People suffering from alcohol and drug addiction are unable to withstand stress. Along with the physiological characteristics of the disease, they are exposed to mental disorders that affect their mood and quality of life. Depression becomes one of the reasons why people return to intoxicating habits. Therefore, in complex treatment, it is necessary to pay special attention to psychotherapy, combining it with drug treatment for depression.
Psychotherapists at the Ultramed clinic will help you cope with emotional stress that arises in crisis situations. And also for those who cannot withstand the modern rhythm of life and resort to “folk treatment”, which entails an even more serious deterioration in well-being. It is recommended to seek help from a psychotherapist in the following cases:
- alcoholism
- addiction
- relative's illness
- death of a loved one
- loss or problems at work
- divorce or family problems
- communication problems
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No matter how much a person takes pharmaceutical drugs, it is impossible to do without consulting a professional narcologist. Only a psychotherapist is able to assess the problem (illness) and find the right way out of the current situation (including medication). An experienced specialist will help restore relationships at work and in the family, find a common language with people around you and restore the joy of a full life.
Ultramed clinic specialists provide consultation and treatment of the following mental disorders:
- long-term stress
- psychological problems
- depressive state
The result of working with a psychotherapist will be a new perspective on problem solving. A person will stop turning to alcohol to relieve stress or avoid difficult life situations. The psychotherapist will also advise the patient’s family members, tell them how to behave with him, how to restore harmony in the family and help a loved one on the path to getting rid of addiction.
Treatment of stress and depression: types of stress
The onset of a mental disorder is influenced by many factors. Situations that can traumatize the psyche arise in our lives all the time, and even strong people are not always able to resist them. Such stresses are divided into the following types:
- physical - caused by overwork and extreme external conditions
- metabolic - caused by diabetes, uremia, high blood lipids and obesity
- immune - associated with infections, against the background of a weakened immune system
- endocrine - occur with hyperactivity of the adrenal cortex and thyroid gland
It is important that stress does not become chronic. This is associated with the risk of physiological complications when stressor substances are produced in excess in the body. Lack of oxygen and nutrients negatively affects the functioning of the genitourinary system, intestines and liver. Vital organs such as the brain, heart and lungs are also affected. As a result, a person begins to get sick often.
Which doctor will bring back sleep?
If a person is seriously concerned about a sleep disorder, he or she should contact a somnologist. He must find the root cause of the problem and, if necessary, refer to another specialist. The main type of diagnosis is polysomnography. This is a comprehensive sleep study that records the characteristics of breathing, heartbeat, and bioelectrical activity of the patient’s brain in a sleepy state. The procedure is usually performed in a clinical sleep laboratory.
Polysomnography reliably detects sleep apnea, in which the patient is suffocating and cannot sleep. The procedure allows you to determine heart rhythm disorder syndrome, in which a person wakes up with a heartbeat that is elevated to 150-160 beats per minute. Then he is sent to a cardiologist, and then usually to a surgeon.
Older people often suffer from disturbances in the perception of sleep, when insomnia itself may not exist. Often the patient claims that he has not slept a minute for many years. When the sleep of such a person is studied in detail in the laboratory, it usually turns out that he sleeps superficially, with frequent awakenings, but sleeps through his 6-7 hours a day.
Treatment of stress and depression: anti-anxiety medications
In the treatment of depression, drugs that differ in the active substance are used. They can be natural, plant-based or created in laboratory conditions, affecting brain receptors. An experienced psychotherapist will tell you which medicine to use in a particular case.
Antidepressants are divided according to the principle of their effect on the human body into the following types:
- stimulants
- balanced action drugs
- sedatives
Such drugs are sold strictly according to a doctor's prescription. They are used in cases where the patient experiences rapid heartbeat, anxiety, irritability and high excitability. Indications include lethargy, melancholy, apathy, suicide attempts and deep depression. Self-administration of antidepressants is prohibited.
Sulbutiamine
Sulbutiamine is a “doubled” molecule of vitamin B1 or thiamine. It has an increased ability to dissolve in lipids, which contributes to improved penetration of this compound through the blood-brain barrier into the brain.
Sulbutiamine
999 rub.
