Stop your panic attacks with neurosis! How to remove the trend of development and manifestation. Modern scientific and practical approach to treatment. High efficiency in the fight against panic attacks in neurosis is achieved by using the latest techniques and data on the formation of this borderline mental state.

Wouldn't it be great if you didn't just have to live with those stressful and scary thoughts and feelings, but instead cure them permanently? This is exactly what you can do when you aim your treatment at the true causes of the formation of panic attacks in neurosis.

Panic attacks in neurosis are caused by the same problems that cause traditional anxiety-neurotic syndrome and anxiety. Although psychoanalytic theorists believe that panic attacks in neurosis stem from problems with the unconscious, most experts believe that this type of anxiety is associated with any combination of:

• Genetics / heredity
• Elements of education
• Biochemical imbalance

Neurosis, theoretically, should be different from any other anxiety disorder. It's just a different term that was used decades ago. Unfortunately, it still persists in some psychoanalytic communities, present in modern medical reference books.

Panic attacks with neurosis or psychosis

When a person experiences panic attacks with neurosis, the first thing that many patients ask is. "I've gone mad?". Very often, people with these symptoms feel that they are teetering on the edge. It seems that the loss of control is inevitable. Indeed, many people are obsessed with the idea that they will lose control of themselves. That they will lose touch with family, friends, or others, and behave often strangely. Sometimes inappropriate or even cruel and dangerous. It depends on the character traits of the person. These feelings are caused by a high level of arousal during the moments of a panic attack in neurosis. In turn, there is a misinterpretation of his condition by the patient. The person thinks something terrible is about to happen. Other patients fear that their panic attack may progress to insanity and they may be locked up in a psychiatric hospital.

Indeed, some mental health professionals promote the idea that serious mental illnesses such as schizophrenia or manic depression develop from borderline mental states. Therefore, they are prone to overdiagnosis.

Neurosis is a term that covers a range of mental health issues. Ranging from anxiety and simple phobias to severe and longstanding obsessive-compulsive disorder. The context of this term can include a wide variety of symptoms and manifestations. Therefore, today's mass view of this term does not reflect the essence of the ongoing processes in the body. And that is why treatment is most often not effective or not very effective.

Most often, we observe a weakening of the symptoms of panic attacks in neurosis. It is not uncommon for the symptoms of panic to be replaced by another. Most often, these symptoms are replaced by obsessions, phobias and depression. In such cases, treatment becomes much more complicated, inevitably becomes lengthy and tiring for the patient.

Clinical approach to panic attacks in neurosis

Indeed, who among us has not had some kind of neurotic reaction, whether it be an anxiety attack, an obsessive thought, or a reaction to stressful life events? A person can swing from one state to another. They can be deeply depressed by their state of non-normality. Between the general background of mood there can be periods of joy and good health. But, in such situations, people with manifestations of a panic attack in neurosis may feel deeply depressed. However, this depression is usually a direct consequence of chronic anxiety.

We identify the true causes of the symptoms that appear, and are not guided by scientifically outdated terms and concepts. These terms, unfortunately, are still very popular and are used by official medicine. Our specialists, who carry out scientific work in the most advanced mental health institutions in the world, carry out modern diagnostics and classification of diseases. On this basis, we get the most effective therapeutic effect.

Under the condition of adequate (in terms of drugs used, dosage level, duration) therapy, over 75% of patients returned to the level of functioning that they had before the development of the last attack.

This corresponds to the data that the presence of pronounced manifestations of a panic attack in neurosis was not a predictor of a worse prognosis in patients. Especially if the attacks were noted at the stage of formation of remission. However, this contradicts the opinion of other authors who report an unfavorable prognostic value of symptoms that developed after an intermediate attack (Smulevich A.B., 2003).

Panic attacks with neurosis are treated

Given the rather slow pace of improvement in the condition of patients with manifestations of panic attacks in neurosis, the most important is the short-term active neurometabolic therapy conducted at the Brain Clinic. After active therapy, supportive care at home and specific psychotherapy are recommended.

Taking into account these data, explanatory work both with the patient himself and with his relatives plays an important role.

We help in the most severe cases, even if the previous treatment did not help!

