This figure may be ...

This figure could be much higher taking into account the so-called disorders of depressive spectrum of some forms of pathology drives, part of the abuse of alcohol and substance abuse, somatoform, and some of the initial stages of development of psychosomatic disorders, a significant number of states, usually attributed to neurosis. Particularly high percentage of people suffering from depression among patients somatic network of health care. According to a multicenter study conducted in 12 countries, about 10% of visits to general practitioners associated with depression [14]. However, only in 1030% of depressive disorders are recognized as such by general practitioners. Depression, as mentioned above, often accompanied by somatic diseases (Table 2). Table 2 presents data concerning only the severely depressed. The prevalence of depressive disorders as lung, mixed anxiety and depression, according to their occurrence in somatic diseases is much higher. In ICD-10 "major depressive disorder meet the criteria" depressive episode ", which is quite clearly defined and suitable for diagnostic use (Table 3). In connection with depression should be mentioned, closer to their category, namely dysthymia. In modern psychiatry dysthymia is considered as chronic (more than 2 years) shallow depression, which manifests itself in less depressive disorders, and more - and asthenic somatovegetative. Widely represented in dysthymia chronic pain, sleep disturbances, vasomotor lability. It is these violations most often encourage patients to seek help from GPs medical network in the regional clinics, diagnostic centers. In these cases, patients are often at the insistence of taking all the new survey do not yield any results. It is believed that dysthymia may be identified by no less than 3% of the population [6] In view of existing prejudices and fears of the population chooses not to apply for depressive disorders in psychiatric institutions with the most experience and the necessary arsenal of methods of diagnosis and treatment of depression. Meanwhile, changing systems of care to patients suffering from depression in their usual non-psychotic forms of depression treatment may be carried out in medical institutions of general type, in particular, in the most accessible of them are territorial polyclinics. Of course, this implies substantial changes of training and organization of work vracheyinternistov (general practitioners). In addition, the necessary public awareness about the desirability and feasibility of seeking medical help in somatic institutions for emotional and other non-specific expression of physical health problems. It is known that in many foreign countries, most antidepressants are not appointed psychiatrists and general practitioners.