Hysterical attack clinical signs. Hysterical seizure: how this condition manifests itself and is corrected in adults and children

Paroxysms - short-term, suddenly occurring and suddenly ending disorders, prone to stereotypic repetition. Most often paroxysms caused by epilepsy and organic diseases with epileptiform symptoms(tumors, vascular diseases, injuries, infections and intoxications). Sometimes it is necessary to distinguish hysterical seizures and paroxysmal attacks of anxiety and fear (panic attacks) from epileptic ones.

Epileptic (and epileptiform) seizures - This manifestation of organic brain damage, as a result of which the entire brain or its individual parts are involved in pathological rhythmic activity, recorded in the form of specific complexes on the EEG. Pathological activity may include loss of consciousness, seizures, episodes of hallucinations, delusions, or bizarre behavior.

Characteristic signs of epileptic (and epileptiform) paroxysms:

spontaneity (absence of provoking factors);

sudden onset;

relatively short duration (seconds, minutes, sometimes tens of minutes);

sudden cessation, sometimes after sleep;

stereotyping and repetition.

The specific symptoms of a seizure depend on which parts of the brain are involved in the pathological activity. It is customary to divide seizures into generalized and partial (focal).

Generalized seizures , at which all parts of the brain at the same time are susceptible to pathological activity, manifest loss of consciousness(sometimes with general convulsions). In patients no memories remain about a seizure.

Partial seizures never do not lead to complete loss of consciousness, patients remain individual memories about paroxysm, pathological activity only arises in one of the parts of the brain. Thus, occipital epilepsy is manifested by periods of blindness or flashes and flickers in the eyes, temporal epilepsy - by episodes of hallucinations (auditory, olfactory, visual), damage to the precentral gyrus - by unilateral convulsions in one of the limbs (Jacksonian seizures). The partial nature of the seizure is also indicated by the presence of precursors (unpleasant sensations in the body that occur several minutes or hours before the attack) and an aura (a short initial phase of the seizure, which is stored in the patient’s memory). Doctors pay special attention to partial-onset seizures because they may be the first manifestation of focal brain lesions, such as tumors.

Seizures are usually classified according to their main clinical manifestations.

Epileptic paroxysms include:

grand mal seizures (grand mal, clonic-tonic seizures);

minor seizures (petit mal, simple and complex absence seizures, myoclonic seizures);

twilight cloudings of consciousness (outpatient automatisms, somnambulism, trances, hallucinatory-delusional variant);

dysphoria;

special states of consciousness (psychosensory seizures, attacks of “déjà vu” and “jamay vu”, paroxysms of delusional and hallucinatory structure);

Jacksonian seizures with convulsions in one of the limbs.

Grand mal seizures (grandmal) - This attacks lasting up to 2 minutes, manifested by loss of consciousness and convulsions. Loss of consciousness in this case reaches the level of coma (all types of reflexes are absent: pain, tendon, pupillary). A grand mal seizure usually begins suddenly; only sometimes, a few seconds before loss of consciousness, patients experience aura in the form of separate deceptions of perception ( smell, visual images, body discomfort, nausea), movement disorders or emotional disturbances ( feeling anxious, angry, confused, or happy).

At the beginning of the attack arise tonic convulsions: All muscles of the body contract simultaneously. At the same time, the patient falls sharply, which can cause injury, is sometimes observed shrill scream.

After 10-30 s appear clonic seizures, all muscles simultaneously relax and then contract again and again, which is manifested by characteristic rocking movements. During clonic convulsions the patient not breathing, therefore, the initial pallor of the face is replaced by cyanosis. During this period the patient may leak urine, bite tongue, often foaming at the mouth.

Clonic seizures may continue from 30 s to 1.5 min, then sick regains consciousness.

Usually within 2-3 hours after a seizure the patient experiences fatigue and drowsiness.

With a grand mal seizure there is always high probability of injury due to a sudden fall and clonic convulsive movements.

