Astheno-depressive syndrome - causes, symptoms and treatment

One type of psycho-emotional disorder is astheno-depressive syndrome. The pathological condition is accompanied by a loss of all interest in life. A person with this disorder constantly faces difficulties in making even the simplest decisions. This syndrome precedes depression, which it can develop into if medical care is refused.

The disease does not have its own ICD-10 code, since this condition is not classified as a separate diagnosis. At the same time, it is classified into different categories, which include the international classification of diseases. The pathology is most often classified as other neurotic disorders, which are listed in the international classification of diseases under the code F48.

Astheno-depressive syndrome is considered to be a condition that is classified as a group of affective disorders of an atypical type. In various publications it is called asthenic depression or exhaustion depression. Pathology can significantly worsen a person’s life. Without adequate treatment, it can develop into more serious mental problems that are difficult to treat. During the course of astheno-depressive syndrome, the systems and internal organs of a person function at the limit of their capabilities. Therefore, they periodically fail, which is why the patient exhibits characteristic symptoms of malaise.

Specialists at the Yusupov Hospital treat many psycho-emotional disorders, including asthenic-depressive syndrome. Using an integrated approach to diagnosis and treatment allows the clinic’s doctors to find the true causes of the disease. Honored doctors with the highest category work within the walls of the hospital, who are constantly improving in their field of activity. The developed methodology, together with leading doctors in Russia and Europe, always achieves the desired goal.

Signs

Very often the symptoms are of a somatic nature; a person does not suspect the presence of depression, but tries to detect and cure diseases, ignoring his psychological state.
Distracted attention, difficulties with memory, a person becomes unable to concentrate, is often distracted, and thinking is slowed down. There is no appetite, in which case the person either eats little or understands that food is necessary and eats it out of habit, without experiencing pleasure and satiety. Increased sensitivity, can easily be “hurt” by the words of others who have not previously been traumatized. Sleep disturbances, or insomnia, or vice versa, drowsiness, sleeps more than normal, but does not feel cheerful and energetic. Weakness and lethargy. Lack of interest in anything, loss of feeling of satisfaction. I am no longer happy with work, relationships, hobbies, etc. that used to motivate me to be active. Anxiety increases, and phobias and fears that were previously uncommon may begin to develop.

For example, at the thought that when you leave home and end up in a crowded place, you may feel panic, trembling in the body and lack of oxygen. Pain in the body, especially in the muscles and joints. A headache may occur that does not go away even with painkillers. Excessive sensitivity to external stimuli appears, that is, smells, touches and sounds become simply unbearable. Thoughts of suicide, just an unbearable feeling of guilt and despair. Due to weakness and lack of energy, it sometimes freezes, while the room is warm. A frequent companion is shortness of breath, even in the absence of physical activity, which can be provoked by normal walking. Excessive sweating. Women may experience menstrual irregularities, and men may experience impotence.

1. To avoid having to bring your body to a state where treatment is inevitable, learn to pause. I’m not calling you not to strive for success or stop putting all your efforts into a certain result, just learn to notice yourself in the whirlwind of events and stress. Be sure to organize breaks and vacations in your activities, get enough sleep and find time for simple joys. Give yourself the opportunity to recover, and then your chance of coping with stress increases.
2. Energy does not arise from what we don’t want; there is a lot of it in the excitement that appears in desire. I'm not just talking about sexual arousal, but in general, excitement, interest, excitement. If your day has become similar to another and has ceased to surprise and delight, do not be lazy, think about how to diversify your life. Do something you haven’t done before, even if resistance arises, overcome it, try it, it’s very necessary for your soul and body.
3. If you have at least half of the symptoms, then this is already a pronounced astheno-depressive syndrome, which is not recommended to be treated on your own; be sure to contact a specialist who can diagnose and choose the most appropriate, comprehensive method of rehabilitation. The longer this condition lasts, the more difficult it will be to cope with it.
4. Healthy lifestyle. Try, if not eliminate, then at least significantly reduce the amount of alcohol or nicotine consumed. Your diet should contain only healthy foods rich in vitamins and microelements. Walks in the fresh air, even if you don’t want to or can’t, should be every day, regardless of the weather and mood. Regarding alcohol, I would like to recommend an article.
5. Physical exercise. I won’t get tired of repeating about the usefulness of training and exercise. This is a great way to unwind, take your mind off anxious thoughts, and also replenish the level of happiness hormones, which are sorely lacking during depression. And don’t deceive yourself with excuses that you don’t have the time or energy to go straight to the gym; if you do daily exercises on your own for at least 10 minutes, this will help significantly.
6. To get a good night's sleep, if you have problems with it, try a method such as aromatherapy, take a massage course, do yoga in the evening, read a book; for some, a glass of warm milk helps. You must do everything in your power to regain the opportunity to recover. In the most difficult and protracted case, a specialist can prescribe sedatives that will relieve anxiety and help improve sleep.

