be noted that the treatment of astheno-neurotic syndrome is a complex and lengthy process, after which the child needs rehabilitation. This could be a lesson with a psychologist, introduction to applied work, aromatherapy.

The most important condition in recovery period is the elimination of nervous overload and compliance with the work and rest regime.

It may occur during the child's life or be congenital. It can be a consequence of previous injuries to the head or body, and especially often occurs with injuries cervical spine spine.

This condition can occur with severe fatigue, great physical and mental stress, emotional stress. Also, astheno-neurotic syndrome can be the result of birth trauma.

Astheno-neurotic syndrome in children: clinical picture

Manifestations of astheno-neurotic syndrome in children have specific features.

1. Children with astheno-neurotic syndrome are very weak, get tired quickly, but at the same time they are very restless, quick-tempered and capricious. There may be manifestations of aggression towards others. It is difficult for children to travel in public transport; they get motion sickness, feel sick or vomit, feel dizzy, and may faint. Young children may have enuresis.
2. Severe manifestations of the syndrome give pain in the neck, there may be nervous tics, cramps in the arms and legs, impaired sensitivity and memory. Children often suffer from headaches, especially after playing sports, when doing somersaults, sharp turns heads.
3. Children with astheno-neurotic syndrome have learning disorders, it is difficult for them to comprehend the school curriculum, and they have difficulty preparing lessons. During classes, they are irritable, can become depressed, throw tantrums out of nowhere, conflict with other children, and disobey teachers or educators. They exhibit hyperactivity, but at the same time, children are absent-minded.
4. With this syndrome, children may hurt themselves, hit their heads and fall to the ground, and scream. It is useless to scold and punish them for this; you cannot shout at them, nor use physical violence. This only complicates the situation.

Treatment of astheno-neurotic syndrome in children

At the first manifestations of signs of the syndrome, consultation with a neurologist and a detailed examination to exclude organic pathology are necessary.

When a diagnosis of “astheno-neurotic syndrome” is made, it is necessary to carry out a complex of therapeutic and recreational measures. When treating, the age and degree of manifestations of the disease are taken into account, general state and illness of the child. Usually prescribed medication and non-drug therapy, physical therapy.

Medicines are used to a limited extent, mainly from the group of sedatives, tonics and vitamins. Additional medications may be prescribed to improve microcirculation and cellular metabolism.

It is very important to follow a daily routine, get proper rest and be sure to sleep during the day, walk a lot in the air, swim, and exercise.

It is necessary that the nutrition of children with astheno-neurotic syndrome does not overstimulate the nervous system and is balanced. It is worth protecting the child from excessive stress and anxiety and giving rational stress.

People are accustomed to perceiving instability of the nervous system as a temporary phenomenon characteristic only of children. In fact, astheno-neurotic syndrome, which is characterized by a violent reaction to external stimuli can manifest itself in both children and adults, causing them many problems.

Astheno-neurotic syndrome: definition and main symptoms

What is this disease? This is a neurological illness that is typical for people with a flexible psyche. The consequence of the development of this disease is a violent reaction to external stimuli. A person is literally unable to bear even the prospect of failure; he is prone to hysterics and violent expressions of emotion.

The symptoms of astheno-neurotic syndrome are as follows:

• restlessness, absolute absence patience;
• sudden changes moods over little things;
• hysterics and seizures;
• sleep disturbance;
• the impossibility of prolonged mental and physical stress;
• violent reaction to any criticism;
• increased moodiness, which is accompanied by constant depression.

In other words, a person reacts violently to a word or action of an interlocutor that he does not like. Similar problems often appear in children in preschool and adolescence. The syndrome causes them to become aggressive, constant desire enter into conflict, significantly reducing academic performance.

The problem can also manifest itself in an adult. It becomes a reaction to fatigue, causing hysterics and sudden mood swings in its owner.

This disease has an ICD 10 code - F 06.6, and the problem itself turns out to be extremely common. Doctors attribute this to increased levels of tension in Everyday life modern man.

Most often, people do not connect disparate symptoms, believing that sleep disturbances, mood instability and increased phobias are in no way connected. This leads to the rooting of the problem and rapid development. Psychologists advise treating the syndrome as soon as the diagnosis is made, since the disease has many consequences.

Reasons for the development of the syndrome in adults and children

Astheno-neurotic syndrome in children is still more common than in adults and this is due to the fact that the child’s psyche is much more unstable. What reasons can stimulate the development of such a serious mental illness?

