A variety of somatic (psevdosomaticheskie) ...

A variety of somatic (psevdosomaticheskie) and behavioral (gistrionicheskie, called demonstrativnoteatralnye) violations are treated as an expression of inner conflict. As is known, any neurotic disorder is a unity of response and soil but the soil in each case, special, and that it can determine the severity of illness, and an even greater extent, its clinical features. What unites a variety of disorders, previously attributable to a particular neurosis is asthenic syndrome. But he and the least specific and occurs not only in neurotic disorders. Asthenic component disorders requires consideration in the selection and implementation of therapy: preferred drug sparing action with minimal side effects. And, as evidenced by most of today's data, not only in neurasthenia, but when obsessivnokompulsivnom disorder and generalized anxiety disorder justified the choice of antidepressants as the primary means of therapy. Along with this show antiastenicheskie funds and, of course, the methods of psychological warfare (some or other psychotherapeutic techniques, psychological training). As for disorder, previously attributed to hysteria, there is a choice of antidepressants is not excluded, but not so obvious: as the initial phase of treatment is more justified sedatives. Diagnosis and treatment of depression general problem of experts doubt that the most important and promising clinical categories as the object of the interaction of internists, and psychiatrists are depressed. Depression rightly be regarded as a medical, rather than just a psychiatric problem. This is associated with specific clinical manifestations of depression, substantially affecting various somatic functions, sleep, overall activity and physical tone, while their own mental activity can be a long time to remain relatively intact. Therefore seem justified the participation of various professionals in the diagnosis and therapy of depression and prevention of its severe, chronic, disabling forms. Depression in its various clinical variants are now recognized as one of the major causes of disability: the share of lost life years for a full depressive disorder is currently ahead of all other mental illnesses, including such as Alzheimer's disease, alcoholism, schizophrenia [11]. Depression ranked fourth among all diseases in an integrative assessment of the burden borne by society in connection with them. By 2020, according to this criterion, they already occupy the second place, trailing only ischemic heart disease [7]. The prevalence of depression among the population of one of the highest among all classes of diseases: estimates vary depending on the criteria to be applied, but the rates 2.55% in different countries are considered reliable indicator [4.14]. Studies in the U.S. [9,12], showed an even higher proportion of people suffering from various affective disorders, including depression 9,511,3%, taking into consideration the presence of at least 1 depressive episode within 1 year.