People around them often "add fuel to the fire", demanding from a suffering neurotic exactly what he is completely incapable of: "do not be like a helpless child, pull yourself together", "if you are sick - get medical treatment, if you are healthy - stop pretending", "finally take control of your feelings", "stop tantrums", "get busy", "just rest." The most frequent calls and the most paradoxical are "Don't worry!", "Calm down!", "Relax!" - this is exactly what with an anxious neurosis (and such is the majority of neuroses) a person himself would like to do in the first place, but that is the whole point, that he cannot. This impossibility is the whole "disease".
Question: "I have a pronounced and lingering neurosis, in connection with which I was recommended inpatient treatment in a clinic or department of neuroses. I went to a neuropsychiatric dispensary, in which a psychotherapeutic department has existed for a long time. There are quite acceptable conditions, free diagnostics, treatment, physiotherapy, specialist consultations. , 3 meals a day and not a single madman; people treat headaches, vegetative-vascular dystonia, insomnia, not severe depression. There I must finally be taken seriously and thoroughly, and I really hope that my disease will finally be cured. It's good that we still have free medical care for such cases. Great! I think I will no longer have to run to a psychotherapist for an appointment at a polyclinic. Do you support my intention? "
I.Yu .:
Well, of course, there is nothing wrong with this intention, except ... perhaps some completely forgivable ignorance for you. However, this is not only your ignorance, it is ubiquitous and concerns, perhaps, the entire Russian system of providing psychiatric care.
The fact is that nowhere in the world are neuroses treated permanently. Of course, I am not saying that only in Russia there are departments and clinics of neuroses, that Europe and America do not have a variety, including expensive and elite boarding houses, where you can get a wide variety of services even with a minor emotional disorder. Of course, they are, if desired, a runny nose can be treated in a private round-the-clock hospital - it is enough to express a desire and pay money.
Therefore, it is very important to understand that neurosis is not a physical or mental pathology. This is a malfunction in the regulatory system, a violation of the interaction, a functional connection between the body and the brain, which is carried out through the autonomic nervous system, but not a disease of the body or the brain. Therefore, neurosis is called functional a disorder that affects only the emotional sphere, and the autonomic nervous system already reacts to excessive emotions according to the degree of sensitivity of each individual person.(More on this -)
The autonomic nervous system ("vegetation") reacts to our senses, transmitting the appropriate signals to the internal organs in the same way as ordinary nerves respond to our conscious intentions to perform a particular action and transmit them to the muscles of the body. But the autonomic nervous system does not obey conscious control, it only reacts to emotional experiences. The state in which the sensory sphere goes out of balance, and after it "vegetation" goes out of balance, and there is a neurosis. Emotions are stronger than volitional control, and it is impossible at all to influence the autonomic nervous system by will, as a result, a person, being neither physically sick nor insane, feels himself both physically ill and like a madman who does not control himself. These two fears are precisely the fear of death and the fear of losing control as a result.mental illness -are experienced with an extreme manifestation of anxiety neurosis - a panic attack. (More on this -"Panic attacks: how and why does it happen? How is panic disorder treated?")
Often "add fuel to the fire "those around, demanding from the sufferer exactly what he is completely incapable of:" do not be like a helpless child, pull yourself together "," if you are sick - get medical treatment, if you are healthy - do not pretend "," take, finally , under the control of your feelings "," stop tantrums "," get down to business "," just rest. " that with anxiety neurosis (and such is the majority of neuroses) a person himself would like to do it first of all, but that is the whole point, that he cannot.
Thus, if the neurosis is accompanied by any bodily discomfort, for example, in the form of weakness, headache, dizziness, palpitations, nausea, lightheadedness, spasms, indigestion, etc., then all these symptoms are still so-called. somatoform character, i.e. they only "in form" look like somatic, but in fact represent the excitement perceived by the autonomic nervous system and transmitted to the body, without evidence of any physical illness. This is the body's reaction to a strong and at the same time long-term internal anxiety - nothing more - if the anxiety passes, the body's reaction to it also disappears. In a number of cases, a person does not feel obvious anxiety, but complains about the abundance of somatoform symptoms - this happens in hypochondriacal and somatized disorders, when all fear, as it were, "flows" into physical sensations, there is anxiety, but not in the free, but in the "associated" with body condition. Accordingly, it is perceived not as an experience or emotion, but as a bodily symptom. (More on this - "A disease that does not exist. Vegetovascular dystonia (VVD): essence, causes, treatment".)
