Абулия (Abulia)

Abulia (from the Greek a - denial and boulē - will) is a pathological condition characterized by lack of will, loss of the ability to purposefully act and make independent decisions.

With abulia, a person, despite the preservation of intellect and motives, is not able to translate intentions into concrete actions. He can dream, make plans, but is unable to implement them due to the weakness of volitional processes. Such people are passive, lack initiative, and find it difficult to start and complete any activity.

Abulia is often observed in mental illnesses such as schizophrenia, depression, and can also be a consequence of organic brain damage (traumatic brain injury, stroke). Severe abulia leads to social maladjustment and disability of patients.

Treatment of abulia primarily involves treating the underlying disease. Additionally, psychostimulants and antidepressants are prescribed, psychotherapy and sessions with a psychologist are conducted to restore volitional qualities. The prognosis for abulia largely depends on the etiology and depth of the disorder.



Abulia, also known as lack of will or loss of will, is a symptom of various types of diseases, including the common part of schizophrenia.[1][2][3] In this condition, a person loses the ability to act independently or make decisions and is unable to show initiative or energy. In this article, we will look at the basics of abulia, its causes, symptoms and treatments.

What is abulia?

Abulia is a symptom that is associated with a violation of an individual's ability to act or make decisions independently and executively. A person with abulia may find it difficult to get started and tend to become passive and indecisive. The patient does not feel pleasure from activities and often puts them off. Patients are usually indifferent to the results of their actions and have difficulty communicating,



Abulia is a disease that involves a violation of the desire and initiative to make decisions. A frequently observed symptom in schizophrenia, when a person seems to want to do something, but is unable to start and continue what he has planned. The patient has increasing “apathy, inertia,” “a sharp decrease in desires and desires in general.” The patient does not understand what is required of him, “is not interested in those around him,” and is indifferent to everything around him, including his life. Symptoms of mental anesthesia are characteristic - in this case, a person feels that he does not feel or perceive anything. Abulia belongs to the category of symptoms of emotional pathology. Therefore, the characteristic signs of the emotional-volitional sphere are apathy; lethargy, emotional lability; reduced need for contacts, coldness; loss of interest in everything, indifference, hypobulia. Such disturbances arise in the emotional sphere, which is why patients exhibit inhibition of mental processes.