There is no person in the world who does not experience such states as fear or anxiety. These are normal reactions of a healthy body that help it survive in an extreme situation. However, if such reactions occur constantly and for no reason, there is reason to consult a doctor. Specialists, having assessed the patient's condition, often diagnose "panic neurosis". The disease is not so rare, because according to statistics, 5-8% of the population of large cities suffer from it. To understand how to deal with such a neurosis, you should understand the causes of the disease and know its symptoms.

Causes of the disease

Medical specialists distinguish three types of neurosis: neurasthenia, hysterical neurosis, and obsessive-compulsive disorder. The third type is considered the most common, including obsessive-compulsive disorders, phobias, and the panic neurosis considered here. It is characterized by recurrent panic attacks, that is, short-term bouts of intense fear that occurs for no reason. This condition is due to constant nervous tension, which finds a way out in panic attacks. The most susceptible to the disease are suspicious people. Often these are representatives of the weaker sex, who have a fine mental organization.

Signs of the disease

As noted above, recurring panic attacks are considered the main symptom of the described syndrome. Usually an attack of unreasonable fear lasts about ten minutes. At these moments, it seems to a person that his life is about to end, he will suffocate or die from a broken heart. Indeed, at this moment his heart is beating furiously, the person is tormented by suffocation, trembling in the body, he sweats profusely, he is thrown either into heat or into cold. At the mental level, the patient feels separation from his body, thoughts of suicide and death appear.

After an attack, a person feels depressed and overwhelmed. However, the most dangerous thing is that after the attack, the fear remains that the panic attack will return. These thoughts, in turn, provoke new bouts of illness, creating a vicious circle, from which it is simply impossible to get out without medical help.

Treatment of the disease

Modern research has proven that drug therapy is not able to cure panic neurosis. The use of drugs can only weaken the attack and eliminate the signs of the disease for a while. All specialists without exception give the leading role in the treatment of this disease. It is psychotherapeutic techniques in combination with medications that make it possible to completely get rid of this dangerous neurotic condition.

The work of the psychotherapist in this situation is to extract from the depth of the patient's consciousness the causes of panic attacks, with their subsequent eradication. At the same time, the patient is an active participant in the treatment process, since it is he who is given the opportunity to understand the causes of the disease. In addition, the patient receives the skills of psychological assistance, which he can use in the event of a panic attack.

Breathing practices help to cope with panic attacks, which put thoughts in order and help restore heart rhythm. The main thing is not to start the disease, because it is much more difficult to deal with severe and neglected neuroses, and the healing process can take a long time. Peace to you and good health!

The manifestation of neurosis in VVD is divided into two types - somatic and mental. Somatic symptoms are a deterioration in the physical condition of a person due to the effects of a disease:

• headache;
• frequent visits to the toilet;
• tightness in the chest;
• continuous feeling of tiredness;
• drowsiness;
• sweating;
• pressure surges.

Psychological symptoms:

• constant anxiety;
• oppression;
• irritability and aggression;
• intrusive thoughts;
• panic attacks;
• sudden change of mood.

At the time of seizures, a person has a fear of a stroke. Often the symptoms of vegetovascular dystonia resemble a stroke, so every time the patient is afraid of death or disability. The patient is able to cause this kind of symptoms himself, by focusing on negative emotions or memories from the past.

Signs can intensify either in a person with low self-esteem, or when there are such character traits as categoricalness, restraint.

Before answering the question of what to do in order to cope with panic attacks, you need to figure out what symptoms are inherent in the presented pathology.

Typical panic neurasthenia can be manifested by the presence of cardiovascular symptoms:

• tachycardia;
• interruptions in the functioning of the heart;
• painful sensations behind the sternum, which make patients think about the presence of pathologies associated with the functioning of the heart;
• attacks of neurosis are characterized by a significant increase in blood pressure;
• during the manifestation of the disease, there is a significant fear of developing a hypertensive crisis, as a result, people constantly measure pressure.

And also a typical panic neurosis is characterized by a number of such symptoms:

• each attack is accompanied by a feeling of suffocation;
• there are flashes of cold and heat;
• feeling of nausea;
• dizziness;
• fear of death;
• derealization.