Let us remember how, for example, when a person is excited, he complains that his “heart hurts for someone” is far from the same as pain in coronary heart disease (IHD), angina pectoris arising from a lack of blood supply to the heart muscle, although the painful sensations themselves in their description can be very similar. Most often, a somatoform symptom is an expression of anxiety. Depression appears later - as a result of emotional exhaustion, "burnout" from prolonged anxiety. (More on this - "What is depression? How to distinguish decreased mood, laziness, discouragement from depression? Treatment for depression.")
In Russian psychiatry, with regard to neuroses, there are a number of vestiges of the past. To overcome them, first of all, you need to understand that a neurosis is not a disease, but a neurotic person is not a sick person, and an appeal to him like “hurt, oh, get your pills” is completely inappropriate.Even the word “treatment” itself does not fully correspond to the principles on which the overcoming of neurosis should be based, it would be more correct to talk about work aimed at developing the maturity of the individual, increasing the responsibility of an anxious patient for the quality of his life. These tasks are set by competently conducted psychotherapy, as a result of which a person should be healed as soon as possible (i.e.,overcoming my infantilism, to become a more whole, whole person) than to be cured (in the sense - to get rid of a non-existent disease). Also, psychotropic drugs used in neurosis are not an end in themselves, but imply that with their help a person will be able to change himself and his life, finally take those important steps that previously prevented him from committing fear or depression.(More on this -"What is the correct way to take an antidepressant?" )
At the present stage of understanding neurotic suffering:
- a typical neurosis is not considered to be a disease (all organs retain their morphological integrity);
- the way to get rid of a neurosis does not correspond to the meaning of the traditional "treatment"; it is more correct to speak about psychotherapy of neuroses;
- persons suffering from neuroses are, in fact, neither sick nor patients, in many cases it is more logical to use the concept of "client" in relation to them;
- work with neuroses (everywhere in the West, but this tendency is actively spreading in the Russian Federation) most of the time psychologists and psychoanalysts, and only the most pronounced - maladaptive symptoms, for example, depression, phobias, panic attacks, insomnia, somatoform autonomic dysfunction - are eliminated with medication;
- if a psychotherapist or psychiatrist deals with neurosis, then he not only prescribes medications, but also applies psychological methods;
- departments of psychotherapy and clinics of neuroses are set up as a maximum of day hospitals, where they come in the morning, undergo all the necessary consultations, psychological examinations, sessions of individual and / or group psychotherapy, receive medications and go home in the afternoon.
The entire organization of work should be aimed at ensuring that a person maladjusted with a neurosis does not fall into the rank of sick, does not feel so, does not absolve himself of responsibility for his condition. If a “neurotic” is put on a hospital bed in a common ward next to others, each complaining in his own way with “patients” who have absolutely normal examination results, then the path from neurosis is actually closed for him. This phenomenon of dependence on doctors and hospitals is called hospitalism... It is in order to avoid hospitalism, as a distortion of the idea of one's condition and unjustified involvement in the patient's role, that the treatment of typical neuroses in round-the-clock hospitals is considered unjustified.
In the west, they understood this long ago and went even further. The most promising form of providing services even to psychotic patients (eg, those suffering from schizophrenia) is the so-called. separation of the first psychotic episode, ("Early psuchosis"), organized by the type of the above-described day hospital. Of course, this is not the way to treat insane mentally ill persons with gross violations of criticism, social or suicidal danger, however, in these cases, after the removal of severe psychotic symptoms in a round-the-clock psychiatric hospital, the patient is shown further rehabilitation in conditions that do not contribute to prolonged isolation and do not involve him in his role. seriously ill.
If such things are recognized as undesirable even for persons with serious mental pathology, then what can we say about healthy "neurotics"? Therefore, dear author of the question, although I cannot interfere with your choice, at the same time I do not share the delight that you "no longer have to regularly run to an outpatient appointment with a psychotherapist." In my opinion, this is just not great at all: most likely, instead of running, you, unfortunately, will have to more and more often ... lie in the hospital, receiving "treatment" for a non-existent and therefore incurable disease.