Sulbutiamine breaks down into thiamine and improves trophic processes in nervous tissue, leading to an increase in cholinergic conductivity, which normalizes and stabilizes the integrative activity of the brain. Sulbutiamine also accumulates in the cells of the reticular formation, enhancing their activity in activating the cerebral cortex. This leads to a reduction in asthenic symptoms, increased motivation, improved cognitive activity and restoration of a person’s “aliveness”.
Treating Stress and Depression: Natural Medicines
If the stage of the disease allows, psychotherapists recommend taking herbal medicines. They are safe and have sufficient effect for treatment. Some of them are familiar to many from home medicine cabinets and can be purchased without a doctor’s prescription:
- Valerian tincture
- motherwort
- "Negrustin"
- "Persen"
- "Novo-Passit"
Valerian tincture copes well with the stress that haunts us every day. The drug contains a plant extract that helps slow the heartbeat and calm the nervous system. Valerian relieves insomnia by providing a hypnotic effect.
Motherwort has a contraindication - it should not be taken by people with hypotension. The drug has a sedative effect, relieves stress and anxiety, but helps lower blood pressure. Motherwort is effective in treating irritability and neurasthenia.
The drug "Negrustin" contains St. John's wort extract. The effect of this herb on the human body helps to increase efficiency and raise general tone. Negrustin is used in the treatment of mild depression.
"Persen" is a drug that relieves stress and anxiety. It contains a complex of herbal extracts that have a positive effect on a person’s emotional state: valerian, peppermint and lemon balm. In addition, Persen helps overcome irritability and normalize sleep.
The composition of the drug "Novo-Passit" includes extracts of the following medicinal herbs: motherwort, St. John's wort, valerian, lemon balm, passionflower, hops and black elderberry. It has the properties of the drugs described above and copes well with stress. Taking Novo-Passit not only improves your well-being, but also has a positive effect on sleep.
What medications help cope with stress?
First of all, it is recommended to start taking natural-based sedatives. They help reduce the release of adrenaline into the blood, which is often called the “stress hormone.” Herbal medicines are completely safe if the patient is not allergic to them.
The most effective herbal remedies are tinctures and tableted extracts of the following plants:
- Valerian officinalis;
- Lemon balm;
- Hop;
- Motherwort;
- St. John's wort;
- Peppermint;
- Passionflower (Passionflower).
When stressed, it is recommended to take multivitamin complexes daily, which, among other things, normalize protein metabolism. The most important are the B vitamins.
For frequent nervous tension, it is recommended to take calcium, potassium and magnesium supplements. The most effective mineral-containing medicines include Magne B6 and Asparkam.
Adaptogens and immunomodulators will help the body adapt to a stressful situation. It is recommended to give preference to natural remedies, such as extracts of ginseng, eleutherococcus and lemongrass.
Important: The herbal immunomodulators mentioned can increase blood pressure, so people suffering from arterial hypertension should take them with caution.
If natural drugs do not give the expected effect, then, on the recommendation of a doctor, you can begin medicinal treatment of stress using synthetic drugs.
Nootropics are drugs based on GABA (gamma-aminobutyric acid). They allow you to stabilize the state of the nervous system in the shortest possible time. Medicines in this group include Piracetam, Aminol and Nootropil.
In order to relieve nervous tension and get rid of a depressed state, patients may be prescribed tricyclic antidepressants, for example, Amitriptyline.
To quickly reduce anxiety, as well as to improve sleep, benzodiazepine tranquilizers (Clonazepam, Phenazepam) are prescribed. Alternatively, your doctor may recommend the anxiolytic Buspirone.
In addition to drug treatment for stress, the help of a qualified psychotherapist is very important.
The text was checked by expert doctors: Head of the socio-psychological service of the Alkoklinik MC, psychologist Yu.P. Baranova, L.A. Serova, a psychiatrist-narcologist.
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Treatment of stress and depression: powerful drugs
In severe cases, after examination by a doctor, the patient may be prescribed potent anti-depression medications. They have a calming effect by acting on brain receptors. Some of the most common and effective drugs are:
- Nialamid
- Bethol
- Iprazide
- Trinylcypromine
- Dosulepin
- Selegilin
- Anafranil
- Incazan
These drugs are used strictly under the supervision of a doctor. They have many contraindications and side effects. When used independently, they can not only worsen the condition of a depressed person, but also cause serious damage to the body as a whole. As a result of non-prescription use of the above drugs, the patient may develop dependence (pharmacy addiction).