Atypical neuroses are characterized by the presence of such symptoms:

• cramps in the muscles of the legs, arms;
• deterioration of visual or auditory functions;
• development of aphasia;
• change in gait;
• the constant presence of a "lump in the throat";
• frequent loss of consciousness;
• incessant vomiting;
• pseudoparesis.

The system-vector psychology of Yuri Burlan explains that the sound vector is dominant in any combination with other vectors in humans. This means that the dominant sound vector significantly suppresses the visual one, therefore, first of all, such a person will show symptoms of deep sound depression and panic attacks will be in the background.

However, the degree of incompleteness in the realization of their innate properties is different for each person. So, for example, one of the areas with the help of which a sound engineer can partially make up for his lack is music lessons or participation in scientific developments.

If the sound shortage is partially filled, and the properties of the visual vector are not realized at all, then a panic attack will come to the fore, and the picture with depression and its symptoms will be partially smoothed out.

Treatment methods

A qualified specialist should treat VVD neurosis. He prescribes a complete diagnosis of the body, including:

• detailed analysis of blood and urine;
• cardiogram;
• an encephalogram that determines the working capacity of the brain and predisposition to epilepsy;
• determination of pressure.

After the diagnosis, the doctor may refer you for a consultation with a more specialized specialist: a cardiologist, neurologist or psychologist. Medical rehabilitation for VVD neurosis consists in complex treatment, consisting of psychological and drug therapy. Psychological - the main element in the treatment of neuroses.

Therapy includes lifestyle adjustments:

• night sleep for at least 8 hours;
• correct diet;
• elimination of products containing caffeine;
• rejection of bad habits;
• exclusion of stressful situations.

Medical treatment

Treatment of neurosis and VVD is carried out with the help of drugs that serve as adjuvant therapy. Medicines suppress or increase excitation in the brain center, depending on the symptoms and progression of the disease.

Use 4 categories of medicines of various action. The most severe cases of neurosis in vegetative-vascular dystonia, accompanied by panic attacks, obsessive-compulsive disorders, numbness of the limbs, are treated with tranquilizers or antidepressants, which are released strictly on prescription.

Due to the fact that when taking antidepressants, you may become dependent on the drug, you should strictly follow the instructions. The category of strong drugs includes: "Afobazol", "Phenazepam", "Zolpidem".

Lighter medications that have a sedative effect are also used. The recipe in this category contains herbal tea. A sedative drug will help relieve tension and irritability, improve sleep: Valerian, Barboval, peony tincture.

In order to competently restore the body during intense mental activity, overstrain at work, you should use the nootropic category of drugs, which will help restore the neurotransmitter connection, improve blood flow to the brain. Use: "Glycine", "Phenibut".

Physiotherapy procedures

The physiotherapeutic method of treatment includes a number of procedures aimed at normalizing blood circulation and general muscle relaxation. Several directions are used simultaneously or separately after a doctor's prescription:

• massage with aromatic oils;
• acupuncture;
• swimming lessons;
• breathing exercises;
• yoga.

Physiotherapy exercises will favorably affect the general condition of the body and neutralize muscle spasms that do not allow relaxation. Light physical activity will strengthen the immune system and speed up the metabolism.

With VVD neurosis, they will help:

• hiking in the fresh air;
• aerobics;
• morning run;
• light exercise.

To bring the cardiovascular system back to normal, overexertion should be avoided, therefore it is recommended to perform a set of light exercises consisting of a warm-up for all muscle groups.

Panic attacks, neuroses - the fate of not only residents of cities, especially large ones, but also small settlements.

It is worth noting that many do not even suspect that the disease can be defeated on their own, without the help of a qualified psychotherapist. But you should be prepared for the fact that getting rid of the VVD will not be quick. This is due to the fact that dystonia, figuratively speaking, accumulated in the body for a long time.

How to do it yourself so that panic attacks no longer bother?

Modern medicine is characterized by a variety of different methods aimed at treating neurosis.

One of these methods is hypnosuggestive psychotherapy, which includes suggestion, hypnosis. During work, the psychotherapist creates new attitudes for the person, which give the latter the opportunity to look differently at the somatic manifestations of the crisis.