Minor seizures (petitmal) - Very short (less than a minute) attacks of loss of consciousness, not accompanied by convulsions and falls. Never for minor seizures no aura observed, the patients themselves don't remember anything about the attack, don't notice him. Others describe petit mal seizures as short-term episodes of disconnection, when the patient suddenly becomes silent, he has a strange “floating” absent-minded gaze- this disorder is called absence seizure(from the French absence - absence). Sometimes the picture of absence is complemented by a short movement: bowing, nodding, turning, throwing back (complex absence). In this case, patients may drop objects from their hands or break dishes.

During adolescence Minor seizures are often manifested by repeated shuddering and twitching; such attacks are called myoclonic seizures. Patients themselves do not notice them; relatives may not attach importance to this disorder or even consider it a bad habit.

Twilight stupefactions are described in detail in the previous section. The main feature of the disorder is This is a paroxysmal disturbance of consciousness, manifested by relatively complex actions and behaviors, followed by complete amnesia for the entire period of psychosis.

Dysphoria - This short bursts of angry-depressive mood with irritability, sullenness, grumbling, outbursts of anger, verbal abuse or even dangerous aggressive behavior. Outbreaks occur unexpectedly and do not always reflect the real situation. Characteristic gradual accumulation of discontent followed by a sharp discharge of emotions when all the accumulated irritation is realized in the patient’s behavior. In contrast to the twilight stupefaction of the patient doesn't have amnesia period of excitement, can subsequently quite accurately describe his actions. Having calmed down, he often apologizes for his actions.

Special states of consciousness , as well as dysphoria, are not accompanied by complete amnesia, which indicates the partial nature of the attacks. Symptoms may vary, however in the same patient all painful phenomena are stereotypically repeated, so that each subsequent attack is similar to all previous ones. Some patients experience sensory disturbances in the form of changes in size, shape, color, position in space of observed objects and disturbances in the body diagram (psychosensory seizures); others may experience attacks of derealization and depersonalization of the “already seen” (déjà vu) and “never seen” type. not seen” (jamais vu) or short-term episodes of delirium and hallucinations. Although with all the listed variants of paroxysms consciousness is not completely switched off, the patients’ memories of the attack are incomplete and fragmentary; One’s own experiences are better remembered, while the actions and statements of others may not be imprinted in memory.

Manifestation of mental discomfort, directly related to the pathological transfer of internal conflict to somatic grounds. Characterized by motor (tremor, problems with coordination, aphonia, convulsions, paresis or paralysis), sensory (impaired sensitivity) and somatic disorders (impaired functioning of internal organs), as well as hysterical seizures. The diagnosis is made on the basis of serious complaints that do not correspond to reality. Therapeutic measures include psycho- and occupational therapy, general health promotion and elimination of current clinical symptoms.

ICD-10

F44 Dissociative [conversion] disorders

General information

A sharp deterioration in condition (seizure) during hysteria is very similar to the manifestation of epilepsy. Any situation that is psychologically difficult for the patient to perceive - a quarrel, unpleasant news, the refusal of others to fulfill the patient's wishes - ends in a theatrical seizure. This may be preceded by dizziness, nausea and other signs of pseudo-deterioration.

The patient falls, bending into an arc. In this case, the patient will always fall “correctly”, trying to protect himself as much as possible from injury. Waving his arms and legs, hitting his head on the floor, violently expressing his emotions with tears or laughter, the patient portrays unbearable suffering. Unlike an epileptic, a hysteric does not lose consciousness; the reaction of the pupils is preserved. A loud shout, sprinkling cold water on the face or a slap in the face will quickly bring the patient to his senses. The patient’s complexion also gives away his complexion: during an epileptic seizure, the face is purple-bluish, and during hysteria, it is red or pale.

A hysterical seizure, unlike an epileptic one, never occurs in a dream. The latter always happens in public. If the audience stops paying attention to the hysterical's convulsions or moves away, the seizure will quickly end. After an attack, the patient may exhibit amnesia, even to the point of not knowing his own first and last name. However, this manifestation is short-term; memory restoration occurs quite quickly, since it is inconvenient for the patient himself.

