Psychopharmacotherapy agoraphobia ...

Psychopharmacotherapy agoraphobia and social phobias (with their predominantly chronic course) is constructed using high doses of selective serotonin reuptake inhibitors (80 mg / day. when using paroxetine, citalopram and fluoxetine) for a long time, and in cases pronounced "avoidant behavior" shows a long-term antidepressant. When established therapeutic resistance is the most effective combination therapy with the inclusion of antipsychotic drug regimens. When it is selected as appropriate to take into account the safety of: typical antipsychotic drugs are used in low doses, atypical - in the middle. It should be noted that in a series of selective serotonin reuptake inhibitors, not all drugs show equal efficiency in relation to anxiety disorders. Thus, antidepressants with a strong stimulating effect (eg, fluoxetine), in some cases may increase the severity of acute anxiety disorders (the first weeks of therapy is sometimes observed exacerbation of the manifestations of panic disorders). Accordingly, the most optimal use of drugs in the balanced actions, which include paroxetine. Many years of experience in the use of this drug has shown its high protivotrevozhnuyu activity even in cases where the clinical picture recorded frequent and intense panic attacks. Thus, modern approaches to the treatment of anxiety disorders, regardless of specific therapeutic strategies (mono-or combination therapy) can be constructed taking into account the priority use of antidepressants with pronounced protivotrevozhnoy activity and the maximum safe to use. The article was published in the Journal of Pharmaceutical Bulletin

steal - so the boat? (larceny: the behavioral dependence)

Vladimir Kukk psychiatrist, psychologist, social activist web: http://www.DrKukk.com http://www.dr.kukk.wrk.ru e-mail: vladimirkukk2000 @ mail. ru Theft - a frequent feature of behavior among both children and adults alike. I immediately dismiss the cases of theft when the theft are due to abject poverty, people are desperate, facing a dilemma: either they have to steal to not to starve to death or actually dead (the moral principles of "Thou shalt not steal" means to earn a living by working - for various reasons they did not come to mind because of the state of desperation), professional thieves, people chose a path of social parasitism and fashion enrichment (live at the expense of others.) Society morally condemns and regards such acts as crimes and demanded justice, because in any case there is an alternative - not to steal. Whatever the reasons did not exist in those cases when a person crosses the line of moral prohibitions theft but one goal: to steal and use this value or a thing to their advantage. We are primarily interested in the cases of theft, when such a purpose no person has all the essentials and still knowingly commit theft, and then he fell and remorse and guilt and remorse and yet he continues to commit these thefts (not motivated by theft).