During the trance caused by hypnosis, the patient's artificially created protection is turned off, therefore, thanks to the verbal and non-verbal influence of the psychologist, the patient receives the necessary information.

If panic attacks, VSD, neurosis are observed, then cognitive-behavioral psychotherapy is recognized as the most effective method of treatment. The peculiarity of this technique lies in the patient's awareness of the real picture of reality, the correction of his thinking, habits that provoke the launch of unreasonable anxiety is carried out.

Yes, it is quite possible to get rid of anxiety and neuroses, depression and panic attacks. But first you need to clearly define where this or that bad state comes from. You're not trying to fight a headache with nausea pills, are you?

Unfortunately, today the Internet is replete with various thematic forums, where all the bad states known to science are thrown into one heap: neurosis, anxiety, depression, panic attacks (PA) or even fear of giving birth (on forums for women).

They discuss what to listen to when depressed, whether yoga is effective for depression and which exercises to choose.

Tired of suffering from neurosis, depression and panic attacks, wandering aimlessly through forums and fighting ailments at random? Then you should start by realizing all the properties that nature has endowed you with and learning how to implement them. At the same time, you can get rid of any psychological trauma, resentment and "anchors" that pull you to the bottom of life.

Effective treatment of neurosis, depression, panic attacks and any other psycho-emotional disorders is only in system-vector psychology. This is confirmed by more than 18,500 results of the trainees.

To add to this list your incredible result about returning to a rich and happy life, register for free online lectures on system-vector psychology by Yuri Burlan at the link.

Neurosis, panic attacks. Life after deliverance | FDRK

The success of healing from panic attacks directly depends on the elimination of the root cause of their occurrence.

It is clear that in order to fully realize how to get rid of panic attacks, neurosis and VVD, it takes time, and fears do not go away in one day. First the tension goes away, followed by the agoraphobia.

Let us return again to the experience of a person who managed to overcome his anxiety disorders. When he had health problems, in addition to nervousness, agoraphobia was very pronounced.

In those rare moments when he was about to leave the house, he always took pills with him, as he was constantly haunted by the thought: “What if I get sick?”. It seemed to him that every exit from the house would now be accompanied by similar thoughts and fears.

But later it turned out that this was not the case. As soon as he began to gradually get rid of panic attacks and other disturbing manifestations, these thoughts also began to disappear from him.

It's hard to believe

Many people who suffer from neurosis, panic attacks and VSD are interested in how they will feel after the problem disappears. And will she come back again. Therefore, we decided to devote a separate article to this topic.

When a person is just starting the treatment of panic attacks and other psychological problems, he needs to understand that a quick result should not be expected. For these problems did not appear in his life in one day and, perhaps, not in one year, and therefore they do not go away immediately.

He must set himself up for the fact that it takes time to completely get rid of neurosis and panic attacks. Fears will go away gradually.

At first, tension goes away, agoraphobia decreases and disappears (when a person is afraid of open doors, open space, he has a fear of crowds).

With the modern rhythm of life, people are increasingly worried about neurosis, panic attacks and other psychological problems. Constant stress leaves its mark on the mental state of a person, as a result, the nervous system simply cannot withstand the onslaught, and causeless anxiety, inexplicable fear arise, and some situations are even characterized by an increase in aggression.

Before answering the question of what to do in order to cope with panic attacks, you need to figure out what symptoms are inherent in the presented pathology.

Taking into account the clinical picture, two types of neurasthenia can be distinguished in a person:

• typical;
• atypical.

Typical panic neurasthenia can be manifested by the presence of cardiovascular symptoms:

• tachycardia;
• interruptions in the functioning of the heart;
• painful sensations behind the sternum, which make patients think about the presence of pathologies associated with the functioning of the heart;
• attacks of neurosis are characterized by a significant increase in blood pressure;
• during the manifestation of the disease, there is a significant fear of developing a hypertensive crisis, as a result, people constantly measure pressure.

And also a typical panic neurosis is characterized by a number of such symptoms:

• each attack is accompanied by a feeling of suffocation;
• there are flashes of cold and heat;
• feeling of nausea;
• dizziness;
• fear of death;
• derealization.

