Why do babies rock back and forth: Body-rocking, head-rolling & head-banging | Raising Children Network
Discussing Kids Health Issues | Everyday Health
Q1. My 1-year-old is always rocking – in her highchair or just sitting on the floor. Is there something wrong with her? Or is she just doing this to have fun?
Lots of children love to rock back and forth. Most often this is just normal behavior; however, occasionally it can be associated with specific problems, such as autism. To distinguish between normal rocking and abnormal behavior, you can look at the rocking specifically and your child’s behavior in general. Is your daughter’s rocking playful, or is it machine-like, with your child almost going into a trance-like state? Playful rocking is expected behavior in 1-year-old children. Children will make eye contact with you at times during the rocking, and they usually appear happy or engaged.
General behavioral patterns to look for include your child’s language and social skills. Does she have some language, such as the words “dada” and “mama”? Does your daughter communicate her wants? Does she desire your attention? These are all normal social and language skills for a 1-year-old. If you are uncertain about how to describe the rocking or how to interpret your daughter’s behavior, I suggest you take a video of your daughter rocking and playing to show her pediatrician. Always express any concerns you have about your child’s behavior and development to her pediatrician.
Q2. My daughter is 10 months old and still has a big lump on her right breast. I know that baby girls are born with extra breast tissue at birth, but I am concerned because her breast lump is extremely large and you can easily notice a difference in size between her left and right sides. Please let me know of any tests that I could have her undergo to find out if this lump is just breast tissue or something else.
— Elinol, Massachusetts
You are correct — girls, and sometimes even boys, may be born with extra breast tissue. Some babies may even produce a small amount of milk from their breasts. This comes from the mother’s hormones, which the baby is exposed to while in the womb. After a baby is born and he/she is no longer exposed to high doses of hormones, breast tissue will usually shrink with time, though it can take up to a year. Additionally, one breast may decrease in size faster than the other, which may be what has occurred with your daughter. Breastfed babies may continue to receive hormones from the mother’s milk, which stimulates the breast tissue. Occasionally an infant may have a cyst in the breast that causes enlargement. An infection is another possible cause of swelling in the breast, however the skin would likely appear red, feel warm, and be tender to the touch, which is not what you describe.
I recommend that if you are concerned that the lump may be a cyst and not just breast tissue, you should take your daughter to the pediatrician. The doctor may be able to make a diagnosis just by examining your daughter. If the diagnosis is still unclear, your doctor may recommend she have an ultrasound. Ultrasound does not involve any radiation and is a very safe test that should give you a diagnosis.
Q3. I have a 6-month-old son and there are times during his bottle feeding when he will shake. Do you think this could be a seizure or a neurological problem?
Esther, it is very common for neonates to shake and be “jittery.” As an infant gets older, the shaking usually resolves. Many people worry that the repetitive movements their children make are seizures, however, most are not. There are several features about shaking that are associated with seizures. If the child seems unresponsive during the episodes, there is more concern for a possible seizure. If you are unable to stop the repetitive shaking movement by applying pressure to the shaking limbs, that is also more consistent with a seizure. If your son is happily drinking from his bottle and just has a little shake to his arms, most likely he is just getting used to holding his own bottle and has yet to fully master the skill. Watch closely the next time it happens. I recommend that parents use videotape to record behaviors that concern them and show it to their pediatrician.
Q4. My 18-month-old is always hungry. He eats healthy meals and has two snacks a day. Once he starts eating he doesn’t want to stop; he gets mad and throws a fit when he cleans his plate, wanting more. I give him reasonable helpings of everything. Is this unusual? He only weighs 22 pounds, so he isn’t overweight for his age!
— Nikki, Mississippi
Nikki, this is incredibly common. Children get into all types of food battles. Some refuse food, some continuously want food. As long as your child is growing well and thriving, all of this is likely behavioral.
In general, pediatricians recommend that you try to avoid food battles, but that is more easily said than done. Since your son is not overweight you do not need to be as strict with feeding as some parents. Try to find healthy low-calorie snacks like peas, green beans, or heated chopped vegetables. Children often enjoy feeding themselves these foods and can practice their fine-motor skills and colors at the same time. You might also want to have your son drink some water before meal times and allow liberal drinking of water during meals to help him feel full.
If your son still throws a temper tantrum after what you think is a filling meal, it might be best to just walk away and not respond to his fits for at least a minute. As he quiets down, you can return and give him attention. This is like a little time-out.
The period in which toddlers start asserting their independence can be incredibly difficult for parents. Tantrums are common even at 18 months. Try to give your son less attention when he is having a tantrum so he gets negative reinforcement for the behavior, and provide lots of attention and praise when he transitions well from meal times to other activities.
Q5. My son is now 1 year old, and my breasts are still leaking milk. Why is that, and what can I do about it?
— Laura, Georgia
Milk leakage, called galactorrhea, can have several causes. It quite normally occurs after pregnancy and breastfeeding.
But occasionally, leaking breasts can be a sign of increased secretion of the hormone prolactin from the pituitary gland in the brain, or sometimes the prolactin is even secreted from a small tumor called a microadenoma.
Breast leakage can be a side effect of medication too, such as SSRIs (antidepressant medications), though this rarely increases prolactin levels.
It’s very important for you to distinguish whether your breast leakage is just the normal, post-pregnancy type or whether it’s related to increased prolactin levels.
So see your doctor for an evaluation and to get the appropriate blood tests. If you do have normal, post-pregnancy leakage, there’s unfortunately not much you can do but wait it out.
There is a hormone injection that works for three months at a time and can stop the leakage, but this injection also causes a mini menopause, so it’s really not worth the trouble.
Learn more in the Everyday Health Kids’ Health Center.
Head Banging & Body Rocking
What is head banging and body rocking?
Head banging and body rocking are types of rhythmic movement disorder that usually involve some type of repetitive stereotypical whole body or limb rocking, rolling, or head banging behaviors. These behaviors are usually seen in children around naptime and bedtime and may recur after awakenings throughout the night.
- Head banging typically occurs with the child lying face down – banging the head down into a pillow or mattress. In the upright position, the head is banged against the wall or headboard repeatedly.
- Body rocking is typically done with the entire body while on the hands and knees. In the upright position, the upper body may be rocked.
Body rocking and head banging may occur at the same time. Other less common types of rhythmic movement disorders include body rolling, leg banging, and leg rolling. One or two movements can occur every second or two and “episodes” often last up to 15 minutes. Sometimes this may be accompanied by humming or other vocalizations. The movements usually stop if the child is distracted or after sleep is established. Usually, there is no recall (amnesia) upon awakening.
Should I be concerned about my child’s head banging and body rocking behaviors?
If your child is normal and healthy and only shows these behaviors during the night or at naptime, you should not be concerned – these are common ways for children to fall asleep. They are seen in many healthy infants and children beginning at an average of 6-9 months of age. These behaviors typically subside by age 2 or 3 and by age 5 are only still seen in 5% of normal, healthy children. These movements tend to occur at the same rate in both girls and boys and may run in families with a history of these movement disorders. Note: Head banging and body rocking behaviors should only be considered a disorder if they markedly interfere with sleep or result in bodily injury.
Parents of certain children with other health issues – including developmental delay, neurological or psychological problems, autism spectrum disorder, or those who are blind – will need to be watchful of these behaviors, as they can (though rarely) lead to injury. Of note, rhythmic behaviors in children with health problems may occur both during the day and night.
What response or protective action should a parent take?
Simply keep in mind that head banging and body rocking are normal activities that some children engage in to help with sleep onset. There is not much you need to do, and most children will grow out of this behavior by school age.
There is no real need to put extra pillows or bumpers in the crib – they usually don’t work. Also, don’t forget that by visiting your child while they are doing these activities, you may be reinforcing what may be an attention-seeking behavior. So make sure you are giving your child plenty of attention during the day, and ignore this behavior at night.
As far as your child’s safety is concerned, do make sure the bed or crib they are in is secure – that all the bolts and screws are checked and tightened on a regular basis. If your child is in a bed, put a guardrail up, so he or she does not roll out of bed. You may want to move the bed/crib away from the wall to reduce the noise factor at night.
When should I consult a doctor about head banging and body rocking behaviors?
You may wish to discuss this with your doctor if:
- There is injury associated or you fear there is potential for harm.
- There is a lot of disruption to the home environment due to noisy head banging.
- You feel your child may have other sleep disorders such as snoring and sleep apnea.
- You are concerned about the development of your child.
- You worry your child may be having seizures.
5 Autism Signs In Babies 2 And Younger
With autism rates continuing to rise, it’s natural that parents want to be aware of what to look for if they suspect their child has autism. The sooner they get a diagnosis, the sooner they can begin therapy and early interventions to help their child develop any necessary skills.
There are several different signs that a child may be on the spectrum, but your child won’t necessarily meet every single one. If your child is only showing a sign or two, that doesn’t mean they have autism — but it also doesn’t rule it out.
Rob Owen, the father of three boys on the spectrum with a YouTube page titled Autism Family, shares five signs of autism he noticed in his boys before the age of two years old. (We’ve written an article about this family before that shows how they calm down their son during a meltdown and panic attack. Check it out here.)
Photo: Patreon/Autism Family
In this video, Rob explains five signs that babies that are two years old or younger may display, based on research he’s done as well as his and his wife’s experience raising their three boys with ASD.
He primarily focuses on his oldest son, Ian, who showed the most distinct signs of autism and is a higher-needs child compared to his two younger brothers.
He makes a crystal-clear disclaimer in the beginning of the video, emphasizing that these five signs aren’t absolute. Whether or not your child displays these signs is not a clear indication that they do or do not have autism. Babies develop at different paces, and that doesn’t necessarily mean anything is amiss.
Photo: YouTube/Autism Family
The age which these signs crop up — and the intensity of them — can vary.
“Sometimes the signs they [parents] notice happen like a light switch,” Rob says in the video, “where the child seemed typical and healthy in the first year, then all of a sudden, their behaviors change rapidly. For some people, they notice the behaviors have been steadily progressing since infancy. Others may not notice anything until later toddler years, because babies start out being nonverbal, and have many odd or cute behaviors that don’t seem strange at the time.”
Autism diagnoses happen during the toddler years, and Rob usually gives advice to wait until that age to try to seek a diagnosis or become concerned. However, some signs do start earlier, and he’s gotten requests to make a video like this for his YouTube page.
“Your milage may vary,” he reminds viewers.
Here are the signs he goes over.
1. Delayed Ability To Walk
Photo: YouTube/Autism Family
Rob states that walking typically starts when a child is between 9 and 16 months. According to BabyCenter, a child will often take their initial steps between 9 and 12 months, walking easily by 14 or 15 months.
Their oldest son Ian started walking around 2 years old (24 months) and Connor started walking around 1 1/2 years old (18 months). Their son Alistair didn’t experience a delay in this area and started walking at 14 months.
The segment discussing this begins at 1:59 in the video.
2. Speech Problems
Photo: YouTube/Autism Family
Many children on the spectrum have a speech delay, and some are completely nonverbal. If a child is still nonverbal before the age of two, that doesn’t mean they won’t eventually become verbal. However, by age two, most children can talk, saying roughly 50 words, and are able to complete short sentences, such as “Daddy home” or “Dog go.”
Even if your child isn’t talking by two, though, it doesn’t mean they have autism — it can simply mean they have a speech delay.
All three of the Owen boys had delayed speech and all used made-up words. By age three, Ian was still struggling with speech, and still struggles today as a teen.
The segment begins at 2:23 in the video.
3. Sensory Issues
Photo: YouTube/Autism Family
Rob discusses Sensory Processing Disorder (SPD) and how it can manifest in children. Some children with autism have issues with sensory overload — where sights and smells and sounds can be overwhelming and overload their system, leading to frustration, meltdowns, anxiety attacks, and more. Some people with autism don’t enjoy being touched at all, but some actually have a sensory “craving.” This is where they need sensory input, like strong physical pressure, constant touching, or hugs. One of his sons has a habit of biting because of this need for sensory input.
Segment begins at 3:18 in the video below.
4. Poor Eye Contact
Photo: YouTube/Autism Family
Lack of eye contact is more than simply not looking at someone when they talk to you (though that can be part of it). Poor eye contact can present itself as a child zoning out, or not responding to repeated calls of their name to get their attention. If their eyes are constantly wandering or they seem like they aren’t paying attention, that is also a sign. In addition, this sign can present itself as a child purposely playing by themselves, even if they are in a group, rather than interacting with others.
Segment begins at 4:49 in the video below.
5. Frequent Head Banging
Photo: YouTube/Autism Family
Head banging is another sign that Rob saw in his children Alistair and Ian. He makes it clear that head banging and rocking are two very different things. Young babies rock back and forth when they’re learning how to sit up or crawl. But banging their head is a distinct motion where they are either banging their head against a surface or banging something like a toy against their head, to try to meet a sensory need.
Segment begins at 7:06 in the video below.
What Does It Mean If Babies Are Rocking Back And Forth?
When you have a baby, every unique action they do is a mystery. You may wonder if a certain thing is a cause for alarm, or is normal. One of the biggest instances of this is when babies are rocking back and forth. Seeing a baby making an unusual movement will have you questioning why they’re doing that. You may wonder if the baby is doing something common or something unusual that you may want to see a professional about.
Is it something you need to be concerned about? Or is it nothing to worry about? Let’s look at a few reasons why this happens.
Source: pixabay. com
Your Kid Is Playful
When babies are rocking back and forth, they may feel like playing. They may feel very energetic and are trying to get your attention. In this case, maybe you should play with them a little bit and make sure that they’re having a good time. If they stop rocking after that, there you go.
Alternatively, they may be trying to get your attention. You may need to avoid getting the attention of them if you’re busy, as if you tend to it, they can make it a habit. It’s at your discretion. This behavior should go away with time. With that said, giving your baby attention and affection whenever you can is important.
They’re Learning To Crawl
If your child is rocking back and forth, they may be trying to build up their leg strength to crawl. A baby starts to crawl around 6-10 months, so if your baby’s age is in that ballpark, they may be training themselves to crawl. They’re learning to move into a crawling motion, and maybe playing with all their motor skills to do so.
If you want to help your baby, put a toy near the baby, and use that as an encouragement to train your child. It can be an incentive for them to learn to crawl so they can grab that toy. By learning early, they can be more independent and ready to take on the world.
Train on, baby! If you see them doing this, you should encourage it and not try to ignore it. This can make your baby crawl and walk even earlier.
They’re Reacting To You Or Someone Else
If you’re there and are promoting movement, your baby may be reacting to that. If your baby is rocking, look around and see if any external factors are contributing to that. They may see something that is bothering them, and if you get help, your baby will stop rocking and be calm. Then, you may be able to eliminate the cause and calm them down.
They’re Trying To Sleep
Sometimes, babies are rocking back and forth, particularly around seven months, in an attempt to sleep. We all know that babies like to rock a bye, and they can rock themselves to lull them to sleep. This may be something you shouldn’t care about unless they are over two. If they’re too old and doing it, this may be a sign of a disorder. In case if you’re not sure, it’s worth it to see a doctor.
Some babies rock back and forth and do it repetitively. It’s almost like they are in a trance, and they don’t like doing it. This may be a sign of autism. Okay, it’s not a sure sign of autism, but it’s something you may want to talk to a doctor about if you want to rule it out. Repetitive movement with no goal in mind is a sign of autism, and by treating it early, your child can have a better chance of functioning as high as possible.
Banging Head On The Wall
If you see them rocking back and forth, and to add to that, they’re banging their head on the wall; this could be a sign of another developmental disorder. This especially applies if the baby is doing it during the daytime. It may be worth it to see a doctor about this situation. Too much headbanging can hurt the baby and possibly cause something worse down the line.
They May Be Upset
Sometimes, the explanation is simple. They are upset. Instead of crying, some babies rock back and forth in an attempt to relieve their emotions. In a case like this, you may want to see what’s up. There may be something around them upsetting them, they may be hungry, or sick. If you’re unsure, talk to a doctor and see if there’s any problem. You don’t want your baby to be upset all the time, do you?
Sometimes, you may notice your baby rocking back and forth in their crib. If so, they may hit their head on something. Make sure the crib is not near the wall, and make sure there are no hazards that could hurt your kid. Let them rock in peace, and if they keep doing it, it may be the time to seek a doctor.
Unsure? Seek Help
Many times, your baby rocking back and forth is nothing to be worried about, and it’s a common sign of a growing baby. However, there are some cases where you may be worried, and reasonably so. If you suspect the reason being something bigger, perhaps it’s time to talk to a doctor and see what the problem is. If it’s a problem, your doctor may be able to treat your kid and allow them to live a better life.
In many cases, the baby rocking back and forth is nothing you should worry about, but if you are unsure, it won’t hurt to seek a doctor.
As your baby grows, they will probably learn to express themselves in many other ways, so encourage them to do so, but also don’t discourage rocking if it’s harmless.
Babies Are Rocking Back And Forth FAQs
Why does my baby keep rocking?
Rocking back and forth is normal for babies. Babies do this playfully and may make eye contact with you to get your attention. However, it can also be a sign of a developmental disorder. Pay attention to how they are rocking and their general behavior. If they don’t seem engaged and playful, you may take a video and consult with your pediatrician.
What does rocking back and forth mean?
Babies rocking back and forth can mean several things. They may want to seek your attention or try to learn how to crawl. Your baby may also be too tired and is trying to sleep, or they are bored, and nothing is stimulating them. It can also be a sign of a developmental disorder.
What is body rocking?
Body rocking is when an individual moves their body, rhythmically swaying back and forth. Babies may do this while they are in a sitting or quadruped position.
Is rocking back and forth a sign of autism in babies?
Rocking back and forth can be a sign of autism spectrum disorder in babies. Pay attention to your child’s behavior. Are they rocking back and forth playfully, or does it seem more mechanical or trance-like? Also, check if they don’t seem happy or engaged while they are moving. Some experts believe that this behavior tends to soothe children who have autism.
Is rocking back and forth a sign of autism?
As previously mentioned, it may be a sign of autism spectrum disorder. Look out for your child’s general behavior and how they specifically rock back and forth. You may consult with a doctor if you are unsure.
What mental illness causes rocking?
Rocking may be a sign and is common among people with an autism spectrum disorder. Rocking is a repetitive behavior that also occurs in individuals with mental retardation and pervasive developmental disorder, among others.
Is rocking a sign of ADHD?
Cot rocking in babies and toddlers may be a sign of ADHD. While rocking is normal for babies, ADHD symptoms may appear more exaggerated or trance-like. Pay close attention to how they rock their bodies and check if they seem engaged and playful.
What are the early signs of autism?
Signs of autism spectrum disorder may appear during your child’s early years. They may rock back and forth and prefer routines and order. Other symptoms are no social smiling and one-word communication around six months, no babbling and other gestures by 12 months, poor eye contact, and no interest or response to sounds, toys, and other objects. Early assessment of your doctor is necessary for proper intervention and success.
Why do babies shake their heads back and forth?
Babies start to develop their motor skills during the first few weeks of their life. This movement signifies they may be imitating the people around them to gain control of their bodies. They may also shake their heads when trying to latch on during feeding. Likewise, it can be a sign of tiredness, and they are trying to soothe themselves. If fever or cold accompanies the shaking, or it seems trance-like, you may want to consult with your pediatrician about an ear infection or autism spectrum disorder.
Does my baby have autism?
Your child may show signs of autism spectrum disorder early on. Look out for behavioral, communication, and social differences. These may include a lack of social smiling, eye contact, response, and social babbling. Other signs include repetitive behavior like rocking, flapping of their hands, and swaying. If you are concerned, it is best to take action and consult your pediatrician.
Babies Are Rocking Back And Forth Other Resources
Last Updated on April 23, 2021 by Marie Miguel
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Always seek the advice of your physician or other qualified health provider with any questions about medical conditions. Do not disregard professional medical advice or delay seeking advice or treatment because of something you have read here a FamilyHype.com.
Babies & Head Banging at Night
Parents of infants often spend considerable time and attention promoting their child’s sleep. In this process, parents may be thrown off by a new behavior that arises during infancy: their child repetitively and rhythmically banging their head or rolling their body at bedtime or during the night.
Although head banging can be loud and may be unsettling for parents to see, it is typically benign. It’s very uncommon for babies to be hurt by head banging. In most cases, this behavior goes away on its own during the toddler years and is not usually a sign of any health or developmental problem.
Though head banging is generally considered to be normal, in rare cases it can be classified as a disorder, known as Sleep Related Rhythmic Movement Disorder, if it disturbs a child’s sleep or causes injury.
For parents, learning the basics about baby head banging before and during sleep can help them to understand this behavior and know when it might be necessary to discuss it with their child’s pediatrician.
What Is Head Banging?
Head banging is a repeated motion that happens around bedtime or during sleep. It can appear differently based on a child’s posture:
- When face down in bed, they lift their head and sometimes part of the upper torso and then slam themselves back down into the mattress.
- When sitting, they bang their head against the crib, a wall, or another nearby object.
Head banging continues with a consistent rhythm, happening every one to two seconds. It can go on for an extended period but typically lasts for 15 minutes or less. In many cases, head banging is accompanied by vocalizations such as a steady humming sound. When spoken to, a child may temporarily stop the behavior but will usually return to head banging shortly thereafter.
Most head banging in babies and children happens in the lead-up to sleep, but it can also occur while they are sleeping. It may happen before and during daytime naps as well.
