Emotional disturbances

Cross, T.L., et al., "Toward a Culturally Competent System of Care," Vol. 1 Monograph on Effective Services for Minority Children Who Are Severely Emotionally Disturbed. Washington, DC CASSP Technical Assistance Center, Georgetown University Child Development Center (1989). 

Devereux Child Behavior Rating Scale. The Devereux Child Behavior Rating Scale contains 97 items and is similar to the Devereux Teacher Scale. It is used for emotionally disturbed and mentally retarded children aged 8 to 12 years. Besides being easy to use, this scale is well researched and discussed in the literature. It requires 10 to 20 minutes to complete by clinicians, child care workers, parents, or others and gives 17 scores. There is a Devereux Adolescent Behavior Rating Scale for children from ages 13 to 18. 

Confusion A mental state characterized by bewilderment, emotional disturbance, lack of clear thinking, and perceptual disorientation, [nih]... 

Physicians outside the "hot areas" seldom recognize the s5miptoms of ciguatera poisoning. As a consequence inappropriate time, resources, diagnostic tests, and treatments are used often leaving a frustrated, seriously-depressed, sometimes emotionally-disturbed sick patient whose financial resources have been... 

Symptoms of poisoning include numbness and tingling of the lips, hands, and feet (paresthesia) ataxia dysarthria concentric constriction of the visual fields impairment of hearing and emotional disturbances. ... 

Prolonged ingestion of thallium produces a variable clinical picture, which includes stomatitis, tremor, cachexia, polyneuropathy, alopecia, and emotional disturbance. Alopecia may be the best known effect of chronic poisoning, with epilation beginning about 10 days after ingestion and complete hair loss occurring in about 1 month. ... 

Many propoxyphene-related deaths have occurred in patients with histories of emotional disturbances, suicidal ideation or attempts, or misuse of tranquilizers, alcohol, and other CNS-active drugs. Deaths have occurred as a consequence of the accidental ingestion of excessive quantities of propoxyphene alone or in combination with other drugs. Do not exceed the recommended dosage. 

Adverse reactions may include ataxia, vertigo, fatigue, hyperirritability, emotional disturbances, diplopia, nystagmus, drowsiness, personality deterioration with mood changes, paranoia, nausea, anorexia, vomiting, megaloblastic anemia, thrombocytopenia, impotence, morbilliform or maculopapular skin eruptions, crystalluria. 

Cachexia. A general lack of nutrition and wasting occurring in the course of a chronic disease or emotional disturbance. 

Mattison, R.E. (1997) Use of psychotropic medications in special education students with serious emotional disturbance. / Child Adolesc Psychopharmacol 7 149-155. 

Duncan, B.B., Forness, S.R., and Hartsough, C. (1995) Students identified as seriously emotionally disturbed in day treatment classrooms cognitive, psychiatric and special education characteristics. Behav Disord 20 238—252. 

Gottfries CG, Nyth AL Effect of citalopram—a selective 5-HT reuptake blocker in emotionally disturbed patients with dementia. Ann N Y Acad Sci 640 276-279, 1991... 

The lack of evidence of severe mental or emotional disturbances, even In volunteers who were observed to experience intense and persistent cardiovascular effects, is noteworthy. Although DMHP acetate elicits far greater cardiovascular consequences than other canna-binoids, It appears to Induce less severe mental impairment. It Is possible that careful screening and a supportive test milieu tend to minimize the occurrence of adverse mental effects. 

It is indicated in fear, anxiety, tension, pre and postoperative apprehension behavioural disorders, insorrmia and emotional disturbances. 

Wong GH, Cock RJ. Long term effects of haloperidol on severely emotionally disturbed children. AustNZ J Psychiatry 1971 5 296-300. 

Patients suffering from stress, insomnia, emotional disturbance and exhaustion... 

Anticoagulants are used to prevent cardiovascular and cerebrovascular accidents. Most patients who are on anticoagulants are elderly people with chronic heart and vascular diseases. From a TCM perspective, the blood becomes thicker and tends to coagulate when heat (often generated by stress and emotional disturbance) consumes the blood, or when phlegm accumulates as a result of Spleen deficiency. Kidney deficiency is a potential cause of this as the Kidney-Qi weakens with age and is unable to maintain the proper functioning of the Spleen and Liver. 

Excess Heart-fire is mostly generated by Liver-fire, its mother organ. The most common cause is emotional disturbance, such as stress and frustration. It may also be caused by the imbalance between Kidney and Heart, such as in shock where the Heart-fire loses control of the Kidney-water. Moreover, some diseases or some drugs can directly injure the Yin of the Heart and cause Heart-fire to ascend, such as in a warm-febrile disease. 

If the blood cannot flow vigorously, there may be a thready pulse. When the blood is too weak to move, Qi stagnation is often present - the pulse is then not only thready, but also wiry. Patients may suffer from emotional disturbances... 

Sheng Mai San is a formula for treating both Qi and Yin deficiency of the Heart and Lung. It treats the syndrome of Heart-Yin deficiency caused by chronic disease, prolonged intense stress and emotional disturbance it also relieves symptoms such as palpitations, restlessness, anxiousness, anxiety, tiredness and sweating. 

Bai Shao Yao is bitter, sour and slightly cold, and enters the Liver and Spleen meridians. It is able to nourish the Yin and therefore soften the liver. In addition, it can reduce the empty-heat from the Liver, which is often caused by Yin deficiency. Thus it is considered an effective herb to soften and pacify the liver, and is used to treat cramping pain due to Yin deficiency that fails to nourish the tendons and muscles. It is also selected in emotional disturbances such as stress, anger, frustration, resentment and irritability. 

Stomach fullness due to stress and emotional disturbance use Chai Hu (Bupleuri radix), Fo Shou (Citri sarcodactylis fructus) and Xiang Yuan (Citri fructus) to regulate the Liver and Stomach. 

Stagnation of Qi is often caused by emotional disturbance and accumulation of internal cold, heat, phlegm, water and food. It also occurs in trauma and stagnation of blood. 

Blood stagnation is often the result of Qi stagnation, which is frequently caused by emotional disturbance, such as stress, anger, brooding or depression for a long period. 

If the Liver-Yang is not controlled with appropriate treatment, it may turn into Liver-wind, especially under strong emotional disturbance and stress. 

Internal dryness is caused directly by the consumption of body fluids. Some diseases, medicines, herbs or food products can injure the body fluids and cause dryness. Long-term stress and emotional disturbance can also cause consumption of the body fluids. As the Lung, Stomach and Large Intestine are mainly involved, the syndrome of dryness can be respectively divided into dryness in the Upper-, Middle- and Lower-Jiao. 

Hypochondriac pain and distension, fullness in the chest, stomach and abdomen, irritability, depression and frustration, dream-disturbed sleep, irregular menstruation, a bitter taste in the mouth, dry mouth and throat, headache, vertigo, fatigue, reduced appetite, nausea, vomiting and diarrhea, cold hands and fullness in the chest when subject to strong emotional disturbance. 

When there is strong emotional disturbance, the Qi is obstructed in the chest, so it cannot spread and is unable to reach the extremities, resulting in cold hands and fullness of the chest. 

---