Atypical neuroses are characterized by the presence of such symptoms:

• cramps in the muscles of the legs, arms;
• deterioration of visual or auditory functions;
• development of aphasia;
• change in gait;
• the constant presence of a "lump in the throat";
• frequent loss of consciousness;
• incessant vomiting;
• pseudoparesis.

After the seizure has ended, profuse urination may occur.

The occurrence of unreasonable anxiety, in most cases occurs when a person is awake, their appearance is always sudden. On average, the duration of a seizure is about 30 minutes.

The duration of the interictal period for each person is individual, for some this period is several days, and for some it is several years. As a rule, the interictal period is distinguished by the gradual development of depression, there are constant thoughts about an imminent seizure, there is a fear regarding the formation of severe somatic diseases, hypochondria.

A number of symptoms inherent in neurasthenia are characteristic of many somatic diseases, so diagnosing the problem is much more difficult.

Treatment

Modern medicine is characterized by a variety of different methods aimed at treating neurosis.

One of these methods is hypnosuggestive psychotherapy, which includes suggestion, hypnosis. During work, the psychotherapist creates new attitudes for the person, which give the latter the opportunity to look differently at the somatic manifestations of the crisis. During the trance caused by hypnosis, the patient's artificially created protection is turned off, therefore, thanks to the verbal and non-verbal influence of the psychologist, the patient receives the necessary information.

If panic attacks, VSD, neurosis are observed, then cognitive-behavioral psychotherapy is recognized as the most effective method of treatment. The peculiarity of this technique lies in the patient's awareness of the real picture of reality, the correction of his thinking, habits that provoke the launch of unreasonable anxiety is carried out.

During sessions with a psychotherapist, the patient's subconscious develops and fixes information that nothing bad will happen in the presence of a crisis. As a result of treatment, the patient is not so much afraid of the emerging anxiety, the fear of death disappears, all the symptoms inherent in neurasthenia gradually disappear.

In addition, the treatment of neurosis with VSD cannot be effective in the absence of drug therapy.

There are a number of drugs that, when used during a seizure, can lead to its rapid relief. The use of drugs is carried out only with a severe course of the problem, but without working with a psychologist, they will not help to completely get rid of the disease.

To get rid of unreasonable anxiety, the following groups of medications are widely used:

1. Tranquilizers included in the benzodiazepine series. The effect of their use is manifested in the period from half an hour to an hour. Able to relieve almost all the symptoms inherent in bouts of unreasonable anxiety. In the presence of neurosis and panic attacks, such remedies are used very rarely, since they can be addictive. With the regular use of such tranquilizers, and then a sharp rejection of them, an abstinence syndrome is observed.
2. Antidepressants. Do not have a stimulating effect on the nervous system. The effect of the application is noticeable after 2-3 weeks. Duration of application varies from 3 to 6 months. The use of such funds is carried out regularly, even in the absence of critical moments.
3. Vitamins included in group B. Have a strengthening effect on the functioning of the nervous system.

As for getting rid of unreasonable anxiety with the help of traditional medicine, they can be taken in combination with medications and only after prior consultation with your doctor.

What can cause panic?

The reasons for the development of unreasonable anxiety may be the following:

• the presence of vegetovascular dystonia;
• experienced stressful situations;
• the presence of diseases such as mitral valve prolapse (a pathology of the heart in which one of the valves does not close properly), hypoglycemia, hyperthyroidism;
• long-term use of stimulant drugs (including caffeine);
• An anxiety attack occurs as a consequence of the presence of depression.

Homeopathy

There is a certain group of patients who, even in the presence of neurasthenia, prefer to be treated with homeopathic medicines.

On the one hand, this method of therapy has a number of advantages:

• the use of drugs of this type does not have a negative effect on the human body;
• there are no contraindications;
• the effect on the internal organs is gentle.

But on the other hand, the effectiveness of this method of therapy has not been confirmed by official medicine, so there is no 100% chance that such drugs will give the desired effect.