Sport

Treatment with physical activity gives excellent results. The syndrome of psycho-emotional depression, that is, astheno-depressive, often has hypodynamic causes. There is no need to immediately start intensive sports activities. But a gradual increase in activity is mandatory:

1. Get into the habit of walking before bed. First half an hour. Then one hour. After a while you will want to walk faster, more rhythmically, and even run. Jogging is one of the best methods to banish the blues.
2. Sign up for swimming or dancing. Water or rhythmic movements to music are the most powerful natural antidepressants.
3. Study a couple of complexes of therapeutic exercises for the back and the whole body, especially if the work is sedentary, and do the exercises in the morning or during breaks. In the fight against the syndrome, breathing exercises or yoga will be useful.

Any sport, be it cycling, aerobics or other activities, should bring pleasure and the feeling that you are breathing deeply. This will definitely help in treatment and increase vitality.

To prevent astheno-depressive syndrome, you can use a variety of techniques: auto-training, herbal medicine, aromatherapy, adherence to a work-rest regime. All this can increase self-esteem and vitality.

Similar syndromes:

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Manic-depressive syndrome: causes

A complex mental state is observed in manic-depressive syndrome. The essence of the disease is the alternation of designated phases - manic and depressive.

Between phases there may be periods of clearing.

Symptoms of the manic phase are expressed by increased energy, active gesticulation, psychomotor overexcitation, and acceleration of mental activity.

During this period, patients have increased self-esteem, feel like brilliant artists, actors, great people, and often try to do things that they cannot do in real life. During this phase, patients express their emotions unlimitedly, laugh a lot, and talk.

When the first manic period ends, depression sets in.

Manic-depressive syndrome at this stage manifests completely opposite symptoms. Patients experience depression and melancholy, movements become stiff, and thinking is inhibited.

The depression phase has a longer course and the frequency of their occurrence is individual for each patient. For some it may last a week, for others a year or more.

The causes of manic-depressive syndrome are most often an autosomal dominant type of inheritance on the maternal side. The result of this inheritance is disturbances in the processes of inhibition and excitation in the cerebral cortex.

It is believed that external influences (stress, nervous tension, etc.) are just a risk factor for development, and not the true causes of manic-depressive syndrome.

Sometimes patients themselves are aware of their condition, but cannot change it on their own. Treatment of severe stage syndrome is carried out in a hospital with the help of potent antidepressants. Mild degrees of the syndrome can be corrected on an outpatient basis.

Why is the syndrome dangerous?

Exhaustion of the nervous system in an advanced form can lead to an extremely “gloomy” assessment by a person of his condition. He feels guilty for what is happening to him and is angry at the whole world. This can lead to severe depression, the most dangerous consequence of which is suicide.

Against the background of astheno-depressive syndrome, disturbances in the functioning of the digestive system occur. Often the patient’s appetite is upset, blood pressure rises, and panic attacks appear.

Women experience irregularities in the menstrual cycle. If left untreated, the syndrome negatively affects a person’s personal life (sex drive disappears, men develop impotence).

Anxiety-depressive syndrome

It is generally accepted that anxiety-depressive syndrome is one of the main diseases of our time due to an active lifestyle. Often a person begins to sacrifice rest time in order to solve as many everyday problems as possible, which often leads to nervous exhaustion.

Among the most common phenomena are: melancholicity, apathy, tearfulness, emotional depression. Anxious feelings are often accompanied by a constant feeling of fear. According to statistics, most people suffering from anxiety constantly experience various experiences, which leads to nervous breakdowns.

