HYSTERIA
Submitted to :-
Submitted By :- Shraddha Shaky
(B.Sc. Nursing
VI Semester)
INTRODUCTION
Hysteria is an extreme psychological condition in
which a person reacts out of proportion to a
stimulus. Historically, hysteria was thought to
manifest itself in women with a variety of
symptoms, which includes anxiety, shortness of
breath, fainting, insomnia, irritability,
nervousness, as well as sexually forward
behaviour
DEFINITION
Hysteria is defined as a
psychological disorder that
includes both mental and
physical symptoms. This
condition is associated with the
lack of biological evidence as to
the presence of physical
symptoms. Thus, it is believed
that the physical symptoms
related to hysteria are caused by
psychological issues and stress.
TYPES OF HYSTERIA
Hysteria is classically divided into two
types:
1. Primary Hysteria: It is caused by a
substantial personality disorder.
2. Secondary Hysteria: It is caused by
underlying mental health disorders
like anxiety and depression.
STAGES OF HYSTERIA
The great 'Charcot' hysterical attack, first
described by Richer in 1881 and 1885,
consisted of 5 stages:
(1) Prodrome (hysterical aura)
(2) Epilepsy
(3) Contortion (clownism)
(4) Trance or passion
(5) Terminal or verbal stage.
CAUSES OF HYTERIA
The disease is considered to have variable causes.
Initially, it was thought to be caused by uterine
movements in females.
But recent studies have reported that dissociative
disorders are caused as a result of trauma, which
can be caused during the growing years of a child.
The trauma can be physical, emotional, or sexual.
Hysteria can also be caused as a result of
childhood abuse or parental neglect.
The cases of the disorder are often presented in
low socioeconomic groups of very high-standard
societies, which fail to give attention to their
children as parents.
SIGN AND SYMPTOMS
Paralysis
Fainting
Seizures
Chronic Pain
Blindness
Loss of sensation
Hallucinations
Extreme
Emotions, and
Outbursts.
DIAGNOSIS
History- Note organic and psychosocial factors
General examination- Level of consciousness
Focused systematic examination- What type?
Relevant investigation
Diagnostic formulation
Screening Neurological exam
TREATMENTS
Cognitive behavioral therapy. (CBT)
Dialectical behavioral therapy. (DBT)
Eye movement desensitization and
reprocessing. (EMDR)
Mind fullness –based therapy
PHARMACOLOGICAL
MANAGEMENT
The first steps consist of symptomatic
treatments such as-
Catharsis Counter-Suggestion
Hypnosis
Narco-Analysis Relaxation Drug
Therapy
Focused Psychoanalytical Psychotherapy
Thereafter, an approach aiming to modify
the psychic structure of the patient can be
considered (supportive psychotherapy,
psychoanalysis).
NON PHARMACOLOGICAL
MANAGEMENT
IMMEDIATE
• Confidence building measures
• Removal of stressor
• Normalisation of behavior
• Differential reinforcement
SHORT-TERM
• Individual and family counselling-supportive
LONG TERM
• Specific individual or family therapy social
intervention.
SUMMARY
Today we have dealt with following topics:-
Introduction/ Definition
Types of Hysteria
Stages of Hysteria
Causes
Sign and Symptoms
Diagnosis
Treatments
Pharmacological/ Non Pharmacological
Management
CONCLUSION
While concluding this topic we must know what
actually the hysteria is. It is a disorder that is
most commonly seen in females with variety of
features like loss of consciousness,
palpitations, clenched tooth, breathlessness
etc. We must be able to provide a good
psychological support to these clients so that
they don’t feel neglected and support should
be provided in all possible and positive
manners. We must work for removal of stimulus
or cause if any; that can be reached at by
assessment.
BIBLIOGRAPHY
THANK YOU
