Is hysteria a mental illness?

Generally speaking, hysteria falls within the category of mental disorders, but it is not a severe mental illness as traditionally understood. It differs significantly from major psychiatric disorders in terms of pathogenesis and symptom presentation, and thus requires scientific differentiation.

Hysteria belongs to the category of neurotic disorders within mental illnesses. It is mostly triggered by psychological trauma or emotional conflicts, manifesting as emotional outbursts or abnormal bodily functions—such as sudden mutism or limb weakness—without any underlying organic pathology. Patients usually remain conscious, and often retain memory of at least part of the episode. Treatment primarily involves psychological counseling, and the prognosis is generally favorable. In contrast, major psychiatric disorders such as schizophrenia are characterized by core symptoms including hallucinations, delusions, and disorganized thinking. Patients with these conditions often lose touch with reality and suffer severe impairment in social functioning. Hysteria lacks these core psychotic features and does not lead to personality deterioration, making it fundamentally different from major psychiatric illnesses.

In daily life, excessive attention or criticism toward patients should be avoided to minimize emotional triggers. Family members should offer understanding and support, encouraging patients to relieve stress through talking, physical activity, or other healthy outlets. If symptoms recur frequently, timely psychological intervention is necessary to help patients develop healthier ways of coping with emotions.