Today's rhythm of life dictates the conditions under which it is extremely difficult to maintain your emotional and mental health. Constant pressure and concomitant disturbances in the functioning of the main organ systems lead to the development of various diseases and borderline conditions (for example, neuroses, depression, sleep disorders, anxiety, migraine, and others). How can you cope with acquired diseases of this nature? The clinic of neuroses on Shabolovka will be able to help (the address of the institution will be indicated below). However, before deciding on treatment in this Scientific and Practical Psychoneurological Center, it is important for each potential patient to analyze all the available information about the institution in question. Why? He must have a good understanding of what he expects from the course of treatment, as well as what he will have to face in the process of undergoing therapy. This will help to dispel all the anxieties and fears that a potential patient has that invariably arise about patients suffering from neuropsychiatric disorders.
What is important to research before agreeing to treatment? It is necessary to understand the following nuances: in what cases can the clinic of neuroses on Shabolovka help? How to get to hospital treatment? Is it necessary to have registration in Moscow for this? Are there any contraindications, the presence of which may prevent the patient from becoming a patient of the medical institution in question? What do the reviews tell about what conditions prevail in the clinic? You can find out the answers to all the above questions by reading this article.
About the clinic
What is the clinic of neuroses on Shabolovka? Reviews call it the leading medical institution in the Russian Federation, which specializes in the treatment of borderline mental illness. Today this institution is called the Z.P.Soloviev Scientific and Practical Psychoneurological Center. What diseases does the clinic specialize in? Among them stand out:
- anorexia;
- depression;
- vegetative dystonia;
- panic attacks;
- epilepsy;
- sleep disorders;
- anxiety;
- fears;
- multiple sclerosis;
- emotional instability;
- bulimia;
- the consequences of long-standing brain injuries;
- migraine.
The clinic of neuroses on Shabolovka (reviews put a special emphasis on this) has existed for more than a hundred years. During all this considerable time, substantial experience has been accumulated, which makes it possible to effectively diagnose and successfully treat various types of disorders. What methods does the clinic of neuroses use on Shabolovka? The reviews report that both traditional and original innovative methods are used, which are based on innovative scientific discoveries in the field of psychiatry.
Services are provided in a variety of formats: outpatient, inpatient, day hospital. Moreover, there is a group of citizens who can be served in the clinic in question under the program of state guarantees for the provision of free medical care to individual citizens. This project is territorial and refers to those who have permanent registration in the capital of the Russian Federation. The conditions under which such assistance is provided, as well as its volume, are fully determined by federal standards. For all other residents of Russia, there are certain price lists that reflect the cost of all services offered by the clinic.
There are many external factors that create a critical load on the central nervous system of each person, sometimes causing serious disturbances in its functioning. This is an unbearably high pace of life, and a colossal amount of heterogeneous information, and the inability to live in natural conditions for a particular individual. Often this affects the psycho-emotional state of a person so strongly that the results of this influence become obvious both to him and to those around him. The most wrong reaction would be to withdraw into oneself and, inactive, expect that everything will end by itself. It is reasonable in such a situation to seek qualified help. This is what the clinic of neuroses on Shabolovka can provide. Reviews call the following advantages of this institution:
- personal approach to each patient;
- complex therapy of diseases;
- modern equipment and diagnostic methods;
- treatment in accordance with the highest international standards of medical care;
- the employees of the institution are qualified specialists, professionals in their field who have colossal work experience (among them: doctors of the highest qualification category, candidates of medical sciences, professors, doctors of the first qualification category,
The doctor's consultation
How can the clinic of neuroses on Shabolovka help you? Reviews of doctors report that all specialists who are employees of the medical institution in question have sufficient qualifications and experience. So, the following doctors will be able to see you:
- therapists;
- urologists;
- cardiologist;
- immunologist;
- dermatologist;
- gynecologists;
- neurologists;
- allergist;
- somnologist;
- endocrinologist;
- ophthalmologist;
- gastroenterologists;
- otolaryngologists.
How much will it cost you the consultations provided by the clinic of neuroses on Shabolovka? Reviews of doctors report that the initial consultation will cost 1,300 rubles. At the same time, a second appointment will cost you 1,000 rubles.
Outpatient care
What is needed to start treatment at the Solovyov Scientific and Practical Psychoneurological Center (Moscow)? The clinic of neuroses on Shabolovka (reviews recommend paying special attention to this) accepts patients who have already visited the consultation and polyclinic department. After the patient has completed the execution of all the documents in the registry, he should get advice from the appropriate specialist. He tells the doctor about all the existing symptoms, anamnesis and shows the results of previous examinations.