It is believed that babies and children are not aware of head banging. When children who are old enough to talk are asked the next morning, they usually don’t have any recollection of head banging the night before.
How Is Head Banging Related to Body Rocking and Head Rolling?
Head banging isn’t the only type of repetitive movement that can occur before and during sleep. Examples of other rhythmic movements include:
- Body Rocking: A child may move their whole body back and forth while on their hands and knees or just move their torso if sitting down.
- Head Rolling: Usually occurring when a child is on their back, this is a frequent side-to-side head motion.
- Body or Leg Rolling: This is a side-to-side movement of the body or just the legs when lying on their back.
- Leg Banging:In this movement, which generally occurs while a child is on their back, the legs are lifted and then knocked back into the bed.
Head banging, body rocking, and head rolling are the most common of these rhythmic movements. Some children may exhibit more than one of these movements at the same time.
Body rocking often begins earlier in infancy, commonly starting at around six months of age, while head banging, on average, starts at about nine months.
Why Does Head Banging Happen in Babies and Infants?
It is unknown exactly why babies bang their heads or engage in other rhythmic movements before or during sleep. Existing research about these behaviors remains limited, but there are some theories for why head banging happens:
- It’s a means of self-soothing. Even though the movement looks anything but relaxing to parents, its rhythmic nature may help a child fall asleep.
- It’s a form of self-stimulation. Head banging and related actions may be a way of stimulating the vestibular system in the inner ear, which plays an important role in childhood development, helping to comprehend movement and obtain environmental awareness.
- It’s a response to anxiety. While evidence for this view is more limited, some researchers believe rhythmic movements are a basic way that very young children cope with anxiety.
Further research is needed in order to determine whether any of these hypotheses conclusively explain why head banging happens in infants and young children.
How Common Is Head Banging?
Repetitive movements like head banging are quite common in infants; an estimated 59% of nine-month-olds engage in head banging, body rocking, head rolling, or a similar movement.
As children move into the toddler years, the prevalence of head banging declines. At 18 months, rhythmic movements are seen in 33% of children. By the age of five, the prevalence drops to just 5%.
Is Head Banging a Health Concern?
Head banging by babies is usually not a health concern. For most infants and young children, the rhythmic movements do not pose any problems for their sleep or development. While seeing or hearing head banging or body rolling can be worrying for parents, it is rarely a risk to their child.
The exception is Sleep Related Rhythmic Movement Disorder. This condition is diagnosed when head banging or other similar behaviors cause injury to a child, significantly disturb their sleep, or cause daytime impairment. Research has found that only 0.34% to 2.87% of infants and toddlers have this disorder. As this data demonstrates, the large majority of children who engage in rhythmic, repetitive behaviors do not have Sleep Related Rhythmic Movement Disorder.
Even children with this disorder are unlikely to inflict serious self-harm as long as basic safety precautions are in place. However, they do have more sleep disruptions, lower sleep quality, and more daytime problems like reduced concentration or memory.
Is Head Banging a Sign of a Bigger Health Problem?
It is uncommon for head banging to be an indicator of a bigger health problem. Though parents may worry that this activity is a sign of a developmental disorder or another issue, this is rarely the case. For most children, head banging is a benign and temporary phase with no implications for a child’s cognitive, physical, or emotional development.
In children with diagnosed Sleep Related Rhythmic Movement Disorder, research is inconclusive about whether there is a link to issues like anxiety disorder or attention-deficit/hyperactivity disorder (ADHD). No clear connection has been established to date, and only some, not all, children with a sleep movement disorder show signs of a mental health condition.
Some research indicates that Sleep Related Rhythmic Movement Disorder may have an association with obstructive sleep apnea (OSA), a condition of breathing lapses during sleep, or restless leg syndrome (RLS), which is marked by a strong urge to move the limbs. While all of these conditions can cause disrupted sleep, research so far has not demonstrated any consistent link between them.
When Should Parents Talk to a Doctor About Head Banging?
Head banging is rarely a medical concern, but parents should talk about it with their child’s doctor if:
- There are any signs of injury from head banging or other repetitive movements
- Their child isn’t getting enough sleep at night or shows signs of inattention, lack of concentration, or impaired thinking during the day
- The movements take place throughout the day and not just before or during sleep
- Head banging persists after a child is no longer a toddler
In most cases, a pediatrician will ask parents to maintain a diary of their child’s sleep including how frequently they have episodes of head banging. This may be sufficient to determine if a child has Sleep Related Rhythmic Movement Disorder, but if necessary, the doctor can order other tests to rule out the presence of other sleep disorders and arrive at a definitive diagnosis.
What Should Parents Do About Their Child’s Head Banging?
If a child’s rhythmic movements don’t affect their sleep or cause injury, parents usually don’t need to take any specific action. Over time, these behaviors normally go away on their own. If there are signs of injury of sleep disruption, though, parents should talk with their child’s doctor for guidance.
In general, because most head banging is benign, there’s no need for parents to intervene to try to stop these movements. Doing so may affect a child’s sleep, and it can also lead to frustration for parents since many children will quickly revert back to their rhythmic movements.
Parents who worry about their child’s head banging can follow basic safety measures to decrease the risk of injury. This means making sure that their crib or bed is well-built and meets national safety standards. Regularly checking for damage and making sure that the screws are tight can keep the crib stable with nightly use. In order to protect against sudden infant death syndrome (SIDS), babies under 12 months of age should sleep on their back, on a firm mattress, and with no soft items in their crib.
If the noise of head banging or body rocking is bothersome for parents or other family members, the crib can be moved away from the wall to minimize reverberations. A white noise machine in the room with the child may help soothe them and block out sound disturbances that could wake them up. A baby monitor is a good way to keep an eye on nighttime activities without having to physically go to the bedroom to check on them.
Does Head Banging Happen in Adults?
Although very rare, Sleep Related Rhythmic Movement Disorder can persist into adolescence and adulthood.
Because it is uncommon, there is much that remains unknown about this disorder in adults. Studies have found that adults with Sleep Related Rhythmic Movement Disorder are more likely to have significant daytime symptoms. Familial patterns in which multiple close relatives have the disorder appear to be more common in adults.
Some studies noted that adults with Sleep Related Rhythmic Movement Disorder were more likely to have coexisting conditions like ADHD, mental health disorders, autism, or damage to the central nervous system. Other studies, though, have not identified the same associations. In addition, many people with abnormal behavior related to these other conditions exhibit repetitive motions throughout the day and not just before and during sleep.
Considerably more research will be necessary in order to understand what causes head banging to continue into adulthood as well as how and why Sleep Related Rhythmic Movement Disorder can be different in children and adults.
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Children and Body Rocking – Kids Behaviour
Body rocking or the repetitive and rhythmic self-rocking of a child’s body, is a common method of self-soothing in young children. Generally, children who engage in this behaviour will discover it around six months of age and will grow out of it by about three years of age.
Though it may be a little disconcerting for parents to observe, body rocking rarely presents a hazard to children. Rather than worrying, parents should observe the behaviour to better understand it and endeavour to keep their children safe for as long as they choose to engage in body rocking.
Understanding Body Rocking
Children often fall into body rocking as a method of soothing themselves, though sometimes they also body rock as a way of providing pain relief or expressing frustration. Many children softly rock in a rhythm that they find soothing when they are tired and some children regularly do this at bedtime to help themselves fall asleep. Other children do not engage in body rocking routinely but do turn to this behaviour when they are experiencing physical or emotional pain. Some children may also engage in body rocking when they are frustrated and unable – or choose not to – explain their emotions. Finally, other children body rock when they are humming or singing softly (or in their head!), which a simple discussion will help uncover.
Body Rocking and Developmental Disorders
Repetitive motions and behaviours such as body rocking are sometimes a sign of developmental disorders such as Autism, but they are not the only signs. If a child body rocks but does not exhibit any other warning signs then there is usually little cause to worry.
However, if a parent is concerned about a child’s development and observes body rocking and/or other repetitive motions then it would be wise to contact a GP, educational or child mental health professional for further information and/or a professional opinion.
Keeping Children Safe While Body Rocking
Most children who engage in body rocking do not do so with the intention of hurting themselves, but parents should remain vigilant anyway. Parents of children who engage in body rocking while in their cribs, playpens or beds should check that the motions have not loosened any of the pieces nor that there are screws or other pieces that could present a hazard to the child if they bump into them. It might also be possible to drape “bumpers” or soft linens on the sides of furniture and equipment to reduce the impact (and noise) of body rocking. Moving furniture or equipment away from walls may also help keep it intact and from making noise during body rocking episodes.
Body rocking is a behaviour that generally starts at around six months of age and tends to end by a child’s third birthday. Children may engage in body rocking for a variety of reasons, including as a means of soothing themselves, relieving pain or expressing frustration, though it may also be an indicator of a developmental disorder if accompanied by other signs. Parents who are concerned about their child’s body rocking, who observe body rocking beginning after the age of 18 months, or who notice their children engaging in loud or aggressive body rocking during the daytime, should consult their GP for further information.
5 Ways That Body Language Can Signal Trouble
Nonverbal clues are important in letting us know what people are thinking, feeling, desiring, intending, or even dreading. They also help us to communicate more effectively or be more empathetic. Every day, if we are observant, people will demonstrate behaviors that give us personal insight, whether we are at home, school, or work.
Sometimes we perform behaviors that shout, “I need help,” “I am having a really tough time,” or “Things are truly bad.” These go beyond a dour face or slumped shoulders—these are behaviors indicative of high psychological distress. For the empathetic, these behaviors truly communicate: Here is an opportunity to help.
These behaviors that tend to show up when things are really bad I have come to call reserved behaviors. I call them “reserved” behaviors because they usually only appear at those times when a person is undergoing particularly high psychological discomfort or distress and seems to be in need of comforting.
1. The Freeze Response
The freeze response is the first of the three responses that we evolved to cope with threats. I say first because for hominids and our early ancestors, it can be argued, the primary threat to survival was large felines. (This remains true in parts of Africa and India today, where humans are routinely attacked.)
All cats orient to physical movement, so it made no sense for us to “fight or flight (flee),” as is often said, when facing swifter, more powerful predators on the African savannah. So we evolved to freeze first (to avoid being detected), flee (flight) or distance ourselves second, and lastly, fight if there was no other recourse.
Even today, we continue to see people frozen stiff in the middle of oncoming traffic, seemingly unable to move when dangerously confronted by a car or train. And when we hear a gunshot, we freeze, as videos attest, and hold still when someone walks into a room with a gun. This is all part of our evolutionary heritage.
Likewise, when someone is notified of devastating news, or when a suspect is told there was a witness to the crime, the freeze response often kicks in. As they contemplate that they have been caught and will go to jail, they appear as if flash-frozen in their chair—unmoving, rigid, their hands gripping their own legs or the armrest, as if in an ejector seat (Navarro 2007, 112).
2. Rocking Back and Forth
As I have written here and elsewhere, repetitive behaviors are soothing or pacifying and help us deal with stress. From foot bouncing to finger strumming to twirling strands of hair, they help us pass the time, enjoy a moment, or deal with momentary stress or anxiety.
But the sudden onset of rocking back and forth, almost like a metronome, is reserved for extremely stressful situations—when terrible news has been received or a horrific event has been witnessed. In those cases—I have seen it in adults as well as children—a person seemingly zones out, oblivious to the world or any attempts to communicate as he or she self-soothes by rocking back and forth, sometimes for several minutes.
As renowned author and researcher David Givens points out in his Nonverbal Dictionary, the rocking action back and forth or side to side (think of a mother rocking a baby to sleep) “stimulates the vestibular senses and is therefore soothing” in a very primitive, but effective way.
3. Assuming the Fetal Position
Crushing news or an overwhelming event can cause us to momentarily assume the fetal position as if to protect our ventral (belly) side. This is usually accompanied by the individual turning away or disengaging from those around them. The behavior appears to be reassuring as well as soothing. We know from research that whether you are physically kicked or just hear something hurtful, the pain registers in the same brain areas (principally, the amygdala) and causes similar responses.
This explains why I have seen adults assume the fetal position as if punched in the stomach when notified of something horrific. In one case, a young mother I accompanied to the morgue to identify her daughter collapsed into the fetal position upon seeing her child’s body there.
4. Stiff Interlaced Fingers (Teepee Hands)
Here is a behavior usually reserved for when people are upset or distraught, or unveiling disquieting information about themselves, about tragic events or difficulties encountered—or when couples are breaking up.
The behavior is performed subconsciously (as are all reserved behaviors) by interlacing stiffened fingers. The hands look like a teepee either held stationary or rubbed back and forth. This is differentiated from the usual palm-on-palm hand rubbing which is a mild a pacifier; teepee hands go further than that (Navarro 2008, 62).
The interlacing of stiffened fingers, I suspect, serves two practical purposes. The stiffening of the fingers indicates a conscious awareness or arousal that there are issues, and the interlacing of fingers causes increased tactile stimulation.
I have seen this behavior many times when individuals must report bad news—something broken, a car accident, intentions to quit a job. Clinicians I have trained confirm seeing this behavior in couples therapy just before, or while, patients/partners explain previously hidden infidelities, improprieties—or a desire to divorce.
Children, like adults, often perform this behavior as they gather up the strength to reveal that they did something wrong, or failed to comply with a task.
One caveat here: Some people do this behavior routinely, and as such, we should note the behavior as simply idiosyncratic and is not as significant as when it appears in other individuals only in extraordinarily stressful situations.
5. Lips Sucked In
Occasionally we see a political or sports figure who has to confront the press over some unsavory episode. In these scenes of public apology, we often see the individual stand before the media, or his or her accusers, and their lips appear to have completely disappeared—dramatically sucked inward.
We originally evolved this “closed mouth-tight lip” reaction, either pursed or otherwise, in response to spoiled or foul-tasting food. Over time, we adapted the closed mouth (tight compressed lips) to deal with negative things we see or hear—this is why when we see flights being canceled at the airport, passengers stand looking at the flight-board with compressed lips. The extreme of this is the sucking in of the lips, a behavior that communicates to others, in real-time, that they are feeling great distress, or they are contrite.
The behaviors described above are a few of the most often observed “reserved behaviors.” There are likely more—such as the sudden covering of the face with both hands when we hear something tragic. But whether performed by adults or children, these behaviors, in particular, can serve to tell you that the person is experiencing something seriously wrong, challenging, awkward, or stressful. They are communicating precisely how they feel, sometimes while overwhelmed, and are struggling with something significant. What a great opportunity to empathetically lend an ear, ask how we may help, listen carefully—or just put our caring arms around them.
Copyright © 2013, Joe Navarro.
90,000 Swings … – 40 replies to Babyblog
Timur began to swing back and forth at 6 months, since then his favorite pastime, he puts himself to sleep when he wakes up doing this, when he watches something for a long time … Often he regrets wheelchair and when it goes and when it stands. The neurologist had, at first they were discharged pantogam – caused an allergy; then glycine-zero reaction. They wanted to prescribe a course of injections, but firstly I am against, and secondly, then in a year there was another problem – strong rolling, so much so that the nurse refused to vaccinate us later, because after the first one they brought him to his senses for a long time, therefore these injections immediately excluded.I read, there is a lot of information, of course, someone passes, but I suppose that it was a childish habit, because of prematurity from birth we had problems with neurology, and sometimes I began to notice that he begins to swing very strongly – I stop, then a little dies down, then again. I took my first steps at 1.3; now 1.5 has finally begun to let go and walk without an adult next to him, but he walks uncertainly; has been playing goodies for a long time; fulfills basic requests; trying to say something, mostly mom-dad; bye Bye; as well as different syllables and sounds, he began to point me to objects and mutter something on his own, like he explains to me; from your favorite games – to carry a vacuum cleaner or a typewriter by a string; loves to disassemble constructors, pyramids, houses, just to disassemble; and also pull out everything that is pulled out, for example, batteries from the remote control; Of course, it lags far behind the girls, but I don’t want to compare them, I’m just afraid that this would not be a problem.This swing is straining, because this is one of the signs of autism. Thank God, we almost got rid of the rolls, I hope we will get rid of this too. Under the cut infa about the baby swing, who is interested.
Yakation at an early age
Represents a rhythmic stereotyped swing of the body or head back and forth or from side to side. It occurs mainly before falling asleep or after waking up. It occurs in boys 2-3 times more often than in girls.
The etiological factors leading to yakation are generally similar to those of thumb sucking.Chronic deficiency of external rhythmic stimulation (sensory deprivation) and limitation of motor activity are of particular importance in the origin of yakation. Children suffering from yaktation often have an increased need for sensory stimulation from birth and from the first months of life show a special love for motion sickness, rhythm, and music. The psychotraumatic factors provoking the emergence of yakation include, first of all, the separation of the child from the mother and, as a consequence, his upbringing in closed children’s institutions (orphanages).An equally important role is played by conflicting relationships between family or team members, emotional and physical overload. The first manifestations of yakation may arise in connection with a change in the child’s life stereotype (the appearance of teeth, the transition from sitting to crawling, from crawling to walking). In some cases, yakation is accompanied by sleep disturbances, which is confirmed by EEG studies. There is a connection between wobbling episodes and transitional phases between paradoxical and synchronized sleep.
Yakation, along with finger sucking, is most common in early childhood.Already in the first year of life, all its clinical manifestations can be observed in an expanded version. Typical yakation is rocking the head or body in anteroposterior or lateral directions while sitting or standing. Swinging in a standing position, the child always holds his hands to the walls of the crib or playpen.
It should be noted that the position of the body in which yakation occurs is largely determined by the level of development of his motor skills. So, a baby is 4-5 months old. who has learned to roll over, the rocking will manifest itself in the form of repeated rhythmic rolling from the back to the stomach and back.In this case, the child most often does not turn over to the end on his stomach, but is limited only to the lateral position. The movements described are significantly different from those that an infant normally performs when rolling on the horizontal surface of a changing table or playpen.
In the first half of the year, there is also a special form of yakation – swinging the body with support on the head and heels (the “wrestling bridge” pose). In this case, differential diagnosis of yakation with tonic convulsions of the opisthotonus type should be carried out.
From the moment when the child begins to crawl, lifting the torso from the horizontal surface of the table or arena, yakation with the torso back and forth in a position on all fours may occur. In some cases, it is accompanied by the child’s pretentious abduction of one leg to the side.
Yakatation is often complicated by beating the head against a horizontal or vertical surface, which leads to visible cosmetic defects (swelling and swelling of the forehead, hematomas on the frontal surface of the head).Also described is intense head torsion with a frequency reaching the heart rate. Finally, swaying can be accompanied by a characteristic emotional uplift, reaching the level of pronounced excitement (“angry yaktatsiya”).
The first stage of the age-related dynamics of yakation is a behavioral compensatory reaction timed to the time the child falls asleep (infancy and early childhood). The reactive state usually lasts from several weeks to several months.Swaying can stop when emotional discomfort is eliminated and sleep dynamics are restored.
At the second stage (adaptive-hypercompensatory), the swinging movements are automated. Rocking episodes appear during the period of active wakefulness of the child, physical fatigue, discomfort, pain, attacks of dysthymia, anxiety, boredom, confusion, when the child is interested in something.
The third stage of yakation is confined in most cases to school age.It is observed when a child’s pathological habit persists for a long time, for several years. The personal reaction to the habit and criticism to it arise as a result of the increased attention of others to the peculiarities of the behavior of children. The child seeks to hide the habit.
In most children, yakation disappears at preschool or early school age. Late reduction of yactation is associated with the fact that it acquires the features of an obsessive or violent phenomenon. The transformation of yakation into a psychotic phenomenon is also possible.In the latter case, it can be one of the manifestations of a catatonic symptom complex in a procedural disease.
Why do children swing?
Rocking and head banging is normal for children under 3 years of age who seem to help themselves fall asleep by making rhythmic back and forth movements. On average, rocking begins around 6 months of age and may be accompanied by head banging or twisting after a few months. Some children swing back and forth on all fours, others while sitting.
How to proceed with this?
Do not take drastic measures. If the child senses that you are trying to stop the rocking, he may take it as a challenge and will continue rocking. Rocking is usually not a sign of emotional or behavioral problems, so you shouldn’t take any precautions to keep your baby safe. If the baby is rocking too vigorously, move the crib away from the wall or (if the baby is already walking) place him to sleep on a mattress on the floor.
If your baby starts rocking after 18 months of age, or if rocking continues until 3-4 years of age, talk to your pediatrician. If the vigorous swinging continues for more than 10-15 minutes and is repeated at night, it may be a sign of emotional problems
90,000 what is this, is this a disease? How does a parent treat yakation in a child
This article will focus on the second method of relieving mental and physical stress according to Bates. I want to note right away that the book will describe only four basic relaxation techniques left to us by Bates. All of them are based on the classical description of them, given by the author of the techniques himself, using the interpretations left by his followers, as well as the developments obtained in the course of my ten years of practice.
By the way, the numbering and sequence of techniques are so different in different sources that I have been using mine for a long time. And it seems to me that it is the most logical, convenient and easy to learn, because one naturally follows from the other.And just like palming, there are many ways to use and modify this technique. The following are different versions of the second Bates stress relief technique.
