In 12 cases observed in a variety of ...

In 12 cases observed in a variety of phobic anxiety disorders in the form of polymorphic phobias, including agoraphobia with panic attacks. Five patients suffered from generalized anxiety disorder whose symptoms were persistent anxiety generalized, internal tension, trembling, pronounced autonomic reaction, a premonition of disaster, all sorts of misery, fear of impending death. The state of decompensation within specific personality disorders were diagnosed in four patients. All subjects attended the asthenic symptoms as emotional and vegetative lability, fatigue, deterioration of attention, memory loss, health and so on. The majority of persons surveyed (38) was detected concomitant somatic pathology of the cardiovascular, respiratory, musculoskeletal, gastrointestinal, genitourinary system (arterial hypertension, ischemic heart disease, chronic gastritis, cholelithiasis, chronic bronchitis, bronchial asthma, osteochondrosis, uterus, etc.). All 56 patients with different psychopathology united us into one group because they have seen an obsessive fear of medication associated with a fear of a severe allergic reaction and fear of death from this. It should be noted that none of the patients did not mention the fear of medication as a complaint at admission to the Clinic for neuroses. Farmakofobiya been diagnosed in the clinic for initial treatment. Patients, believing that they "can not tolerate" drugs were afraid and refused to accept them, insisting on bezmedikamentoznoy therapy: only psychotherapeutic techniques, physiotherapy, acupuncture, physiotherapy, etc. Development farmakofobii contributed to anxiety and insecure premorbid traits that were identified in all persons surveyed. Fear appeared after one day reaction occurred involving a patient with medication (eg, a side effect of some cholinolytic psychotropic drugs). In some patients (8) farmakofobiya evolved only because they learned about the severe manifestations of drug allergies with friends. Patients stopped taking any medication or any medication, believing that they have an allergy. In certain situations, ie when there was a need to take the medication, patients experienced severe anxiety, panic, anxiety until, accompanied by severe autonomic reactions in the form of feeling short of breath, palpitations, tremors, sweating, hot flashes, dizziness, severe weakness, internal stress, etc . Sometimes there were cutaneous manifestations in the form of itching, redness, dermographism. Initially phobia arose by the mechanism of conditioned reflex in certain situations, that is, at the time of taking the medicine, then the fear of appearing in anticipation of the forthcoming treatment, and finally, only occurs when a representation of the possible appointment of medicines. Typical is a gradual increase in the number of drugs that cause fear: first, present fear of receiving a single drug, which eventually evolved into a fear of taking medication and the group reached the fear of any medications.