Asatiani (1967) distinguish three stages ...

Asatiani (1967) distinguish three stages in the development of phobic syndrome [4, 5]. For the first stage characterized by the emergence of fear itself when faced with traumatic situations (eg, claustrophobia - claustrophobia - fear of the patient occurs in an elevator, tunnel, subway, etc.). In the second stage phobia appears already in anticipation psychotraumatic situation, that is when it is pending. The third stage is characterized by the emergence of fear just at the mere notion of the possibility of meeting with the traumatic situation. phobias are usually attached to the protective effects of rituals. Patients begin to avoid situations that cause fear. In what protective actions can get complicated. [5] Despite the considerable number of studies analyzing the formation, course, therapy, phobic syndrome as well as numerous scientific and practical information about drug allergies, to date, insufficient information about the causes of development, clinical features and treatment tactics obsessive fear before taking pharmacological drugs. The purpose of this work was to study the features of formation and course farmakofobii and evaluating the effectiveness of its treatment in patients with various manifestations of intolerance to medications. We examined 56 patients (42 women and 14 men) of the Moscow City Specialized Hospital № 8 them. SZ P. Solovyov 'Clinic neuroses "with different variations of borderline mental disorders. The survey was conducted in the period 1998-1999. The age of patients ranged from 22 to 57 years, most of them were aged 28 to 45 years. In accordance with the current in Russia IBC surveyed persons diagnosed in the group of "affective disorders» (F30-F39), «neurotic, stress-related and somatoform disorders (F40-F48) and the specific personality disorder» (F60). All the patients underwent general clinical, clinical -psychopathological and allergy survey, the results of which determined the choice of adequate therapy. The structure of psychopathological disorders is presented in the table, which shows that the persons surveyed were major depressive, anxiety-phobic, hypochondriac syndromes. Persistent depressed mood, often with accompanying anxiety, a sense of internal pressure, appetite, sleep disturbance characteristic, feeling tired, that is, depressive disorders were found in 18 people. 9 patients treated over multiple, variable, re-emerging somatic symptoms, which was not found an adequate explanation of physicians internists. These disorders are diagnosed as somatization. hypochondriacal disorder in the form of concerns about the availability of any one or more severe somatic diseases were found in eight people. They produce somatic complaints, which, in their view, should have been appropriate for the intended disease. The absence of objective confirmation of the diagnosis methods survey only some time reassuring patients, but often gave rise to mistrust doctors.