1. Bear swinging
Usually I do not give a description of this technique in my teaching aids, but simply ask someone from the audience to stand up and depict how a bear behaves in a cage. That’s right, legs are shoulder-width apart, the body is slightly tilted forward, arms hang freely along the body. In this state, we smoothly transfer the weight of the body from one leg to the other, the head and body sway monotonously from right to left.After a while, you will enter a certain state of prostration, relaxation and detachment, if, of course, the exercise is performed correctly.
By the way, why do bears in a cage behave this way, and not only they?
Many people must have watched in the zoo how predators, especially small ones, rush back and forth with endless monotony, how elephants swing their trunk and head evenly, how monkeys swing on branches.
Animals thus, I think, protect themselves from powerful stress, which is for any living creature lack of freedom, limited space and lack of movement.By creating the illusion of movement, animals both calm down and fight physical inactivity. It is surprising that children in the orphanage also often sway while sitting and standing, and to the right and to the left, and back and forth … And the Moscow doctor Kh. Aliev specifically uses this technique as the best way to introduce a person into a trance.
People sometimes begin to swing unconsciously
– for example, in a state of intense grief, at the time of deep emotional experiences. Remember how women behave at the coffin of a loved one: they wail, lament and sway monotonously.Why? Again, apparently, there is a subconscious protection of the body from excessive experiences. Without knowing it, people in this state go out to actions that include the mechanism of self-regulation and self-balancing.
How does this mechanism turn on?
Oddly enough, through the eyes and the brain. The same pictures that float before our eyes many times send a signal to the brain – there is no need to look at anything, we see the same thing, the same thing all the time. Through the visual analyzers, the excitation of the retinal nerves is removed, they rub in, dull and relax.Relaxation is carried out through the peripheral nervous system to the central nervous system. Thus, tension is removed from the eyes, and from the body, and from the entire psychoemotional sphere.
By the way, hanging the cradle from the ceiling for rocking the baby was, as we can see, quite a wise decision. Now parents are forced to swing the child in a stroller or in their arms. And often many do not even think about why the child falls asleep better after that.
2. Finger Turns
Place your finger in front of your nose at eye level and gently turn your head from side to side, looking past your finger, and not at it, until the illusion of movement appears.The illusion of finger movement can be achieved even faster by putting the base of the finger to the tip of the nose and making three turns of the head with closed eyes, three with open eyes.
Place your palm with fingers spread out like a palisade in front of your eyes and turn your head, then closing, then opening your eyes, while looking through your fingers, as through holes in a fence.
Exercises are performed 20-30, and even better 40-50 times in the morning and in the evening, as well as in the event of eye fatigue.
You can perform any of the finger turns you like, you can use a pen, candle or other object placed in front of your nose at eye level instead of fingers.The main thing is to get the feeling that the finger is moving, and you maintain a comfortable, relaxed state.
What is it for?
Remember, we have already talked about the unconscious movements of the eyes at the level of the retinal nerve cells. They are so fast that it is impossible to achieve the required speed of their mobility in a conscious way. So, when you achieve the sensation of the illusion of movement of a finger or hand in the direction opposite to turning the head, you should know: the speed of movement of the retinal nerves is now 70-120 times per second.The same happens with the imaginary swaying of the “picket fence” and any other vertical surface.
Do this technique as often as possible, because it ideally relieves stress and stagnation not only from the eyes, face, neck, but literally from every cell of our body. This technique is an excellent prevention of cervical osteochondrosis and an excellent remedy for headaches. True, to relieve headaches, you need to perform turns for 10-20 minutes. Do not forget only about the correct posture, free breathing, and remember as soon as you feel a little nauseous or dizzy, it means that you began to stick your gaze to your finger.The best way to relieve such discomfort is to alternately close and open the eyes every 3-4 turns and repeat the phrase “The finger went to the left, the finger went to the right,” etc. The finger immediately moves in the opposite direction, and the nausea will pass.
3. Big turns
Stand facing the window, feet shoulder-width apart. Turn your head and body to the right and left, transferring your body weight from one leg to the other in the rhythm of a slow waltz. You can hum a waltz melody or count the number of turns.To achieve the desired feeling of comfort and relaxation, it is recommended to make 60-100 turns in the morning and in the evening. You can achieve the illusion of window movement faster by repeating to yourself: the windows go to the right, now to the left …
It is important to look not at the window, but at the world floating outside the window, so as not to stick your gaze to one thing.
Why do so many turns need to be done?
The fact is that until the 60th turn, only the required level of relaxation is achieved, and within the range from the 60th to 100th turn, you already enjoy a state of comfort and relaxation.And despite the fact that the exercise takes only 2-3 minutes, the results of its use are amazing. Such movements develop the flexibility of the spine, normalize the function of internal organs (heart, lungs, gastrointestinal tract). But the main thing is that they contribute to the excitation of that very peculiar fixation of the eyes with a frequency of 70 or more times per second. And even if you don’t feel it, the assurance that these movements are occurring will be the apparent movement of windows or other objects during the turns.
“All these swinging options are designed primarily to make a person become aware of the visible movements of external objects and, with their help, stimulate a state of free mobility in his sensory apparatus and controlling mind. Thanks to swinging and turning, the mind is aware of movement and is imbued with sympathy for it. , which allows, in turn, to destroy the attachment to the gaze and automatically leads to a shift of attention and visual center
At the same time, the mind in this technique is absolutely passive and indifferent to the world passing by us outside the window.He does not participate in action, does not select and does not perceive. There is only a pure sensation – the body “takes a vacation” from its collective “I” ”
– writes on this occasion the writer Aldous Huxley.
“ Such a vacation from oneself,” the author continues, “is very reassuring. Moreover, since it is the conscious self that is primarily responsible for low vision, this temporary suppression of the self is extremely helpful in breaking down old habits of eye misuse and laying the foundation. for the creation of new and better ones.When turning, the sensory apparatus temporarily relinquishes dependence on the mind, which uses it incorrectly, and re-learns to function in conditions of free and unstressed mobility.
Now use any means to realize the constant mobility,” buoyancy “of the world. Pay attention to approaching and receding trees, houses, street lamps, poles, traffic lights, etc. Turning your head inside the room, notice how nearby objects move relatively distant.By being aware of the apparent mobility of the world around you, you increase the mobility of your eyes and mind, thus creating conditions for better vision.
is of paramount importance not only in the restoration of visual function, but also for the normalization of our mental state. This is the best way to relieve any kind of stress, so do it as often as possible, and be sure to do it in the morning and evening.
Moreover, it is characteristic that if in the morning it awakens the whole body, turns on protective resources and gives a charge of calm for the whole day, then in the evening, swaying, on the contrary, relieves tension, relaxes and makes it easy to fall asleep.I know many people from among my associates and acquaintances who, with the help of this simple technique, got rid of insomnia, stopped waking up at night, began to get better sleep and could even sleep through the rise.
4. Fingers – fanning
Not one way of great relaxation is the monotonous swinging of the palms in front of you according to the principle of back and forth. To do this, you need to cover one eye with a bandage or palm, as in palming, so that there are no gaps and nothing pressed on the face and eyelids.And the second palm should be placed in front of you at the level of the bridge of the nose so that its center is directly opposite the open eye. In this case, the hand is parallel to the floor, and the fingers are in front of the closed eye. Now gently and lightly wave (either approaching or removing) the plane of your palm in front of your open eye, holding it as lightly as if you are making rhythmic fan movements.
Repeat the exercise 20-30 times, and then cover with your hand or a bandage on the other eye and do the same with the other hand.
Due to the fact that looking at a palm familiar to us from childhood does not require any physical exertion from us, we are not afraid of it, involuntary muscle and mental relaxation occurs: the four stretched rectus muscles of the eyes come out of the spasmodic state, and the eyes will easily lengthen. And this condition is known to be ideal for working at close range, which is why this exercise is often recommended for farsighted people.
You can find and use many other ways of moving, turning and swinging, described in books and invented by you.All of them can not bring harm. Only benefit.
Article from the book:.
In the article, I will tell you why to pump muscles, what they are for, what they give (advantages), etc. etc.
The answer to the question – why to pump muscles – is extremely individual, because everyone has their own goals … below, I will give the most common (at least in my opinion):
First, for beauty
, because the beauty of bodily forms consists of muscles, not bones and skin.
In men, the situation is somewhat different, but in general, muscles make a man more masculine and, again, more attractive, only for the female sex)) due to the fact that MUSCLES = are nothing more than STATUS MARKER (superiority to us by other men ).
The same status marker as an expensive car, watch, clothes, etc. etc.
This, in my opinion, is the most common reason why the vast majority of people work out their muscles, go to the gym, etc.etc., etc. due to the acquisition of beauty, harmony, fit, sexuality, etc., as a result, strengthening faith in oneself and one’s strength, increasing self-esteem and getting rid of various kinds of shortcomings (and complexes).
Secondly, fitness and bodybuilding = this is a sport (competition)! And sport is money. In other words, 90,043 on the muscles, many people are simply hacking money …
I’m also talking about YouTube, my own sites on the Internet, advertising, seminars, photo sessions, video filming, personal consultations on the Internet and in life, personal training on the Internet and in life, and much, much more.Those. get the point, there is a specific benefit to having big muscles and being in good physical shape. Do you understand? After all, muscles (cool physical form) indicate that a person understands his business, knows how to build muscles, knows how to lose weight, etc. since his form – clearly demonstrates him as a specialist in his field … hence the earnings …
P.s. it is worth clarifying that these two reasons are interconnected for many people. If you know other reasons why people pump muscles, try to build them, etc.etc., etc. then write in the comments.
Best regards, administrator.
Dizziness when walking is manifested in the form of the so-called sensation of drunkenness in a person, that is, loss of coordination during movement. A person staggers when walking, he can even lead to the side until he falls, his face can turn pale, sweat appears and his heartbeat becomes more frequent.
But dizziness in itself is not a disease, but only one of the symptoms of various diseases.
Symptoms, their characteristics
- Head spinning and feeling sick;
- It seems that objects around them move by themselves, while there is a feeling of lightness and emptiness in the head;
- The picture turns over or floats before the eyes;
- Smeared and blurred motion;
- Leads to the side when walking;
- The person becomes unstable, he is led from side to side, falls are possible;
- Legs weaken and become “wadded”;
- Own body obeys poorly, coordination and balance are disturbed;
- Profuse perspiration;
- Possible cardiac arrhythmias;
- Panic attacks;
- Loss of consciousness often occurs, both short-term, for a few seconds, and long-term.
Probably, almost every person has ever experienced these symptoms, even if rarely and not expressed. One way or another, if dizziness when walking appears repeatedly, you should not let things go by themselves.
There are many reasons for the occurrence of such a condition, so you do not need to self-medicate, otherwise you can cause serious harm to your health.
Types of vertigo
. They are characterized by a feeling of rotation of the body or objects around, which causes nausea and disrupts the work of the vestibular apparatus;
.More like drunkenness, but the difference in sensations is not so great that the person himself could determine it;
. They arise not only due to serious mental problems, but also due to everyday stress. If you quarreled with someone, experienced an emotional outburst or panic from fright, then try not to get up and walk for a while, as there is a high probability that you will experience some symptoms, including panic attacks.
Causes of dizziness
Vertigo can be associated with the following conditions:
In addition, it can be caused by toxic poisoning:
carbon monoxide and other harmful substances.
If you regularly begin to feel dizzy when walking, while the symptoms described at the beginning of the article appear, this is a reason for an immediate appeal to a therapist, who, based on the results of the examination, will prescribe treatment or give a referral to a neurologist, psychotherapist or other specialist.
First aid for a sharp deterioration in health
In the event of an attack, any person needs to immediately and must follow several recommendations:
- The body needs rest and a sense of support (sit down, lie down or lean on something).
- Pull yourself together and don’t panic.
- Try to concentrate on one subject.
- If you are too warmly dressed, or clothes interfere with your free breathing, you should take them off (if possible) or make it easier for fresh air (for example, to open the collar).
- If the person is aged, dentures should be removed.
- If you are in a stuffy room, either go outside or open a window for ventilation.
- If you have a tonometer at hand, it is imperative to measure the pressure.
- If the state of health only worsens over time, then call an ambulance.
- It is strictly forbidden to take any medications before the arrival of doctors.
After the arrival of an ambulance and a doctor’s examination, all the procedures prescribed by him should be clearly followed. And then it is imperative to undergo a medical examination at the clinic to identify the cause of the appearance of dizziness.
REVIEW FROM OUR READER!
The attending physician prescribes drugs that help eliminate the causes of dizziness:
Treatment with folk remedies
People who do not take medications use the gifts of nature, the so-called folk remedies:
- Recommended as the main product ginger
, which can be used in powder or capsule form.
- Extracts from mistletoe
increase blood circulation in atherosclerosis.
- Ginkgo biloba and garlic extracts also increase blood circulation.
- Decoction meadow red clover
, will help cleanse the vessels. And ease the dizziness.
- Chopped onions
will help if you inhale its vapors.
- Infusion Veronica
to reduce nervous excitability.
Alternative treatment is more often used by people with allergic diseases to drugs, and some simply trust nature more.
Treatment and prevention with exercise
- Sit straight on the couch
. Look in front of you, legs extended forward. Next, lie abruptly on your back, look up, roll over onto your right side, look forward and down, roll over onto your left side. Roll over onto your back and stand up abruptly.
- Stand up straight
, look forward, turn left with an emphasis on the heel of your left foot. Turn right with an emphasis on the foot of your right foot.
- Sit on a stool
, lean forward and down slightly.Straighten up and turn your neck to the left. Lean forward, straighten again, and turn your neck to the right. Sit on a stool and twist your neck to the left and right several times. Tilt your head a few times,
- Take a pillow
, sit on the bed. Stretching out your legs. Roll over onto your back. Look to the right, quickly return to the original position. Do the same, just turn your head to the left.
In another article we talk about.
What not to do
Dizziness when walking can appear both in old people and in the young part of the population.
The main question remains “What is to be done? Or what not to do? ”
Therapy includes a course of pills to relieve symptoms.
– suppress fear during panic attacks and relieve tension, including emotional.
– prevent vomiting in case of complications.
– means regulating the absorption of salts and water by the kidneys and increasing their excretion in the urine.They also contribute to the normalization of gait.
and anticholinergics – cessation of unsteadiness when walking. This is one of the advantages of these drugs, however, lethargy can come out as a side effect.
- Preparations based on betahistine hydrochloride – Betahistine
is an artificially created histamine analogue. Basically, the drug acts on the so-called histamine receptors. In this case, the receptors of the vestibular nuclei and the inner ear.
An important point are side effects when taking medications:
- Dryness in rue;
A prerequisite for the appearance of side effects during the use of drugs is a pause and an appeal to the doctor to correct the treatment.
Pregnant women should remember that any medications other than homeopathic medicines and vitamins can affect the development of the fetus.Homeopathic drops are an ideal choice.
Glycine for dizziness can also be used in those people for whom anticholinergic drugs are contraindicated, but you cannot overdo it with it!
From all of the above, we can conclude:
Dizziness is nothing more than a malfunction in the nervous system and it is better not to delay the treatment of such diseases.
Dizziness is an important sign of an internal disease (of the nervous system, brain, cervical vertebrae, etc.)etc.).
You should not start or postpone the treatment of dizziness, since the main reason for its appearance develops, this gives a long and difficult examination and further treatment. If you consult a therapist in a timely manner, you can avoid various complications.
The body talks about you and others. Posture, gestures and posture always mean something, because through these signals the body tries to release the feelings that you seek to suppress. Studies have shown that every time a person tries to hide their emotions, their blood pressure rises.
As we learned in the last chapter, every gesture and movement conveys precise information about how you feel, whether you want it or not. Body language can enhance or diminish the meaning of a verbal message, as a person’s body betrays their true feelings.
Former President Nixon once unwittingly betrayed his feelings, showing others that he was embarrassed when asked difficult questions. He turned his whole body away from those who asked such questions, that is, he tried to distance himself, and as a result, he lost confidence in himself.Watching Nixon, people guessed that he had something to hide.
Several years ago I treated Marissa, a fifteen year old girl, who made a very good impression on me. When communicating with her during class, I admired not only her intelligence, but also her excellent posture and leisurely hand movements, which clearly indicated that she had a developed sense of self-esteem.
However, everything changed as soon as her mother came to class with Marissa.The girl seemed to have been replaced. With her demeanor, a striking metamorphosis took place. She sat without raising her head and avoided meeting my mother’s or my eyes. She kept her hands humbly folded in her lap.
I felt very sorry for Marissa, immediately understanding what was happening. She was clearly under the influence of her formidable mother, in whose presence she wanted more than anything else to become as less noticeable as possible. She was clearly afraid of her mother and, yielding to her pressure, temporarily sacrificed her self-esteem.
When I told them about my observations, Marissa admitted that she always felt awkward in the presence of her mother. She never managed to live up to her expectations, let alone earn praise. Once she realized this, the relationship between mother and daughter improved and they finally learned to treat each other with respect.
When you like a person, you usually lean towards them. This is a sign that you are interested in both himself and what he wants to say.If the interest is extremely high, then you move forward with your whole body, while your legs remain in place. If the person is sitting tilted on their side, it means that they are showing you their friendly disposition. If the person is unpleasant, bored, or uncomfortable with him, then you usually lean back.
Once I was having lunch with a friend who liked a man from our company. When he excused himself and left the table, she began pouring out her feelings to me and finally asked if she, in my opinion, had any chances.I didn’t want to disappoint her, so I told her how she could find out. I told her to see how close to her he would sit and whether he would bend over to her.
The man soon returned, and my friend quickly received an answer to her question. Her chances were close to zero. He sat down and leaned back in his chair. When she reached out to touch his hand, he recoiled in obvious displeasure. He paid little attention to her, and when he spoke to her, he kept himself taut and very formal.His behavior spoke for itself. He had a serious relationship with another woman – he was not interested in my girlfriend, and he made it clear to her through his body language.
Just like animals, people have their own rules regarding their living space and their own territory. When one animal captures the living space of another, he is frightened and can attack him. The same thing happens with people. Every cultural environment has rules that dictate how close one person can sit or stand from another.Hispanics and the Middle East are closer together than Westerners who are not used to being embarrassed. But if a European or American visits another country, then it will not be superfluous for him to get acquainted with the local orders, as well as adhere to them.
People who violate the borders of someone else’s territory, whatever their nationality, either love to show off and show strength, or do not understand at all what they are doing. When someone comes very close to you and starts talking, you may not like it and you may not want to communicate.You will start backing away and backing away until you just apologize and run away. You may notice that you unconsciously crossed your arms, tried to turn away, or pulled your head into your shoulders in protest. You started shifting from foot to foot, fidgeting, or trying to change your posture. You may also have a harsh note in your voice and ask the person to take a step back.
In the course of some studies, experimenters deliberately approached people so close that they felt discomfort.In an effort to show that they were disturbed, these people usually abruptly stepped aside.
Sometimes a person deliberately gets too close to you to make you feel insecure. The invasion of someone else’s territory scares those to whom it belongs, and they retreat, trying to figure out your intentions. If you get too close, most people will be offended, and no matter what they say, they will never get rid of the negative emotions that you caused.
If you get too close to a person, it will cause him to worry about whether he is doing well in terms of personal hygiene, whether his breath is fresh, and whether he smells good.Or the person may not like how you smell. However, your reaction to an intrusion into your space may not be negative as long as you are glad to see the person so close.
It is important to note that a person who feels strong and confident in himself usually takes up more space, because he does not hesitate to freely stretch his legs or position his arms comfortably. Well, a less self-confident person, as a rule, draws his legs and presses his hands to the body, trying to assume the pose of an embryo.
If a person stands too far away
People who stand too far away seem arrogant, arrogant, or consider themselves superior to others. They literally fear getting too close to you. They may be sitting or standing so far away because they don’t like you. They are annoyed by your conversation, smell, or appearance. Often people who seek to physically distance themselves from others feel fear in their souls.
If you want to make sure you seem attractive to someone, check to see if the person is repeating your movements.If one of you is copying the body language of the other (you cross your legs, props your head with your hand, clench your hands, etc.), chances are that one or both of you are lyrical. When a person imitates another, this indicates that he wants to be like him.
Rocking from heel to toe
These movements signal that the person is impatient or anxious. Adults sway from heel to toe in moments of excitement, when they are uncomfortable and want to calm down.
This behavior is not uncommon in children, especially those with autism: it is their way to cheer themselves up and restore peace of mind.
If adults behave in this way, others do not like it, because it distracts them. They cannot get together and focus on what the person who is swinging is trying to tell them.
When people do not find a place for themselves, they thereby tell you a lot of information about themselves. They get nervous, and then this is a sign that they do not want to be here anymore.They wring their arms or shift from foot to foot, which indicates excitement or irritation. When a person is uncomfortable, he constantly makes some kind of movement to feel better.
When people feel uncomfortable and have fever, they literally feel heat in their chest and fiddle with their tie trying to loosen the knot.
So when you see someone fidgeting, know that he is sending you a message that he is embarrassed or worried about something. Perhaps the person has lied or wants to get away from the people in whose company he is at the moment.
Head tilted to one side signals that the person is interested and ready to listen to what you intend to say. He is focused on your words, and you managed to completely capture his attention.
You have noticed that young children who have not yet learned to speak often hold their heads to one side when they are addressed. This shows that they are listening carefully.
Sudden movement of the head
Hearing something that they did not like, people often make a sharp movement with their head away from the speaker.Most likely this is an unconscious reaction designed to create a barrier between the person and the source of discomfort.
