The mental disorder.

How are mental disorder, mental disorder, mental disease, mental disease, these different?

There will be many people thinking that "a person of a mental disorder is going to go" when I say psychiatry.

My chief physician says that it is misunderstanding.

I "may not treat it in mental disorder = psychiatry".
It is a part of a mental disorder, a mental disease and mental disease not a mental disorder that treat in psychiatry.

Then what are a mental disorder, a mental disorder, a mental disease, a difference of words similar well of mental disease?
Words of these are used without it being often distinguished, and definitions are different by a person.

I say the mental condition that was off mental disorder average to some extent.

It may be said that IQ80 and 120 are slightly abnormal when I take an intelligence quotient for an example because IQ100 is average, and it may be said that I am considerably abnormal when it is IQ20 and 180.

When IQ is considerably low, it is taken as mind development delay or dementia.
When IQ is considerably high, I am invited, but genius, と are for this to be a certain mental disorder.
In other words it is defined if abnormal even if low even if an intelligence quotient is high.

There is it from a slightly abnormal thing to a considerably abnormal thing, and abnormal degree is considerably vague whether I should do somewhere with abnormality.

In addition, words to be abnormal are easy to be used by a nuance of contempt a little.
As for the words in such a meaning of a mental disorder, the one that I do not use very much will be passable.

In addition, abnormality is not always a thing said to have to return it normally.
If the person himself is not troubled with state of things even if off average and troubles you nobody, posture to recognize essence of the person himself while social is important, and I am sincere, it is demanded as of now even if it is abnormality.

Among mental disorders, I say a thing thought about obstacle, と socially of an individual.

In other words it is diagnosed as a mental disorder when the person himself grows and feels hate, hotness and is troubled with it as well as being off average, and neighboring people feel inconvenient.

But, as for the words to call a mental disorder, it is necessary to warn what kind of meaning it is used in enough because it is used in various meanings.

For example, I tend to call it with "a physical disability" when an obstacle stayed as a result of disease of something when I generally say "a physical disability".

Same as this, I can call the obstacle that was left as a result of mental disease about a mental disorder a mental disorder.

By the mental health welfare method, "a mental patient" is defined as "a person having a mental disease" and, in an occasion, becomes "a mental disease = mental disorder" here.

Among mental disorders, I call a thing becoming an object of medical treatment a mental disease.

On a mental disorder, there are a thing with effective actions to be taken and a few thing.

In actions to be taken, there are medical actions to be taken, psychological actions to be taken, educational actions to be taken, actions to be taken of the welfare and, of these, calls a thing with medical actions to be taken with a mental disease.

Therefore, a range of a mental disease has possibility to spread with a medical advance.

It may be said that a criminal is a mental patient in this meaning.
For a reason it is a mental disorder and to trouble another person. Oh, the traffic violations that are slight as for the few crime by a natural mental disorder number many; there is it.

When there is not murder robbery for a certain abnormal mental condition if there is not it, it continues being said from an aspect of law.

However, there is not it for reason to treat all the criminals in psychiatry.
All of a criminal does not commit a crime by a mental disease out of necessity.

A crime based on a mental disease can deal medically, but educational actions to be taken of society of a penalty are performed about the crime that is not so.

Mental disease or a mental disease state.
Among mental diseases, I say a severe thing more than a certain degree.

When a hallucination, a delusion to control an action are in a state and presented property, manic state threatening honor, a high depression state of fear of suicide, I can call it in this way.

Even if is not treated in a mental disease, there are many things which can live as such, but life fails when become mental disease unless treat it early; become very likely to be it.

Oneself and others does not ask it that I am not treated by a case and is life-threatening.

As for the mental disease, as for the indispensability, the mental disease, medical treatment is desirable medical treatment, and a mental disorder is social, and society recognizes the thing that it is necessary educational measures of the welfare, a mental disorder to some extent and it seems to be similar for thing, と that it is necessary to coexist.

