St. Zuchary's disease

December 4, 2013

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St. Zuchary's disease   - A disorder in which the patient loses the ability to vocalizations, but retains the ability to understand speech addressed to him.

How does mutism?

Mutism - one of the most serious changes in speech When a person retains his manifestation of silence that leads to an inability to engage in verbal contact with other people. Total mutism diagnosed when a person is incapable of speech contact at all times. Partial mutism   adults and children - is a condition in which a person may not carry on a conversation with certain people or a particular situation that is traumatic for him. Thus in another environment or with others he is able to speak. Elective mutism   - A condition in which the silence of the patient occurs sporadically. For example, elective mutism in children can go to school, when dealing with a certain range of peers.

If a person is observed hysterical mutism , The patient can not even pronounce the words in a whisper, though his tongue and lips can prodelyvat movements necessary for speech. And oral and written language people understand with mutism. In order to communicate with people, such patients are using facial expressions and gestures. As a rule, people suffering from hysterical mutism, do not look so depressed and frustrated state. Manifestations of hysterical mutism is often combined with other neurotic disorders. This can be enuresis . encopresis . amaurosis . As a rule, to manifestations of hysterical mutism inclined people with high emotional lability of the nervous processes. This kind of mutism more frequently seen in women.

Determined by a special form of mutism, which is called in medicine surdomutizm . In this case, we are talking about deaf-mutism, which can be either congenital or acquired. However, in this case, the patient no organic defects of speech and hearing aid departments.

Why manifests mutism?

Mutism in children and adults, in most cases manifested as a result of trauma, are essential stimulus to the brain cells. As a rule, a person initially an acute form of mutism, which expressed symptoms of hysterical neurosis. That is the basis of the mechanism of the disease is hysterical.

Mutism develops against the background of mental disorders. It can be functional and Organic . Its type is determined depending on the cause of this symptom. Organic is akinetic mutism In which the patient no voice traffic due to the defeat of activating parts of the brain.

Selective mutism is manifested as a kind of reaction of the human psyche to certain stimuli. Consequently, a factor which is the trigger of the disease, may be a serious conflict, a strong resentment, fear. Mutism in this case is directly related to neurosis . Very often mutism in children diagnosed with a high level of sensitivity, expressed resentment, physical weakness. In some cases, the child may be silent for many months and even years. In this case, parents should not try to handle the situation on their own, trying to persuade or inspire a child. Treatment of mutism the child should be treated by a doctor, taking into account all the peculiarities of the patient's condition.

At the time of diagnosis specialists always take into account the fact that children mutism may have a variety of psychological reasons. Therefore, each such fact must be studied individually and very carefully. Sometimes mutism in children is a particular form of protest, a silent expression of aggression.

Surdomutizm , i.e temporary deafness   and numbness can occur in a child due to trauma or stress response. Organic causes of such lesions were observed.

Mutism in adults is often observed on the background aphasia .

How to cure mutism?

Treatment of mutism is carried out after full confirmation of the diagnosis. In some cases, mutism, not only develops because of severe stress, trauma, and disappears under the influence of these factors.

Treatment of the disease is carried out, first of all, the methods of psychotherapy is also included in the comprehensive treatment and reception of tranquilizers. Physicians use in the treatment of children mutism multimodal approach : Applied behavioral, individual and family therapy. Practice new modern methods of therapy to address this speech disorder.

If a child with oppositional behavior demonstrates mutism, the doctor may be included in the complex treatment of low-dose neuroleptics receiving sedation.

Selective mutism   always treated with a view of the individual patient. Universal treatments do not exist. If a person is suffering from mutism provoked by organic lesions, sometimes an alternative to communicate through speech is to communicate through gestures.

Selective mutism in children is not a reason to exclude a child from a circle of peers. On the contrary, these children need to maintain an active dialogue with other people and learn to establish contact with them by all available means.

Selective mutism, provoked psychological trauma You can sometimes overcome the environment variables of a sick child, helping him to understand the situation and come to terms with it.

If an adult mutism developed as a result of suffering stroke Then proceed to its treatment in about 4 weeks after stroke. To resume speech function, practiced special techniques and exercises designed specifically for the recovery of people after stroke. In the complex treatment of mutism is often included relaxation, special breathing exercises.

Mutism, provoked Stress It should be treated with a professional therapist. However, to effectively overcome this problem requires the interaction of different experts - speech therapist . Psychologist . Psychiatrist .

Equally important is making a qualitative nervous correction with psychotherapy, physical therapy and others.