Hysteria is the “great simulator.” The patient speaks vividly about his complaints, excessively demonstrating their confirmation, but at the same time shows emotional indifference. One might think that the patient enjoys his many “illnesses”, while considering himself a complex person who requires close and comprehensive attention. If the patient learns about any manifestations of the disease that were previously absent, these symptoms are likely to appear.

Diagnosis of hysterical neurosis

Hysteria is the patient’s translation of his psychological problems into a physical channel. The absence of organic changes against the background of serious complaints is the main sign in the diagnosis of hysterical neurosis. Most often, patients turn to a pediatrician or therapist. However, if hysteria is suspected, the patient is referred to a neurologist. With all the variety of manifestations of hysterical neurosis, the doctor finds discrepancies between the symptoms and the real state of the body. Although the patient's nervous tension may cause some increase in tendon reflexes and tremor of the fingers, making a diagnosis of hysterical neurosis is usually not difficult.

Important! Seizures in children under 4 years of age who want to achieve their desire are a primitive hysterical reaction and are also caused by psychological discomfort. Usually, affective seizures disappear on their own by the age of 5 years.

Instrumental studies are carried out to confirm the absence of any organic changes in the internal organs. CT scan of the spine and MRI of the spinal cord are prescribed for movement disorders. CT and MRI of the brain confirm the absence of organic pathology. Angiography of cerebral vessels, rheoencephalography, and ultrasound scanning of the vessels of the head and neck are used to exclude vascular pathology. EEG (electroencephalography) and EMG (electromyography) can confirm the diagnosis of hysteria.

In case of hysteria, the data from the above studies will refute the pathology of the structures of the brain and spinal cord. Depending on the complaints that the patient confirms with certain external manifestations, the neurologist decides to schedule a consultation with a neurosurgeon, epileptologist and other specialists.

Treatment of hysterical neurosis

The essence of treating hysteria is to correct the patient’s psyche. One such technique is psychotherapy. At the same time, the doctor does not pay excessive attention to the patient’s complaints. This will only provoke an increase in hysterical attacks. However, ignoring it completely can lead to the same results. Repeated courses of psychotherapy are required to identify the true cause of the condition. A psychologist or psychotherapist, using suggestion, will help the patient to adequately assess himself and the events taking place. Occupational therapy is of great importance in hysteria. Involving the patient in work and searching for a new hobby distracts the patient from his neurotic state.

Basically it comes down to the prescription of general strengthening agents. In case of increased excitability, it is advisable to prescribe medications based on medicinal herbs (valerian, motherwort), bromine. In some cases, the use of tranquilizers in small doses and short courses is justified. When insomnia (prolonged insomnia) is established, sleeping pills are prescribed.

Forecast and prevention of hysterical neurosis

The prognosis for the life of such patients is quite favorable. Longer observation is required for patients with signs of anorexia, somnambulism and suicide attempts. Longer and sometimes protracted treatment is required for patients of the artistic type and with symptoms of hysteria that began in childhood. A more unfavorable outcome is observed when hysterical neurosis is combined with organic lesions of the nervous system or severe somatic diseases.

Prevention of hysterical neurosis includes measures to prevent mental disorders and nervous processes, as well as strengthening and preparing the nervous system for overstrain. These activities are especially important for artistic people and children.

It is necessary to somewhat limit the child’s imagination and fantasies, try to create a calm environment for him, involve him in sports and being with peers. You should not constantly indulge your whims and be surrounded by excessive care. An important role in preventing the development of hysterical neurosis is played by the correct upbringing of the child and the formation of a full-fledged personality. The patient himself should not ignore his psychological problems; a quick solution to them will eliminate the stressful situation and will not allow psychopathy to take root.

A hysterical seizure is a type that is manifested by an indicative emotional state (tears, screaming, loud laughter, arching of the back, wringing of limbs), as well as convulsive and temporary seizures.

This type of disease has been known to scientists since ancient times. For example, Hippocrates carefully studied this phenomenon and called it “rabies of the uterus,” because this is a completely logical explanation.

It is known that hysterical attacks of this kind are observed in most cases in females; they occur much less frequently in children and are practically never found among men.