There are several reasons why anxiety-depressive syndrome may develop:

1. Stable course of the disease
2. Hereditary factor
3. Constant work of the body “for wear and tear”, which leads to severe fatigue
4. Decreased serotonin production
5. Use of a number of medications.

The main sign of the development of the syndrome is constant anxiety without good reason. Aggression, irritability and tearfulness are often observed as side symptoms. The person is unable to carry out daily activities at a normal pace

It is important to note that any thought about the future is accompanied by negativism. The patient is sure that it will only get worse and there is no improvement in his condition

It is important to prevent the development of a chronic form, since this often leads to problems in all areas of human activity. https://www.youtube.com/embed/5hfslzXbjJw

Neurasthenia in adults

Asthenia in an adult is a pathological condition in which a person is exhausted both physically and mentally, his ability to perform physical or mental work for a long time disappears (or decreases). It must be said that this disease is often diagnosed in healthy people.

It is a mistake to believe that asthenia is a psychiatric definition. Of course, higher nervous activity is directly related to this syndrome, however, brain pathologies that can provoke asthenia are just one of the reasons for the development of this syndrome that are not the most common in the modern world.

Asthenic and neurotic syndromes are reversible phenomena, which means that with proper therapy a person can get rid of clinical manifestations and return to normal life.

Treatment

The above symptoms should never be ignored. Only a qualified doctor knows how to treat such a condition. Correct diagnosis of your condition will allow the specialist to select the most effective course of treatment. As a rule, in the initial stages, he will try to identify the causes of the syndrome, as well as which symptoms predominate in the patient: asthenic or depressive.

Therapy involves an integrated approach, which includes not only psychotherapeutic effects, but also some other aspects. We'll talk about them below.

Asthenia in schizophrenia

Very often, schizophrenic disorder is accompanied by various concomitant pathologies, most often it is asthenic syndrome. The pathological condition is characterized by increasing personality changes. There is psychological exhaustion, decreased activity and increased mental stress.

Malaise occurs due to nervous tension and stressful situations. Past viral and infectious diseases, predisposing genetic factors and metabolic disorders are the main causes of the disease. Patients complain of weakness, decreased concentration, memory and performance, sudden mood swings, irritability, causeless fatigue, and decreased libido. As it progresses, hallucinations (auditory and visual) and somatic passivity appear.

The disease has several stages, each of which is characterized by an increase in pathological symptoms. As a rule, treatment is carried out in special clinics. The patient will undergo a long course of drug therapy, various physical procedures and a recovery course.

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Prognosis for a diagnosis of depressive syndrome

If the principles of treatment are followed, the prognosis is favorable. However, it is strongly not recommended to stop taking medications on your own, since the disease can become chronic and coping with a psychosomatic disorder will be much more difficult to cope with.

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Causes

Depressive syndrome

In order to take timely measures to treat depression, you need to know its causes. However, their spectrum is so wide that even doctors often have difficulty identifying the triggers for this depressed state. The most common reasons are the following:

• genetic predisposition to mental disorders;
• mechanical damage and head injuries;
• regular stress and psycho-emotional experiences;
• history of chronic diseases;
• avitaminosis;
• intoxication of the body with nicotine, alcohol or medications;
• mental fatigue;
• violation of occupational hygiene.

In the last few years, the etiology of pathologies has changed somewhat. Increasingly, the causes of neurological diseases are hidden in people’s lifestyles

It is important to understand that such a disorder requires qualified medical care. Otherwise, neurasthenic syndrome can transform into deep depression

Astheno-neurotic syndrome in children

Nervous disorders in children can be the result of psychological trauma that occurs as a result of severe fright, fear, or a traumatic situation. Neurasthenia in children can manifest itself with a variety of symptoms: finger sucking, nail biting, stuttering, nervous tics, etc. The child is constantly in a bad mood, eats and sleeps poorly.

Psychologists say that the manifestation of neurasthenia in children is often associated with the child’s feeling that he cannot meet the high demands of his environment. As a result, the child feels that he cannot cope with difficulties.