Sometimes, auxiliary consultations of other specialists of the medical institution in question may be required (for example, an ENT doctor, neurologist, gynecologist, therapist, and others). If the results of the examination allow the patient to become a patient of this neuropsychiatric center, then he will be able to choose the appropriate treatment format for him (hospital, day hospital or outpatient treatment). If there are free places, then hospitalization can be carried out directly on the same day. Day hospital means treatment in the center during the day, and overnight stay at home.
Services
What services does the clinic of neuroses provide on Shabolovka? Doctors can help in the following ways:
- acupuncture;
- neuropsychiatric assistance;
- physiotherapy;
- day hospital;
- hydrotherapy (pearl bath, Charcot shower, cedar barrel, hydromassage, iodine-bromine bath, pine bath, bischofite bath, sodium chloride bath, SPA capsule);
- the doctor's consultation.
All of these services are available to the patients of the healthcare facility in question as directed by a specialist. Among other things, the clinic of neuroses in Moscow on Shabolovka has a number of practical techniques in its arsenal, which have proven their effectiveness with the successful results of their application. Among them are motor, psychotherapeutic, and physiotherapy and others. In essence, experts make up the following classification of techniques:
Physiological (they are carried out according to the neurohormonal and immune status of the patient, in parallel with the definition:
- diet therapy (unloading);
- laser therapy;
- acupuncture;
- motor (remedial gymnastics with the use of exercise equipment, aerobics, medicinal gymnastics, therapeutic relaxation gymnastics);
- hyperbaric oxygenation;
- physiotherapy (hydrothermal exposure, therapeutic solarium, therapeutic massage, magnetic therapy, therapeutic solarium, electrotherapy, treatment in a capsule, phototherapy, EMR EHF).
Psychotherapeutic (hypnotherapy, psychotherapeutic potentiation and mediation of therapeutic measures, autogenous multistage training).
Sociotherapy (bibliotherapy, cultural therapy, poetry evenings, music therapy).
Psychological (transactional analysis, psychocorrection, gymnastics for the mind, psychodrama, relationship analysis).
Indications for treatment
In what cases can the clinic of neuroses on Shabolovka be able to help you? Treatment in it is carried out in the following areas:
- depression;
- epilepsy;
- bulimia;
- anorexia;
- migraine;
- panic attacks;
- sleep disorder;
- multiple sclerosis;
- anxieties and fears;
- Parkinson's disease;
- the far-reaching consequences of long-standing brain injuries;
- emotional instability;
- vegetative dystonia.
If you suffer from one of the diseases listed above, then the medical institution in question will provide you with the necessary assistance and help you return to normal life.
Contraindications to treatment
In what case will the clinic of neuroses on Shabolovka not be able to help you? Reviews of 2017 recommend that you carefully study the contraindications to treatment in this institution. This will help you not to be disappointed in the choice of a medical institution and to really assess your own situation. So, among the main contraindications, the following are distinguished:
- alcoholism and drug addiction;
- a variety of endogenous mental illnesses, which are accompanied by pronounced personality changes, as well as a number of psychotic symptoms (for example, delusions or hallucinations);
- dementia accompanied by psychoorganic disorders;
- psychopathy that develops with antisocial disorders in the patient's behavior (namely, with dissocial personality disorder);
- severe neurological and somatic diseases.
If your attending physician or you yourself note the presence of one or more of the above symptoms, then you should understand that you should not contact the medical institution in question.
Basic course
So, what is the treatment provided by the clinic of neuroses on Shabolovka? Reviews of 2016 and 2017 report that today the basic course of diagnosis and treatment includes the following stages:
- Diagnostics / research (electrocardiography, neurologist consultation, complete blood count, therapist consultation, general urine analysis, psychological personality testing, biochemical blood test).
- Treatment measures (reflexology, physiotherapy exercises, pharmacotherapy, therapeutic breathing exercises, physiotherapy in the form of massage, electrotherapy, therapeutic diet, therapeutic relaxation gymnastics, hydrotherapy, magnetotherapy, psychotherapy, including autogenic training, a group session with a specialist, as well as rational psychotherapy).
- A patient can be hospitalized only after consulting a specialist, and also exclusively for his purpose.
- For hospitalization, you must have an identity document with you. It is carried out in single, double or shared wards of the clinic.
This is how an approximate course of diagnostics and treatment looks like, which is provided by the clinic of neuroses on Shabolovka. The day hospital reviews are also called an excellent opportunity to receive the necessary help, and not be torn away from your family. Many people find this option to be the most acceptable.
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