In Internists disturbing ...

In Internists alarming signs and was not taken into account as a purely psychiatric problems. Despite this, the anxiety disorders were and are a self-serious medical problem that the debt of the service are increasingly confronted not only by psychiatrists and psychotherapists, but also doctors from other medical specialties. In the current diagnostic systems (DSM-IV and ICD-10) anxiety appears not as a syndrome, as well as a diagnostic category, determined by steady state and stereotype development of symptoms. ICD-10 includes two main groups of anxiety disorders defined by taking into account the prevailing symptoms - anxiety-phobic "and" other anxiety disorders [4]. Along with this, an independent group of distinguished reaction to stressful events and adjustment disorder in the structure of which is also dominated by anxiety disorders. In turn, each of the diagnostic groups included more frequent options for anxiety disorders. For example, phobic disorders are divided into agoraphobia, social phobia and specific (isolated) phobias. The Group consists of anxiety disorders of panic disorder, generalized anxiety disorder and mixed anxiety-depressive disorder. In individual categories of organic anxiety disorders, and anxiety (Deviation, avoidant) personality disorder. Anxiety inherent in universal nature and high prevalence among various groups and populations around the world. Figures occurrence of anxiety disorders among the population range from 0,6 to 2,7% [3]. In a recent study by random sampling among 3000 adult residents of Nizhny Novgorod, never seek psychiatric or psychological help, 4.5% of the patients were identified deployed symptoms of social phobia, specific phobia - at 7.4% and generalized anxiety - a 6,1% [7]. Anxiety and phobic disorders are under a serious genetic basis: agoraphobic have up to 20% of relatives with a similar disorder and for generalized anxiety disorder characterized 50% concordance in monozygotic and 15% for fraternal twins. The ratio of men and women suffering from anxiety disorders is about 1:4. This is a consequence not only of the relatively low prevalence of neuroses among men, but low uptake for the latest psychiatric help because of the prevailing socio-cultural backgrounds. Ashamed of such absurd, from their point of view, thought or fear of being branded "crazy", some patients over several years by individual systems developed "protective measures" continue usual social functioning and, despite a considerable complication of life, stubbornly avoid psychiatrists. A special place belongs to the problem of anxiety in older persons. Age-related changes in mental sphere characterized by the deterioration of creative thinking, decrease in strength, balance, concentration and mobility of nervous processes, change the tempo of psychomotor reactions.