People who constantly nod when you speak like to please everyone. They usually have a burning desire to please. Their manner seems to say: “I agree with everything that you say, but you have to love me for it.” As a rule, these are insecure people who fear that they will be rejected.
When a person shakes or turns his head, it means that he expresses doubt or disagreement with what was said.He may shake his head, trying to analyze what was said and decide what position he should take in this case.
If you do not participate in a religious ceremony or were not born in a country where it is customary to bow your head as a sign of respect, then a head lowered during a conversation indicates that the person is not confident in himself, suffers from low self-esteem , unhappy, or depressed.
The late Princess Diana used to speak with her head lowered.Initially, this could be a sign of compliance, but since Diana did not change this manner later, it seems to me that this was a reflection of her difficult state of mind and proof that Diana did not feel very confident in her role as princess.
A sharply raised head
A sharply raised head signals an impending threat in the same way as a chin pushed forward. This is a sign of aggressiveness and hostility, indicating that the person is ready to go to extremes to solve the problem facing him.
When a person shakes their head or throws it back, these movements usually express contempt or arrogance.
Scratching the head
Unless a person is plagued by lice or some kind of skin disease, scratching the head means they are embarrassed or not sure about something.
I was once working with my music producer on a song I had written and suddenly noticed that he was scratching furiously at the back of his head. I asked if he doubted the ending of the song.The producer replied in the affirmative and added that he wants the song to have a different, more dramatic ending. Noticing that he was scratching his head, I realized that the producer really does not like what we are doing. He decided that we should change the ending of the song, but he was afraid of offending me.
Or one more example. Let’s say you ask someone a question, and the person starts scratching his head. He tells you that he does not understand your question or does not know how to answer it. It will be useful to repeat your question in a different form so that the person understands exactly what you are trying to achieve from him.By changing the wording of the question, you will also give the interlocutor additional time to prepare the answer.
When people shrug their shoulders, it means that they are not telling the truth, they are insincere, or they don’t care about anything. It can also be interpreted as “I don’t know”, “I’m not sure” or “I don’t believe something”.
A person who lies usually shrugs their shoulders very quickly. In this case, this is done absolutely involuntarily and means something completely different than indifference or lack of interest.The person seems to report that he is telling a lie. Shrugging like this quickly is an unconscious attempt to appear cool, calm, and collected.
If a person raises his shoulders, but does not shrug them, but leaves them in this position, then he Demonstrates his defenselessness.
This movement was often done by Marilyn Monroe to emphasize her sexuality and willingness to communicate.
Development of hand-eye coordination
Gaining the ability to touch what you see
After finding his hands, the child must understand that he can control them.Ten-year-old Emma lies comfortably on a play mat, watching the toys hanging over her. She focuses on a colorful toy that hangs within the reach of her hand. She looks at the toy for a few seconds, and then suddenly reaches out in the direction of the toy, but misses. Emma doesn’t give up. She holds out her hand again. It looks like it’s trying to gauge the distance, and it strikes again. This time, her hand hits the right place, and the toy now sways back and forth. Emma has a big smile on her face.The baby develops coordination between her eyes and hands. She is trying to figure out how to bring her hand to the desired object. As adults, we find it difficult to understand the meaning of hand-eye coordination because we take it for granted. When we look at an object and want to touch it, we do it without thinking. Our hand seems to independently move in the direction of the object and closes exactly where it is needed. This self-evident action is the result of many months of training during the first year of life.Let’s go back to this period and try to understand the process that a child must go through to learn hand-eye coordination.
Newborns do not associate what their eyes see with what their hands do.Often, their eyes look in one direction, while their hands move erratically in the other. Babies can move their hands towards the object they see. Moreover, they still do not know that these hands are part of their body. Most of the time, the hands are outside of their vision, and the child is not even aware of their existence. The infant must first discover that he has hands. This usually happens around the age of six to eight weeks. Babies discover hands through touch.They grab one hand with the fingers of the other hand. They stretch their hand, unbend and bend their fingers. At this stage, their movements are usually random. They still cannot raise their hands to eye level to deliberately look at them. At six to eight weeks of age, noisy toys, such as rattles, should be placed in your baby’s hand. Since babies are born with a grasping reflex, if you put a toy in a baby’s hand, he will automatically squeeze his fingers. Further, chaotically moving his hands, the child will hear the noise of a rattle and look for the source of the noise with his eyes.Upon discovering the rattle, the child will also find the hand holding it. Toys that glow and make sounds when shaken are also important during the coming weeks. They draw the child’s gaze to what he is holding in his hands. They also help the child establish a bond between himself and his hands. When a child learns to deliberately bring his hands into view, they will become a fun toy for him. He does not take his eyes off his hands, waves them in front of his face, examines in amazement and plays with them.
During the first year of life, a baby’s mouth plays an important role in its development. Babies explore, explore and discover the world around them with their mouths. Later, starting at about six months, they begin to examine objects also with the help of their hands.
I can hit
After finding his hands, the child must understand that he can control them. When a child reaches three to four months of age, it is important to hang toys over him that he can hit.When babies lie on their backs under such a toy, an interesting process begins to occur. The child focuses on the toy and looks at it happily. At the same time, he will randomly wave his arms and legs until a miracle happens: the hand touches the toy and it starts swinging back and forth. After a few of these random blows, the child begins to realize that he is in control, and the accidental blows become more and more deliberate. If at this stage the child could describe his experience orally, he would say something like: How do I do this? Can my hands really do something that wonderful? I will try again.Gradually, children learn to direct their hands and lead them to the objects they are looking at. This is the formation of hand-eye coordination.
Touch and Take
When hand-eye coordination is established, the child will try to move forward.He wants to touch the object and begins to estimate the distance between himself and the desired object. He looks from hands to object and back again and again. After assessing the distance, he extends his hand and touches the object. Gradually, this process becomes more precise, and the child can reach directly to the object and touch it without hesitation.
After finding his hands, the child must understand that he can control them.When a child reaches three to four months of age, it is important to hang toys over him that he can hit.
Development of hand-eye coordination
At about four months of age, your baby will start pulling objects into its mouth.During the first year of life, the baby’s mouth plays an important role in its development. Babies explore, explore and discover the world around them with their mouths. Later, starting from about six months, they begin to explore objects also with the help of their hands – touching, clapping, stroking, squeezing, etc. By this time, hand-eye coordination has already been established, and the child can continue to improve motor movements and skills, coordination between both hands and hand-eye coordination with more complex tasks.Hand-eye coordination has continued to improve over the years.
Any advice and information provided on this site are suggestions only and should not be construed as a professional medical diagnosis or opinion.We recommend that you also see your doctor, and urge you to contact him immediately if your question is urgent.
90,000 Why at Microsoft everyone sways on chairs. Organizational Habits and Active Inertia
Reading time: 6 minutes
Flickr / Thomas Hawk
almost every parent has repeatedly faced the fact that his child
swinging in a chair.What makes a child wobble? Chances are he
saw someone else doing it, tried it myself, he liked it, he started
repeat this action, and it gradually became a habit with him, i.e. is he
ceased to be aware of what makes this movement. Sometimes a habit
turns out to be so strong that it remains with a person for life.
Bill Gates is swinging, sitting on a chair
For example, Bill Gates is constantly rocking in his chair, especially in moments of emotional arousal.The more Gates is interested in something, the higher the swing rate. According to eyewitnesses, this habit is characteristic of him from a young age. [I]
Gates swayed so often at meetings at Microsoft that other employees began to unwittingly imitate the leader and also sway in their chairs. One company employee described the meeting scene at Microsoft as follows: “When the discussion gets lively, they cringe, rest their elbows on their knees, and sway back and forth in their chairs, just like Chairman Bill.»[I]
not just a fun fact from the biography of Bill Gates and the history of Microsoft.
This example demonstrates how habits of organizations can arise.
Moreover, the general rocking in the chair is a fairly harmless version of the habit. Imagine that irresponsibility, deceitful practices, or, say, favoritism become a habit. These are already bad and even dangerous habits of the organization.
Habits have the following characteristics:
1.Person-to-person transmission. Unlike customs, which are based on continuity and internal acceptance of behavioral patterns, the transmission of habits is associated with imitation and imitation.
2. Stability – the existence of a habit does not require maintenance. Moreover, the targeted elimination of the habit is difficult and often thankless.
3. Non-compliance with analysis and criticism – the carriers of the habit do not ask the question of its expediency.
Just like people, habits of organizations
arise against the background of a predisposition to their occurrence.Anchorage condition
a stereotype in the form of a habit is a certain set of properties of an organization,
causing this predisposition.
Good and bad habits
Habits can be good or bad. Useful –
adequate to existing conditions and ensure smooth functioning
organizations in unchanged conditions. However, a healthy habit turns into
harmful as soon as conditions change.
For example, it is often possible to observe a situation when in a company, after the introduction of electronic document management, there is, in fact, a double document circulation.It is assumed that some of the documents, such as, for example, internal requests for logistics and procurement departments will be replaced by electronic documents. This should make things easier and faster. Instead, each paper application begins to be duplicated by its electronic version, i.e. in addition to the paper document, the relevant departments are beginning to demand also electronic ones.
A similar situation may arise if, before the introduction of electronic document management, documentary support of internal operations in organizations was carried out in paper form – each operation was accompanied by the appropriate paper.Over the years, this rule has been brought to a stereotype. As a result, after the introduction of electronic document management, this innovation is perceived not as a replacement (it does not break the stimulus-action connection), but as an addition to the usual way of working. It is clear that this does not improve efficiency, but on the contrary, the application procedure becomes more complicated and slower.
Thus, the once necessary for accounting of resources
a formal rule goes into a stereotype-based habit that is
changes in conditions – before the introduction of electronic document management – was useful,
but as the situation changed, it became harmful.
The emergence and growth of the phenomenon of the so-called active inertia is associated with the formation of organizational habits. In physics, the concept of inertia denotes the property of a moving body to prevent any forces aimed at changing the speed or direction of its movement, or, if the body was initially at rest, then to prevent forces directed at its displacement.
By analogy, active inertia in an organization is the tendency to follow established patterns of thought and behavior, even when significant changes occur.Often these are the models that at one time brought success to the organization and were fixed in the mind of the company as universal ways to achieve positive results. [Ii] But even if a habit turns out to be relatively useful at a certain point in time, it determines the rigidity of the organization, i.e. reduces its flexibility, adaptability and ability to develop.
Power of organizational habits
Having habits – not fully conscious patterns – suggests that at some point the owner of the habits may become irrational.[iii] In addition, as the number of habits increases, they become more firmly embedded in the system of organizational norms and, over time, turn out to be associated with many other guiding signals. In such a situation, eradicating one habit will entail a chain of other changes. At a certain moment, a state may arise when the transformation costs reach such proportions that giving up habits becomes impossible.
Extras: Billionaires Bill Gates and Jeff Bezos do the dishes themselves.Why are they doing this?
[i] Giang V. Bill Gates Rocks Back And Forth In His Chair When He’s Thinking. Business Insider. October 22, 2013.
[ii] Sull D. Why Good Companies Go Bad. Harvard Business Review. Jul-Aug 1999.
[iii] Marechal K, Not irrational but habitual: The importance of “behavioural lock-in” in energy consumption. Ecological Economics, Vol. 69, No. 5, 15 March 2010, 1104-1114.
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FGBNU NTSPZ.‹› Early childhood schizophrenia (statics and dynamics) ››
The regressive type of disorders in the manifest period was found in 16 children (of which 3 were girls). These disorders occurred on average at the age of 2 years 7 months (in 7 children at 1 year – 1 year 8 months, in 5 children – 2! / 2 years, in 2 children – at 3 years old and in 2 children – at 4/2 years ).
The state developed with a fall in activity, an increase in the devastation of emotionality, indifference, and the extinction of affective reactions to the environment. At the same time, the cheerfulness inherent in children, creativity in games disappeared, and satiety appeared in activities.However, it soon became clear that the change of scenery, a new game, and spectacles also did not give them the same pleasure. Parents’ attempts to distract their children, to awaken their interest in their surroundings, to activity ended in failure.An indifference came to replace revival.An instability of activity gradually became noticeable: lethargy, indifference for a short time were replaced by an unusual for them higher activity, and then the activity again fell. Most of the time the children spent in inactivity, sat with an indifferent gaze into the void, rarely changed their position, only sometimes stopped their attention on external phenomena It was easier for them to keep their attention on long-term non-changing events, they became interested in pouring water, rain, snow, loose substances …Sometimes, on their own initiative, they rolled the toy car back and forth, beat it rhythmically or shifted it from hand to hand. Gradually, the circle of their activities narrowed, the games were repeated, became more and more monotonous and acquired the character of a stereotype. Later, even more primitive, previously overcome movements and gestures were revealed: shaking the hands, jumping, spinning, swaying, which supplanted all other purposeful actions.
Active protest, dissatisfaction and rejection also gradually disappeared, being replaced by a detachment from everything.Children stopped responding to requests, orders, threats, punishments. Slowly, but steadily, their interest in communicating with their relatives dropped. If in the first months of illness the children felt an increased need for parental attention, they did not let them go. from themselves, then soon they seemed to completely cease to notice the presence and departure of their parents. Emotional responses to peers also fell. Children lost the ability to sympathize with someone else’s misfortune and empathize with joy. They stopped making requests and answered questions less and less.Speech was simplified, phrases were shortened. Some began to repeat the same words and expressions from day to day. Some children developed echolalia, neologisms; personal pronouns in the 1st person in relation to themselves were replaced by pronouns in the 2nd and 3rd persons, impersonal forms of verbs began to be mainly used, instead of detailed phrases, simple, finally, interjections and inarticulate sounds. The timbre and modulation of voice and laughter changed: laughter became soundless or inadequately loud, or completely disappeared.There was a transition to autistic speech, blurred, whispering, muttering. Its communicative purpose was almost completely lost. Some children stopped speaking and did not utter a single word, except for indistinct sound combinations, while others, with great affective interest and need, sometimes used separate words or short phrases, which reflected their rare desires.
Children lost their self-care skills. They ate sloppily, forgot how to use a spoon, grabbed food with their hands, chewed badly, swallowed it in large pieces! Some changed their appetite: they refused cereals, jelly, meat, milk.Attention was drawn to the complete indifference to the clothes: the children did not notice whether the clothes were on or inside out, and whether the clothes were completely, whether the dress was clean, or whether the buttons were buttoned. Neatness skills disappeared: children stopped using the potty, urinated anywhere, became untidy with feces. Gradually, a complete detachment from the environment came. Some children spent most of the day sitting or lying, sometimes running, “immersed in themselves”, or still playing with their own hands, even less often with a toy: twirling, or simply holding it in their hands At times, they stopped their attention for seconds on the surrounding objects, furniture that came into their field of vision.Then they could touch them with their fingertips. Some of the children muttered something while others remained silent. This behavior was repeated day after day. These disorders usually developed within 3-6 months, rarely longer.
Parents did not immediately notice the changes in the child’s behavior, but having found them, they tried to explain the change by concomitant pathogenic factors. They usually included somatic diseases and minor mental trauma (acute respiratory diseases, mild and moderate childhood infectious diseases, separation from relatives).In most observations, it was possible to establish that somatogenic asthenia and such phenomena as irritable weakness, depression, affective instability after somato and psychogenia, soon disappeared. The child’s condition returned to the previous one, and the symptoms of regression appeared later, that is, there was practically no evidence of a provable causal relationship between the coming drop in the activity of psycho- and somatogenies.
At the same time, their significance as a triggering factor or their weighting role was not always completely ruled out, especially when hazards arise against the background of an incipient regression.In the predominant number of observations, the symptoms of regression appeared out of connection with external hazards.
The disease began gradually, but the manifest state in these cases was almost inseparable from the expanded and final state. The average duration of the initial period is virtually indefinable because of the catastrophically fast, after 3-6 months, the onset of total regression, which essentially exhausted all the symptoms of the disease in children. In these cases, the listed regressive manifestations should be considered both as the initial symptoms of the disease, and as signs of an expanded state.
Affective disorders in the manifest period in combination with neurosis-like disorders were observed in 19 children (4 of them were girls). On average, the onset of the process occurred in 4 patients at the age of 2 years 3 months, in 15 – at 3 years 8 months. In the latter, disorders in the manifest period were more complex, fear and anxiety were more distinct and combined with hypnogagic hallucinations.
Some children initially developed obsessive movements, ticoid twitching and hyperkinesis in the muscles of the face, shoulder girdle, and trunk.Stuttering was noted in 2 patients. All children at the same time became restless, affectively unstable, dissatisfied with those around them. Ordinary small reasons, to which children had not previously paid attention, now aroused irritation, often with agitation, a desire for self-aggression; they rushed about crying, biting their hands, hitting themselves in the face. At times they whined monotonously, swayed like a pendulum. The uneven mood was combined with unreasonable ridiculous protests. The children did not fulfill requests, especially prohibitions.They immediately developed hysterical reactions with a deliberate desire for ostentation: children screamed, rolled on the floor, made sweeping movements with their arms and legs. If relatives did not pay attention to them, they tried to pull, spit, bite them. Appetite changed, dropping to almost complete refusal of food. Some developed hyperesthesia, a special intolerance to unusual and loud noises, the touch of clothes, which they often threw off themselves. The suppressed-anxious state was repeatedly replaced by a more balanced one – then the children again had a desire to play, communicate with their relatives.A state of fragile balance was established, ready at any second to be replaced by an explosion of discontent with negative actions. Gradually, the periods of relief were shortened and the condition worsened even more: in 4 children, due to the addition of symptoms of regression (in them, the onset of the disease refers on average to the age of 2 years 3 months), and in the remaining 15 children (with the onset of the process at 3 years 3 months) – in connection with sleep disorders, increased fear and the appearance of hypnogagic hallucinations. For the latter, night and day sleep was upset, the children did not fall asleep for a long time, whispered something, sometimes asked someone close to lie with them.The night’s sleep became weak, a slight noise woke up the sick; waking up in the middle of the night, they did not fall asleep until morning. Sometimes children woke up crying in fear. Children under the age of 4 said they were “scared”. Some at the same time looked away from certain parts of the room, pulled back and hid their hands, as if they were afraid to touch “something.” Sometimes they said: “there is Winnie the Pooh”, “wolf”, “bus”. Only in isolated observations, when the children were convinced and firmly projected outward the cause of fear, defining it by a constant name, could it be assumed that they had hypnogagic hallucinations.
In some children, these experiences were combined with senestopathic sensations or tactile hallucinations, then they assured that they were bitten by insects. Night attacks of fear were repeated. On several occasions, children also experienced fear during the daytime. Raptoid states appeared on some days. In such cases, the children were suddenly seized by an acute fear: they rushed about, tried to run somewhere, cried, tore off their linen. If such states occurred in children outside the home, they could suddenly pounce on strangers, tore their clothes on them, fall into the mud, run, unaware of the danger, onto the carriageway.The duration of the raptoid states is from half an hour to 1, rarely 2 hours. After that, the child calmed down for a while, and then similar states were repeated.
Subsequently, in these children, the periods of relative calm were shortened. Game disappeared, speech changed, affective reactions to the environment faded away. Symptoms of regression appeared in behavior. In these cases, despite the manifestation of the disease with affective disorders, its lability, anxious mood, that is, seemingly disturbances that do not portend a serious outcome, the disintegration of the psyche also set in rather quickly.
The average duration of the manifest stage in these 15 children was slightly longer than in 4 younger patients, and approached 12 months, during which all of the above disorders were found, and then regressive manifestations, cataton-like excitement and states of spontaneity were added to them.
Follow-up observation at an average age of 10 showed the formation of a deep oligophrenic defect in children. From time to time, they had mood swings: a low mood with weakness and aspontaneity was replaced by more active states with an increased mood, increasing motor stereotypes, impulsivity.And the deepening of catatonic manifestations was also periodically observed, fear, hallucinations appeared.
Patient I, born in 1968. On the line of father and mother, there are many relatives with strange characters and gifted ones. The maternal grandmother is pedantic, anxious. His maternal grandfather, a pilot, had an unrestrained disposition. After retirement, he became gloomy, drank and soon died tragically in a disaster. Mother is a philologist, talented, active, hard-working. Until adolescence, timid, sensitive.Over the next 15 years, she suffered a number of erased depressive and mixed states with accentuated drives, hysterical and psychopathic traits in behavior. The father is a doctor, cold, does not live with his family, is not interested in his son. In adolescence – asocial behavior, in subsequent years was distinguished by pathological distrust, periodically there were declines in working capacity, fear.
