It is these negative emotions, and mismanagement of their experiences can drive me crazy, sent to jail or do the terminally ill. We know how to read and write, cross the street, driving a car, and resentment, or anger are not able to survive. Wisdom - is power, power over the emotions and feelings on himself. Power - this is non-violence and peace. It is also easily accessible to everyone, as it became available to me. Wisdom in everyday life I have learned here in Russia, this knowledge has long existed and brings people to bear fruit. This knowledge is not a secret. Find me and I will reveal it to you because it is inherent nature. Institute of Conduct
Current approaches to pharmacotherapy of anxiety disorders
Elena Kolyutskaya Doctoral. med. Science, leading researcher of the Centre for Mental Health, RAMS Anxiety (anxious-phobic) disorders are one of the common variants of borderline mental pathology. On the modern principles of pharmacotherapeutic correction of these states said Doctor. med. Science, leading researcher of the Centre for Mental Health, RAMS Elena KOLYUTSKAYA. According to epidemiological studies, the prevalence of lifetime anxiety disorders (panic disorder, agoraphobia, social phobia), an average of 1,5%. Anxiety disorder characterized by a complex psychopathological structure, which includes both acute manifestations of anxiety (panic attacks, provided vegetative paroxysms, accompanied by a pronounced fear of death) and "avoidant behavior" (the desire to avoid a situation fraught with repetition panic attack). Most anxiety disorders characterized by a chronic course is due to formation of pronounced "avoidant behavior." In cases of agoraphobia is fear of independent travel, based on the avoidance of situations where the patient may be left without assistance in cases of social phobia - avoidance of any social contact. Chronic anxiety disorders lead to severe social maladjustment of patients up to the counter and disability. Feature of the dynamics of anxiety disorders - the tendency to chronicity and recurrence, which largely determines the complexity of their therapy. The traditional therapeutic approach based on the preferential use of anxiolytics (benzodiazepine derivatives), is justified only in cases where the clinical picture is dominated by acute anxiety disorders (eg, uncomplicated panic attacks). In the presence of persistent phobic disorders (agoraphobia, social phobia) monotherapy anxiolytics, usually ineffective. Since the mid XX century. in the treatment of anxiety disorders are increasingly being used antidepressants. As shown by numerous studies, the use of classical (tricyclic) antidepressants (amitriptyline, imipramine, clomipramine) gives a more pronounced and long-lasting clinical effect. However, this treatment option is associated with more complications.
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