Therefore, it is very important that parents perceive the child as he is. Their demands should not be excessive

The child must be treated patiently and shown understanding even in difficult situations.

Factors contributing to the development of neurasthenia in children:

• emotional isolation of the child in the family;
• poor psychological compatibility between parents and children;
• frequent conflicts;
• overwork at school or due to additional activities;
• alcoholism or mental illness of parents;
• inconsistency in education;
• too high demands from parents, etc.

It is important to promptly pay attention to changes in the child’s mood and consult with a specialist.

Treatment

Treatment with medications

In the treatment of astheno-subdepressive syndrome, antidepressants, sedatives, nootropics, vitamins, and adaptogens are used.

Antidepressants and tranquilizers are sold by prescription and should only be taken under the supervision of a physician. They can be addictive and have a large list of contraindications and side effects. They are selected individually by a specialist, as they act differently on different people.

Antidepressants have a stimulating effect, normalize appetite and sleep, eliminate feelings of melancholy and obsessive thoughts. Sedatives reduce the level of anxiety, eliminate the state of fear and its vegetative manifestations, and make it easier to fall asleep.

Nootropics help eliminate cognitive impairment present in asthenia

Tablets improve memory and attention

Adaptogens are of plant origin and include tinctures of various herbs. They have a tonic effect.

Vitamins are used to generally strengthen the body and eliminate deficiencies in beneficial microelements.

Psychotherapy

People with depressive disorder may be prone to hypochondriasis; hypochondriasis is treated with cognitive behavioral therapy; medication does not have an effect in this case.

Possible side effects

Antidepressants are not the safest medications. They often cause a number of side effects. In some cases, they worsen the symptoms of depression.

The most common side effects include:

• decreased sex drive;
• erectile dysfunction;
• pain in the abdomen;
• dysfunction of the gastrointestinal tract;
• bowel dysfunction;
• migraine;
• headache;
• insomnia;
• drowsiness;
• weight gain;
• blurry vision;
• rare urge to urinate;
• dry mouth.

Other side effects are presented in the table.

Group of drugs	Side effects
Selective serotonin reuptake inhibitors	They cause nausea, provoke diarrhea, and contribute to sexual disorders. The simultaneous use of antidepressants can lead to the death of the patient. Against the background of an overdose, thoughts of suicide arise more often than usual.
Tricyclic antidepressants	The person becomes very sleepy and lethargic. Frequent dizziness occurs. Sexual problems arise. Weight can grow rapidly without responding to diet and exercise. Rashes appear on the skin. Most often it is acne.
Monoamine oxidase inhibitors	An overdose contributes to the development of inflammatory processes in the liver. The risk of stroke and heart attack increases. Severe convulsive seizures appear. When combined with other drugs, blood pressure rises significantly.
Selective norepinephrine and dopamine reuptake inhibitors	The person's sleep is disturbed and vague headaches are present. The heart begins to beat strongly and frequently. In rare cases, fainting occurs. The stool is disrupted and a rash appears on the skin.

Features of the disease

Nervous exhaustion provokes the development of asthenic depression

Asthenic depression is a fairly common type of disorder. It is characterized by moderately severe symptoms of typical depression and signs of asthenia - a state of constant fatigue accompanied by neuropsychic weakness.

In ICD-10, this type of violation is not included in a separate group. The disorder is designated by code F32, which describes various depressive episodes.

Features of asthenic depression:

• frequent but not prolonged episodes of exacerbation of symptoms;
• symptoms are pronounced in the morning and gradually disappear in the evening;
• interferes with everyday life, but does not interfere with professional activities;
• Difficult to diagnose, but highly treatable.

The disorder can acquire various accompanying symptoms, depending on the specifics of a person’s activity and the cause of asthenia. As a rule, this type of depressive disorder does not interfere with professional activity, since despite constant fatigue, the person is fully aware of the need to work, albeit through force.

The problem of asthenic depression is the difficulty in making a diagnosis. This disorder is intertwined with various neuropsychiatric disorders. Asthenic syndrome occurs against the background of nervous exhaustion, so such depression can progress over time and turn into other, more severe forms of mental disorder.