Examined from pregnancy, proceeding with toxicosis Childbirth at the 36th week of pregnancy, dry Weight of the newborn is 2800 g, length 49 cm.Applied to the breast on the 3rd day, actively sucked. In infancy, he was calm, did not react to discomfort. Early development ahead of schedule. At 1 year 3 months he spoke in phrases, named parts of the body. After a year, playful, cheerful. I paid attention to children, but preferred to play alone. By the age of one and a half he was reciting great poems by heart, but he expressed requests in an indefinite form: “To write.” I could not stand open doors – I immediately covered them, I did not like rearrangements in the house – if a thing disappeared from its place, I immediately noticed, worried, cried.He demanded to take off his clothes even with small spots of dirt. He loved cars and walks in new places. From the age of 2, he became more fussy, less interested in games. From 2 years old to 8 months, he periodically became anxious, seeing flies, demanded to drive them away, muttered something. A month later, the condition worsened even more. Woke up crying, screaming until blue in the face, rolling on the bed, trying to throw off his clothes, throwing bed linen, biting his hands, pinching, hitting himself. Nothing was comforting. Suddenly, at the same time, he began to look around, saying: “The butterfly flies” (it was in winter).With dissuasion, he peered into space in front of him and asserted: “There is a butterfly.” When they showed a book with drawings of butterflies, in order to calm him down, he threw the book, screamed heart-rendingly, and hid. In the next 2 months he “became stupid before our eyes”: he stopped playing, nothing attracted him, as if he didn’t hear any questions, looked and didn’t seem to see anything around. If they took the hand, he tensed, trembled, tried to escape, ran to the side, protested to any influence. Only on some days for a few minutes, less often for 1-1 / 2 hours, enlightenment came, then again answered questions, recalled poems, briefly concentrated on reading a book.In the future, such light gaps became less and less. They took out for a walk with difficulty, and walked only one and one route. At the sight of children, he was excited, shouted, could hit the child, grab a toy, throw it right away Sometimes he became very lethargic, climbed under the table, bed and lay there for hours – without moving. On other days, fussiness increased, crawled, jumped on the couch for a long time, ran, threw things along the way, sometimes threw them out on the street at lightning speed, threw everything off the table.If they made requests, they did the opposite of those required. From the age of 3 years 2 months received treatment with sonapax, seduxen, haloperidol, but the condition continued to worsen.
At 3 years 6 months at an outpatient appointment, brought into the doctor’s office, experienced fear, fought off relatives, shouted, let go of his hands, strove somewhere, did not allow himself to be examined, did not pay attention to persuasion. A week later, during the second examination, at first he behaved the same way, shouted, tried to jump off his mother’s arms and immediately ran to her, there was an expression of fear on his face, looked around in horror, shouted even louder.Approximately 30 minutes later, he calmed down.He began to run around the office, not paying attention to the doctors. Sometimes he touched objects with his fingertips, sometimes he grabbed a toy and immediately released it from his hands. As if I had not heard the questions, there was no reaction to the loud knocking either. Only at the request of his mother did he sometimes begin to perform the necessary action, but did not complete it and again walked around the office.
In terms of physical development, he lagged behind his peers. No pathological phenomena were found in the neurological status. Due to the parents’ refusal to hospitalize the child, he continued to be treated at home with haloperidol, seduxen, and sedatives.
At the age of 3 years 8 months – 4 years, the mood became smoother, attacks of fear – less often, sometimes during such an attack he shouted: “You are afraid” I became less agitated, less often threw things away, fell asleep easier. Sometimes he suddenly spoke close to the point: he would ruin something and say that he “broke my grandmother’s closet”. I remembered the previous Words, especially those that I had learned in 2 years before my illness. Sometimes he expressed in words requests: “Give me a sandwich.” However, in general, the behavior remained monotonous and was repeated from day to day in a stencilled manner.I didn’t acquire anything new, I didn’t possess self-service skills. Periodically re-excited: ran, jumped, was afraid of something. Over the next 4 years, the state changed little.
At the age of 8, he was treated for 6 months in a psychiatric hospital. In the department we passively subordinate Spontaneously did not apply to the staff. When trying to involve him in classes, the game silently walked away from everyone. Inactive. He ate and dressed with help, but did not ask to go to the toilet. The mood is even. There was no fear. When reminded about butterflies, there was no reaction.He rejoiced at the arrival of his mother, climbed into her bag, took out sweets, often immediately walked away from his relatives and ate presents. After the doctor, he repeated simple words, determined the name of household items, experienced difficulty in qualifying actions. Pronunciation of words is either babbling, melodious, or distinct. The stock of knowledge is sharply limited, and does not use the available knowledge. Left to himself, he can go to the doctor, take his hand like a thing, turn the clock hands, open the tap, turn on the water, turn on and off the TV.On impulse, he drives a pencil over paper, writes some letters, and immediately tears the sheet into pieces. Not attached to anyone. Avoids children. He does not know his bed, but he goes to his room, knows a place at the table. Sometimes he runs, shakes his hands, mutters something, is impulsive.
Neurological and somatic disorders were not revealed. Blood and urine tests without pathology.
The patient’s condition was approaching the final one, it was determined by the phenomena of dissociated oligophrenic defect, residual catatonic disorders, detachment from the environment, lack of elementary contacts with staff and children.
The disease began at the age of 2 years 8 months subacutely, with anxious mood, fear, visual hallucinations. After 1-2 months regression of behavior began, at the same time catatonic excitement joined, which was replaced by states of akinesia. Catatonic arousal was characterized by motor excitement combined with negativism, impulsive actions, ambivalence, and phenomena of mutism. The disease was preceded by a distorted development: ahead of time for early development with a delayed development of self-awareness, lack of contacts with peers, features of pedantry, exaggerated cleanliness.A feature of the development of the final state is the ability to develop, although insignificant, as well as a continuing tendency towards the progression of the disease, as evidenced by the periodic aggravation of the patient’s condition throughout the course of the disease. Finally, 8 months before the manifestation of the process, the first signs of the disease appeared in the form of an indistinct drop in activity. It remains only to emphasize the absence of psychosis and obvious schizophrenia in the relatives of probands on both lines of kinship. Manifest disorders of the third type, characterized by mood lability, anxiety, a feeling of antipathy towards relatives and fear of eating, were observed in 7 children (3 of them were girls).The beginning of the process, on average, fell on 5-6 years of age, except that almost all patients had transient psychotic episodes even earlier.
The first symptoms of the disease included neurosis-like disorders: tics, hyperkinesis, unnecessary movements. And then the instability of affect, explosiveness, incontinence, easily arising crying, screaming began to be revealed. At first, the irritation in children was removed under the influence of persuasion, and then simple demands, change of clothes, change of place of stay, walks, return home, failure in games — all this caused an explosion of discontent and crying, screaming, and protest reactions.Negativism grew, the children did everything the other way around, for example, they would brush their hair, and they would ruffle their hair, and so on. Often they felt the unusualness of their condition and said to their relatives: “I got sick, my head is not like that.” At the same time, hyperesthesia, especially intolerable unusual sounds and touches became. Increased sensitivity was combined with fear. In an unusual situation, the child was frightened. At first, the children sought help: they ran to their relatives; when they heard an unpleasant sound, they hid behind their mother, and then alienation grew, contacts with relatives were broken, the children stopped sharing their fears and worries.Worry, anxiety, fear at times increased sharply, there was fussiness, throwing, running, ending in a motor storm. Children in fear rushed somewhere, waved their arms, threw themselves on the floor, banged their heads on objects, shoved adults with their feet if they were helped. If they were held back, they screamed, squealed, exploded. Left to themselves, they did not calm down, rushed about and became even more anxious. The child’s appearance during this period reflected a state of deep tension and fear.The reaction of the motor storm was replaced by a calm, the children became lethargic, but the tension remained in the facial expressions. They were whispering something unintelligible or moving their lips soundlessly, suddenly looking around, scared of something. This condition is not monotonous. During the day, there were periods of relaxation of tension with age, relative to adequate behavior, former liveliness, but these gaps became less and less frequent. Tension and discontent grew in the evening. Then the child did not go to bed, in anxiety he changed his position all the time, walked.
The night sleep became shallow, intermittent. Children woke up screaming, crying, looking around in fear. Determining with certainty the cause of the fear in these patients is difficult. Whether the fear was an unaccountable reflection of anxiety noted at that time or a consequence of the addition of illusory and hallucinatory disorders, or only an increasing ability to imagine, with the presentation of frightening images, it was not possible to find out from the patients. Their experience of fear is autistic and there was almost no contact with relatives.Children at this time did not turn to their relatives, kept away from caresses, did not allow themselves to be touched, repelled from themselves all who tried to console them. During this period, a sudden unreasonable hostile attitude towards one of the family members arose. In some children, this attitude was justified by the feeling that this relative was “alien” to them, while in others the antipathy was not explained in any way. When questioned, the children explained their ill will in different ways: “He has black eyes,” “He is black,” “She is old.” The feeling of hostility was not corrected from the outside, the patients did not succumb to dissuasion. Often, relatives, driven to despair by the child’s wrong attitude, resorted to active coercion and beatings.Naturally, this did not have the desired effect. The feeling of antipathy was often so strong that the sick children did not stay in the same room with the person to whom it manifested itself. In the presence of these persons, they fussed and caused them all kinds of harm: they pushed, pinched, spat, and hit them. The hostile attitude sometimes extended to another family member, whom the children also began to alienate.
At the same time, some patients developed a special attitude to food. Before eating, the children forced their relatives to try the food.In this case, they did not express the generally accepted ideas of poisoning, they expressed it in the fear of eating “bad food.” At the same time, some began to be afraid to eat with dirty hands, washed them many times without expressing ideas of infection, some said that they were afraid to stain food.
At this stage, the state of some children stabilized somewhat, while others continued to get heavier, and then illusory visual deceptions of the senses appeared. The spots on the wall and floor suddenly seemed like insects.Hallucinatory disorders were accompanied by a feeling of fear: children screamed, hid, and feared to be “bitten”. Then there was a state of anxiety with confusion. The children looked around, looking for something in anxiety, did not recognize their relatives and the place where they were. Sitting on the lap of the mother, they asked: “Where is mom?” They immediately called her correctly and again recoiled in alarm, obviously frightened by her appearance and not recognizing her mother. The dream was finally upset. Periodically, anxiety and fear were accompanied by agitation, and then catatonic excitement with impulsive actions and mutism was added.Even later, the final state and developmental delay were formed.
Here is an observation of malignant schizophrenia that began in a similar way.
Patient K., born in 1961. Mother, born in 1931, a kindergarten teacher, graduated from the correspondence department of the Pedagogical Institute. Shy, timid. She is attached to the child, her daughter’s illness is hard going. Father, born in 1930, worker. Secretive, irritable, oppressive, cold. The paternal grandmother is quarrelsome, inadequately suspects those around her of theft, that she is being “hurt”, “slandered”, she is unbearable in the family.In feelings, it is polar: sometimes located, then unexpectedly malicious, picky, unfriendly. The paternal uncle left the family due to the difficult nature of the mother.
Examined from a normal pregnancy and childbirth. In infancy, she is not crying. She kept her head by 3 months, sat by 6 months, began to walk by 12 months. She walked early, by the age of one she uttered the first words, by the age of 2 she spoke in phrases. She was happy with her mother and father. In terms of development, she was ahead of her peers, loved new toys, clothes, was clean. She copied adults in games, was perceptive, quick-witted, agile, dexterous, always found something to do for herself.From the age of one, one feature was noted: she did not respond to strangers. If they called a dumb one, she was angry, but still she did not even give her name.
From the age of 2, she gave up daytime sleep, but remained active and vigorous. At the age of 3 she was brought to the village by her parents. There she suddenly became afraid of shadows. The fear lasted for a month and disappeared without treatment. After that, at the age of 3-4 years, she was healthy, but less often than before, she turned with requests and questions to her relatives. From the age of 4, she became taciturn: when questioned, she was fully oriented in her surroundings.
At 4 years and 8 months, she became anxious, capricious, did the opposite. In the next 2 months, anxiety increased. Suddenly she hated her grandmother, chased her away, beat her, bit her, shouted that she was “a stranger.” She did not take anything from her hands, trampled sweets, although it was evident that she felt a desire to eat them. Sometimes the parents resorted to punishment. The condition worsened, she got up and went to bed with tears, everything was not according to her, she was instantly satiated with everyone. She did not allow herself to be cut, refused to go to the bathhouse. If they washed, they immediately stained their face.When she was 5 years old, 2 months old, she was taken out into the air to the village. On the way, when going to bed, she got excited, screamed, was afraid of the dark, demanded to take her in her arms, did not recognize her mother. On the spot, she called small spots on the wall bedbugs, she was afraid that they would bite her, she moved away from her mother. She repeated the phrases addressed to her verbatim. I did not notice the toys. Uncertainty about the actions appeared. From time to time she would go berserk: she tore her hair, clothes, scattered things that came into view, banged her head against the wall. When the girl calmed down for a while, the parents, trying to cheer her up, invited their peers, but the patient took the toys away from them and said that she was tired of them, asked to drive them away.Brought home, she remained anxious, afraid of someone, staring intently in the direction of the closet, demanded to be told who was there. From 5 years 4 months for a month was treated in the children’s department of a psychiatric hospital. She did not follow the instructions, repeated the questions addressed to her word for word, walked up and down the ward for a long time. The expression on her face was detached, the smile was replaced by an expression of fright, shuddered, immediately screamed, rushed somewhere. She did not react to persuasion. I fell asleep. only in the presence of staff.Sleep was interrupted unexpectedly, woke up screaming, crying, was afraid of something. Treatment with elenium, meprobamate, sedatives without effect. Discharged at the request of the mother. Upon discharge from the hospital, she remained in poor condition. In the morning, they hardly got out of bed. She did not dress herself, did not eat. She broke objects that fell into her hands, tore clothes into small pieces, rolled balls of bread with her fingers. They were taken out into the street with resistance. She did not fulfill requests, sometimes she repeated the addressed speech. Gradually, the condition began to improve somewhat.The girl again began to listen to her mother’s words, fulfilled some of her requests, improved her sleep, and began to eat herself. But at 6 years 2 months, the condition worsened even more. Waking up, she sighed heavily, beat herself on the head, shouted: “Tear off my head … I’m tired of my head.” She began to drive her mother away from herself, sometimes calling her “a tourist, angry.” She muttered something, then whispered, then repeated the words addressed to her. Periods of anxiety were followed by states of immobility with passive obedience.
At the age of 6 years, 3 months for 2 months was treated in a psychiatric hospital.The correct physique, on the part of the internal organs of the pathology, was not revealed. Urine and blood tests are normal. No pathological signs were found in the neurological status. On the roentgenogram of the skull, moderate features of hydrocephalus.
Mental status: hospitalization was difficult. On the first day in boxing, she was restless, knocking on the windows, shouting out individual words, repeating phrases addressed to her. Throwing toys. Sometimes, at the request, I got up and sat down. She did not serve herself.In the following days, she was untidy, smeared herself with feces. She ate only from her hands, made inarticulate sounds. Nothing caught her attention. She sat or lay for a long time in one position. Suddenly she jumped up, made several jumps and sat down again. From time to time everything shrank, gazed with fear into the corner of the room, moved her lips in horror, and then sat motionless again. At night, I woke up in fear, did not let go of the staff.
Treatment with haloperidol, tizercin, and then stelazine, chlorpromazine, tryptisol was unsuccessful.Most of the day, she lay or sat in one place at the table. Sleep was intermittent, fears remained. Sometimes in the mornings, when it was quiet in the room, I tried to play, transferred a toy from hand to hand, babbled something. Once she said clearly “I don’t eat that.” Sometimes she looked at the children playing for a short time, then crawled under the bed and lay there inactive. At times she laughed silly, masturbated, kissed her hands, asked to kneel down to the staff. On a meeting with relatives, the mother pushed aside, then pulled the father by the hand from the department, then immediately sat down, put her head on his lap, let herself be hugged.Discharged with little or no improvement.
From 6.5 to 16 years old she is at home, receives antipsychotics and tranquilizers. Most of the time inactive, passive. From time to time it becomes tense, runs, jumps, throws things out on the street, in fear always peers into the same corner of the room, shouts, says something inarticulate. At the same time, hostility to the grandmother intensifies, beats her with fierceness, pushes her, seeks to annoy. Over time, the mother began to admit that she completely depends on her.Dresses with her help. Eats sluggishly. Occasionally, feeling fear, he rushes to bed, closes himself with a blanket with his head. Requests are expressed either by gestures or by 1-2 words.
Examined by us at the age of 16 years 2 months. Physical development is age appropriate. Sexual metamorphosis is complete. On the part of internal organs without pathology. She was brought to the reception by her mother, at first she did not let her go. He does not answer the doctor’s questions, only sometimes echolalically repeats the last words or syllables of the questions. She answers the same questions asked by her mother.Thus, it is possible to establish that the patient’s stock of knowledge is limited to elementary everyday ideas. He names the objects in the pictures in the ABC book, finds it difficult to determine the actions, knows the colors, children’s poems, body parts, his name, the city in which he lives. He strokes the doll, pushes the cubes away, leafs through the book, not fixing himself on the pictures, but attracts the very process of turning pages Resists inspection, undresses with the help of his mother. The movements are awkward. Motives easily dry up; many actions are left unfinished.Left to herself, she remains in complete inactivity for a long time, then suddenly jumps up and walks around the office. The expression on the face is changeable, sometimes wary, sometimes detached, then illuminates with a smile, then begins to grimace Spits on fingers or licks them, and then touches walls and chairs with them. When asked if he wants to go home, he looks around helplessly at his mother, then takes her hand and, without saying a word, pulls the mother towards the door.
Clinical and dynamic observation of the patient for 11 years makes it possible to trace the course of the disease.At the last examination, the patient’s condition is determined by the underdevelopment of an oligophrenic type, lethargy of impulses, residual catatonic disorders, a persistent feeling of antipathy towards one of the relatives, fear and, possibly, hallucinations are periodically actualized.
The disease arose in a child with an outstripping rate of mental development, with features of increased sensitivity, difficult adaptation in a new environment, which affected either elective mutism or the appearance of fear.The disease manifests itself at the age of 4 with a deepening of autism; after 7-8 months, affective instability is established with a predominance of anxious mood and negativism. This state is, as it were, resolved for some time by the formation of a feeling of antipathy towards one of the relatives. With a further deepening of the disease, an anxious-fearful state with confusion, false recognitions, hallucinations ends with a catatone-like excitement, and an oligophrenic-like defect is formed later.By the form of the course, this observation can be attributed to continuous malignant schizophrenia.
Types of advanced conditions in malignant schizophrenia. Following the manifest one, an extended period of the disease arose. Despite the fact that it was difficult to draw a line between them, the sharp aggravation of the condition since the addition of motor disorders and symptoms of regression gave grounds to attribute them to the phenomena of the extended period. The structure of the deployed states is heterogeneous. In addition to the form of the course of the process, it depended on the age and level of development of the child at that stage of the course of the disease.
Motor excitement in combination with regression of behavior, motor skills, and partly speech was observed in 22 children aged 1 to 5 years. In this state, outwardly, the children looked detached and at the same time strove to walk and run. The surroundings did not attract them, they did not pay attention to the staff, peers, toys. Their gaze is directed into space, at times, as it were, inside themselves. Then the axes of the eyeballs are either reduced to the nose, or brought upward, which resembled strabismus. Grimaces periodically appeared on their faces: children twisted their mouths, stretched their lips into the proboscis, puffed out their cheeks, wrinkled their foreheads, raised their eyebrows, moved their lips.In addition to constant walking, children made different movements: rubbing hand in hand, stretching out their fingers and immediately squeezing them into a fist , laid one finger after another, quickly threw all fingers forward, could change these movements to supinating, sharply twisting their palms outward, again making fingering movements with fingers or shaking movements with their hands.They flapped their arms like wings, put their pretentious hands behind their heads, behind, and back, and immediately rotated them with their brushes. The muscles of the torso were periodically strained. The arms, bent at the elbow joints, were pressed to the body, then the arms were turned around the axis so that the palms were suddenly turned outward, and the back of the hands pressed against the thighs. During the period of excitement, they had a special gait – a mannered step, skipping, was replaced by the usual step, which could be combined with an incorrect positioning of the body sideways. A measured step was interspersed with an accelerated one – then the children made quick runs.It was possible to step with support not on the entire foot, but only on its inner or outer edge, on the toes. There was a fall on one or the other leg, and then the gait resembled the gait of a limping person. Sometimes the children walked on sharply straightened legs at the knee joints, as if with ankylosis of the knee joints, or excessively bending their knees, knocking themselves on the buttocks with their heels. Often they ran monotonously in a circle or in a straight line. At the same time, the eyes were screwed up, then almost closed, then wide open.It is impossible to list all the movements of children. All of them were characterized by looseness and at the same time stiffness, excessive grotesque scope, its limited scope, incommensurable rhythm and pace, and in general, awkwardness and lack of focus. All these features created the quirkiness, pretentiousness and mannerism of movements. Each patient’s movements were characteristic only of him, a touch of individuality.
This peculiarity of movements always confuses the observer and constantly requires the exclusion of neurological disorders.However, in their mannerism, the unexpected disappearance of originality and the changeability of motor forms, movements always differ from similar pathological neurological symptoms of organic origin. Such motor excitement is accompanied, to varying degrees, by pronounced negativism. Movement is usually difficult to interrupt, the child actively leaves everyone who tries to approach him, seat him or lay him down. The patient ignores the request to make any other movement. If a child in this state is taken by the hand, he tries to escape, to free himself from touch, usually without looking at the person taking him.At this time, the child pushes away the toys, put them forcibly into the hand immediately or after a short time, throws them away, or simply drops them, unclenching the fingers. Seating such children can only be done by force. Released, they immediately rise and begin walking, running and other actions. Running is interrupted by jumping in one place with shaking hands. Periodically, walking and running are interspersed with impulsive laughter or tears.
