Particular attention in the appointment of ...

Particular attention prescribing should be paid to anxiety, mood swings, panic and phobic symptoms. It is useful to recall the symptoms of depression (Table 1). Knowing them helps to diagnose, determine the severity of depression and assess the risk of suicide. With regard to drug therapy, the diagnosis of an expanded episode of depression means that 70-80% of such patients with success expected to be treated with modern antidepressants, relatively safe even in overdose. The most common antidepressants. These fall into four main groups: tricyclic antidepressants, a new tricyclic and related antidepressants, selective antidepressants and monoamine oxidase inhibitors (OIMAO), including new reversible monoamine oxidase inhibitors (OIMAO-A). Table 1. Diagnostic criteria for mood disorders should occur at least five of the following states Depressed mood for more than two weeks, loss of interest in whatever it was of poor appetite or weight loss Insomnia or hypersomnia Psychomotor agitation or retardation Fatigue Loss of sexual desire or loss of energy Decreased ability to concentrate constantly recurring thoughts of death / suicide, the desire to die, or suicide attempt

Psychotherapy Tobacco

DB Aniskin K. mc., State Research Center for Preventive Medicine, Ministry of Health, Moscow Smoking Tobacco is often called an epidemic, a plague of the XX century. And indeed, in most European countries over 50% of men smoked an average of 15 cigarettes a day. Smoking among women ranges from 10 to 50%, exceeding in many countries, 30% LIMITED abroad [8]. In the former USSR, there are over 70 million smokers [4]. According to data obtained in the 80 years smoked in the Soviet Union about 75% of men and 20% of women. Despite the fact that in recent years, the percentage of smokers in most countries reduced their absolute number is increasing, mainly due to women and young people [8]. Worldwide each year from diseases associated with smoking kills 3 million people. In the current decade of the disease only in the former Soviet Union died about 5 million people [5]. In the U.S., loss due to smoking are nearly $ 26 billion per year, ie 11,3% of the damage caused by all diseases. Despite the importance of the discussed problem has been studied, it is not sufficient. Poorly developed, many questions remain clinics and treatment of tobacco dependence. In part, this may be due to society's attitude to smoking as a socially acceptable habit. However, most experts believe that tabagism is a variant of substance abuse, and one of the most persistent and difficult to treat [3, 9]. Just like most other substance abuse, tabagism passes through phases of psychological and physical dependence with the formation of the final stages of withdrawal syndrome, characterized by the appearance of a number of physical and mental discomfort with smoking cessation.