Doctors say that timely contact with a specialist helps to cope with the problem relatively quickly and avoid relapses in the future, while an attempt to ignore fatigue only worsens the condition of the nervous system and aggravates the course of the disease

At-risk groups

There are certain categories of people who are more likely than others to have health problems. These include:

1. Knowledge workers and creative intelligentsia - teachers, doctors, designers, directors, journalists, etc.
2. Service industry employees.
3. Persons holding high management positions.
4. People whose professional activities involve a high level of responsibility and constant psychological stress.
5. Persons living in environmentally unfavorable areas.
6. Persons leading a sedentary lifestyle.
7. Patients who have undergone surgery or radiation therapy.

Characteristic symptoms

Clinical manifestations of the disease are nonspecific. They vary significantly, are individual in each case and depend on the age of the patient.

In adults

There are several signs characteristic of an asthenic-depressive state:

1. Constant mood swings. Oppression is replaced by increased irritability and even aggression.
2. Exacerbation of phobias, as well as other anxiety states. Patients complain of causeless panic attacks.
3. Lack of interest in previous hobbies and life in general. The person becomes apathetic and withdrawn. The desire to communicate with colleagues and friends disappears; patients prefer solitude.
4. The appearance of insomnia, which only aggravates the psychological state. Failure to comply with rest regimes leads to disruption of normal brain function.
5. Excessive gluttony or, on the contrary, anorexia. Some people tend to eat stress. Others, on the contrary, lose interest in food.

Astheno-depressive syndrome is described in a number of sources as a state of slow death of a person’s personality. This is due to the gradual extinction of all the desires and needs of the individual. That is why patients need qualified medical care.

In severe cases of astheno-depressive syndrome, autonomic disorders develop. Doctors associate this phenomenon with the peculiarities of the nervous system, which controls all internal processes. The most common problems accompanying mental disorders are digestive problems. Dyspeptic symptoms include nausea, vomiting, diarrhea or, conversely, constipation. Intestinal motility is largely determined by a person’s emotional state, as well as physical activity during the day. With astheno-depressive syndrome, severe migraines are also recorded. They are often associated with a reflex spasm of cerebral vessels. Patients also complain of increased sweating, which occurs for no apparent reason. In men, a common symptom is decreased libido or a complete lack of sexual desire. Representatives of the fair sex experience menstrual irregularities. However, as a result of a gynecological examination, no visible causes of such a failure are identified.

In people predisposed to mental disorders, an asthenic-depressive state provokes the occurrence of visual and auditory hallucinations. Such cases are rare and are considered the most severe. Phantom pains are also recorded in various parts of the body.

In children

Psychological problems are also identified in adolescent patients. They are initiated both by stress and are associated with hormonal changes in the body. The main manifestations of asthenic-depressive syndrome include:

1. The child's inability to concentrate and complete what he starts. This is especially noticeable during the learning process.
2. Loss of body weight or rapid weight gain. Such changes are associated with loss of appetite.
3. Sudden mood swings, as well as the child’s unsociability or aggression.
4. Young patients are less likely to suffer from insomnia than adults. Adolescents are more likely to experience regime disruptions. They may stay awake all night and be lethargic and depressed the next day.

If such symptoms occur, you should consult a doctor

It is important to find out the exact reason for the formation of the clinical picture. In some cases, such manifestations are associated with a malfunction of internal organs

Diagnostics

If a person has astheno-depressive syndrome, he needs to consult a therapist, take tests and undergo an examination. Often it all starts with physical ailments. The doctor will help you find out chronic diseases as a possible root cause:

• pathological enlargement of the thyroid gland;
• hormonal imbalance;
• diabetes;
• hepatitis;
• tachycardia, etc.

If no serious illnesses are identified, the root of the problem lies in psycho-emotional disorders. Then you should contact a psychologist. The specialist will analyze the astheno-depressive phenomenon, study the life history, determine the degree of the syndrome and prescribe treatment, medication or in the form of psychotherapeutic sessions.

What does depression mean?

Absolutely anyone can get the syndrome. Not every individual realizes that he has signs of a mental disorder. He attributes all his problems to poor sleep, food, lack of time, etc. This disease does not go away on its own, and you definitely need to get rid of it.

