Asthenic disorders can ...

Asthenic disorders may be a manifestation of the actual neurotic states. It has long been noted that only 40% of the elderly free of neurological disorders [10]. Neuroses, including asthenic neurosis or neurasthenia, in later life is rarely diagnosed, and with caution. It is believed that neurosis as an independent disease often begins in later life. However, neurotic disorders are widespread, although most of them rarely make it to the attention of a psychiatrist. More willing to refer to these disorders, the term neurotic disorders within a complex genesis, combining organic and psychogenic factors. Asthenic disorders (particularly in older age) are a manifestation of the initial phase tserebralnososudistyh diseases [1,8]. Neurologists during this period is denoted as neurasthenic stage during dyscirculatory encephalopathies: hypertensive, atherosclerotic, or mixed [6,7]. In the mental status of the case mix of asthenic disorders with symptoms bradipsihizma, rigidity of thinking, the rise of mental exhaustion, mild cognitive dysfunction. The totality of these features is denoted as vascular psychoorganic syndrome psevdonevrastenicheskimi disorders. Much of the incidence of mental changes at this stage of the disease are exhausted by these disorders and their possible long-term, often long-term, stabilization without progression. In ICD-10, these disorders are included in the category "organic asthenic disorder» (F06, 6), "mild cognitive disorder» (F06, 7) and "organic personality disorder» (F07). Diagnosis of "vascular", including atherosclerotic encephalasthenia no longer any doubt with a history of frequent discirculatory episodes, hypertensive crises, cerebral transient ischemic attacks or acute cerebrovascular events. In the population of older age groups psevdonevrastenicheskie disorder in the structure of initial manifestations tserebralnososudistyh disease found in 24.4% [3]. Patients late age, accounted HDPE, these violations are recorded 18.7% [8] In the population of patients gerontopsihiatricheskogo Cabinet somatic clinics vascular psychoorganic syndrome psevdonevrastenicheskimi and dismnesticheskimi of initial disorders in second place after the frequency of depression [4]. During the outpatient treatment of elderly patients and elderly with asthenic disorders choice is usually made in favor of combining nootropics with tranquilizers. However, the use of these drugs in patients of late life may be accompanied by a number of adverse events. Nootropics often cause increased effects of irritable weakness and sleep disturbance. Long-term use of tranquilizers elderly patients are known to be complicated by the exacerbation of disorders of attention and mnemonic functions.