Patients talk a lot, loudly, quickly, often without stopping. With prolonged speech stimulation, the voice becomes hoarse or hoarse. The content of the statements is inconsistent. They easily jump from one topic to another, constantly deviating from the main subject of the conversation. There is an increased distraction of patients' attention to all sorts of external, even minor, stimuli. With increased speech excitation, do nota thought that is about to end is already replaced by another, as a result of which statements become fragmentary (jump of ideas). The speech is interspersed with jokes, witticisms, puns, foreign words, and quotes. Associations are superficial (in consonance). Strong words and expressions are often used. Speech is interrupted by inappropriate laughter, whistling, and singing. In a conversation, patients easily and quickly parry questions asked of them and immediately seize the initiative themselves. There is an increase in memory (hypermnesia).

The manic rampage described in the past (furor maniacalis) - a state of pronounced psychomotor agitation with rage or anger, accompanied by destructive actions and aggression, currently occurs as an exception. Indifference and indifference make patients quite calm. They are hardly noticeable in the department, spend a lot of time in bed or sitting alone, and can also spend hours watching TV. It turns out that they did not remember a single program they watched. Laziness pervades their entire behavior. they don�t wash their face, don�t brush their teeth, refuse to take a shower or cut their hair. They go to bed dressed, because they are too lazy to take off and put on clothes. It is impossible to involve them in activities. The conversation does not arouse interest among patients. They speak monotonously and often refuse to talk, declaring that they are tired. If the doctor manages to insist on the need for dialogue, it often turns out that the patient can talk for a long time without showing signs of fatigue. In 6ece j it turns out that patients do not experience any suffering, do not feel sick, and do not make any complaints.

Apathetic-abulic syndrome is a manifestation of negative (deficient) symptoms and has no tendency to develop reversely. Most often, the cause of apathy and depression are the final states of schizophrenia, in which the emotional-volitional defect increases gradually - from mild indifference and passivity to states of emotional dullness. Another cause of apathetic-abulic syndrome is organic damage to the frontal lobes of the brain (trauma, tumor, atrophy, etc.).

PARANOIAL SYNDROME manifests itself as a systematic monothematic delusion, not accompanied by hallucinations, mental automatisms, or memory impairment. These may be delusional ideas of invention, reform, persecution, jealousy. Delusion develops gradually, on the basis of a one-sided interpretation of real life events, which the patient gets involved in and is brought into an orderly system of views, which acquires the meaning of a dominant in the patient�s mind. Everything that happens is refracted through the prism of these views, assessed accordingly, accepted or rejected by the patient. Patients with paranoid syndrome are distinguished by sthenic affectivity and great activity in terms of implementing their “inventions,” exposing their unfaithful spouse, fighting their “persecutors, etc.