With a mental disease?
Because a study is immatureness, as for the mental disorder, the mental disease, a classification and diagnostic criteria vary every country and doctor in comparison with a physical disease and are not clear.

Therefore it has been added the different names of diseases even if I was thought to be be a similar disease by a Japan-U.S. doctor.

The same person, there is many what is turned on by another name of disease dejection neurosis, emotional disorder, feeling circulatory disease, equal と really by a way of a classification.

In fact I was so.
It is different and says that a certain doctor drinks it to prescribed medicine and says that other doctors do not drink it.

It is the Japanese present conditions that a mental disease still idles about, and is apt to be said illness.

An endogenous mental disorder.
Though I do not yet understand it, a cause is a thing thought about according to the abnormality of a function of a brain.
I become the core of a mental disorder, a mental disease.
Schizophrenia (schizophrenia), manic-depressive psychosis, non-fixed form mental disease are included.

An exogenous (somatogenesis characteristics) mental disorder.
A mental disorder a physical disease becomes the cause, and to happen.
　　
Organic mental disorder.
The thing which grows by a disease of brain itself.
Dementia is the center, but there is the various condition of a patient such as a person change or a depression state based on the damage of a brain.

A symptom-related mental disorder.
The thing which grows by physical illness except a brain.
By various physical diseases, various mind symptoms occur.
For example, hyperthyroidism sometimes presents manic state.

A poisonous mental disorder.
The thing which grows because a drug, poison get into the body.
A mental disorder by alcohol or a stimulant is included.

A psychogenic mental disorder.
The thing which psychological stress causes it, and grow.
Actually it is assumed quality, も which it is easy to become so, and there can be the thing that I include psychogenic reaction, neurosis, psychosomatic disorder, personality disorder.

An international disease classification by WHO.

I become basics of a classification of Ministry of Health, Labour and Welfare.

Illness, an injury and a cause of death classification.
Illness and international statistics classification of the issue of allied health： International Statistical Classification of Diseases and Related Health Problems（ICD）

It is based on the World Health Organization charter it interprets a systematic record of data of the death and illness added up from a different country and area at a different point in time, analysis and to compare it, and it is the classification that the World Health Organization (WHO) made.
The latest classification was adopted as the tenth revision of ICD in No. 43 World Health Assembly of 1990 and is called ICD-10 (1990).

In Japan, I make "illness, an injury and a cause of death classification" based on ICD-10 (2003) which is an advice of part revision with ICD-10 by the later WHO on, and it is used for statistics investigation to be based on statistical law, and it is utilized for management of a medical record in a medical institution as a classification of medicine now.

F0.
Organic mental disorder including symptom characteristics. So-called brain organic mental disorder of dementia others.

F1.
Mind by mentation material use and an obstacle of an action. The obstacle that was related to alcohol or a drug / a stimulant.
F2.
Schizophrenia, schizophrenia type disorder and a delusion-related obstacle. Schizophrenia (schizophrenia) and a relation disease.
F3.
Mood disorders (emotional disorder) bipolar emotional disorder (so-called manic-depressive psychosis), a depression episode (so-called depression).
F4.
A neurosis-related obstacle, a stress-related obstacle and physical expression characteristics obstacle. Phobic anxiety disorder (so-called fear neurosis), panic disorder, obsessive-compulsive disorder (so-called obsessive-compulsive neurosis), a post-traumatic stress syndrome (PTSD).
F5.
A physiologic obstacle and the action syndrome that were related to a physical factor. Eating disorder (so-called sitophobia and overeating), sleep disorder, sexual dysfunction (falls of sexual desire).
F6.
Character of an adult and an obstacle of an action. Problems about so-called personality disorder and a sexual behavior.
F7.
Retardation of mental development. In other words it is mind development delay.
F8.
An obstacle of the psychology development. Specific developmental disability (so-called LD) or pervasive developmental disorder (so-called autism) of teachability.
F9.
An action to usually develop in the infant period and youth and a handicap of a flavor. So-called hyperactive child and an act disorder, a tick disorder.
F99.
The mental disorder that is impossible of specification. All the things which do not fulfill the above-mentioned classification.

