Concluding the discussion on ND ...

To conclude the discussion on ND, it should be emphasized that such affective (depressive) disorder reflect the apparent integration of psychiatry and general medicine. Under these conditions, the possibility of successful diagnosis and treatment of NB paired with the correct interaction between specialists and general medical mental health facilities, doctors, internists and psychiatrists. Diagnostic criteria for depression and comorbid NW (on AB Smulevichu et al., 1997) I Characteristics of mental status (requires at least 2 criteria under the letter A or B, or at least 1 of the symptoms listed under the letter B). A. Signs of positive affectivity: 1. Tosca - vague, diffuse (protopathic) sensation most often in the form of unbearable oppression in the chest or epigastric pain with depression, despondency, hopelessness, despair. 2. Anxiety - baseless anticipation of threat the disaster with a sense of inner tension, anxiety uncertain, timid expectation, can be realized as a pointless concern. 3. Intellectual and motor retardation - difficulty concentrating, concentration, slowness of movements, inactivity, loss of spontaneous activity (including in the performance of daily duties). 4. Abnormal circadian rhythm - mood swings during the day with a maximum of ill health in the early morning and some improvement in the afternoons and evenings. B. Signs of NA: 1. Painful Indifference - a painful sense of loss of emotions, inability to perceive the nature and experience love, hate, compassion, anger. 2. Phenomenon of moral anesthesia - the consciousness of mental discomfort with a feeling of mental "impoverishment" poverty of imagination, fantasy extinction, loss of intuition, which allowed the first accurately capture the nuances of relationships. 3. Depressive devitalization - a weakening or disappearance of the attraction to life, self-preservation instinct, somatochuvstvennyh drives (sleep, appetite, libido). 4. Apathy - lack of motivation from loss of vitality apathy, indifference to everything around him. 5. Dysphoria - sullen grumbling, bitterness, strife with the claims of others and demonstrative behavior. 6. Anhedonia - a loss of feelings of pleasure, ability to experience pleasure, joy, the consciousness of internal dissatisfaction. B. Depressive meaningful complex: 1. The idea of ??inferiority, depravity, prejudice - nagging thoughts about worthlessness, depravity with the negative revaluation of past, present and future prospects with the concept of illusion of reality successes, deceptively high reputation, unrighteousness traveled life's journey, even the guilt that has not yet committed . 2. Suicidal thoughts - psychologically underivable conscious desire to die with the ideas of meaninglessness of existence, the desirability of an accident with a fatal outcome or intention to commit suicide, may acquire the character of obsessive ideas, or compulsive, persistent desire to commit suicide (suitsidomaniya). 3.