First, psychotherapy.
1. Explanatory psychotherapy: Let patients and their families know that hysteria is a functional disease and can be completely cured. Eliminate all kinds of doubts of patients and their families, stabilize patients' emotions, make patients and their families have a correct understanding of hysteria, and actively cooperate with doctors for treatment. To guide patients to understand the etiology and the relationship between etiology and treatment, patients should be given the opportunity to relax and give appropriate comfort or encouragement. Patients themselves should also strengthen self-exercise, deal with everything they face with a rational attitude, rather than being emotional, and overcome personality defects with a proactive attitude.
2. Hint therapy: it is an effective method to eliminate hysteria symptoms, especially hysterical physical disorders. When carrying out suggestive treatment, we should pay attention to the following problems: on the one hand, the treatment environment should be quiet to eliminate various adverse effects of the environment on patients. All irrelevant personnel should leave the treatment site to avoid aggravating symptoms and bringing difficulties to treatment because of the panic attitude or excessive attention of family members or people around them. On the other hand, doctors should be enthusiastic, calm, confident, full of confidence in treatment, establish a good doctor-patient relationship, and let patients trust doctors in the process of contacting patients and doing comprehensive examinations. Practice has proved that patients' trust in doctors is often the key to determine the success or failure of recommended treatment. At the same time of verbal suggestion, corresponding measures should be taken according to the symptoms, such as oxygen inhalation, acupuncture, intramuscular injection of water or vitamin C injection, intravenous injection of calcium, electrical stimulation treatment and so on.
3. Hypnotherapy: Using the changes of brain physiological function under hypnosis to hint through words to achieve the purpose of eliminating hysteria symptoms.
4, behavioral therapy, functional training for patients, suitable for prompting the treatment of invalid limbs or speech disorders.
Second, medication.
During the onset of hysteria, if the patient's consciousness disorder is deep and it is difficult to accept suggestive treatment, chlorpromazine or promethazine hydrochloride (25 ~ 50mg each) or diazepam (10 ~ 20mg each) can be used to make the patient fall asleep, and many patients' symptoms disappear after waking up.
Third, physical therapy.
Behavioral therapy trains patients' functions and is suitable for cases with physical or speech disorders, which indicate that the treatment is ineffective. Traditional Chinese medicine, electroacupuncture or acupuncture can all achieve good curative effect, and the effect will be better if oral prompts can be given during the treatment. Patients in spastic state, hazy state, lethargy state and stupor state can acupuncture Renzhong, Hegu and Neiguan, all of which are stimulated by strong stimulation or electricity. Paralysis, contracture, hiccup, vomiting and other symptoms. Receive DC-induced electrical stimulation or acupuncture treatment. Used for aphonia, deafness, etc. Electrical stimulation and electrical excitement can also be used for treatment.