So in a civilized and highly developed from a scientific point of view of countries of psychologists specializing in psychotherapy, always in contact with the doctor. MH. And the last question. Already quite common, the term "psychosomatic medicine, what is it? E.Sh. Psychosomatic Medicine in recent years is booming in Western Europe, the United States. In Germany, many clinics, research centers specializing in this area. In Russia, the term "psychosomatic" is also used by psychiatrists, but in a different sense. We are mentally ill, which is parallel to somatic disorders. For example, in patients with schizophrenia appendicitis or hepatitis, etc. The "them" - a mentally healthy and socially active people who suffer from nervous experience various bodily ailments. For example, in women after a divorce against the background of psychological suffering could begin gastritis. Also, after stress in humans can develop a heart attack, even sudden death occur. "Death to the official" AP Chekhov - a classic example of psychosomatic disease. Consultant - EA Shaposhnikov, professor, academician of the Academy of Natural Sciences, a specialist in medical psychology. 8-903-742-49-13
Insomnia
Insomnia can manifest itself in different ways. Some can not sleep because of persistent thoughts, constant pain or a cup of strong coffee at night, while others wake up in the middle of the night (eg, crowded the bladder), and then long tossing in bed. For patients with depression, insomnia means waking up at five o'clock in the morning with a feeling of horror and desperate longing. From the standpoint of the physiological significance of sleep insomnia - a lack of sleep, which is not achieved full recovery. Such defective dream familiar to all who had been treated in hospital - constant noise, walking, on and off lights, procedures, pain and fear interfere with sleep and how to get some sleep. Common cause of insomnia - chronic pain. In the U.S., insomnia affects approximately 80 million adults. Approximately 30% of it is constant or frequent. Particularly characteristic of insomnia for the elderly and people suffering from mental disorders. It occurs in 50% of patients with schizophrenia and 75% of patients with affective disorders. It is important to emphasize that these figures only tell about the prevalence of insomnia, but not about its etiology or treatable diagnosis Hypnotics Recommendations for appointment of hypnotics Diagnosis An accurate diagnosis is extremely important. Thus, some patients with daytime sleepiness, irritability and depression can emerge fibromyalgia. obstructive or central sleep apnea, restless legs syndrome, nocturnal myoclonia. In such cases, of course, need treatment for the underlying disease (eg, breathing with continuous positive pressure in obstructive sleep apnea, antidepressants for depression), and sleeping pills can only bring harm. Sleep disorders can be caused by the reaction of loss, separation, a syndrome of jet lag or working night shifts.
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