
You can also use leponeksa, but from a new generation of drugs - or resperidona alanzepina, the presence of depressive disorders demonstrated antidepressant medications, particularly those that possess sedative, antitrevozhnymi properties (amitriptyline, ludiamil, anafranil, gerfonal). Of the modern antidepressants with little side effect of sertraline used, coaxil. In the presence of the expressed delusional passion, combined with the strength, malignancy should immediately begin using the average doses of neuroleptics. In the first days of therapy, perhaps a combination of haloperidol with a one-time use of chlorpromazine, which is injected parenterally (intramuscularly). In other cases, doses should be gradually built up (within 1 week), but the dosage should not exceed the average values. Patients with severe anxiety and stress in the first week it is expedient to appoint tranquilizers (relanium, alprazolam). Approximately one month after initiation of therapy provided satisfactory tolerability of neuroleptics advisable to transfer the patient on drugs of prolonged action. Assign predominantly dean of haloperidol in low doses, combining it, if necessary with the additional introduction of conventional drugs. Should be more careful treatment of patients aged 65 - 70 years old or with severe somatonevrologicheskoy pathology. Such patients should be treated with low doses of haloperidol with the addition of softer antipsychotics in moderate doses (sonapaksa, hlorprotiksena). But even in these patients without significant side reactions can be applied dean of haloperidol in minimal doses. In general, the therapy of chronic psychoses occurring with the syndrome of paranoia housing should be sufficiently long and continued after discharge the patient from a psychiatric hospital for at least 2 - 2.5 years. In patients with abortive variants of paranoia housing, especially for developing reactive mechanism should be limited to short duration therapy with low doses of neuroleptics (haloperidol) and tranquilizers, focusing on psychotherapeutic interventions. In cases where the delusional psychosis develops in the presence of dementia, and short-lived expedient courses of drugs in low dosage. This should avoid drugs with pronounced anticholinergic action (chlorpromazine, amitriptyline), which can easily cause confusion (delirium) in these patients. Published with permission from Russian Medical Journal.
Natural boosters effectiveness of cognitive-behavioral therapy in clinical psychology
SR Sokolovsky PGLU, Pyatigorsk PashaPashin317@hotmail.com. Facts - an obstinate thing. An increasing number of basic research in applied psychology tells us that over the subtle manifestations of mental and emotional conflicts are more gross biochemical and hormonal disorders.
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