A classification by American Psychiatric Association (APA).
A new publication is DSM - IV. DSM is abbreviation of Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR that a revision increased as for the real latest edition.
American is based on this classification from the start in Japan, and it is a famous thing tending it to be used of a diagnosis name.
Unlike ICD, as for the diagnosis and the big difference with ICD, "neurosis" and words to say are not used by a classification only for a mental disease conventionally.

1, the obstacle that it is usual, and is diagnosed for the first time in for the infant period or youth for the infancy.
Retardation of mental development, pervasive developmental disorder (autism), a specific developmental disability (an LD).

2, allophasis, dementia, a poor memory-related obstacle and the other recognition disorder.
I include parts of so-called exogenous sex mental disorder such as allophasis, dementia.

The exogenous mental disorder that is not included in 2 for 3, a mental disease by other general physical diseases classified nowhere.

4, material-related obstacle.
The obstacle that was related to alcohol or a drug / a stimulant.

5, schizophrenia and other mental disease-related obstacle.
Schizophrenia (schizophrenia) and the relation disease.

6, mood disorders.
Bipolar disorder (manic-depressive psychosis), great depression-related obstacles (depression).

7, anxiety disorder.
Panic disorder andphobia, obsessive-compulsive disorder (obsessive-compulsive neurosis).

Neurosis, the conversion hysteria which present physical symptoms such as an obstacle, convertibility disorder, hypochondria 8, physical expression-related obstacle body.

9, falsehood-related obstacle.
A kind of so-called simulation creating symptoms intentionally.

10, dissociation-related obstacle.
As for the dissociation-related poor memory, the dissociation-related flight, the dissociation gender identity disorders, it is dissociation hysteria.

11, a sex obstacle and gender identity disorders.
Obstacles such as sex function, sex taste.

12, eating disorder anorexia nervosa (anorexia nervosa), a nervous binge-purge syndrome (bulimia).

13, sleep disorder.
Sleeplessness, excessive sleep, sleep abnormality such as circadian rhythm sleep disorder and sleep accompanying symptom (so-called nightmare, night terror, somnambulation).

14, an obstacle of other impulse controls classified nowhere.
Kleptomania, pyromania, a fallen hair habit, morbid gambling.

15, an adjustment disorder.
The psychogenic reaction that I am mental disease-like by maladjustment reaction for stress, and there is not.

16, personality disorder.
I include an obstacle of various character.

17, the other states that will become an object of clinical participation.

18, an addition code number.

In brief, it means that one cup, a mental disease come out of this still more.

Schizophrenia.
Schizophrenia to say is called schizophrenia now in old days.
I feel like it being used somehow willingly.

I can call an obstacle to become those core in a group mainly on so-called mental disease symptom that I called a hallucination and a delusion with schizophrenia (schizophrenia).

The symptom that is characteristic of schizophrenia is a hallucination, a delusion, conversation without a unity and an action, a negative symptom.

Schizophrenia is classified in a delusion type, sixty four years of age type, strain type by a common mental disorder very much in a medical examination and treatment scene of psychiatry by a symptom and a difference of convalescence, but says that I tend to be classification inability.

Treatment of schizophrenia.
Even if treatment of schizophrenia is foreign in a case with treatment will to the person himself at an early stage of stage, I am possible enough.
However, hospitalization treatment is necessary when I do not recognize treatment will because a case and the symptom that took time by treatment introduction are heavy.

A principle of treatment becomes medical therapy.
Medical therapy is use of the antipsychotic enough in principle by an essential cure to win effectively.
In a born range of a side effect, it is said that it is necessary to use antipsychotic of enough quantity enough for a period among doctors.
Therefore I collect the medicine which I cannot finish holding in a house, and a patient is crowded and does OD.
When an effect is insufficient, I cannot but test several kinds antipsychotic that characteristics were different.

