Reactive paranoid - a group of psychoses with sufficiently varied symptoms arising under the influence of psychological trauma (stay in an alien environment, under conditions of severe stress). It is accompanied by the formation of overvalued or delusional ideas, possible auditory and visual hallucinations social anxiety medication. There is anxiety, suspicion and constant psychological pressure. Often detected depressive components of varying degrees of severity. The diagnosis of "reactive paranoid" exhibit considering the history and clinical signs. Treatment - removal of traumatic situation, pharmacotherapy, psychotherapy after the disappearance of psychotic disorders.

As immediate causes of reactive paranoia experts indicate acute traumatic circumstances typically associated with risk to life, health and the future of the patient, or having a high subjective importance for the patient. The permanent members of stressful circumstances, provoke reactive paranoia are the high level of uncertainty, lack of information, inability to assess what is happening in terms of the usual standards and build a line of conduct that ensures the best outcome in a given situation.

Are very important features of the patient and the nature of the person, his medical condition, as well as the specific conditions of the situation (a foreign language environment, imprisonment and so on.). The likelihood of reactive paranoia increases with increased sensitivity, anxiety, suspiciousness, suspicion, rigidity domestic installations and lack of flexibility of thinking. Factors contributing to the emergence of reactive paranoia are physical and mental fatigue, exhaustion, poor nutrition, lack of sleep, trauma and physical illness.

The group reactive psychosis delusional paranoia include wartime paranoia prison railway paranoia, paranoia when hit in a foreign language environment and other species reactive paranoia with common clinical symptoms, but have slightly different appearances depending on the specific environmental conditions.

The main symptom of jet formation paranoia becomes overvalued or delusional ideas that are directly related to the traumatic circumstances. Usually there hypochondriac delirium sutyazhny delirium, delusions of jealousy, delirium or delusions of persecution of invention. A characteristic feature of this form of reactive paranoia is to maintain the adequacy of the external and orderly conduct in all other spheres of life. Subjects delusions well understood around because they can trace the connection between these ideas and the actual patient problems.

Initially reactive overvalued paranoia and delusions amenable to correction. In a subsequent delirium deepens, the patient becomes less sensitive to the opinions of others. The duration of the disorder depends on the nature and duration of the traumatic situation. In resolving the problem reactive paranoid usually quickly reduced and disappears. If the patient stays for a long time in unfavorable psychological atmosphere and can not solve the problem, possibly a protracted course with the outcome of a pathological paranoid development.

This form of reactive paranoia develops in extreme circumstances that require rapid adaptation to unusual and often extremely unfavorable conditions: if it enters the zone of military operations, arrest, isolation from familiar surroundings (at hit in a foreign language environment), absolute isolation (at the rubble in the earthquake , in a mine or cave). According to PB Gannushkina, there are two circumstances that are most conducive to the development of reactive paranoia: the first - the suspicion of committing a crime, the second - a stay in a completely foreign environment.

Contributing factors that increase the likelihood of reactive paranoia are secrecy, anxiety, self-doubt, increased sensitivity, as well as the objective circumstances in connection with which a person hides some facts and fear being exposed. These factors create an unfavorable emotional background and dramatically increase the psychological pressure. As a result, a patient suffering from reactive paranoid, begins to treat any neutral events (behavior and the views of others, they talk to each other), as evidence of eavesdropping, spying, conviction or exposure.

Perhaps acute or subacute development of reactive paranoia. The first manifestation of psychosis becomes a growing anxiety and expectation of imminent disaster, coupled with the false recognition and derealization. Patients with reactive paranoid seems that everything that happens has some hidden meaning that other people are up to something, whisper and exchange glances. The culmination is the sense of mortal danger. Surrounding turn into criminals who are prepared to deal with the patient, deprived of his life.

Against the backdrop of an extremely rich emotional reactions (confusion, restlessness, anxiety and fear) there is delirium, visual and auditory hallucinations. A patient suffering from reactive paranoid, "see", someone sneaks up to him to attack, "hears" voice as a threatened or reported enemy planes. It is rarely seen without a hallucinatory psychosis disorders. delirium special significance usually evolves, the impact of delirium, delusions or delusions of persecution relationship. Subjects Paranoid delusions when jet directly related to the traumatic circumstances. With the threat to life is dominated by the theme of sudden death, with the threat to the future and reputation - the theme of moral and moral prejudice, humiliation, injustice, and so forth..

Elements of delirium determined the situation and provoke the development of reactive paranoia. When railway paranoid patient can see a planning neighbors robbery gang of thieves and ask the conductor or the police for help. In wartime paranoia - can be considered enemies of others, and himself a deserter, a traitor or a spy. The main manifestations of reactive paranoia usually disappear within a few days after the start of treatment. Within 2-3 weeks, there is fatigue, sometimes - with elements of residual delirium.