A wide range of symptoms are regarded as hysterical The onset of hysterical attacks may be sudden, provoked especially by strong feelings or may be heralded over a period of several hours by prodromal features. The main symptoms include inappropriate elation or sadness, crying without cause, almost conclusive laughter, deep sighing, cramps in the limbs, mild rumblings in the belly and sense of constriction in the throat.

The symptoms of hysteria are of two degrees. In the first degree, the patient may feel heaviness in the limbs, more severe cramps, strong feeling of ascending abdominal constriction, continual sightings, difficulty in breathing, construction in the chest, palpitations, feeling of a foreign body lodged in the throat, swelling of the neck and of the jugular veins, suffocation, headache, clenched teeth, generalized and voluntary tensing of muscles of locomotion. The patient remains conscious during paroxysms. The convulsions are usually milder and occur more often during the bending and extending of limbs.

In the second degree, additional symptoms, besides the preceding ones, are noticeable and these may include wild and painful cries, incomplete loss of consciousness, enormously swollen neck, violent and tumultuous heart-beats, involuntary locomotor muscle contraction, frightening generalised convulsions, violent movement and frequent spitting. Sometimes the patient jumps about on his / her bed and at other times adopt almost tetanic postures. The attack may last several hours. There may be prompt return of consciousness immediately after the convulsions.

The psychical symptoms include a weakness of the will, a craving for love and sympathy and a tendency to emotional instability. Hysterical people tend to react too readily to suggestion and through this suggestibility they are swayed greatly by their surroundings. The morbid exaggerated moods led to impulsive conduct which may often seem irrational. Such people are liable to be much misunderstood and misjudged. At times there may be much absent-mindedness, and loss of memory about events or for definite periods. If this mental dissociation is severe, one may develop hysterical wandering attacks, a state of double consciousness or dual personality.

Hysterical trances may last for days or weeks. Here the patient seems to be in a deep sleep, but the muscles are not usually relaxed. In the most severe instance of this, the heart action and breathing may be scarcely apparent that death may be suspected and the person buried alive.

Somnambulism or sleep-walking and catalepsy, where limbs remain in any position in which they are placed, are other hysterical states.

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