When an effect of antipsychotic is insufficient, feeling adjustment medicine (feeling stability medicine) and a kind of antianxiety drug are used.

I am dangerous, and carefulness is necessary to stop medicine easily because a condition was stable.
I get tired of carefulness of a doctor, and a patient comes to pull medicine without permission, and treatment tends to be prolonged.

It is said that a combination of various kinds of cures for education of ill knowledge for not only the antipsychotic dosage but also a patient / a family, SST, occupational therapy is effective as the other cures.

In addition, an effect by a medicine is insufficient, and an electroconvulsive therapy is used when I need emergency.

Even if it cannot be said that this disease is schizophrenia definitely, there is a lot of relation diseases to present a similar symptom.
However, the things which are non-decision are often found, and diagnosis names are different by diagnostic criteria.
It is classified in a hallucination and presence of a delusion, presence of a letter of feelings nature of disease, a difference of convalescence, but, judging from the patient side, is very annoying.
I do not understand whom I may believe at all.

Acute mental disease, schizophrenia are diagnosed as a mental disease-related obstacle, schizophrenia-like obstacle for acute transientness mental disease characteristics obstacle for a short term.

Hiding division disease resembles unification unbalance type personality disorder and a schizophrenia type obstacle each, and, as for the response mental disease, as for the paranoia, it is touched the name of disease named a fault for delusion characteristics obstacle and durability delusion characteristics obstacle for a joint ownership mental disease-related obstacle and response-related delusion-related obstacle.

Manic-depressive psychosis.
I am called feeling injuries now.
I set out for a group of a mental disorder of the symptom that manic state and a depression state are main.
When both manic state and depression states appear repeatedly, there is a thing only for a depression state.

The former was called manic-depressive psychosis for a long time, and the latter was called depression.
The depression or the depression state was usually common in life very much commonly as well as a medical examination and treatment scene of psychiatry.

A diagnosis name is decided whether manic state, light manic state, which of a depression state / a light depression state appeared. It is a groundless thing.

When, for manic-depressive psychosis, manic state and a depression state are severe; can present the mental disease state that called a hallucination and a delusion.
However, when it presents a mental disease state when manic state and depression are in a state, and there is not it, call it with non-fixed form mental disease and division emotional disorder, and it is diagnosed as schizophrenia (schizophrenia).

In addition, manic state, light manic state, a depression state, a light depression state appear as a symptom of various kinds of mental disorders other than it.
Different diagnoses may be followed at every it.

Treatment is different in a case with manic state only in the case of a depression state.

Treatment of depression.
Even if a depression state is foreign, I tend to be treatable enough, but hospitalization treatment is necessary when danger of a case and the suicide that physical weakening is remarkable is strong.
Use of enough antidepression medicine is advised medical therapy about as a principle of treatment of depression.
After all, in Japan, prescribing too much medicine treatment seems to be important.
It is demanded to use antidepression medicine of enough quantity enough in a born range of a side effect here for a period.

When an effect of antidepression medicine is insufficient, feeling adjustment medicine (feeling stability medicine) is added.
It is used to a thyreoid by a case.
I am troubled by a result, a side effect to be easy to come to gain weight.
When an effect by a medicine is insufficient and needs emergency, it is said that an electroconvulsive therapy is effective.

When a light depression state does procrastination, approach of psychotherapy is necessary.
It is said that cognitive-behavioral therapy is effective.
I say that light medical treatment is effective in the case of seasonal affective disorder.
I do not understand whether it is a knowledgeable uncle whether it is a doctor.

Treatment of manic-depressive psychosis.
An insight is insufficient, and, in the case of manic state, it is assumed that hospitalization treatment is more desirable so that I can take an eccentric action.
I think this to be the treatment that considered a family.
A family cannot finish bearing it. I cannot do it. For a patient, there is even that I have the urge to kill.

For medical therapy, as for the treatment principle of a manic state case, an antimanic drug, feeling adjustment medicine (feeling stability medicine), the dosage of lithium carbonate in particular are given.