Modern researchers associate the disease with individual personality characteristics (character, temperament). The risk group includes those people who are prone to suggestion, fantasizing, have an unstable type of behavior and changeable mood. In order to somehow attract the attention of others, they resort to committing such non-standard actions.

If the disease is not diagnosed in a timely manner and its symptoms increase over time and become more pronounced, then treatment should only be carried out by a qualified psychiatrist. In each case, treatment is individualized and must be followed until complete recovery.

Factors provoking the development of hysterics

Like every mental illness, the main reason for the development of hysteria is disturbances that occur in the standard behavior of the individual. This also includes upbringing, character, temperament and resistance to suggestion.

In most cases, a person’s infantilism, hysterical manifestations of character, as well as a genetic predisposition to this type of disorder can cause a hysterical attack.

Various factors can cause a seizure, a special place among which is occupied by the following:

the presence of severe diseases of internal organs in a person;
frequent physical overexertion;
professional activity that does not bring proper satisfaction;
frequent conflicts and quarrels in the family circle;
recent injuries;
regular consumption of alcoholic beverages;
improper use of medications;
frequent stressful situations and nervous strain.

Scientists have proven the fact that this disease can only manifest itself in people with certain character traits. So, for a person in whom certain traits do not manifest themselves under the influence of unfavorable factors, they will soon begin to develop.

It has been proven that hysteria is a condition that cannot arise abruptly; it requires a certain kind of preparation (for example, like actors, before a performance).

What does this look like in real life?

A hysterical attack is characterized by a number of different symptoms. We list the main ones:

At the same time, the following manifestations of an attack of hysteria are also observed:

the quality of vision and hearing deteriorates significantly;
a person’s field of vision narrows;
hysterical blindness manifests itself, which affects 1 or both eyes at once;
deafness (temporary);
the patient's voice ceases to be clear and sonorous (aphonia);
muteness appears;
a person begins to speak in syllables;
stuttering;
during an attack, paralysis of individual limbs or the entire body develops ();
the muscles of the tongue, neck and face become paralyzed;
bending the body in the opposite direction (in the form of an arc).

A patient who is characterized by frequent hysterical seizures is characterized by the following symptoms:

refusal to eat;
inability to swallow food on your own;
vomiting and nausea (psychogenic origin);
frequent belching, coughing and yawning.
presence of flatulence;
shortness of breath, which in most cases resembles an attack of bronchial asthma.

First aid

To provide first aid in case of a hysterical attack, you must follow the following rules:

you need to try to calm down all the people around you;
after this, the patient will need to be moved to a quieter place;
it is desirable that as few people as possible be nearby;
if possible, give alcohol (ammonia) a sniff;
You shouldn't stand too close to the person, but it is important to stay at a distance so that they can see you.

leaving a person during a hysterical attack;
forcibly restrain the patient's arms, neck, legs and head;
shout at the patient.

Competent solution to the problem

The main task of treating a hysterical attack is to get rid of the reasons that provoked it. To do this, you will definitely need the help of a psychotherapist.

According to an individually designed program, he will conduct psychotherapeutic sessions, which will consist of various trainings, hypnosis and suggestion.

Also, the treatment of hysteria is accompanied by the use of psychotropic and restorative medications. They not only strengthen the patient’s immune system, but also help normalize his mental state.

As additional therapy, bromine preparations, Andexin, Librium, and minimal doses of Reserpine and Aminazine are prescribed.

Stopping medication or changing the dosage on your own is strictly prohibited! Drug treatment is carried out under the strict supervision of the attending physician!

Traditional medicine also helps to achieve good results in treating an attack of hysteria. They are not only absolutely safe for human health, but also help restore the vitality of the patient’s body. For example, before going to bed, it will be very useful to drink a cup of decoction based on motherwort, chamomile, mint, lemon balm or valerian.

The use of these herbs is contraindicated only in case of individual intolerance or allergic reactions.

Before using traditional methods of treatment, it is imperative to consult a specialist. It is important to find out whether these herbs are compatible with the components of the medications used.

