Of particular note is the changing ...

Of particular note is the changing position of the neuroses. They have always been considered a classic example of disorders, borderline between somatic medicine and psychiatry, and in their diagnosis and therapy involved a variety of specialists, not just psychiatrists. Today the idea of ??neurosis has changed significantly. First of all, the traditional division of neurosis in neurasthenia, obsessive-compulsive disorder and hysterical neurosis can be regarded as obsolete and do not have a satisfactory scientific basis. Only neurasthenia hitherto recognized as clinically more or less homogeneous state with a well-known manifestations predominantly tserebrastenicheskimi (emotional hyperesthesia, nevynoslivost to mental stress, mental exhaustion, headaches and other disorders vazovegetativnye) in combination with subdepressive and variable manifestations of anxiety. The presence of mostly unformed, subthreshold depressive disorders more frequently ascertained in attempts to distinguish neurasthenia as an independent clinical unit, and thereby encourages researchers to bring together neurasthenia with depression or depressive nature to assume the actual disease state. It is worth mentioning in this regard received a one time distribution of similar meaning terms depressive neurosis, neurotic depression. Today, they are practically not applied (in modern classifications are not available) since it is impossible to explain the extremely neurotic depression mechanisms or external triggers actions. Obsessive-compulsive disorder even at today's opportunities and its pharmacotherapy combined with psychotherapy is in a group particularly resistant to treatment with chronic illness and limitations of social activism: no chance now to represent such states use the term obsessivnokompulsivnoe disorder, highlighting the almost inaccessible to the correction element and violent (compulsive ) in the patient's feelings and behavior. All recognize that absessivnokompulsivnoe disorder is one of the most severe mental disorders. Along with this, some disorders previously attributed to obsessive-compulsive disorder is treated within the framework of the so-called generalized anxiety disorder, also the category with a reputation malokurabelnosti. Already quite a historical concept can be regarded as hysterical neurosis, hysteria themselves indicate, hysterical lost the clinical sense, being superseded by the concepts of dissociative gistrionichesky, conversion (even though the latter term has been criticized as not correct, speculative). In the so-called hysterical disorders, modern scholars tend to perceive primarily a reflection of personality disorders or accentuation, but not a reaction to an unfavorable situation: the painful manifestations are a reflection of the situation is not without adverse circumstances, and individual behavioral and personal resources to respond and adapt to the social environment.