Intensive treatment with vitamins ...

Intensive treatment with vitamins and nootropics must be at least 23 months. Only in this case it is possible to observe a reduction of memory impairment and other manifestations of psychoorganic syndrome. In some cases, memory disturbances disappear completely, as well as other manifestations of this syndrome. Patients become active enough, there is criticism. However, this result may be achieved infrequently. Most rapidly disappearing manifestations of alcoholic polyneuropathy. In connection with gross violations of memory and the phenomena of dementia in most cases, patients recognize the disabled (disabilities of the second group). After graduating from acute alcoholic psychoses, as well as in protracted and chronic forms, there should be temperance therapy. So, a month after the end of the delirium, hallucinosis, and acute paranoia may tend to holding temperance therapy in full. Its aim to prevent re-occurrence of alcohol psychosis. Published with permission from Russian Medical Journal.

Current approaches to the treatment of depression

Prof. VN Krasnov Institute of Psychiatry, Ministry of Health, Moscow In the current epidemiological situation of depressive disorders attracted attention as a clinical and social phenomenon and as an object of therapeutic research. In a recent publication in breast cancer (№ 25, 2001) [6] we presented some evidence of high prevalence of depression worldwide, and that significant social and economic burden that carries with it a disease. Public health planning for the coming decades can not be done without taking into account the scale of the problems of depression, their relationship not only with psychiatric practice, but with many areas of somatic medicine [2]. To date, there are a number of institutional, social, and proper medical prerequisites for significant changes in helping people suffering from depression and the prevention of severe, chronic, disabling form of depression. Meanwhile, modern therapeutic agents used to treat depression is not enough or not quite adequately, without complying with the established scientific and preferences, and address the adverse effects and drug interactions. Depressive and anxiety disorders often manifest themselves exclusively somatic (somatovegetative) symptoms and are in the same way as somatic, as well as a mental disorder. Along with it there and is becoming increasingly pressing problem of conjugation of various forms of somatic and neurological disorders and depression. This primarily refers to the so-called psychosomatic diseases. Moreover, current projections suggest similar trends in the prevalence of depression and certain systemic diseases. In this case, confirmed particularly close relationship of depression and cardiovascular disease. Comorbidity of depression and hypertension is about 30% [17] and in patients in myocardial infarction depression are found in 16-45% of cases [10,16,21].