The clinical aspects and psychopharmacotherapy of adaptive neurotic disorders
Munchaeva, E.R.; Lepp, N.R.; Tikhonov, V.V.; Ul'ianova, E.I.
Terapevticheskii Arkhiv 69(4): 65-66
1997
ISSN/ISBN: 0040-3660 PMID: 9213966 Document Number: 477912
57 neurotic patients were included in the trial because they met the following criteria: no signs of psychic disorders before emergence of psychogeny, close relation of the disease with change in social condition, only minor psychic symptoms. The patients have suffered psychic traumas caused by loss of social significance of their job, loss of financial well-being, family problems. The reactive condition was associated with psychogenic complex. The patients developed neurotic depression rather early. It consisted of 3 stages: neurasthenic disorders, anxiety, depressive condition with distress affection. Adaptative disorders need both psychotherapy and psychopharmacotherapy. Inpatients were given bensodiazepines, antidepressants, mild neuroleptics, nootropes. It is shown than the duration of the treatment course and choice of chemotherapy depend primarily on the time of seeking medical advice and start of therapeutic measures.