1. Infections of a bacterial or viral nature, which are accompanied by neurotoxicosis.
2. Hypoxia during childbirth becomes a stimulus for the appearance of the syndrome in the future.
3. Meningitis, encephalitis and other inflammatory diseases affecting the central nervous system.
4. The hereditary factor cannot be discounted.
5. Not enough vitamins and beneficial microelements in the diet.
6. Head injuries, even if they seem minor.
7. Constant conflicts at school and at home can cause ANS.

Astheno-neurotic syndrome in adults develops against the background of the same reasons, but several more are added to them:

• chronic intoxication of the body or drug addiction;
• chronic overwork against the backdrop of an irrational daily schedule;
• high cranial pressure;
• metabolic disorders in the brain.

Thus, there are even too many reasons for the development of the disease. Most often, the syndrome occurs in both adults and children for one reason: excessive intellectual or physical activity associated with a lack of normal rest. Modern careerists strive so hard to reach the top in their profession that for them it results in nervous exhaustion and disruption of sleep and rest patterns.

The pressure also applies to children: the desire to raise a genius is unlikely to lead parents to anything good. Intellectual stress will only increase the degree of mental instability of the baby.

The diseases that cause the development of the syndrome cannot be discounted. For example, it appears due to the development of malignant tumors, due to diabetes mellitus, hypotension and hypothyroidism. At the slightest risk of astheno-neurotic syndrome, doctors warn the patient about this.

Vegetative-vascular dystonia also causes a similar problem, and often trouble even overtakes women in interesting position. During pregnancy, it becomes more difficult for a woman to control fears and doubts, which results in such an unpleasant symptom.

Additional influence is exerted bad habits: alcoholism, drug addiction, smoking only stimulate disturbances in the functioning of the nervous system. If there are other factors in the development of the disease in a person’s life, it will not be possible to avoid it.

Consequences of astheno-neurotic syndrome

There can be many reasons for the development of the disease, and sometimes factors such as stress at work, military service, pregnancy, and heavy physical activity only further influence the rapid progression of symptoms. Everything in the human body is interconnected, and therefore the problem cannot be ignored under any circumstances. Those factors that yesterday influenced only the nervous system can today worsen and physical state. Because of this, the patient will not be able to work, and even a basic trip to the grocery store will turn into stress for him. It is difficult to build a relationship with such a diagnosis due to the person’s temper. What consequences of astheno-neurotic syndrome are considered the most serious?

1. Hormonal disorders.
2. On the background nervous exhaustion heart problems occur, including heart attacks and strokes.
3. A stomach ulcer may develop because the gastrointestinal tract is affected by nervous disorders have an impact.
4. Children who encounter this problem may suffer in the future due to problems with the endocrine system and slow puberty.
5. Chronic depression is the most common consequence of a serious disease of the nervous system.

By ignoring the symptoms of astheno-neurotic syndrome, a person may encounter signs in the future clinical depression. He suddenly loses the desire to live, and no changes in life awaken the person’s interest. It is impossible to get yourself out of this state on your own, and against the background of chronic depression, suicidal tendencies often develop.

The syndrome also has consequences for normal life child facing a problem early age. Thus, doctors note violations in reproductive function in those adults who experienced symptoms of a nervous disorder in childhood.

The consequences also affect physical well-being: against the background of the disease, the risk of stroke and heart attack increases. Thus, a person who has learned of his diagnosis must immediately begin searching for adequate treatment options.

3 stages of development of astheno-neurotic syndrome

Like any other disease, this nervous syndrome develops gradually, and in the early stages it is extremely difficult to notice symptoms. In total, doctors distinguish 3 stages of disease development. What symptoms are characteristic of them?

1. At the first stage of the disease, a person’s mood deteriorates and signs of increased irritability appear. However, he himself chalks it up to stress, hormonal problems or extreme fatigue. Mood problems are sometimes accompanied by symptoms of a physical illness, for example, the patient suffers from frequent headaches.
2. In the second stage, the patient suffers from sleep problems and severe fatigue. He gets tired of literally everything, he can’t even get out of bed. At the same time, the same mood swings associated with a general depressive state are observed.
3. At the final stage of the disease, a person is overcome by catastrophic apathy. The patient suffers from depression, has suicidal tendencies, and his mood becomes even more unstable. Often at this stage a person faints, and his work activity decreases to zero.