Among the popular homeopathic remedies used for panic attacks are the following:

• Arsenicum album - used by patients who have a bright attack of suffocation during seizures;
• Lithium mureaticum - used to relieve panic attacks, relieves confusion, fears and sleep problems, improves mood and reduces the manifestation of symptoms characteristic of vegetative vascular distancing;
• Aconite - reduces melancholy and fear, relieves the feeling of lack of air, increased heartbeat, excessive sweating, frequent urination;
• Ignatia - used by women prone to hysterical behavior, the drug is effective in panic attacks, during which there is increased excitability, convulsions, respiratory arrest and loss of consciousness;
• Castoreum - used for panic attacks, which are characterized by the presence of a disorder in the functioning of the abdominal organs, relieves feelings of nausea, vomiting and diarrhea;
• Platinum - is used to treat women who have obsessions or fears associated with sexual life or family relationships;
• Hamommila - has a positive effect in the mild stage of neurasthenia, is a wonderful prophylactic.

How to deal with neurosis on your own?

To do this, you will have to make a huge amount of effort and perform several tasks:

1. It is required to get acquainted with the maximum amount of information related to panic attacks (data should be taken from authoritative sources): their inherent symptoms, causes and treatment features. In the course of familiarization with this information, a person must understand that the symptoms inherent in such attacks are present in many people and in no case should this be considered a sign of abnormality.
2. If the cause of neurasthenia is the presence of vegetovascular distance, then it is imperative to abandon such bad habits as smoking and drinking alcohol. And you should also minimize the amount of drinks that contain caffeine. It should be used with extreme caution drugs that have a stimulating effect on the central nervous system.
3. You should learn a number of existing breathing exercises and relaxation techniques aimed at stopping a panic attack.
4. It is required to observe the regime of rest and work. It is recommended to avoid strong physical and mental stress. You need to sleep at least 8 hours a day.

During the onset of a seizure, a person must constantly remind himself that such a state cannot cause a fatal outcome, and the fear of death is just the work of the subconscious.

The main rule for self-relief of a seizure is to mentally calm, you do not need to develop anxiety, but you should perform the following actions:

• moisten hands, neck and face with cold water;
• it is recommended to dissolve two tablespoons of sugar in a glass of mineral water, and then drink it;
• you need to take a comfortable sitting position;
• you need to take a plastic bag or a plastic bottle and take ten deep breaths and exhalations in them;
• it is desirable to smile or portray a smile;
• it is recommended to learn a few positive statements in advance and during an attack, clearly pronouncing each word, pronounce them aloud;
• it is worth trying to devote not to internal sensations, but to a various external object, then it will not be difficult to get rid of panic on your own.

How to get your confidence back?

If you have a neurosis and then you can regain self-confidence only by performing a whole range of actions:

• it is necessary to regularly visit a psychologist who, with the help of the therapeutic methods presented above, will allow the patient to more easily relate to his condition, and in the future, in general, to get rid of it;
• take antidepressants - this will reduce the excitability of the patient, as a result, the symptoms inherent in the manifestations of panic will significantly decrease;
• attention should be paid to self-hypnosis, constantly convincing oneself that the presented state is not capable of causing serious negative consequences, it is advisable to engage in some kind of calming activity, for example, swimming or yoga.

Neurasthenia and its inherent anxiety is a very common problem of modern people, especially careerists, but with timely diagnosis of the problem and the beginning of treatment, it will not be difficult to get rid of this kind of pathology. The main thing is to believe in your own strength and not worry about trifles.

Anxiety disorders are very similar to each other in their manifestations. So half of the people who turn to the center of Professor Malygin about the symptoms of panic attacks suffer from another anxiety disorder.

This article discusses how to distinguish panic attacks from other anxiety disorders.

Why is it important to make an accurate diagnosis? Different anxiety disorders have different causes and therefore are treated differently. Because of this, an indispensable condition for the selection of effective treatment is the formulation of an accurate diagnosis.

The table lists the characteristics of anxiety that help establish the diagnosis.

A feature of psychiatry is that in most cases, the metabolic changes underlying anxiety disorders are so subtle that they are not recorded by such diagnostic methods as EEG, MRI, CT, REG. Therefore, the main diagnostic method in psychiatry to this day is to identify the patient's features of the manifestations of the disease, symptoms specific to certain anxiety disorders.