Let's say no to hysteria

Prevention of a hysterical attack mainly consists in ensuring that all relatives who surround the patient show a normal attitude towards him.

This means that you should not be overprotective, because the patient may understand everything incorrectly, which will become the reason for another manifestation of a hysterical state. Walking in the fresh air and engaging in some calm and soothing activity will be helpful.

It is important to remember that a favorable and positive atmosphere must always be present in the family (quarrels and scandals can only aggravate the course of the disease).

In psychotherapy, the state of hysteria is called a destructive disorder that can develop into a severe form of neurosis. People often confuse hysterical seizures with other mental disorders. But they are easier to treat than any other disorder at an early stage, so if you experience such symptoms, it is better to see a doctor right away.

Causes of hysteria

Hysteria is a condition during which a person is unable to adequately behave and respond to external stimuli. This behavior is demonstrative, more often reminiscent of protest and a sharp reaction to some action of another person.

The main causes of hysteria:

Features of human development. It happens that a child is raised in difficult conditions or is overly spoiled. Then, hearing his parents contradict his desire, he falls into a state of severe hysteria.
Behavioral features. People with increased emotionality suffer from hysterical attacks. They do not know how to control their emotions, so it is easier for them to yell at someone than to adequately solve the problem.
Physical overexertion. It happens that a person has overworked, is mentally and physically tired and wants to rest, but others are putting pressure on him. He sleeps little (3–4 hours a day), eats irregularly, eats unhealthy foods, and refuses to exercise. Then he may not be able to stand it, and there will be an outburst of negative emotions.
Moral exhaustion. Hysteria can be the result of emotional burnout, nervous breakdown, or professional deformation. It often appears in women during PMS or menstrual periods, dieting or lack of self-esteem. The beginning may be a conflict, which soon develops into a serious scandal. Then a person really gives in to emotions and can start crying at one moment and be happy at another.

In addition, hysteria may be the initial stage of mental illness. This symptom often appears in people with manic tendencies, panic attacks or vegetative-vascular neurosis.

Symptoms

A hysterical attack has its own characteristics for each person, but there are common symptoms of this condition. The first significant sign is confusion. A person does not know what is the right thing to do at a particular moment and cannot adequately assess the situation and make a decision. Gradually, internal tension increases, and he begins to get very nervous. As a result, the following symptoms appear:

increased sweating;
low or high blood pressure;
dizziness, lightheadedness;
feeling of nausea;
muscle weakness, which may be accompanied by cramps and trembling;
inhibited reaction, etc.

The next stage of hysteria is attacks of convulsive crying, which can abruptly turn into laughter. Usually ends with loud screams, a request for help and strong crying. Sometimes a person in such a fit tries to somehow calm himself down by saying affirmations.

The last stage - a person cannot control himself, and every day begins with sobs. He sees no meaning in life, wants to fall asleep quickly and constantly gets into conflicts.

Features of hysterics in children

A child's hysteria is the result of his disharmonious upbringing. It usually develops in families where parents constantly quarrel, humiliate their son or daughter, and use physical force against him. Then such behavior is a manifestation of hopelessness. The child does not know how to behave in order to correct the situation.

Another option is that the baby is the only child in a rich family. All the attention is on him, which he quickly gets used to. In the future, any refusal or prohibition causes resistance in him in the form of screams and hysterics. The child becomes demanding.

Another case is families where there are too many prohibitions and restrictions, when the child does not have the right to choose. He wants more freedom of action, which is why hysterical attacks occur.

Typical manifestations of hysterics in children:

The presence of screaming or increasing crying. This is the initial stage.
The child hits his head against the wall. Other options are rolling on the floor, jumping a lot and strongly, knocking his feet on the floor, hitting his parents or other people around him.
The baby begins to scratch and bite others. May cause harm to oneself.
The appearance of seizures. This is the last stage. Usually manifests itself in the form of abnormal and severe bending of the body (“hysterical bridge”).

Consequences

During a hysteria, a person can be dangerous to others. He does not control his actions, acts impulsively and does everything on emotions.