Even if the mother took such a child in her arms, he still tried to free himself.True, this protest was short-lived, exhausted, the child calmed down in the mother’s arms, remaining passive for some time, then again repeating the previous attempts to free himself. Characteristically, these children walked and jumped throughout the day, stopping for very short periods of time and showing no apparent fatigue. These states ended as if for no reason. There were days when the child became lethargic, sat or lay inactive for a long time. Despite the state of spontaneity, the children adopted pretentious positions.For example, they stood for a long time on all fours in the crib, resting their heads on the pillow, or, sharply bending their neck, pressing their chin tightly to their chest, rested against the pillow with the back of their heads, and bent at the waist. Sometimes, bent in half at the waist, they half-stood, leaning sideways against the wall. Some stood on their heads, others curled up, but did not assume an embryonic position. When raised, the children stood, making ambitious movements, stamped in place or took a step forward and immediately pulled back.Sometimes, when asked to show their tongue, they tightly pressed their lips together and closed their eyes. At times they uttered indistinct sounds without opening their mouths.
When checking muscle tone, they did not freeze in assigned positions, but made repulsive movements and only after that they passively obey the staff. In some periods, the Children were so passive that they completely obeyed all manipulations, dutifully followed into the procedural room, being seated — they did not change their positions for a long time. At the same time, true waxy flexibility with numbness in children under 3 years old, and more often up to 5 years old, was not observed.Hypotension and sometimes alternating muscle tone were noted. At this time the children were, as if deaf, did not respond to calls, knocks, claps; sometimes they still showed a reaction in the form of eye movements or a slight turn of the head. They did not stop looking at the person addressing them, looked into space, overhead, or actively turned away.
During the day, the children had aspirations to make a directed movement: they stretched their hand to bread, a toy. Often, halfway through, without completing the movement, they took their hand back, sometimes they repeated the correct and reverse action several times.If they performed the correct action, then they often at an accelerated pace, impulsively, angularly, but sometimes at their own request they could make a complex movement: they inserted the key into the keyhole, opened the refrigerator, the door.
There were no obvious emotional reactions in the children, except for protest and withdrawal from everyone. Attempts to start a game with them did not arouse reciprocal desires in them, but only the desire to leave. Feeding and caring for them was perceived with protest. There was no interest or attention on the face; lack of expression and mask-like nature prevailed.
Sleep was intermittent, children woke up in the morning or in the middle of the night and lay awake for a long time. Sometimes at night they tried to get out of bed and walk non-stop around the room. These pronounced states of motor excitement and spontaneity were interspersed with calmer states when children were immersed in primitive play: twirling their fingers in front of their eyes, sometimes taking toys, holding them and playing, tapping them, inflating specks, crawling along the floor on all fours after them; they could suddenly substitute a chair to the table and, climbing on it, take a treat, or they went to the right door when they were taken out for a walk.
During the acute period, it is difficult to distinguish between symptoms of regression and catatonic disorders. Nevertheless, it can be noted that in the absence of catatonic disorders, regressive and complex movements corresponding to the age of the child can take part in purposeful and play movements. However, in such cases, they are always performed with a certain emotional attitude, elements of joy and, despite the monotony of movements, they are often replaced. Then children look at their movements, smile, making them, they are not impulsive and negative, ambivalent.
Catatonic states are also often combined with regressive disorders, but along with them, during the period of catatonic arousal, children perform the same movements impulsively or with a tinge of violence. The movements are extremely monotonous. The same actions are not interrupted for a long time, they take place against a “cold” emotional background and, moreover, are combined with the phenomena of negativism and ambivalence. Children, performing these movements, do not experience fatigue for a long time (outwardly).
It is even more difficult to distinguish complete mutism from the phenomena of complete speech regression, which often follows mutism.Revealing the understanding of speech, the possibility of echolalia, speech in response to a whisper, delayed answers give grounds to assume mutism of a catatonic nature. In these children, mutism of a similar nature is often combined with partial regression of speech. With the further development of the disease, motor disorders are in the nature of residual stereotyped movements. Motor excitement, but no symptoms of regression (found in 9 children on average between 3 and 5 years). This excitement was characterized mainly by walking and running, which were periodically impulsively interrupted by even faster runs in an indefinite direction without a sense of danger, impulsive laughter, screaming, and crying.At the same time, walking resembled normal walking, but the child could not stop. Even hungry, seated by force at the table, he grabbed food, immediately ran out from the table and continued his measured run, most often in a circle, less often in a straight line or from obstacle to obstacle. At the same time, sick children for a long time did not experience fatigue, which is usual for a healthy child, and if it did arise, then several hours after the onset of excitement. The excitement proceeded with features of negativism; at the same time, it was not possible to note the phenomena of wax flexibility, hypertonicity, although with each attempt to influence the patient, an active desire to avoid touching arose.
In some children, excitement was accompanied by mutism. Some of them, at night or during the day in silence, especially in the absence of people, unexpectedly uttered words, phrases: “Call a doctor! Sit here! ” At the same time, as a rule, the intonations were infantile, the speech was of a changing tempo, and the voice was of timbre and volume; now low, now high, now quiet, now turning into a cry. Speech could be chanted and melodious, blurred and distinct. By the construction of phrases and the absence of manifestations of regression in such speech, one could judge the predominant mutism of a catatonic nature.
In a number of patients, motor excitement was combined with pronounced ideational excitement: in children of 3-5 years, in the form of mumbling, in children over 5 years of age – in the form of incoherent memories. The structure of motor excitation is similar to that described above.
Speech excitement was expressed in speech pressure, which periodically arose during the day. Often, when asked a question, the children began to speak to the point, but they immediately rejected the topic and continued their non-stop and incoherent speech. Attempts to interrupt them were ignored.Their speech was a stream of words, syllables, scraps of memories, fragmentary facts about the present, echolalia of phrases spoken by someone. The children literally spoke to the point of exhaustion, and if at the beginning of the speech flow they could still walk monotonously, then they usually sat down and continued to talk. The child drooped with fatigue, turned pale, leaned against the back of a chair or lay down on the table and talked all the time. As an example, we cite the speech of the patient V. to tear … he will jail you … “and so on.The words were pronounced now absolutely clearly, sometimes distorting by inserting unnecessary letters and syllables, omitting letters, altering words, chanting, tearing words and not completing the syllables, contaminating the last and first syllables., rhyming incomprehensible phrases: “Dzattsyk-ettsyk.” Memories usually reflected unpleasant, sad, frightening events, aggressive desires to kill someone, bury them in a hole, etc. When trying to talk to them, the children turned away, closed their eyes, and covered their faces with their hands. They also responded to the desire of relatives to hug with a protest, throwing off their arms.
However, these patients had periods when they became more accessible, they could concentrate on the teacher’s tasks, draw a line with a pencil accurately, look at the pictures in the book, and hold the proposed toy in their hands. But these purposeful actions were always interrupted by impulsive actions with aggression and re-starting motor excitement. The patients again swiftly walked around the ward, scattered the pictures and toys they had just examined, spoiled them, gnawed them, as if not noticing anything around.Walking like hitting oncoming, they themselves did not run away and did not resist when other children gave them change. If they were forced to listen, they turned their heads to the side, attempts to play with them turned away, tried to leave. The expression on his face became detached, without a glimmer of attention and interest. Such patients resembled automatic robots.
The most severe conditions, when manifest disorders were followed by pronounced chaotic catatonic excitement, were observed in 7 children, on average, at the age of 2 years and 10 months.In such a state, the children, left to themselves, did not remain in peace for a minute. They rushed about the room, periodically making impulsive, aggressive actions. The movements were chaotic, erratic: the patients ran swiftly from place to place, then stopped motionless, then with even greater force rushed somewhere. Their hands were not at rest for a minute. They grabbed things and objects that came across in the way, broke them, hit oncoming ones, shouted shrilly, squealed. They fiercely resisted trying to hold them back.They were not distracted or attracted by anything. Put to bed, the children were striving all the time. get out of bed, climbed the net, hung from it like a monkey, upside down, clinging to the bed bars with their feet. When they were released, they immediately ran out to the middle of the room and performed more and more destructive actions. They threw oilcloth off the table at lightning speed, threw chairs, or sometimes suddenly, stopping at the wall, made climbing movements with their arms and legs, as if they continued to crawl along it.And then they could, with unexpected speed, climb onto an adult standing next to him, trying to hit him, poke a finger in the eye. When the tension grew, they violently tore at their linen, tore apart the sheets, inflicted injuries on themselves, banged their heads against the wall, the bed, could break and knock out their teeth, pulled out their hair, bite their hands to their wounds and did not cry, “were silent”. Sometimes they only uttered inarticulate sounds in fierceness. The expression on the face was tense, at times it was distorted by a grimace of suffering or discontent. The children refused to eat, when they were fed, they pushed the plates away, threw them off the table. Food poured into the mouth was spat out.They became unkempt, urinated anywhere, and even recovered when feeding, some withholding urine. Sleep in such patients is also upset: more often in the evening the children did not sleep for many hours, falling asleep in the morning. Falling asleep in the evening, waking up at 2-3 o’clock in the morning and again plunged into a state of excitement, which practically did not respond to therapy. During periods of such excitement, children lost weight, their faces became sunken, their nose sharpened, the skin acquired an earthy-gray color, bluish circles appeared under the eyes, the lips became covered with crusts, and the smell of acetone began to emanate from the mouth.
Chaotic excitement in these children differed little from chaotic catatonic excitement in adults – it was more intermittent and with it, as with all other excitations of the catatonic type in children, some symptoms characteristic of catatonic excitement in adults were absent – there was no hypertonicity, catalepsy, stiffness, but there was always impulsiveness, negativism, ambivalence. In all these observations, chaotic excitement is a prognostically unfavorable symptom, since it is usually followed by the final state.
Catatonic agitation with symptoms of numbness and negativism was observed in only one child with continuous malignant schizophrenia at the age of 3–2 years. Catatonic-hebephrenic disorders occurred in 6 children (4 of them girls), aged 5-8 years. These states determined motor excitement against the background of rapidly changing mood. The whole state is very labile, with it there are easy transitions from excitement to correct behavior, to aggression with outbursts of impulsive excitement with foolishness, grotesque coquetry, accentuation of drives, characteristic speech with deliberate pueril intonations, and sometimes intonations reminiscent of adults, with ridiculous mannered responses.Here is a brief extract from the medical history.
Patient G., 7/2 years old. The first years of her life developed ahead of her peers, but after a year she was very timid and attached to her family. She was sent to a nursery at 1 year 3 months, closed and, despite the presence of speech, did not answer the questions of the staff. At home, I also began to speak less, there was a coldness towards my mother.
In 3 years 3 months was taken out with a kindergarten to the country. A week later I did not recognize my mother, did not answer her questions. Only a few hours after meeting her, she began to answer in a whisper, and then in a normal voice.
At the age of 5 she was placed in a sanatorium for somatically weak children. Fear developed sharply there, and began to have terrible dreams. Then there was a feeling that she had “songs” in her head, she was afraid to go to bed. Became hostile to older women, calling them “witches.” She retired, talked to herself. The condition steadily worsened, a year later, excitement with impulsive actions of the catatonic-hebephrenic type joined.
When she was 7/2 years old in the hospital, she was in a state of catatonic-hebephrenic excitement.I couldn’t stay calm for a minute. She walked around the ward and immediately sat down on a chair, jumped up and sat down again, already backwards, Threw her legs on the back of the chair, then sat down on the table, transplanted from the table to the floor, and finally squatted down at the chair leg. Suddenly, gutturally screamed Once again jumped up and walked on tiptoe, saying to herself: “Well, think that you are on high heels. You can think. Well, go, go. And this is a handbag. ” At the same time, the girl looked in front of her, withdrew her bent hand and slightly waved it, as if holding a bag.She asked all the women passing by her with stereotypical questions “What kind of stockings do you have? Is it nylon or mesh? ” Not listening to the answer, she ran back, jumped, lifted the hem of her dress, exposed her clothes, grimaced, and laughed. And then she walked around the room again, imitating the gait of a flirtatious woman, deliberately smiling, bending at the waist, emphatically moving her hips. Suddenly she was jumping on her toes, whispering something and rhyming: “Model is a vaudel”. She became prim, covered her eyes with her hand and turned away, stretched her lips with her proboscis, then opened her mouth wide, throwing her head back.Suddenly she squatted, looked under the table, looked at something on the floor, pretentiously folded her fingers, brought them to her face and then, lifting her dress, rubbed her stomach. Immediately, with a piercing cry, she pounced on the staff, children, hit them. Just as suddenly she calmed down, became overly affectionate, tried to snuggle up to any passer-by or a person standing nearby. And again she was foolish again, cutesy, spoke incomprehensibly, with mannered intonations and pathos: “You came, my mother, in October, right? Yes, school … “She could correctly name herself and immediately say:” Tanya Chentsova, Nemtsova … “When asked about age she answered:” Six, what is six? ” Little, I am one year old, I can’t … I don’t like ”.And at the same time, the girl had a certain amount of knowledge.
Outwardly sloppy, untidy. I didn’t play with children. At the age of 8, she was transferred to a psychiatric hospital, to a department for children with severe damage to the central nervous system.
The considered catatonic-hebephrenic states from the catatonic-hebephrenic states at an older age were distinguished by a greater naturalness of behavior, the presence of a pronounced play component in behavior, instability and brevity of these states, its intermittency with other types of motor excitation.
Catatonic hallucinatory states with signs of bewilderment and confusion, periods of enchantment arose subacutely in 10 children aged 5 to 6 years. Manifested the process of affective lability, alternating phase mood disorders, and in some patients anxiety, antipathy towards relatives. In the expanded state, cataton-like excitement, acute anxiety, with tension, impulsivity, and aggression arose. When the condition worsened, the phenomena of bewilderment and confusion developed.Children lost their orientation in their surroundings, did not understand where they were, looked around, and were striving somewhere. Their faces now expressed bewilderment, now became enchanted. The children moved around the room. So, the puff in front of them was something in the air. Some at the same time suddenly pronounced the name of the toys and grabbed the emptiness. Sometimes they thought that their mother had come to them, and they turned to her. Upon coming out of the state of confusion, they said that they “went to my mother.”
At the same time, some patients developed autistic fearful fantasies.It seemed to the patients that “wolves are walking,” “old old women,” that the things around them were “looking” at them. Later, sleep was upset. The children did not sleep for several nights in a row. Detachment grew, at times there were deceptions of recognition (the mother seemed to be a stranger, etc.). During the day, the children remained anxious, peering with fear at certain parts of the room. Sometimes they immediately covered their faces with their hands and staggered back. During this period, it was possible to identify the presence of true hallucinations, and sometimes at the same time, pseudo-hallucinations.Patients sometimes said that there was “music and song” in their heads, then they experienced an unpleasant smell from food (“the food smells bad”).
Periods of sharp tension and fear were replaced by depression with thoughts of death, or by absurd foolishness with unreasonable laughter, grimacing, grimacing, increased drives. The variability of the clinical picture of the disease was observed for several weeks, and then a state of catatonic or catatonic-hebephrenic excitement set in, and regressive disorders were added.The final state with residual catatone-like, catatonic-hebephrenic and hallucinatory disorders was rapidly forming, and an oligophrenic-like defect was being formed.
The following types of the expanded state were found at the end of the 1st – the beginning of the 2nd year of life. The idea of the initial period of the disease was based in these cases mainly on anamnestic data and only isolated observations. However, we consider it necessary to dwell on them in order to raise the question of early disorders, which should be paid attention to in the further study of childhood schizophrenia.
Let us analyze motor excitement in sick children 9-12 months of age, when they turned from lethargic or ordinary into extremely active: they started jumping prematurely, tried to sit down, tried to get up, it was almost impossible to put them down without swaddling. In contrast to motor activity, the emotional reaction to the mother, her distinction with strangers, disappeared. Children tried to bite their mother during feeding, pushed her away, some refused to breastfeed.The newly acquired skills disappeared, appetite decreased. Anxiety gave way to lethargy. Such disorders, intermittently, lasted from several weeks to 2-5 months. Thus, the child’s activity during the period of excitement only outwardly resembled the physiological mobility of healthy children. In the movements of sick children, repetition, monotony, a change in excitement with lethargy became noticeable. Their motor development was not complicated. Emotional monotony and excessive indifference to the environment began to be found, as well as: a regression of certain skills.
If such conditions were prolonged or arose after the establishment of walking, propulsive running was observed without considering the danger. The considered general motor excitement at a level accessible to this age of patients without the phenomena of numbness, active and passive negativism, echopraxia, ambivalence is difficult to define as catatonic. Most of all, “it resembled the intensified, stereotyped, physiological activity of the child. However, in the future, symptoms of delayed development appeared, which indicated the severity of the transferred condition.Therefore, similar conditions should be the subject of careful research in the future.
Motor excitement at an early age was also observed in the form of hyperkinesis, tics of the facial muscles, closing the eyes, and periodic tensions in the muscles of the body and arms. Such motor disorders were replaced by spontaneity, in which sick children stayed for a long time in a relaxed position in bed, did not respond to the calls, calls from their parents, refused food, and developed exhaustion. At the same time, some of the hyperkinesis resembled convulsive seizures, which were diagnosed in this way in 2 patients.However, the absence of loss of consciousness, the alternation of motor excitement by lethargy, ventures
characteristic regression of words, motor skills, indifference to relatives, the phenomenon of spontaneity, and. not the usual post-attack lethargy helped to distinguish them from paroxysmal disorders in organic lesions of the central nervous system. Further observations of these children confirmed the correctness of the assumption about the presence of special forms of motor excitement in the form of hyperkinetic symptoms of schizophrenic origin.At a more mature age, 3 of these patients developed excitations of the catatonic type. In 4 patients between one and one and a half years of age, only states of lethargy were found, without somatic and psychogenic provocation. These children lost their acquired skills: they stopped sitting, lay for most of the day, indifferent to their mother, did not walk, did not react to hunger, lost their first words.
The states of lethargy could be of an affective, catatonic and regressive nature in the circle of manic-depressive psychosis, psychogenicity and schizophrenia.It is difficult to distinguish between them. The degree of violation; contacts, the depth of lethargy and akinesia, loss of skills, indifference could have a diagnostic value in determining the psychopathological essence of these states. Complete denial of contacts with loss of skills is the least characteristic of endogenous affective disorders proper and is more likely to be characteristic of catatonic or regressive manifestations in schizophrenia. Phase endogenous mood disorders are characterized by their changeability, a greater brightness of affective disorders.In the case under consideration, we were faced with excitement, aggression, indifference to the environment and emotional insensitivity. It should be recognized that it is extremely difficult, and sometimes impossible, to differentiate between catatonic schizophrenic lethargy and adynamic depression in manic-depressive psychosis or psychogenic states in patients of this age.
90,000 Swing from side to side. What is yakation in children and adults? Why does the child swing back and forth while sitting? Where and how to treat yakation in children and adolescents? How do parents feel about yakation in a child? What to do if you feel dizzy
Well, that’s all! Nine months of waiting for a small miracle are over.Everything turned out to be not so scary. The pain, the maternity hospital, and the invasion of numerous friends after discharge, and endless inquiries about their well-being have been experienced. Finally, you and your baby are left alone. You can examine the baby yourself without haste (usually, immediately after giving birth, young mothers start counting their fingers in a panic and check if all parts of the newborn’s body are in place), understand who the baby looks like, and just quietly rejoice in motherhood.
Enjoy the moment. Because then you will not have a free minute.Bathing, feeding, changing clothes, walking, vaccinations will cover you with your head like a snowball and you can recover … no, not at your child’s graduation party, but at least during the period when you send your baby to kindergarten. But until that time, there is still much to be done. Namely – to raise a baby and make sure that the level of his development corresponds to his age. Of course, many mothers (almost all) are so blinded by the love for the child that they consider him the best. We don’t argue. Undoubtedly, your baby is a real miracle.However, even the most wonderful kids need to be controlled. That is why we have prepared a small calendar of the child’s development by months, which will once again make sure that your child is no different from his peers (or maybe even ahead of them in development).
Calendar of the child’s development by months
Before describing the future achievements of your child by months, we want to warn you that each person is different. Therefore, do not panic if your child is a little behind schedule and speaks fewer words than expected.
0 -1 month: sleep off after birth
From the outside it may seem that the life of a nursing baby is only about getting a good sleep. This is partly true, since the sleep of a newborn up to one month lasts up to 22-23 hours a day. That is, your baby wakes up after birth only to eat and inform the happy parents that it is time to change the diaper. By the end of the first month, the child begins to be more interested in the world around him, and the period of wakefulness increases to 6 hours a day.
As for other achievements, they are still rather modest. The baby begins to reach for his chest, recognizes his mother by smell and voice, turns his head in the direction of loud sounds. But what makes parents especially happy is the first smile of a nursing baby. Of course, she is still completely unconscious, but try to explain this to happy mom and dad, who catch every change in their child’s behavior.
1-2 months: here she is, mother
In the second month of his life, the baby begins to recognize adults and smile at them quite consciously.He reacts to the appearance of a person in the room with noticeable animation, distinguishes voices. At the same time, the child learns: as soon as he cries, his parents will pick him up or give him a tasty pacifier. Do not hesitate, the child uses all this knowledge for its intended purpose. If the parents did not understand the hint from the first time, the child will repeat the demand louder, and then even the neighbors will hear him. What do you want? The kid does not know how to speak yet.
