A Simple Guide to Neurosis, Diagnosis, Treatment and Related Conditions

By Kenneth Kee

This book describes Neurosis, Diagnosis and Treatment and Related Diseases

There was a time when the psychiatric world recognize 2 main illness: neurosis and psychosis
Since 1980 Neurosis has been removed as a single disorder by the Diagnostic and Statistical Manual of Mental Disorders (DSM III) and placed together with other anxiety disorders.
It is still utilized in the ICD-10 F48.9 (Non-psychotic mental disorder, unspecified)

Neurosis is a disorder where negative or obsessive thoughts tend to dominate the mind, causing the behavior to be drastic and irrational, and causing the patient to struggle with daily mental changes.

Neurosis should not be mistaken for psychosis, which indicates a loss of touch with reality.

It should not be mistaken for neuroticism, a fundamental personality trait indicated in the Big Five personality traits theory.

Neurosis may also be called neurotic behavior.

Neurosis is a term that describes ic attack.

The patient will get a different definition of neurosis symptoms depending on which doctor the patient researches.

However, they all share similar features.

Sigmund Freud, the founder of psychoanalysis, formulated 3 causes for neurosis.
1. Repressed emotional trauma.
2. Sexual trauma
3. Repressed sexual libido.

Freud believed that neurosis is a coping mechanism (as example a dog attack in earlier life leading to a phobia of dogs in adulthood).

Carl Jung believed neurosis was due to a conflict between the conscious and unconscious mind.

When a person is not able to live up to their higher self, this would remain in their unconscious mind and ultimately develop as a neurosis.

This was suggested as a good thing as it permitted people to reach their potential.

Hans Jurgen Eysenck believed that a person was more likely to develop a neurosis if they shared certain personality traits, such as introversion and extroversion.

These personality traits have a biological root and are all connected to the autonomic nervous system (ANS).

People who have an ANS that responds quickly to stress will be neurotic.

Neurosis is no longer regarded as a medical disorder but comes under an anxiety spectrum.

Diagnostic principles in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) are:
1. Extreme anxiety and worry for at least six months
2. Difficulty regulating the worrying.

The anxiety is related with 3 or more of these symptoms for at least 6 months:
1. Restlessness, feeling keyed up or on edge
2. Being easily fatigued
3. Difficulty in concentration or mind becoming blank, irritability
4. Muscle tension
5. Sleep disturbance
6. Irritability
7. The anxiety causes considerable distress or impairment in social and occupational areas
8. The anxiety is not due to any physical cause

The symptoms of neurosis can be:
1. Anger,
2. Aggressiveness,
3. Anxiety,
4. Cynicism,
5. Compulsive acts,
6. Cognitive problems,
7. Disturbing thoughts,
8. Dependency,
9. Habitual fantasizing,
10. Irritability,
11. Impulsiveness,
12. Lethargy,
13. Low sense of self-worth,
14. Mental confusion,
15. Negativity,
16. Obsession,
17. Perfectionism,
18. Phobic avoidance,
19. Vigilance,
20. Unpleasant or disturbing thoughts,
21. Repetition of thoughts.

Neurosis may be treated using:
1. Behavior modification therapies,
2. Pharmacological treatments

TABLE OF CONTENT
Introduction
Chapter 1 Neurosis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Anxiety and Panic Attacks
Chapter 8 Post Traumatic Stress Disorder
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Aug 10, 2021
• ISBN: 9781005798796

Kenneth Kee

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972. He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993. Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades. Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day. He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits. He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police. Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours. Beyond his medical career, Dr. Kee is also an author. He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience. Over time, he published various books, many of which provide simple and accessible guides to different health conditions. His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon. His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history. Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources. Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include: "A Family Doctor's Tale" This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories. "Specialized Medical Conditions" Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...

Book preview

A

Simple

Guide

To

Neurosis,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2021 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Neurosis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Neurosis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Neurosis

There was a time when the psychiatric world recognize 2 main illness: neurosis and psychosis

Since 1980 Neurosis has been removed as a single disorder by the Diagnostic and Statistical Manual of Mental Disorders (DSM III) and placed together with other anxiety disorders.

It is still utilized in the ICD-10 F48.9 (Non-psychotic mental disorder, unspecified)

What is Neurosis?

Neurosis is a disorder where negative or obsessive thoughts tend to dominate the mind, causing the behavior to be drastic and irrational, and causing the patient to struggle with daily mental changes.

Neurosis should not be mistaken for psychosis, which indicates a loss of touch with reality.

It should not be mistaken for neuroticism, a fundamental personality trait indicated in the Big Five personality traits theory.

Neurosis may also be called neurotic behavior.

What are the causes of Neurosis?

Causes

Neurosis is a term that describes an underlying psychological disorder.

The patient will get a different definition of neurosis symptoms depending on which doctor the patient researches.

However, they all share similar features.

Sigmund Freud, the founder of psychoanalysis, formulated 3 causes for neurosis.

1. Repressed emotional trauma.

2. Sexual trauma

3. Repressed sexual libido.

Freud believed that neurosis is a coping mechanism (as example a dog attack in earlier life leading to a phobia of dogs in adulthood).

Carl Jung believed neurosis was due to a conflict between the conscious and unconscious mind.

A person developed neurosis when they had an existentialist (existence responsibility) crisis.

When a person is not able to live up to their higher self, this would remain in their unconscious mind and ultimately develop as a neurosis.

This was suggested as a good thing as it permitted people to reach their potential.

Hans Jurgen Eysenck believed that a person was more likely to develop a neurosis if they shared certain personality traits, such as introversion and extroversion.

These personality traits have a biological root and are all connected to the autonomic nervous system (ANS).

People who have an ANS that responds quickly to stress will be neurotic.

Neurosis is no longer regarded as a medical disorder but comes under an anxiety spectrum.

Diagnostic principles in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) are:

1. Extreme anxiety and worry for at least six months

2. Difficulty regulating the worrying.

The anxiety is related with 3 or more of these symptoms for at least 6 months:

1. Restlessness, feeling keyed up or on edge

2. Being easily fatigued

3. Difficulty in concentration or mind becoming blank, irritability

4. Muscle tension

5. Sleep disturbance

6. Irritability

7. The anxiety causes considerable distress or impairment in social and occupational areas

8. The anxiety is not due to any physical cause

Pathophysiology

The precise mechanism is not completely known.

Anxiety and neurosis can be a normal phenomenon in children.

Stranger anxiety in children starts at 7 to 9 months of life.

Noradrenergic, serotonergic and other neurotransmitter systems seem to play a part in the body's reaction to stress.

The serotonin system and the noradrenergic systems are frequent pathways affected in anxiety.

Many doctors believe that low serotonin system activity and elevated noradrenergic system activity are accountable for its development.

Selective serotonin reuptake inhibitors (SSRI) and serotonin-norepinephrine reuptake inhibitors (SNRI) are the first-line medicines for its treatment.

Causative Factors

The cause may be:

1. Stress

2. A physical disorder such as diabetes or other co-morbidities such as depression

3. Genetic, first-degree relatives with generalized neurosis (25%)

4. Environmental factors, such as child abuse

5. Substance abuse

Incidence

Childhood anxiety happens in 25% children between the ages of 13 and 18 years.

The median age at the start of neurosis is 11 years

The lifetime prevalence of a severe anxiety disorder in children ages 13 to 18 is about 6%.

The incidence in