If tantrums occur frequently, this may become the basis for the development of more serious mental illnesses.

The weakest among them is nervous breakdowns. This is the most common result of frequent hysterical attacks. Main symptoms:

sudden mood changes several times a day;
causeless tearfulness;
prolonged apathy;
long-term depression;
excessive anxiety;
increased fatigue;
headaches;
sleep disorders (insomnia);
poor appetite, etc.

Ways to quickly stop a tantrum

It is important to learn to recognize hysteria and be able to stop it yourself. The methods are universal and consist of the following:

Don't persuade. Any persuasion or requests to calm down only aggravates the situation and irritates the patient. The actions of such a person are not always thought out; logic does not work.
Leave the premises. This is especially true for situations with children. The presence of strangers makes you want to continue the hysteria. It is better to go outside, talk to the patient and give him time to come to his senses.
Splashes of water. An excellent way to bring a person in a seizure to his senses. You need to splash a small amount of water on your face or pat your cheeks, lightly press on the painful point, etc. The main thing is to do this carefully and without much effort so as not to cause harm.
Talk calmly. In this case, it is important not to blame the person for his bad behavior and negative character traits. It is necessary to explain that since such situations happen often, you should seek help from a doctor. It is important to do this without aggression or anger, but gently and calmly.
Give me some water to drink. You can also give ammonia to smell.

If you need to stop hysterics in children aged 2–3 years, a method that will help is when the parent begins to talk to the child as if he were an adult. Explains to him why he cannot fulfill the request. Often parents say that this situation also depresses them and makes them sad, after which they present an alternative way to solve the problem. As a result, the child forgets about the offense and agrees to the proposal.

You can try to distract the baby. Ask to look out the window, show or draw something.

For children 3–5 years old, a sweet “pill” for hysterics is suitable. The point is, at the first sign of a breakdown, give the baby his favorite treat (it must be harmless, i.e. no chocolates, sweets or chips).

The easiest method is to simply hug the baby. To say that he is loved in any case, but with excessive whims he upsets his parents and makes them experience negative emotions.

Treatment options

Ordinary hysteria cannot be cured. This is only temporary and demonstrative behavior, so you need to fight the reasons that cause it. Psychotherapy will help with this: cognitive behavioral therapy, art therapy, and medication.

Cognitive behavioral therapy

Its goal is to change a person’s behavior pattern, his type of thinking. During the healing process, people learn to understand their thoughts and analyze their actions. By the end of the course, the patient should become aware of his own condition and that it can and should be dealt with.

Cognitive behavioral therapy is done with a psychotherapist or psychiatrist. At the first session, he asks the patient leading questions:

what provoked such behavior;
why I couldn’t control my emotions;
How often do such hysterical attacks of irritation and hatred and conflicts occur?
the patient is enraged by specific people or their actions, actions, manners, etc.

At this and subsequent stages, client involvement is important. If he is not interested in treatment, you should not waste your time.

The course consists of 5–10 sessions depending on the specific situation. One consultation lasts 40–60 minutes. During the process, aspects of human behavior are discussed. It is possible to attend group classes.

Treatment consists not only of individual sessions, but also of homework. The goal of the latter is to work through their problems independently. Understand the root causes of hysteria, learn to quickly recognize and prevent it. In this case, self-analysis is connected to cognitive behavioral therapy.

After each session, the adult patient is asked what he or she has learned about himself or his disorder. Often consultations take place in the form of role-playing games and active dialogue. This makes it possible to track progress and make a prediction whether the disorder will develop or this process may stop.

Art therapy

In psychology, this method of treatment is best for children from 3 to 10 years old. The idea is that with the help of some type of art you need to display your fears or hateful things. Allows you to understand why a child behaves in a certain way during a tantrum.

The colors that the child used in the drawing, all the lines and strokes, as well as ornaments are analyzed. The larger the size of the depicted object, the more clearly negative emotions appear.

After art therapy, you need to talk with your child. Ask to explain the drawing, what causes fear and provokes internal hysteria.

