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Twilight Clouding


- A special kind of stupefaction, acutely beginning and suddenly ending. Accompanied by a complete loss of memory for this period. The content of psychopathological products can only be judged by the results of the patient's behavior. In connection with a deep violation of orientation, possible frightening hallucinations and delusions, such a patient is a social danger. Fortunately, with somatic diseases, this condition is quite rare and is not accompanied by complete detachment from the environment, unlike epilepsy (see).
A feature of stupefaction syndromes in somatic diseases is their weariness, short duration, rapid transition from one state to another and the presence of mixed states.
Treatment:
It should be directed, first of all, to the basic somatic disease, because the mental state depends on its severity. Treatment can be carried out in the hospital where the patient is located, but two conditions must be met.
Firstly, a psychiatrist must necessarily look at such a patient and give his recommendations. Secondly, if the patient is in acute psychosis, he is placed in a separate room with round-the-clock supervision and care. In the absence of these conditions, the patient is transferred to the psychosomatic ward. If the disease of the internal organs is not the cause of mental disorders, but only provoked the onset of a mental illness (for example, schizophrenia), then such a patient is also transferred to the psychosomatic department (with a severe somatic condition) or to a normal psychiatric hospital. Psychotropic drugs are prescribed by a psychiatrist on an individual basis, taking into account all indications, contraindications, possible side effects and complications.
Prevention of somatogenic disorders should be aimed at the prevention, early detection and timely treatment of somatic diseases.