Meanwhile, most of these ...

Meanwhile, most of these in the list of clinical category does not require mandatory transfer to a psychiatric institution. On the contrary, in many cases quite adequate assistance can be provided in a somatic agency for single consultation, or long term collaboration of specialists - internists, and psychiatrists. Interdisciplinary collaboration: new guidelines to common clinical forms that require the joint efforts of internist and psychiatrist, should include the so-called somatoform disorders, in the above list, labeled as unexplained somatic complaints, and also panic disorder, major clinical manifestation of the latter (often encountered in clinical practice, internists, including local doctors clinics, ambulance) trevozhnovegetativnye paraksizmy. In most cases, a positive result here can only be achieved through the interaction of different experts. Demonstrative example is the area of ??psychosomatic pathology. This branch of medicine has long been a common area of ??clinical and research psychiatrists and internists, although the role of each of them is still not completely defined. Psychosomatic disorders, which include primarily hypertension, coronary heart disease, peptic ulcer and 12perstnoy ulcer, ulcerative colitis, bronchial asthma, no longer attributed to psychogenic nature. Although psychological mechanisms in their development suggest, however ? ? organic components in each of these diseases are no less obvious. Thus, in recent first ten confirmed by numerous studies that in the development, onset and progression of relapse of peptic ulcer important role played by bacterial attack, hypertension and other complex obmennoendokrinnyh biological factors of asthma toksikoallergicheskie processes. In view of this diagnosis, and especially the treatment of psychosomatic diseases, but rather should refer to the competence of internists, contrary to popular in its time, especially in the U.S. view of the psychodynamic nature of the classical psychosomatic disorders and therefore preferable to psychotherapy (psychodynamically oriented) therapies. Of course, the psychotherapeutic influence in the overall complex treatment of patients with psychosomatic disorders is always advisable, and it must take into account not only and not intended psychodynamic mechanisms involved in the development of disorders, many psychosocial problems associated with difficulties in family and household relationships, difficulties and limitations of professional activity, associated with physical illness. A particularly important aspect of this disease is on the distant stage disease, when detected properly Somatopsychical disorders associated with metabolic disorders, symptoms of intoxication.