But he already succeeds, turning over on his stomach, to keep his head at an angle of 45 degrees.Be sure to check this baby’s ability. If a 2-month-old baby is still lying prone on his stomach, it is worth showing him to a pediatric therapist and possibly taking a course of special massages to correct the situation. The next achievement is shown by the baby sitting in the mother’s arms. He not only tries to grab her by the finger or beg for extraordinary breastfeeding, but also tries to keep his head straight. By the way, be sure to hold the baby’s neck, despite the fact that, as it seems to you, he is already quite confidently holding his head.The fact is that the bones of a newborn are still quite fragile, and the spine is not able to withstand even such a small weight. But what the child, undoubtedly, will touch those around him, is his trademark gurgle. This manner of communication occurs in a baby at the age of 1 to 2 months. In addition, the baby actively clenches its palms into fists and tries hard to chew on its own finger.
2-3 months: laughter, and only
In the period up to 3 months, the child can roll over from his back to his side, and lying on his stomach, rises on his elbows, holding his weight for about 10 seconds.The kid is so interested in everything that he not only raises his head, but also actively turns it from side to side, trying to consider the world around him. At the same time, in less than 3 months, the child begins to realize his power over his parents, and anxious crying turns into a completely conscious whimpering whimper.
At this time, you can already hang a bunch of rattles over the crib. The kid is already pulling his hands to them with might and main. However, be careful, as once caught the toy, the child will certainly want to taste it.Of course, it is not worth taking a rattle away from a child, but it is quite necessary to take the choice of toys more seriously (especially considering the “conscientiousness” of modern manufacturers and the quality of the dye that is added to inexpensive plastic). But what else the baby discovers is its own arms and legs. For hours, the baby can look at the find and, out of habit, taste it. In addition, the little miracle laughs loudly, walks and actively asks for hands.
3-4 months: choosing favorites
Here it is, mom’s finest hour.In three months, the child realized that a fragile woman with an affectionate voice not only takes him in her arms more often than anyone, but also feeds him on demand, therefore, at the age of 4 months, the baby clearly begins to distinguish his mother from everyone around him. The toddler pronounces the first syllables, smiles in response to the smile of others and begins to play more consciously with the proposed toys. He singles out his favorite rattles for himself, takes them in his hands, shifts them from side to side.
In addition, the child raises his head 90 degrees while lying on his stomach.Freely turns from side to side, moves around the bed and knows how to express his mood. The kid laughs if someone tickles him, screams loudly with delight, calms down to the sound of music (of course, if it’s not hard rock) and is actively interested in the reflection in the mirror.
4-5 months: where do you take my toys?
The baby is growing up. He holds his head firmly when he sits, easily holds a bottle of water, plays with the proposed toys and protests if someone tries to take away his rattle.The child distinguishes well between strangers and unfamiliar surroundings. By the way, everything else scares him, so you should not invite many strangers into the house or constantly take your baby with you. A child of 4-5 months willingly plays with his parents in the ageless fun “cuckoo”, tries to repeat the nursery rhymes after his mother and plays while eating. Lying, the baby is trying to get up, stretching out on his arms, and, having dropped the object, he will definitely look where it has rolled.
5-6 months: crawl, baby, crawl
An active life begins not only for the child, but also for the parents.A six-month-old child is already trying to sit with might and main, crawling on all fours, if he does not reach the toy next to him and amusingly rolls from back to side. The kid becomes a gourmet, highlighting his favorite dishes. At lunch, he tries to hold a cup by the handle, plays with his food and responds to his own name. In addition, the child is happy to transfer objects from one box to another, can compare two toys for hours and sing along with the melody heard in his own way. If a baby is called familiar objects, he will surely find them in the room with his eyes and even express his attitude towards them with understandable sounds.
6-7 months: improving crawling skills
If a month ago your baby was crawling a little uncertainly, now it is a real ace in overcoming the distance on all fours. The child sways from side to side, crawls backwards and even develops an unheard-of speed for himself in order to catch some toy before adults or catch up with a fleeing cat. If the child has to sit, then this is already a proud pose with a straight back (sometimes, in order not to fall, the kids support the body weight with their hands).However, pediatricians still advise not to plant a six-month-old baby often, giving him a little time to get stronger.
What a child of this age undoubtedly likes is the mirror. More precisely – the reflection in it. The kid strokes the reflection with his hands, gently walks and in every possible way expresses his approval of what he saw. To mom’s strict “no” (for example, to an attempt by a tomboy to rip off a pet’s tail), the child responds, though not by obedience, but by full understanding of what is happening. He loves to beat objects against each other, sing songs of his own composition and study the body with his hands (and sometimes taste).
7-8 months: the first word
It is during this period that parents most often hear the first word of the baby. The child begins to become attached to his family and a little wary of strangers (sometimes this is expressed by a cry of protest when a stranger tries to pick him up). But the surrounding world does not frighten the baby at all. He continues to be actively interested in the contents of the apartment, still moving on all fours, but already in the category of “extra-class master”. The child is not yet trying to walk, but already stands without support for several seconds.And if you offer him something to lean on, then the baby can stand long enough and will even try to play with one hand. The reflection in the mirror is more and more fascinating to the tomboy. Ardent love for oneself develops into affectionate conversations and kisses of the mirror surface. The kid identifies the words “mom” and “dad” with people who proudly bear this title, and begins to rejoice at their arrival.
8-9 months: buying books
If your child is more than 8 months old, it’s time to buy the first children’s books with thick pages.It is now that the child will not only appreciate them, but will also be able to scroll on their own. Of course, it’s too early to learn letters, but if you read to your baby as much as possible, this will have a beneficial effect on the development of your child. At this age, the child loves to clap his hands, tear paper. He can play with two toys at the same time and is well aware of which object is large and which is small.
These children sit down on their own, love to jump and walk, holding on to their mother’s hands, and turn around perfectly during their signature crawl on all fours.However, don’t expect your little one to absorb only good habits. Eight-month-old babies very often stick their fingers wherever they go (we hope you put protection on the sockets?) And begin to quarrel if something went wrong with their scenario. But such kids perfectly show body parts, they can find a toy that they have “hidden” in front of their eyes and will gladly follow simple instructions (especially if they receive sincere praise for it).
9-10 months: top-top, baby stomping
At more than 9 months, the baby begins to walk, holding on to his mother with both hands.Apparently, this gives the child enthusiasm, because simultaneously with the ability to walk, the little tomboy develops a love of dancing and imitation. Do not feed the kid with bread, let him show some animal or even copy someone from the family. He loves to play with water and climb the numerous boxes that the tired mother forgot to close. But what a 9 month old baby doesn’t want is sleep. Apparently, the young researcher does not want to spend a second of precious time on sleep, realizing how much more interesting things are around.
Children’s fingers are also developing. Now the child can carry away 2 objects at once in one palm. By the way, at this time it is already becoming clear who your baby is – right-handed or left-handed. In order to find out, put some toy in front of the baby (in the middle) and see which hand he grabs it with.
10-11 months: development continues
The baby is already walking independently, holding onto the furniture. He gets up and sits down from any position, can pick up a small object from the floor, grabbing it with his thumb and forefinger.He perfectly understands the word “no” (but this does not mean that the baby will always obey you) and tries to express his desires not by crying, but by logical explanations. To do this, the corporate word “give” appears in the lexicon and a couple of gestures by which the mother must understand what exactly her child needs. The baby drinks tea from a cup on his own (but it is still better to use a sippy cup). Of the games during this period, kids are very fond of rolling the ball on the floor (especially if one of the adults is playing with them), as well as playing “okay”.Well, children’s books, of course, should not be put aside. Moreover, children are already beginning to recognize this or that fairy tale and ask them to read it.
11-12 months: progress is evident
In a year, the baby already sits, walks, and is happy to build pyramids and other complex structures from cubes. The child shows independence and can refuse some food, or, conversely, ask to feed him. And he no longer eats ordinary baby cereals, but perfectly bites off solid food (this process must be carefully monitored so that the baby does not choke).The child freely recognizes familiar adults, calls them by name. In the children’s vocabulary, there are already about 15 words (albeit fuzzy), with which he can quite easily explain with his parents. By the way, you won’t be able to go to work with impunity. If the child notices your departure, he will certainly start crying, so be smart and do not traumatize the child’s psyche.
The list is endless. However, you must understand that the more you pay attention to your child, the better he will develop.Therefore, if the son of a friend is already reading poetry, and your own cannot ask for bread and butter, then the genes are not to blame for this, but you yourself. Replace daily sittings at the computer with games with your child, and he will certainly delight you with a new word, achievement or just a joyful smile.
Prolonged rhythmic swaying, which is observed in children and adults in a dream or in the first minutes after waking up, are called yaktats.This condition often indicates the immaturity of the nervous system and requires monitoring and correction.
Attentive parents will definitely notice any changes in their child’s behavior. If these changes cause anxiety and concern, the baby should be shown to the doctor.
Yakation refers to states indicating the presence of psychological discomfort in a child’s life, immaturity of the nervous system, or the initial stage of a disorder of consciousness.
What is yakation in children, orphans and adults: description, reasons, video
The strange rhythmic swaying that is produced by the head or the whole body is called yaktatsiya. Yakation is usually observed in young children before bedtime, during sleep, or immediately after waking up. Attempts by outsiders to interfere with the swing, interrupting these movements, ends in hysteria. The child receives satisfaction from his activity and reacts with dissatisfaction to interference in his “ritual”.
Video: Yakation in a child in a dream
Each childhood is characterized by special manifestations of yakation.It can be in the form of repeated rhythmic pumping in babies, in children over six months – in the form of swinging left and right or back and forth. In order not to lose balance, while swinging, children often hold on to the playpen or wall with their handles.
The varieties of yakation include frequent rhythmic head twisting and the manifestation of emotions during seizures.
During rocking back and forth on all fours, the situation can be complicated by hitting the head against the wall.
Reasons for yakation in children:
- lack of rhythmic stimulation
- Restriction of physical activity
- Separation from Mom
- physical or mental stress
- family conflicts
- muscle tension
- training of the vestibular apparatus
- hypoxia during labor
Sometimes yakation in a child occurs when he has new skills and opportunities.The first inept steps, attempts to run, or an erupted tooth can cause rocking.
The child often sways back and forth while sitting: what is this, is this a disease?
Rhythmic rocking of the body or head is called yaktatsiya. Most babies between 5 and 10 months old experience this phenomenon. Boys are more prone to yakation than girls.
May stop suddenly forever without outside interference, but sometimes continues until school age.
How does a parent treat yakation in a child?
It is very hard and scary to observe how a child, as if involved in some invisible ritual, now and then sways from side to side or enthusiastically shakes his head. But parents should not panic.
After talking with specialists, most moms and dads leave their fears and stock up on patience, because often yakation is nothing more than a manifestation of the immaturity of the nervous system. By the age of 7 – 7.5 years, the condition is normalized, but until this has happened, the rocking and winding help the neural connections to form as soon as possible.
Doctors do not recommend stopping the child while swinging.
Where and how to treat yakation in children and adolescents?
Yakation in children can be a temporary phenomenon and pass on their own, but if the rocking is often repeated, parents should take all possible measures to stop the obsessive state.
For this you need:
- try to improve relations with household members, avoid conflicts in the presence of a child
- soften approach, avoid hard handling
- get emotionally close to the child
- Spend enough time outdoors with your child, suggest creative activities
If the efforts of the parents are not successful, it is necessary to consult a neurologist or psychotherapist.The specialist will study the problem and suggest ways to solve it. Play and rational therapy, activities aimed at normalizing family relationships and educational approaches, hypnosis can help.
Polysomnography – method of examination during yakation
One of the popular effective methods of examination is polysomnography, which is performed at night, while the patient is sleeping. Based on its results, one can judge the reason for yakation in a child or an adult.
It is possible to accelerate the maturation of the nervous system.For this, the child is prescribed Lecithin and enhanced nutrition. Meat, fatty broths, butter, fish should become indispensable foods in a child’s diet.
Step to victory over yaktatsiya – establishing emotional contact with the child
Dr. Komarovsky believes that the solution of such neurological problems in a child as yakation does not mean at all that the baby needs to be taken to doctors and treated with medication. Serious neurological disorders in a child that require medical attention manifest themselves in a completely different way and are noticeable at a very early age.
Parents who have noticed a tendency to sway in their child, first of all, should put off all their affairs and try to devote as much time as possible to the baby. Joint games, sleeping next to mom, calm affectionate appeal to the child can normalize his condition in the shortest possible time.
Yakation in children, orphans: reasons, Komarovsky
In most cases, yakation is observed in children deprived of parental care, love and affection. For adoptive parents, such behavior of a daughter or son is a surprise, and becomes the reason for the next examination by doctors.
Pediatricians in such cases prescribe glycine and vitamin D, neurologists talk about ICP, immaturity of the nervous system, the child’s attempts to compensate for the impulses missing in the central nervous system with repetitive monotonous movements.
Yakation in a child can express his protest against the atmosphere in the family. A normal emotional background is a prerequisite for getting rid of yakation.
Video: Komarovsky about neurological problems
During systemic vertigo, it seems to a person that the surrounding objects are moving in space, and during non-systemic vertigo, “the earth is leaving from under his feet,” he is thrown from side to side.Other types of vertigo: when it seems to a person that he is falling down or rising up, lateropulsion – insurmountable movements to the side, drowsiness.
Causes of occurrence
In some people, dizziness is accompanied by nausea and vomiting. In severe cases, there is even a feeling of fear, profuse sweating, fainting and collapse. However, when you feel dizzy, it can also be a symptom of diseases of the ear, eye, brain, or nervous system.
If sometimes a person has attacks of systemic dizziness (sensation of rotation of surrounding objects), during which there is noise in the ears, nausea, hearing loss, then this may be a manifestation of Meniere’s disease.
Acute vestibular neuritis
This is a relatively rare disease manifested as a result of inflammation of the vestibular nerve, characterized by sudden onset, severe dizziness, constant vomiting. These symptoms usually disappear within 2-3 days. Final recovery occurs in 2-3 weeks.
It is characterized by the fact that a seated or lying person with a sharp change in body position appears a veil before the eyes – this is due to a sudden redistribution of blood in his body.However, due to an involuntary reflex, such a redistribution is very soon compensated.
Cardiac arrhythmias and other heart diseases
Attacks of dizziness, sometimes accompanied by fainting, can occur in various heart diseases that affect the activity of the nervous system.
The head can begin to spin with both rapid and slow heart rate. Atrial flutter due to disorganization of the rhythmic activity of the heart or myocarditis, damage to the conduction system of the heart, sharp fluctuations in blood pressure (high, and especially low pressure) – all this also leads to dizziness.
With polycythemia, the content of red blood cells in the blood rises. Symptoms of this disease are headache, hot flashes, and cherry-red complexion.
What to do if you feel dizzy?
If you are sick and do not get out of bed for a long time, then try not to make sudden movements, do not change your body position. With prolonged and frequent dizziness, and especially if other symptoms of the disease appear along with it, you should consult a doctor.
Throws aside the reason
Cured, discharged, all chorus.
What examinations should be prescribed?
Registered with a neurologist, goes in a couple of days.
She will just go to the doctor.
Do you really really think that she never went to the doctors?
There is no need to invent anything for me and look for something between the lines.
Sits at home crying that he will soon die.
And I am such a bad daughter, I make her go to the doctor to go to the clinic.
I’ll have to sit next to her, cry like a good daughter, a stranger.
Yes, I also thought about massage.
She was at the therapist on Friday, her blood pressure is normal.
She has no temperature.
She herself scolds the doctor – her doctor is both stupid and young, and speaks very quietly, and the queue at the doctor is frantic, only grandmothers.
I reassure her that the doctor prescribed the drugs everything in the case, which means that she is not such a fool
She is just from the hospital – 2 fresh blood tests – biochemistry, 2 fresh urine tests, she also donated blood for sugar, throughout the day was monitored – everything is normal.
Gastroscopy was done – nothing terrible, even a colonoscopy was done – everything is ok.
I did the ECG last month, everything was in accordance with age-related changes, there is no heart diagnosis.
Ultrasound of the gastrointestinal tract, liver, pancreas, kidneys – fresh ultrasound from the hospital. Everything is also pretty decent.
Without a diagnosis, there can be no cure.
The diagnosis was not announced to her, her mother did not read her map later.
Or do you suggest going straight to the head physician of the polyclinic?
Dragging a 67-year-old man – I’m not a monster.Maybe it is customary in your family, but not in ours.
Says that 1000 rubles – again nafig need to spend money, she has already gone when I remind her that she did not like the doctor, says that she is already drinking medicine and will not go.
When I say that I will come and pay a visit to the 2nd doctor, I say that it is not necessary, because money IS.
It’s all either way or no way.
Persuasion does not help, swearing is useless – only one nerve, and the fact that she went to the DOCTORS at all is my victory.
Before that, she was treated, such as brewed chamomile / St. John’s wort / calendula / rose hips and so on, and I’m fine, I’ve already recovered.
Staggers when walking: what is the reason and how to get rid of the disease
If you stagger (shake) while walking, the feeling of a “floating” environment covers you, then most often the root of the disease lies in vegetative-vascular dysfunction (VVD), pathological processes in the spinal column, pressure surges, head trauma, multiple sclerosis, stroke.
Unsteadiness of gait with vascular and autonomic disorders
Often, unsteadiness of gait is directly related to vascular head ailments, which are manifested against the background of cerebral blood flow disorders. Vascular cephalalgia is characterized by:
- localization in the occipital part;
- An exhausting, violent and throbbing pain radiating in the temples;
- a feeling of unreality, a feeling that the world “revolves” and “revolves” around;
- visual abnormalities, incl.h. flickering “grid” in front of the eyes.
Patients complain of a fear of open spaces, an irresistible desire to be near any support. Many people note that before going outside they feel a heaviness in the head, muscle tension. Movements become clumsy and uncoordinated. For no apparent reason, the head aches and dizzy, weakness collapses.
Factors affecting instability
Physicians note that uncertainty and swaying during walking with VSD are associated with the following reasons:
- First, with impaired consciousness.The main symptoms: vision becomes cloudy, the surrounding “picture” loses its clear outlines and becomes foggy, dizzy, suffocating, often a person is in a fainting state.
- Secondly, with constant thoughts of malaise. They form an imbalance in the body. Patients often notice that when they forget about the pathology and the head is “light”, the instability disappears.
- Third, with tightness and stiffness of muscle fibers. Why are the muscles pinched? Chronic stressful conditions, fears, depression make them so.The muscle mass of the neck and back is tense, the limbs tremble, the head is spinning, coordination is lost.
How can I improve my condition?
It is important to “get to the bottom” of the causes of blood pressure surges, panic attacks, unreasonable fears, etc. After all, the main factors of instability in VSD, head fog and head pain, vertigo are hidden in the lability of the nervous system, constant stress, anxiety and depression.
It is necessary to follow the prescriptions of not only therapists and neurologists, but also address the problem to psychotherapists or psychiatrists.You will have complete knowledge of the causes of malfunction in the body, know what to do to eliminate the “provocateurs” of the disease. Please note that almost 10% of gait imbalance and head ailments with VSD are associated with thyroid dysfunction, cardiac arrhythmia.
Imbalance in cervical osteochondrosis
If the gait becomes stumbling, with “drunken” elements and at the same time the head is dizzy and noisy, then the pathology may be prompted by collar (cervical) osteochondrosis.Instability, loss of balance and swaying are accompanied by:
- a feeling of cotton plugs in the ears;
- aching and lingering cephalalgia, which is sharply aggravated by head movements;
- soreness in the neck and face;
- increased heart rate;
- profuse sweating;
- redness or pallor of the epithelium.
Effective ways to improve the condition
It is important to understand that it is impossible to return a confident gait without treatment of cervical osteochondrosis, which provokes it.Doctors can prescribe:
- Reception of pharmacological agents that dilate and tone blood vessels, enhancing the nutrition of the brain.
- To do stretching and fixation of the collar, regularly carry out water procedures, perform a set (individually selected!) Of physiotherapy exercises.
- Eat a diet enriched with vitamins B, C, etc.
A visit to the doctors cannot be postponed if the lethargy of the legs is rapidly progressing. It is necessary to conduct a full and comprehensive examination so as not to ignore the anomalies that require urgent surgical intervention.For example, a hernia (prolapse) of the intervertebral disc, pinching the nerve tissue, can dramatically worsen the condition.
Recipes from the national treasury will help
A combination of chemical preparations with simple folk recipes will help to quickly overcome cervical osteochondrosis, restore an easy and confident gait:
- Regularly make potato-honey compresses. Mix fresh potatoes with honey, apply to painful areas of the neck.
- Prepare a composition of aloe juice, vodka, honey and radish – mix 2 tbsp.spoons of each ingredient. Drink once a day before eating.
- Chopped celery root (3 g) pour boiling water (1 l), leave for 8 hours, drain. Drink 1 dessert spoon three times a day on an empty stomach.
Other causes of instability
It should be borne in mind that lethargy in the legs, imbalance of movements when walking, vertigo and foggy in the head can occur due to other factors, including: substances.
Also, do not forget to thank the doctors.