This is originally medicine used for treatment of manic state, but it is able to prevent a wave of manic-depressive psychosis, and it seems to be thought that the continuous prevention dosage is effective with a person repeating both manic-depressive psychosis.
In addition, there can be the thing that antipsychotic leaves use additionally.

The dosage of antidepression medicine is effective in a depression state, but a shift to manic is to watch out in manic state.

Even depression is manic, but an electroconvulsive therapy is tested quite easily when I need emergency whether an effect by a medicine is insufficient.

A patient is not the thing which I felt.
I watch a test result with interesting eyes and talk and brag a doctor is not treatment, and to test it.

Brain organic mental disorder.
This is the illness that I suffer from disease of now.
Brain organic mental disorder is a mental disorder based on abnormality of a cerebral nerve.
If abnormality occurs in cerebral nerve system because mind activity is function itself of cerebral nerve system, it is a matter of course that some mental disorders occur.
Therefore every obstacle of a brain can cause brain organic mental disorder.
In addition, a symptom is multifarious, too, and every symptom may come out.

The disease that it becomes cause by.
A wound.
When I caught the damage in a brain in traffic accidents. Cerebral contusion with the possibility that a brain concussion reversible in principle and an irreversible symptom are left and a skull internal hemorrhage are included.

A tumor.
A malignant brain tumor can cause it every good nature. I can think with a wound-related mental disorder after having taken treatment by operations.

An infectious disease.
A virus, bacteria, a protozoan can become cause by every infectious disease. Dementia paralytica by syphilis is famous classically. There are BSE (mad cow disease) by prion, a mental disorder by an AIDS (HIV) virus, too.

By the other inflammation, a mental disorder based on inflammation of a brain may happen by a Behcet's disease and mixed connective tissue disease (SLE), a multiple sclerosis.

A mental disorder can produce a problem in steroid used for these treatment, and a case to suffer from discrimination is to be it.
When, as for the blood circulation disorder, there is the part where bloodstream deteriorated in brain tissue like cerebral infarction; of a mental disorder occur.

A case by cerebral hemorrhage feels like had better say wound characteristics.
It is thought that it is the blood circulation disorder with the obstacle that is similar to a blood circulation obstacle closely even if I cannot say when a handicap of a brain is generated in carbon monoxide poisoning and a hypoxia state.
It is in a meaning of an obstacle by hypoxia of brain tissue.

A degenerative disease is the disease that a nerve cell is lost as for the causes such as Alzheimer's disease, a Pick's disease, Parkinson's disease, spinocerebellar degeneration slowly although being missing.
I produce the obstacle that accepted a range of an obstacle.

A symptom.
Of every mind symptom taking up by a story of a symptom to handle in psychiatry in the case of brain organic mental disorder may be caused.

However, there is not a characteristic symptom as a diagnosis arrives to see a symptom.
It is understood only after a diagnosis is settled when this was a mental disorder by this disease.

When I take acute progress by a wound, vascular lesion, an infectious disease, other inflammation, it is accompanied with disturbance of consciousness more or less.
When it is an allophasis state that become a problem and presented a hallucination and a delusion, an excitement state, there are other mental disorders and a case judged by mistake.

As for the appearance of a sudden mind symptom, it is always diagnosed mind by a brain organic mental disorder and symptom student mental disorder.

In addition, a fall of physical sickness (malaise) that cannot specify a cause and activity characteristics / will, a depression state appear chronically.
Miscellaneous character changes and dementia can appear, too.

When a mind symptom is prolonged and is not improved by general treatment, it is said that a brain organic mental disorder and symptom student mental disorder is possible.

Naturally a principle of treatment becomes treatment of an underlying disease.
Treatment of an underlying disease is urgent business for particularly acute period.
For an allophasis state, actions to be taken establish it to some extent, but other hallucinations / delusions are in a state, and treatment cannot but be performed for manic state / a depression state symptomatically.