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№1' 2016
PSYCHIATRYInternational Medical Journal, Vol. 22., Iss. 1, 2016, P. 73−80.
MEDICO-PSYCHOLOGICAL MANAGEMENT OF PERSONS WITH ACUTE DISORDERS OF MENTAL STATE AND BEHAVIOR
Kharkiv Medical academy of Postgraduate Education, Ukraine
The article presents modern variants of medical and psychological help to persons with acute mental and behavior disorders. The purpose of the work was to feature the clinical presentation of acute mental and behavior disorders, which result from the influence of extraordinary situation (ЕS), during or directly after it. The psychotherapy techniques of medical and psychological management are also described. Mental and behavioral disorders in the conditions of ES have a lot in common with clinical disorders which develop in ordinary terms. However there are also substantial differences. In the conditions of ES mental disorders develop simultaneously in a big group of people. The clinical presentation in these cases is typical ranging from the state of maladjustment and neurotic reactions to the reactive psychoses. Mental and behavioral disorders can be divided into 4 groups: non−pathological (physiological) reactions, pathological reactions, neurotic and reactive psychotic states. In a remote period mental disorders develop as a posttraumatic stress disorders (PTSD) −− F 43.1 or chronic personality changes due to a catastrophe (F 62.0). Urgent medical and psychological service execute the followings basic functions: rapid medical and psychological and (if necessity) first medical aid to the population; connections and co−operation with specialized psychological and psychiatric services. urgent medical and psychological aid at ES is rendered as of crisis interventions.
Key words: urgent medical−psychological care, psychotherapy, stress reaction, neurotic states, psychotic states.