Characteristics of major anxiety disorders

endogenous anxiety depression- a hereditary disease that often occurs without an external cause as a result of a temporary metabolic disorder (serotonin, dopamine) in the brain.

Treated with antidepressants, psychotherapy is secondary. Occurs more often in spring and autumn. Sometimes triggered by stressful events

Possible (but not mandatory!) Symptoms:

• Unreasonable anxiety states lasting up to several hours (more often occur at the same time of day)
• By evening, the condition usually improves.
• There may be a persistent slowdown in the pace of movement and thinking
• Constant feeling of tiredness
• early awakenings
• Anhedonia (inability to enjoy life)
• Persistent disturbance of appetite, libido, taste of food, smell perception

Important! There are common cases of a combination of endogenous depression and panic disorder, in which both symptoms of endogenous depression and panic attacks are present.

Reactive depression (depressive neurosis)- a state of depression resulting from a reaction to a stressful situation. Passes along with the resolution of the situation or a change in attitude towards it. This is facilitated by psychotherapy. Antidepressants are ineffective.

Manifestations:

• Anxious experiences are closely related to the stressful situation that caused reactive depression.
• By evening the condition worsens.
• Fatigue
• Difficulty falling asleep
• Anhedonia is not typical
• Appetite, libido are not disturbed or normalize with anxiety disappearance
• The taste of food, the perception of smells are not disturbed

Why is it sometimes difficult to separate endogenous and reactive depression:

1. People tend to "psychologize" their condition - to find psychological reasons for their uncomfortable state of health, so patients with endogenous depression, as a rule, find a psychological explanation for their condition.
2. Endoreactive depression is endogenous depression, the onset of which is provoked by a stressful event.
3. Sometimes reactive depression acquires signs of endogenous over time. Then you need to use antidepressants.

Neurasthenia- exhaustion of the nervous system (overwork), resulting from prolonged exposure to unexpressed stress. The basis of treatment is nootropics.

Manifestations:

• "irritable weakness" - a combination of fatigue (memory, attention, speed of thinking) and high sensitivity to stress - people react to a minor stressful event with despair or aggression.
• Tearfulness, resentment, vulnerability
• anxiety for minor reasons
• sensitivity to loud sounds, bright lights
• sleep disorders (difficulty falling asleep, superficial sleep)
• vegetative disorders (sweating, palpitations, fluctuations in blood pressure - more often downward, disruption of the intestines, stomach)

Organic disorders of the brain- a group of diseases with damage to the brain tissue arising from:

• pathology of pregnancy and childbirth
• severe infections in childhood
• concussions
• disorders of the blood supply to the brain (including atherosclerosis and hypertension in the elderly)
• effects of alcohol and drug use

Manifestations:

• Alarm (lasting up to several hours)
• Fatigue
• Vegetative symptoms - sweating, pressure fluctuations
• Poor tolerance to heat, stuffiness
• Weather sensitivity (reaction to weather changes)
• Sickness in transport
• Sometimes - sleepwalking, sleepwalking

Anxious personality traits- Increased anxiety, tension for any, the most insignificant reasons. To cope with anxiety, people with an anxious character try to plan everything clearly, control every nuance, double-check what they have done many times, but get lost when the situation changes or in a situation of uncertainty. Characterized by an exaggeration of the significance of stress, "twisting" oneself, increased feelings about past events (including conversations, one's behavior) and upcoming events. Anxious personality traits are manifested from childhood and are present throughout life. People with an anxious nature are predisposed to reactive depression (depressive neurosis) and neurasthenia. corrected by psychotherapy.

Neurotic personality development- the appearance of disturbing traits of a hatakter with a long course of an anxiety disorder. Anxiety, self-doubt, obsessive doubts appear.

In addition to the anxiety disorders listed in the table, mixed anxiety and depressive disorder and generalized anxiety disorder are distinguished. Both endogenous anxiety depression and reactive depression (anxiety neurosis) can underlie these 2 diseases. You can determine this, incl. with the help of the symptoms indicated in the table. It is very important to determine what lies behind these 2 disorders, because. it depends on the tactics of their treatment.