Symptoms of depression can also occur in children and adolescents. They are slightly different from adults:

• poor sleep or insomnia;
• lack of appetite;
• anxiety;
• suspicion;
• aggressiveness;
• isolation;
• persecution mania;

The syndrome can lead a person to become withdrawn

• various phobias;
• poor performance at school;
• difficulty in understanding with parents;
• conflicts with classmates and teachers.

All this must be detected and treated in time. A prolonged state of apathy can be life-threatening, because a large number of victims think about death. Remember that everything is curable, the main thing is the desire of the sick person and the help of a professional. Psychiatrists, therapists, endocrinologists and psychologists will help a person with depression.

Astheno-neurotic syndrome in children

Nervous disorders in children can be the result of psychological trauma that occurs as a result of severe fright, fear, or a traumatic situation.
Neurasthenia in children can manifest itself with a variety of symptoms: finger sucking, nail biting, stuttering, nervous tics, etc. The child is constantly in a bad mood, eats and sleeps poorly. Psychologists say that the manifestation of neurasthenia in children is often associated with the child’s feeling that he cannot meet the high demands of his environment. As a result, the child feels that he cannot cope with difficulties.

Therefore, it is very important that parents perceive the child as he is. Their demands should not be excessive

The child must be treated patiently and shown understanding even in difficult situations.

Factors contributing to the development of neurasthenia in children:

• emotional isolation of the child in the family;
• poor psychological compatibility between parents and children;
• frequent conflicts;
• overwork at school or due to additional activities;
• alcoholism or mental illness of parents;
• inconsistency in education;
• too high demands from parents, etc.

It is important to promptly pay attention to changes in the child’s mood and consult with a specialist.

Diet adjustments

Asthenic depression can be treated not only with medication, but also with other methods of treatment. In particular, this is a special diet. It does not require severe dietary restrictions. You just need to establish a healthy diet and give up fatty foods.

When you're in a bad mood, it's common to eat something sweet. Women especially love to do this. But such actions can only cause worsening of the condition and heaviness in the stomach. During treatment, it is necessary to diversify your diet with healthy proteins (meat, fish, eggs, dairy products), carbohydrates (cereals, legumes) and fats (nuts, dried fruits). At the same time, you need to adhere to moderation in your diet: eat in small portions 5-6 times a day.

Sources

• https://3aaa-sp.ru/lechenie-asteno-depressivnogo-sindroma/
• https://onevroze.ru/prichiny-razvitiya-i-simptomy-asteno-depressivnogo-sindroma.html
• https://depressio.ru/nevrozy/173-asteno-depressivnyj-sindrom.html
• https://VitaPortal.ru/medicine/psihiatriya-i-dushevnye-bolezni/asteno-subdepressivnyj-sindrom-i-depressiya-v-chem-otlichi
• https://prosindrom.com/neurological/asteno-depressivnyj-sindrom.html
• https://NeuroDoc.ru/diagnostika/simptomy/asteno-depressivnyj-sindrom.html
• https://apatii.net/psixicheskie-rasstrojstva/depressiya/asteno-depressivnyj-sindrom

Prevention

In order to prevent astheno-neurotic syndrome, it is necessary to adhere to the following recommendations:

• Practice an optimal daily routine: go to bed on time and get up early.
• Be sure to take full rest on weekends and ensure rest during the working day.
• Monitor your diet: do not skip meals, ensure a nutritious and varied diet.
• Stop smoking, minimize the amount of alcohol, tea and coffee.
• Identify sources of stress and eliminate them.
• Practice physical activity by playing sports several times a week; to walk outside.

Diet

A special diet will help with successful treatment. It even happens that when using it, a person may not need antidepressants at all. What does the antidepressant diet recommend:

• Eating porridge.
• Nuts.
• Dried fruits.
• Be sure to supplement your diet with legumes.

It is also necessary to eat lean meat, eggs, and dairy products. You definitely need to take a course of vitamins. You can use a complex for pregnant women - these vitamins usually have the most balanced composition. It is recommended to exclude sweets as much as possible. You should especially not eat fatty, rich sweets, as consuming them only intensifies the symptoms of the syndrome. You can use dark chocolate or bananas; dates and prunes with honey are also excellent substitutes for sweets.