I would like to inform you about additional studies of my disease, I am starting to better and better understand the symptoms and the disease itself.Not long ago, a neurologist had a woman already at an age that seemed to have a lot of experience with higher education, but when I told her about BPPV she asked me again what was it ?! I explained what kind of disease it is, its symptoms, I know for sure that I do not have a vertebral artery syndrome, because I understand perfectly well that when a spasm of this artery occurs, dizziness occurs; headache, in the occiput, tinnitus, and so on, I have This is not, for which there is an objective confirmation of ultrasound of the vessels of the neck and the head for which I was prescribed a direction, I attach the conclusion below, and also wrote out a direction for an MRI of the cervical spine, and according to the conclusion of the data, studies, I was diagnosed with a syndrome of the vertebral vertebral artery, having doubted this diagnosis, I turned to another neuropathologist, the man turned out to be a professional in his field, after listening to my complaints, conducting a total Rum Berg test, a pollen-bearing test, got acquainted with the studies that I went through, and diagnosed vistibulopathy, this diagnosis is more suitable, but still I want to find the true the cause of dizziness, since dizziness is a symptom and not a disease, I am more inclined to ailing the labyrinth of the inner ear, as I noticed when I enter a dark room at night, my head starts to feel a little stormy, not dizzy, but just shakes and starts to lose balance a little, on the light and balance comes back to normal, I was given an exercise in vestibular gymnastics, so I’ll start doing it, and drink Betaver, I don’t know how much it will help, but I will try.I would like to ask you what kind of disease do you think I have? Since my head does not hurt, now I do not feel dizzy but shakes a little in the dark, this is probably something else with the visual analyzer, apparently there is a mismatch with the somatosensory system, and I still have an increased nervous state. And I also wanted to say that as a child I was rocked very badly in the car in the bus, it became very bad, I was born at 7 months with fetal hypoxia, doctors diagnosed encephalopathy and cranial pressure.
P.S. Communicating with you, I am sure that you are a good doctor, and I understand that everything is not free, for your help I would also like to pay for your correspondence consultation, how much will it cost? Thank you.
Unfortunately, many neurologists do not know BPPV and other types of peripheral vestibulopathies, as a rule, vertebro-basilar insufficiency is usually diagnosed as standard and without much disassembly. But, also, most ENTs do not know such a diagnosis and problems with the labyrinth, the presence of a perilymphatic fistula, the onset of Meniere’s disease, etc.are not able to identify and all the troubles are attributed to the long-suffering osteochondrosis and sent back to the neurologist. Therefore, if you find it, it is better to consult an otoneurologist.
I mean VSD! shakes from side to side when walking.
I am very afraid .. it would seem funny, but I am afraid of death in one word, because I have two beautiful girls, everything is fine and my husband is wonderful. who knows, and who had the same pitching from side to side as a drunk, answer me, did it work for you?
I drink now atheroclephitis to clean the vessels, the doctor advised, but it’s so scary that all these sensations will not pass.and I am very afraid to stay at home alone. I am very afraid of fainting because I have never lost consciousness. support girls. do I really have to live with such rolling from side to side. it’s unbearable. I cured neurasthenia. now the attacks of suicide, shaking, goosebumps just drive me crazy. I’m scared.
Thank you very much in advance. and with all this, I cannot do anything significant. answer those who had it? maybe even after pregnancy, it will pass. it was worse during pregnancy.
THROWS FROM SIDE TO SIDE
May God never have a reason to see a doctor! And if you have to, do not delay it.
CREATE A NEW MESSAGE.
How dangerous is all this, how does it manifest itself to me, what is the forecast and is there an opportunity to improve the situation?
Stenoses are hemodynamically insignificant, they do not need surgical correction
To prevent their progression, it is necessary to control the lipid profile, if necessary, correction of the blood cholesterol level by taking lipostabilizing agents, constant intake of antiplatelet agents – should improve your condition
Nothing will threaten you , and does not play any fatal role.This is just an anatomical feature in the structure and organization of the left ICA and VPA, which your body has been compensating for a long time on its own.
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This is not “vd”. There is no such disease! Most often, this mask hides a neurotic disorder – neurosis! This problem should be dealt with under the supervision and guidance of a psychotherapist with the obligatory use of psychotherapy as the main method.Medicines, if used, play an auxiliary role. Be guided by this when choosing a specialist. I recommend that you also look at this information. It will help you understand the essence of your problem: PANIC ATTACKS
In fact, the peculiarity of neurotic disorders lies in the fact that their external (visible) manifestations can resemble signs of almost any disease. Neurosis is a neuropsychiatric disorder that is caused primarily with traumatic circumstances.Very often, with neurosis, there are so-called. – autonomic disorders. They are called differently: vegetative-vascular dystonia or VSD, neurocirculatory dystonia (NCD), somatoform autonomic dysfunction (SVD), vegetosis, angioneurosis, heart neurosis (cardio-neurosis or cardiophobia), anxiety-neurotic syndrome, etc. Vegetative disorders in neuroses can be of two types.
In the first type, there may be the following symptoms: increased heart rate, increased blood pressure, pallor and dryness of the skin, decreased salivation and dry mouth, “goose bumps”, a tendency to an increase in body temperature, chilliness of the limbs, etc.For the second type, a slowdown in the pulse, a decrease in blood pressure, an increase in salivation, an increase in intestinal motility, and redness of the skin are characteristic.
The external manifestations of neurosis, in practice, may resemble signs of various diseases, but at the same time, neurosis is not accompanied by damage to the internal organs of a person. It can last for many years, but it is always a reversible disorder.
In our psychotherapeutic practice, it refers to borderline states, and never leads to the development of mental disorders.This is a reversible reaction of the individual to some kind of traumatic situation.
Treatment of neuroses should be psychotherapeutic and complex. Medication for neuroses is usually of secondary importance.
Psychotherapy is a special type of treatment in which psychological assistance is provided, in solving problems and difficulties of a psychological nature.
Psychotherapy does not set itself the goal of eliminating a serious mental illness, but rather a practical help in solving life problems.Without such help, over time, the neurotic disorder can become chronic.
The main task of psychotherapy is to restore mental health.
The goal of psychotherapeutic work is to help a person understand the meaning of what determines his behavior, feelings, thoughts and try to change ineffective reactions using psychological means. Currently, the latest, unique and very powerful psychological techniques, existential, narrative, cognitive-behavioral therapy, etc. are successfully applied.The most necessary thing in the treatment of neurosis is the desire of the person himself – to cope with his problems.
The task of the doctor-psychotherapist, as efficiently and unobtrusively as possible, is to help a person move along the path of overcoming a neurotic disorder, in the right and right direction!
Causes of staggering when walking
A symptom of many diseases is staggering when walking. In the presence of such a symptom, it is necessary to undergo a consultation examination of specialists as soon as possible.Only a qualified doctor will help determine the source of the problems that caused staggering when walking, the causes of the condition that has arisen and will prescribe the necessary examinations and treatment.
Etiology of wobbly gait
The answer to the question, what is the cause of staggering when walking, refers to the anatomical features of the structure and work of the musculoskeletal system.
The cerebellum is responsible for the coordination of movements, the vestibular apparatus and vision help to orientate in the surrounding space, the accuracy and confidence of movements is ensured by a strong bone structure, healthy joints and muscles.
The spine has a system of spinal nerves, half of which are responsible for the functioning of tactile sensations of the skin, the other half of the nerves form plexuses from nerve fibers that go to the muscle tissue, they are responsible for the functioning of the muscles that provide movement in the musculoskeletal system.
The norm of motor activity when walking is due to the unimpeded transmission of nerve signals along the pyramidal structure, consisting of different levels of the central nervous system.
Nerve plexuses facilitate the passage of a nerve impulse that signals muscle tissue.
As a result of the occurrence of abnormal changes that impede the transmission of impulse, staggering occurs during movement.
The symptomatic picture characterizing the change in gait depends entirely on the part of the spinal column in which the impulse signal transmission by nerve cells has been disturbed. Thus, a wobbly gait, accompanied by symptoms:
- Pain in the head, dizziness, impaired blood flow to the brain is a pathology in the cervical spine;
- Pain in the heart, signs of a pre-infarction state, symptoms of angina pectoris are abnormalities of the thoracic region;
- Feeling of weakness, instability, tingling in the lower extremities is an inadequacy of the work of the plexus of the nerve fibers of the lumbar and sacral spine.
Also, the presence of pathologies causes pain that interferes with the normal movement of the lower extremities.
Characteristic features of a wobbly gait
Staggering when walking has certain features, by which one can speak of the onset or progress of a disease.
These signs include:
- Impaired coordination of movements for an unknown reason;
- Frequent stumbling;
- A series of frequent falls with weakness in the legs;
- Unnaturally sweeping gait;
- Difficulty climbing up flights of stairs;
- Difficulty moving the legs after prolonged rest;
- Fall on the back when lifting the body from a sitting position;
- When walking, the effect of “rolling” on one side of the body is manifested;
- Heel-supported stepping movement.
Characteristics of the symptom
Stiffness of movements in appearance can be systemic, that is, staggering is an expression of a certain anomaly of the vestibular system of the body; and non-systemic, that is, it is the result of an ongoing chronic disease.
A huge number of sources that cause a change in gait are due to a fairly large list of diseases that have such a symptom. As a result, such pathological changes in walking can be combined into groups for reasons of occurrence.
The first group is represented by diseases that are caused by painful conditions and trauma to the musculoskeletal system, pathological disorders in the bone structure, in joints, in muscle tissue, in the soft tissue blood supply system.
The second group is diseases of the areas of the brain that are responsible for the functioning of the musculoskeletal system and control coordination in the movements of the lower extremities.
The third group of causes is emotional and mental disorders.
Staggering when walking occurs in the presence of diseases of the movement apparatus:
- Osteochondrosis – dystrophic lesions of the intervertebral discs;
- Injury of the spinal column;
- Head injuries of varying severity;
- Atrophic processes in muscle tissue;
- Arthritis – painful damage to the joints;
- Diseases of cartilage tissue;
- Diseases of the bone structure;
- Deformation of the foot;
- Contusions of the muscle tissue of the lower extremities;
- Various types of leg injuries.
All painful conditions related to the first group are associated with impaired blood supply, insufficient supply of nutrients and oxygen to muscle tissue with its subsequent depletion, with trauma of a different nature.
The second group
The second group is represented by diseases and pathological changes in the brain and spinal cord, which, as they progress, cause abnormal weakness in the lower extremities.
Staggering when walking is a sign of serious illnesses:
- Cancer processes in the brain;
- Atherosclerotic disease;
- Functional disorders of the central nervous system;
- Hemorrhagic stroke;
- Purulent inflammation of the brain tissue;
- Neurodegenerative processes of the nervous system with impaired coordination function;
- Progressive neurodegenerative disease in combination with mental disorders and choreic hyperkinesis;
- Anatomical discrepancy in the structure and location of the cerebellar region of the brain;
- Tuberculosis of the central nervous system;
- Autoimmune disseminated encephalomyelitis;
- Inflammatory processes in the inner ear;
- Neuronitis of the vestibular type;
- Vegeto-vascular dystonia;
- Meningitis inflammation of brain tissue;
- Polyneuropathy due to taking neurotoxic drugs;
- Disease of the central nervous system caused by treponema pallidum.
Staggering when walking can be caused by mental disorders of various etiologies:
- Depressive states;
- Severe stress;
- Violation of the perception of the reality of the surrounding world;
- Unreasonable anxiety and fears.
During a neurological examination, differential diagnostics are carried out, which will help the doctor establish the degree of functioning of the cerebellum and vestibular apparatus.To determine the characteristics of movements, diagnostic methods are used:
- Change in gait with closed and open eyes;
- Change of step when moving face or back forward;
- Sideways movement to the right and to the left in a straight line;
- Moving around the chair;
- Walking on heels, then on toes;
- Slow or fast rhythm steps;
- Making turns while driving;
- Climbing stairs.
The same is carried out:
Consultation of an ophthalmologist, otolaryngologist, endocrinologist is appointed to make the correct diagnosis.
The neuropathologist, after carrying out the diagnosis, determines by concomitant signs at which level of the nervous system there are pathological processes that caused staggering during movements. Based on the results of the examination, treatment is prescribed.
Treatment of unsteadiness when walking
Having identified the causal nature of gait disturbances, the doctor offers a set of remedies:
- The unsteadiness of walking is caused by taking medications, then the dosage per dose is reduced or the drug is changed;
- Depressive and psychological disorders are treated with vitamin complexes, a full diet, normalization of the daily routine;
- Antibiotics are used for infectious processes;
- For painful syndromes – pain relievers;
- In case of injury, a course of treatment is carried out to restore and improve the functioning of the musculoskeletal system;
- In the presence of serious illnesses, symptomatic treatment of the illness resulting in gait disturbances is carried out;
- In some cases, surgery is used.
In all cases, a good rest, good nutrition, medical examination at least twice a year is prescribed.
Staggering when walking, an increasing feeling of weakness in the lower extremities – this is a reason to consult a doctor for examinations and timely treatment, which will ensure human health and the quality of his life.
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90,000 is not an invention of doctors and not a fashionable diagnosis!
And this is not even a spoiled child.This inability to stop is a symptom that is very important for parents to pay attention to in time.
“Hyperactivity? There is no such diagnosis, it is just the doctors invented it, it is fashionable now, ”- I have heard this opinion more than once. Most people think that hyperactivity is – well, it’s just, “an awl in the butt” – an energetic child, not a disease.
This is actually a disease. A child should not be like that …
Now I hear shouts: “The child does not owe anything to anyone.” If you like this phrase, empty and beautiful, do not read this article.She is for serious parents.
Hyperactivity is a real problem. For many children, fortunately, it passes over the years, but for some it does not, it simply flows into other symptoms … In fact, this is not a fashionable diagnosis at all, but abnormalities in the work of the brain.
How does it look? I recently saw a hyperactive boy. He is 8 years old, he endlessly dangles around the room, cuts circles. When I say “without end,” I am not exaggerating. I sat in the clinic for about two hours, and for two hours he rushed back and forth, in a circle, touched other children, laughed, fell… His mother sat depressed, with a guilty look, and in a tone that made it clear that she absolutely did not believe that he would stop, she said: “Vanya, stop, please … Well, that’s enough already.” And the boy just smiled, and dangled again …
This is not pampering. This is the impossibility to stop. As doctors explain to the parents, “the functions of inhibition have not matured in the brain”. The functions of arousal have matured, but not inhibition.
Mom called out to her son only out of decency. So that we can see that she is trying to cut him short.After all, when a child misbehaves, everyone begins to cast reproachful glances at his parents, not realizing that they cannot do anything.
This is a huge problem for parents. First, hyperactivity often leads to developmental delays. Try it yourself on the go! When other children concentrate on putting together a puzzle, on building from blocks, when they listen to the explanation of their mother or teacher, they learn, comprehend, develop. The “perpetual motion machine” on the move can neither really listen, nor really consider something… He runs up, quickly leafs through the book, almost without looking, and runs away. He took the cubes, put one on top of the other, and galloped on. And what they say, he does not listen at all …
As a result – developmental delay. Speech or mental. When a child seems to be normal, but does not do everything that his peers are already able to do.
And what a Calvary it is for parents! Every day they run after the child around the playground, they don’t like such children in the kindergarten, they complain about them. At home, a hyperactive child cannot even eat quietly: he put a spoon in his mouth, and jumped up, and rushed like a whirlwind to another room, to the toys.They returned him, he put the spoon in his mouth again – and run … Mom cannot serve him dishes one after another. Because if only she leaves the table, he will ride away. And you can’t put everything on the table. Who will eat the soup if they also put fruit and pancakes in front of him? Mom runs after the child with a plate from room to room, trying to feed him all the same, and people who see this snort: “Yes, I would give him! Doesn’t know how to call a child to discipline! ”
Hyperactivity is a disease. More precisely, it is a symptom of neurological diseases.Different. For example, MMD stands for minimal brain dysfunction. I will try to explain this in simple terms. Remember, at school, everyone had Losers, classmates? They did not listen in class, got up, started talking, distracting everyone, laughing, whatever they did, they just didn’t study. Everyone thought they were fools, lazy, etc. In fact, this is MMD. Some centers of the brain do not work properly and do not allow you to concentrate. Therefore, the child is not interested, he does not know what to do, he cannot sit still… And if he cannot concentrate and sit still, then there will always be problems with his studies. He has poor grades and is not treated well by the teachers. Children also adopt this attitude towards their classmates. And that’s all, low self-esteem and loneliness are provided for the child. They provoke him to antisocial behavior, aggression. “Oh, don’t love me? There you are!”
And then the parents are scolding. The child cries, promises to improve. But … it can’t. How can a child single-handedly defeat a disease?
Hyperactivity is sometimes a symptom of such a terrible disease as autism (mind you!).He has not yet proved himself, the child is still a perfect clever, but hyperactivity is already there. So what, parents think. Well, energetic. And later, when speech, which has already begun to appear, and self-service skills suddenly disappear, they are in shock. After all, nothing foreshadowed …
I’m not afraid. I just advise you to pay attention to the fact that the child is hyperactive. This is not a small thing. This is a harbinger of future troubles for more than one year …
What are the signs of hyperactivity?
In addition to the constant running around, the child quickly goes from business to business, bringing nothing to the end; he talks a lot, almost constantly (or vice versa, he may not be able to talk at all by the age of 3-4).The child, if he speaks, interrupts the elders, answers questions without listening to them. He is naughty, he just does not even listen to what you tell him … Such children often have trouble sleeping – they often wake up at night, cannot fall asleep during the day. They often have (but not necessarily) tics, stuttering, blinking, enuresis, various twitching, or obsessive movements (say, likes to swing – ready for hours, or runs in a circle). The child does not listen to the book, but only loves to leaf through it quickly and quickly.
What to do? There is no cure for hyperactivity. In North America, it is not treated, but only suppressed with drugs such as Ritalin. In Europe, there is a rather ambiguous attitude towards him, there is a lot of debate about him, and in Russia this is hardly used at all, they are treated badly. In our homeland, they are trying to treat hyperactivity, but it helps someone, someone does not. (And this is natural, the diseases of which it is a symptom are different, the degrees of severity are also different).
How are these diseases treated? Nootropic drugs.These are drugs that stimulate the brain – they provide nutrition to cells, improve blood circulation, and oxygen supply to the brain. You can read about how these drugs work on the Internet at numerous forums for mothers of children with neurological diseases. Type the word “hyperactive children”, and you will get such forums …
For those who are afraid of “chemistry” (I think it’s in vain, many mothers tear their hair out later, which did not obey the doctors), you can advise “lotions ”That do not help much, but still it is better than nothing.
Water reduces hyperactivity. Therefore, the child must be taken to the pools. And not once a month, but every week, you can do it twice. Cycling, gymnastics, dancing are also good.
At home, such a child can have relaxing baths with herbal decoctions or essential oils in the evenings. Gather warm water, add sea salt as an emulsifier, then a few drops of essential oil – mint, orange, lavender, conifers, juniper … You can add motherwort, valerian, mint and other soothing herbs.All this stuff is usually found in Russian stores. And you put a child in the water.
Usually, if he is small (up to five years old), 10-15 such evening procedures improve sleep, relax the child. Try some relaxing quiet music – always the same one before bed, to develop a reflex.
Aromatherapy helps a lot. Buy a humidifier, and also sea salt + essential oil in the water. The room will smell like valerian or other soothing herb … But don’t overdo it! Doctors usually give children 10 aromatherapy sessions: 20 minutes a day.You can’t do all this for weeks, drip a lot of oil, the child should not sniff until stupid.
Many parents use homeopathic remedies. It helps some children, not others.
Also, as mothers write on the forums, fish oil (Omega-3) and lecithin reduce hyperactivity. Fish oil and lecithin, which is not a medicine, but a dietary supplement, are very useful for the brain not only of children, but also of old people who lose their memory, the ability to concentrate and think logically.
Useful for hyperactive children and massage (just try to catch them first, and hold!).Massage of feet, hands, fingers, face, well, general. I am not describing how to do it, since all this is on the Internet, you just have to write, for example, “massage of children’s hands”. Hand massage is especially important for children who do not speak well.
The causes of the hyperactivity epidemic are still unknown. Either it is genetically modified food to blame, or food preservatives (for example, cereals often contain BHT, which, according to many scientists, causes hyperactivity), but there is also a theory that the brain of a baby today is overloaded with information from an early age.Psychologists on forums are already discussing that television, computers and game consoles make young children both hyperactive and autistic, and unable to speak …
Despite the fact that it is difficult to raise hyperactive children, they still need to be raised. You need to slip them toys and activities that they like best. One boy went to great lengths to improve on the basis of playing with Lego, his parents told me. He built with such pleasure that he lingered on the floor with this game longer and longer – that is, he trained his useless concentration and the same useless perseverance… So try one activity after another: draw, sculpt, cut with scissors, tear paper and roll lumps out of it, collect pyramids and puzzles, cubes, mosaics – in general, the main thing is to have games that the child really likes, and which today he is engaged in 3 minutes, tomorrow 5, and in a couple of months already 15 minutes …
Patience and good luck.
– In 80 percent of cases, the problems of a hyperactive baby are the consequences of severe pregnancy, intrauterine hypoxia (lack of oxygen), prematurity.- Frequent causes are birth trauma, premature, fleeting or prolonged labor, stimulation of labor activity. – The problem can be provoked by lesions of the central nervous system, head and cervical spine injuries. – If there are constant scandals in the family, if the child is scolded all the time – this is also affects the development of hyperactivity.
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