This is possible because ...

This is possible thanks to the emergence of new antidepressants that do not have pronounced side effects, so-called behavioral toxicity. These include selective serotonin reuptake inhibitors (fluoxetine, fluvoksatin, sertraline, citalopram, paraksetin) and tianeptine, mirtazapine, Mianserin, milnatsepram. In contrast to these newer antidepressants, frequent adverse effects of traditional tricyclic antidepressants (primarily somnolentnost, confusion, violation of the fine motor coordination, difficulty of intellectual activity), restrict the ability of social functioning, prevent their successful use outside psychiatric institutions. Modern antidepressants are already familiar to psychiatrists, are gradually becoming well-known domestic and internists. However, the widespread use of antidepressant should be preceded by a variety of educational activities, as well as development and testing the most appropriate forms of organization of care to patients with depression in primary care network. In turn, this requires a search for the best forms of professional interaction between internists and psychiatrists, not limited to referring patients with obvious signs of depression to konsultantupsihiatru (psychotherapist in the presence of the appropriate cabinet in the clinic), but the intended and proper therapeutic function of the local doctor. The scope and sequence of therapeutic actions of each specialist as time and could be issues of mutual consultation. With well-established professional interaction specialist psychotherapy clinic office will receive more opportunities for it psychotherapeutic functions: in many cases to overcome depression are necessary and quite effective in certain therapeutic techniques, depending on the clinical features of the disease state without drugs or in combination with antidepressant therapy. This kind of professional interaction, along with a consistent educational activity involves a significant expansion of the functions of specialists clinics. The result, as can be expected to timely delivery of adequate medical care for patients and the transition of many so-called difficult patients in the category kurabelnyh. In the area of ??responsibility and competence of psychiatrists will all truly ? ? difficult cases, severe and complicated forms of depression, which require special methods and techniques of therapy. Perhaps during the deployment of medical activity in a primary care network will require the organization of intermediate institutions or special departments in clinics (such as day care), where psychiatrists and internists will work together. These forms are justified especially in cases of a combination of somatic diseases (eg, hypertension, diabetes and depression), ie