Differences from depression and asthenia

This type of disorder is observed mainly in people with neuroses, somatic diseases or cyclothymia. Patients note that, for no apparent reason, life suddenly loses its meaning, and their soul becomes heavy. The symbiosis of asthenia and depression in the form of nervous exhaustion often manifests itself at the end of winter, when there is not enough sunny weather.

Asthenia is expressed in fatigue, anxiety, depression (chronic fatigue syndrome). Associated symptoms of depression with this mental disorder are:

• Digestive disorders;
• insomnia or excessive sleepiness;
• loss of appetite;
• decreased libido.

General information

Neurasthenia (asthenic neurosis, astheno-neurotic syndrome) is a mental disorder belonging to the group of neuroses, which develops as a consequence of prolonged mental or physical overload. Answering the questions “asthenoneurotic conditions, what is it” and “who is susceptible to this disorder”, it should be noted that this condition usually develops in young people. It is associated with past stress, strong emotional experiences, constant problems with sleep, etc. Often this disorder occurs when mental trauma is combined with too hard work, lack of sleep, lack of normal rest, etc. Neurasthenic syndrome often develops in those whose bodies are weakened infections, smoking, alcohol, unhealthy diet, etc.

The signs of neurasthenia were first described by the American physician George Beard in 1869. Later, the diagnosis of “neurasthenia” became very popular - it was made very often, but at the same time the term acquired an increasingly broader meaning.

ICD-10 code for astheno-neurotic syndrome (neurasthenia) is F48.0. People who develop asthenic symptoms are irritable, easily excited, have difficulty concentrating on anything, and complain of fatigue. They find it difficult to fall asleep and wake up.

Treatment of this condition is carried out not only with medication. It is also necessary to adjust your daily routine and lifestyle.

What is neurasthenia, symptoms and treatment of the disease - this will be discussed in the article below.

Treatment of depression

For this condition, antidepressants are prescribed. In the least difficult situations the following are prescribed:

• sedatives for depression;
• tranquilizers;
• neuroleptics;
• stimulants;
• nootropics.

The main method of treatment for this disorder is psychotherapy. It allows you to identify the causes of the disease and eliminate them. This method of treating neurotic depression helps patients find uncontrollable causes of suffering and cope with all negative factors.

Conducting psychotherapy

Treatment depends on the characteristics of the nervous disorder. The impact is carried out at 3 levels. They are listed in the table.

Level	Description
Mental	Therapy consists of the patient receiving new information from a specialist. The main goal of the intervention is to eliminate single signs of the disorder.
Psychophysiological	Based on the construction of the feedback, the properties of the analyzers are applied. Reflex mechanisms are involved in the work. As a result of the help of a psychologist, the emotional status is restored, and the patient’s quality of life changes significantly for the better.
Neurovegetative-somatic	All manifestations of the disease are eliminated with the help of special training.

If psychotherapy does not help, the patient is prescribed anti-depression medications.

Morning asthenia

Increased fatigue, general weakness and irritability that occur in the morning indicate the development of asthenia. Morning neuropsychic weakness most often occurs when the usual sleep and wakefulness patterns are disrupted. The reason may be night work, stress, worries, time zone changes, recent illnesses and much more.

In order to get rid of unpleasant symptoms, it is recommended to adjust your daily routine, get enough sleep and avoid stressful situations. But if you wake up, and the signs of illness are already making themselves felt, then simple gymnastics will help restore your vitality.

• Close your eyes and slowly stretch in bed. This will allow you to stretch and warm up the muscular system, which will prepare the body for the day's work and fill it with energy. But most importantly, thanks to simple stretching, a pleasure hormone begins to be produced, which promotes a good mood.
• Take a couple of deep breaths in and out, hold your breath for a while. Blink your eyes 30-40 times. Using your palm, rub the bridge of your nose until you feel a slight warmth.
• Clench your hands into fists and unclench them, repeat 5-10 times. Relax, alternately tense the muscles of your feet, calves, thighs and buttocks. Pull your knees towards your stomach and clasp them with your arms. Inhale deeply through your nose and exhale.

After morning exercises, it is recommended to take a contrast, refreshing shower, have breakfast and greet the new day in a good mood.