Psychopathy Labile

The exact diagnosis of “labile cycloid disorder” is quite rare for domestic psychiatry, since historically it was more often interpreted in the context of schizoaffective disorder, which was understood as an affective or manic episode that arises and occurs against the background of schizophrenia. In the modern classification, schizoaffective disorders are coded as F25.0 or F31.3. However, traditionally and now a schizoid, paranoid or schizotypal personality disorder is distinguished, which can cause the development of delirium, i.e. pronounced disturbance of attention with a predominance of certain factors. Therefore, it was not always obvious what to consider at a late stage in the course of depression.

As soon as researchers began to identify the clear onset of such attacks in childhood over the course of one month, they formed two opinions: the disease should be classified as endogenous psychopathy, or classified as cycloid personality disorders. The difficulty was that with the development of cycloid psychopathy as one grows older, the emphasis in the clinic was usually placed on the development of such traits and behavioral characteristics as emotional instability, dependence, amorphous temperament, egocentrism, a tendency to avoid difficulties, pretentiousness, carelessness, absent-mindedness, etc. And although the crisis disturbances in behavior caused by the appearance of fluctuating depression were externally smoothed out, ideational and motor changes were still often clear.

In addition, pathological features often already appeared at the onset of the disease, only gradually softening with relapses of paroxysmal cycloidity. According to the observations of G.E. Sukhareva (1959), in patients who have at least once experienced a clearly expressed change from the hypomanic phase to melancholia, one can then observe the formation of a more or less accentuated personality type of asthenic type. In addition, somatic diseases arise or worsen in parallel.

So, lability manifests itself