Typically, patients ignore the disease in the early stages, and only when it gets worse. chronic fatigue and apathy, many prefer to see a doctor. In such a situation, you should not ignore the symptoms and continue to work hard, as this will only worsen general health. Doctors and psychologists recommend at first warning signs give up heavy workload, relax, spend the day in nature.

If changing work to rest does not help, you should consult a doctor. The fact is that advanced syndrome can often be cured only with the help of therapy and suitable medications.

Home and preventive methods of combating the disease

In the early stages of astheno-neurotic syndrome, treatment is simple, and treatment can be carried out at home. To do this, the patient must use the following measures:

• normalize sleep and rest patterns;
• monitor your diet, since the predominance of beneficial microelements in the diet significantly increases the likelihood of healing;
• it is necessary to resort to soothing baths and relaxing massages;
• It is also recommended to reduce your workload, try to spend as much free time as possible in the fresh air;
• if a person is overwhelmed by constant fears, if he is prone to hypochondria and suspiciousness, it is necessary to visit a psychotherapist;
• It is also recommended to drink soothing teas with mint, valerian and lemon balm.

Main secret Get well soon elementary simple: you need to give up excessive loads, sleep and spend more maximum amount time in the fresh air.

It is also not recommended to completely give up physical activity and lie in bed, because this only reinforces the apathy characteristic of the symptom. A person can go to the gym, swimming pool, go to nature, go to the cinema and theater.

Since a person is overtaken by depression, psychologists advise looking for those means that improve the patient’s mood. Some people benefit from dancing classes, while others sign up for cooking courses. Such relaxation while doing what you love sometimes turns out to be much more useful and effective than any therapy.

If you cannot cope with the disease on your own, you need to consult a psychotherapist. The doctor will be able to find out the cause of the problem, find out the source of fears and stress and help the person get rid of these stimulating factors.

The astheno-neurotic syndrome itself goes away quickly, but the problem can develop again against the background of increased stress. That is why, if once the problem has already developed, it is necessary to reconsider own life, bring a little more relaxation and joy into it. Then any alarming symptoms will disappear.

Astheno-neurotic syndrome and medications for its treatment

Treatment with medications of this syndrome occurs only at the final stages of the development of the problem. Doctors usually prescribe a mineral-vitamin complex, but if this does not help, the following medications come into force:

• antidepressants that will help get rid of chronic bad mood and apathy;
• anabolic steroid;
• sedatives that have a positive effect on eliminating signs of apathy and increased anxiety;
• Doctors can also prescribe medications that improve metabolic processes in brain cells.

A doctor should always prescribe medications, since the patient himself cannot choose either the appropriate components or the right dosage. For treatment purposes advanced disease Sleeping pills and daytime tranquilizers are often prescribed. They, in turn, can cause addiction, so it is necessary to use such drugs only with the permission of a psychotherapist.

Taking vitamins, especially group B and C, has a very positive effect on a person’s well-being. You can also turn to sedatives for plant based. For example, valerian is actively used for these purposes. She helps the patient forget about stress at work, phobias and unnecessary worries. However, even such sedatives it is not recommended to abuse it, since it can only stimulate the development of general apathy.

If a child encounters a problem, treatment with medications is extremely limited. For children, doctors can only prescribe plant-based sedatives and mineral-vitamin complexes. The same restrictions apply to pregnant women and nursing mothers. The risk of harming the well-being of the unborn baby forces doctors to look for other methods of healing.

Treatment with folk remedies is also quite common. For example, doctors advise drinking infusions of hop cones, motherwort and mint, since these herbs have a calming effect. You can turn to aromatherapy. For these purposes, oils of bergamot, lemon, verbena, geranium and others are used, as they have a calming effect.

You should start your morning with physical therapy or from a jog, since this will charge the body with energy and allow a person to immediately tune in to the right mood.

When such a diagnosis is made, hospitalization is extremely rarely required. Typically, such a need arises only in cases where the patient can harm himself or others. Chronic depression with suicidal tendencies can cause temporary isolation in short term for the safety of the patient.

Typically, therapy produces results within 4-7 days after starting its use. Medicines improve a person’s physical condition, and constant walks and the predominance of rest over work affect the patient’s emotional well-being. If the condition does not improve after 7-10 days, you need to consult a doctor again. There are two possible options: either the specialist set misdiagnosis, or he prescribed the wrong treatments.

In conditions of constant stress, a modern person may encounter astheno-neurotic syndrome quite suddenly, but it should always be treated, regardless of his employment and attitude towards the diagnosis. U similar disease can be serious consequences, which not only affect mood, but can also shorten a person’s life.