Hallucinatory-catatonic psychosis (hallucinatory stupor) refers to schizophrenic mental disorders and is characterized by a loss of connection with reality and the presence of acute hallucinations of various etiologies. It is accompanied by behavioral disorders in the form of ritual motor actions, limited contact with the outside world and lack of reactions to the outside world. A cause-and-effect relationship between the occurrence and development of hallucinatory stupor has not yet been established, which makes it a less understandable pathology that is quite difficult to classify.
**Symptoms**
Hallucinations can have various manifestations - from clear auditory (as if voices are speaking in a foreign language behind the wall) to vivid visual hallucinations, in which patients see, for example, a disembodied person or a woman in clothes against the backdrop of outer space, a disfigured insect flying back, after being subjected to electric shock. There are non-sensory hallucinations, including those that only show the thoughts or intentions of other people. As a rule, hallucinations are auditory or lead to sensory isolation of the patient (impaired sense of touch, sensitivity).
Unlike patients with affective crises, most patients suffering from hallucinatory stupor do not report fear, despair and aggression, but may experience short-term affective outbursts - inexplicable anger or fear for short periods of time (from several seconds to several minutes). Thus, auditory hallucinations in this case can occur simultaneously with disturbances of consciousness as a result of fear or strong emotion in the patient. Since many do not perceive what is happening immediately, this leads to the formation of an illusion in which patients begin to identify hallucinatory images with people nearby (this partly explains the persistent nature of the inability to really perceive the world around them).
The manifestation of motor disorders is characterized by aimless and voluntary movements of the arms and legs, tremors of the body, tics and tapping (depending on the form of the disease). Many patients become paranoid about certain patients and the objects around them. In this case, the patient may cease to lead a normal lifestyle, actively using various devices to protect against non-existent threats (for example, protective covers on the arms and legs, earplugs). Also in this context, there is a tendency for paranoid hallucinatory psychoses to have an intermittent course of symptoms: periods of exacerbation are accompanied by an increase in hallucinatory activity, and then a decrease with a further resumption of manifestations over the following days.
Hallucinatory stupor
Hallucinatory stupor (s. hallucinatorium - hallucinatory state and s. depresivum - depressive stupor) is one of the most mysterious and complex psychopathological phenomena in its symptoms.
The clinical picture of this disorder includes all the signs of normal stupor and is accompanied by symptoms of hallucinations and experiences. These hallucinations can be either auditory or visual, and they can be of a wide variety of types. In some cases, the patient may be unable to switch to the hallucination at all, and he perceives it as part of his own self. In other cases, the hallucination may dominate the patient’s consciousness and perceive it itself as reality.
The causes of hallucinatory stupor have not yet been fully studied. The most common cause of this disorder is considered to be heredity. Since many patients have previously experienced bipolar disorder during their lifetime, it can be assumed that this disorder is due to the presence of a genetic predisposition. Some researchers suggest the presence of elevated levels of melatonin in the body, which can lead to hallucinations and neurological disorders.
Despite the fact that hallucinatory stupor may seem like a rather unusual psychopathological phenomenon, it already occurs in many patients. Therefore, doctors need to be aware of this disorder, its main symptoms and treatment. Treatment for stupor usually involves medication and individual psychotherapy. Drug treatment is carried out with sedative drugs, which help reduce the level of excitement of the nervous system and reduce the sensation of pain.
It is important to note that you should not treat stupor on your own. It is necessary to contact an experienced specialist who will help determine an accurate diagnosis and prescribe appropriate treatment.