The work of a psychiatrist is a rather complicated thing, and not because many mental disorders are untreatable, but because these disorders are often accompanied by other symptoms. The existence of multiple disorders in the same person is known as comorbidity.
Sometimes, along with one pathology, you can immediately observe the development of a whole bunch of other syndromes and symptoms that worsen the patient's condition and make it very hard for a doctor to decide on a correct diagnosis. What kind of cases are these in medical practice, what kind of mental illnesses go in pairs? Read to find out.
1. Eating Disorders in Combination with Depression Overeating due to stress, like anorexia nervosa, never happens just like that. Often their occurrence is associated with some traumatic events in a person’s life - divorce, betrayal, personality crisis, death of a loved one. It turns out that a person becomes depressed and begins to either starve themselves or overeat, compensating for the damage. In case of children, this disease can be associated with excessive requirements from the parents, their authoritarian attitude, excessive control, which deprives them of freedom.
2. Dissociative amnesia combined with insomnia
Remember the psychological movie "The Machinist" (from 2004), in which the protagonist experiences severe physical exhaustion due to insomnia?
And then suddenly it turns out that his illness - a reaction to stress of much greater force - is a consequence of car accident, which his subconscious in a strange way erased from his memory. In fact, the film set a classic example of how the psyche works: to reduce the traumatic effect, the brain gets rid of painful memories, resorting to amnesia. The trouble is that the memories themselves do not disappear, but are forced out into the subconscious. And as soon as the consciousness loses control (most often this happens in a dream), the pain arises with renewed vigor, giving rise to insomnia.
3. Borderline disorder combined with OCD and schizophrenia Low self-control, high anxiety, a painful pursuit of excellence, difficulty in establishing close emotional contacts - all this relates to borderline disorder, which can develop in a variety of scenarios. Most often, it is accompanied by the appearance of pathological fears and obsessive actions that pretty much ruin a person’s life. If you saw the movie "Black Swan", then remember what terrible consequences the progression of Nina's disease led to. At first, the girl strove to perfectly master the role she was given, because of which she began to undernourish, get nervous, and scratch her skin. And then she began to see strange delusional hallucinations which lead to the development of bully blown schizophrenia.
4. The Afghan syndrome combined with depression
Having survived sexual violence, death threats, or severe psychological trauma associated with being in a war, people often start suffering from post-traumatic disorder that prevents them from returning to normal life. Day after day, they involuntarily scroll through the terrifying events of the past in their head, which is why they experience constant stress, horror and fear. They are tormented by nightmares, they cannot relax, and this makes them feel depressed, people literally lose their interest for life. To get rid of feelings, they may even decide on suicide.
5. Anxiety disorder and delusional hallucinations
Initially, the manifestations of the disease are typical: a person begins to experience unreasonable fear, a threat to life, which is not supported by anything real or is too exaggerated. Then a new ailment is added to this disorder - delusions of persecution, pathological jealousy, hypochondria symptoms (thinking that they are terminally ill) and even visual hallucinations. For example, a character who was initially afraid of publicity suddenly finds himself on the crest of a wave, becomes recognizable in society, because of which his fears intensify and irrational fears or paranoia appear: in every passerby he begins to see a killer. 6. Narcissistic disorder combined with psychopathy Narcissists are a well-known phenomenon. They are fixated on themselves, convinced of their own irresistibility, they have inflated ideas about their successes. Problems begin when this disease is reinforced by a antisocial disorder - inability to understand higher feelings (empathy, sympathy, kindness, love, conscience). Such people become extremely dangerous. Considering themselves to be better than others, they easily violate the laws of society and morality, and can commit a fierce crime out of pure pleasure. People with this set of disorders have an ideal appearance, they carefully care about their home and reputation, but they are a real nightmare when in private with their victims.
7. Psychopathy combined with schizophrenia
We have already mentioned cruelty and the lack of empathy with psychopathy. Schizophrenia aggravates the situation by the fact that the patient's disorder begins to worsen by delirium, auditory hallucinations and strange ideas. Such people confidently declare that they hear the voices of the gods, which order them to hurt others. Or they may think that it is not them who become the perpetrators of a crime, but they are controlled by someone or "something" from above. In some cases, one can observe splitting of consciousness and personality, known as multiple personality disorder.
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