Art therapy will not cure hysteria. In psychiatry they believe that it only gives an idea of the nature of the problem, and psychoanalysis, hypnosis and cognitive behavioral therapy will help get rid of it. Suggestions and beliefs are used. The technique is chosen depending on the subject of the hysteria.

Drug treatment

Sedatives are one of the fastest options to come to your senses during a hysterical attack. They have a sedative effect. Herbal medicines will help:

valerian;
St. John's wort;
chamomile;
lavender;
oak;
motherwort;
lemon balm;
mint.

Sometimes the composition may contain B vitamins, which have a beneficial effect on the central nervous system.

For increased excitability, take bromine-based medications. If hysteria happens often - tranquilizers. They relieve emotional stress and eliminate anxiety. The best among them:

"Buspirone";
"Atarax";
"Mezapam";
"Mebicar";
"Clozepid";
"Amizil";
"Phenazepam."

If the hysteria is so strong that it leads to insomnia, you need to take a sleeping pill. Sometimes chamomile or mint tea is enough.

Prevention

There are several methods of prevention.

Breathing techniques. You need to take 3 deep breaths in and out to calm down. The best technique is combined. It involves the collarbones, chest and abdomen. The inhalation begins from the stomach, passes through the chest and reaches the collarbones. Exhalation occurs in the reverse order. The interval between them is 3 s. 3-5 times are enough, no more is needed, otherwise you may feel dizzy.
Affirmations. These are positive statements that work for self-hypnosis. Usually these are words like “calm down, everything will be fine, I can handle everything.” They help if a person has hysterical neurosis due to overload with work or moral exhaustion.
Physical activity. Running, race walking, boxing, dancing, gymnastics, aerobics - there is no difference. The main thing is that the person enjoys the activity. Yoga and meditation are also considered forms of physical activity. 2-3 classes a week are enough to get rid of accumulated negative energy and stop hysteria.

Conclusion

Hysteria is demonstrative behavior that is the result of the accumulation of negative energy and moral exhaustion. The main signs are a sharp transition from sobbing to laughter, convulsions, inability to control emotions, suicidal tendencies. If you notice these symptoms, you should definitely contact a psychologist, undergo diagnosis and treatment.

Epileptic seizure.

Epileptic seizure- one of the forms of manifestation of severe mental illness - epilepsy. A seizure is a sudden loss of consciousness, accompanied first by tonic and then clonic convulsions with a sharp turn of the head to the side and the release of foamy fluid from the mouth. In the first seconds after the onset of the attack, the patient falls, often receiving injuries. There is a pronounced cyanosis of the face, the pupils do not react to light.

The duration of the attack is 1-3 minutes. After the seizures stop, the patient falls asleep and does not remember what happened to him. Involuntary urination and bowel movements often occur during a seizure.

First aid.

Throughout the attack, the patient needs help.

You should not try to hold the patient during convulsions and transfer him to another place.
It is necessary to put something soft under your head, unbutton clothes that make it difficult to breathe,
To prevent tongue bite, place a folded handkerchief, the edge of a coat, etc. between the teeth.
After the seizures stop, if a seizure occurs on the street, it is necessary to transport the patient home or to a medical facility.

An epileptic seizure and loss of consciousness during a stroke must be distinguished from a hysterical seizure.

Hysterical attack.

Hysterical attack usually develops during the daytime, and is preceded by a stormy, unpleasant experience for the patient. A patient with hysteria usually falls gradually in a convenient place, without hurting himself; the observed convulsions are chaotic and theatrically expressive. There is no foamy discharge from the mouth, consciousness is preserved, breathing is not impaired, the pupils react to light. The seizure continues indefinitely and the longer the more attention is paid to the patient. Involuntary urination, as a rule, does not occur.
After the cessation of convulsions, there is no sleep or stupor, the patient can calmly continue his activities.

First aid.

During a hysterical attack, the patient also needs help.

It should not be held;
It is necessary to move it to a quiet place and remove strangers,
Give the ammonia a whiff and do not cause any disturbance. Under such conditions, the patient quickly calms down and the attack passes.