Antidepressants
Antidepressant drugs are used in courses (usually several months).
They do not have a quick sedative effect, unlike antipsychotics and tranquilizers. However, with long-term use, they can effectively remove attacks of aggressiveness that arise as part of depressive states (endogenous, organic, neurotic).
There are a lot of antidepressants; doctors divide them into several generations and into groups depending on their structure and mechanism of action.
Main antidepressants:
- amitriptyline;
- clomipramine;
- escitalopram;
- paroxetine;
- fluvoxamine;
- agomelatine.
Treatment of stress and depression: psychostimulants and nootropics
Drugs in this category normalize the processes of thinking and remembering. They stabilize brain activity and increase its resistance to stressful situations. Treatment of stress and depression with the help of psychostimulants and nootropics can relieve the patient of lethargy, drowsiness and depression. With uncontrolled use (not under medical supervision) of drugs in this category, the following side effects may occur:
- tremor
- tachycardia
- sweating
- hypertension
- dry mouth
- headache
In modern psychotherapy, there are many names of psychostimulants and nootropics. Their use is due to the relief of depression and other mental disorders. If the disease is advanced, then you cannot do without the use of these potent drugs. In addition, psychotherapists recommend including a variety of relaxation programs in the treatment program:
- massage
- pool
- walks in the open air
When the reason lies in the past
It often happens that the cause of insomnia is an event that happened months or even years before the onset of symptoms. Most often with acute anxiety disorder caused by the death of a loved one. In the first time after loss, insomnia does not occur due to stress and regular adrenaline surges. But when, six months or later, a person relaxes a little, then chronic sleep disorders appear.
Dr. Kolchina says: “A woman over 80 years old encountered the problem of insomnia 3 years after the death of her husband. She tried to regain sleep with the help of alcohol and tranquilizers, although she had never drank before. It was still not possible to get enough sleep, and the patient had problems during the daytime, including impaired motor functions and even falls. In this case, combined drug and psychotherapeutic treatment helped.”
Obese people often complain about the quality of their sleep. They fall asleep easily, but experience breathing problems during sleep due to pulmonary hypoventilation syndrome. Fat tissue puts pressure on the chest, the lungs breathe only due to the diaphragm. As a result, the body receives insufficient oxygen, which aggravates obesity by inhibiting metabolic processes. That's why overweight people often wake up in the middle of the night and don't get enough sleep.
Treatment of stress and depression: tranquilizers (anxiolytics)
When depression provokes obsessive states, severe fears and unreasonable anxiety, tranquilizers are used in treatment. They are prescribed in short courses (1-2 weeks). Long-term use of such drugs is addictive and reduces the effectiveness of drug treatment.
Tranquilizers, in addition to restoring the nervous system and improving sleep, relieve seizures and relax skeletal muscles. The drugs are contraindicated in patients suffering from glaucoma. While taking them, you should not drink alcohol or anxiolytics (the latter under medical supervision). When combined with tranquilizers, anxiolytics can cause amnesia.
Below are some side effects when taking tranquilizers:
- drowsiness
- attention disorder
- constipation
- hypotension
- slow reaction
- urinary incontinence
- weakened libido
- breathing problems (even to the point of stopping)
Modern medicine uses the following drugs to treat stress and depression of a clinical nature:
- Chlordiazepoxide
- Diazepam
- Lorazepam
- Bromazepam
- Phenazepam
- Freesium
- Alprazolam
Treatment of stress and depression at the Ultramed clinic
A large number of drug names presupposes knowledge of their properties and individual characteristics of the course of the disease. Based on the above information, you can understand that contacting a professional psychotherapist is the best way to find the right medication to treat stress and depression. Do not self-medicate - trust the professionals and do not delay visiting a doctor.
If you experience anxiety, nervous breakdowns or apathy, you should immediately contact a specialist to avoid the serious consequences of prolonged depression. Our clinic employs experienced psychotherapists who will help you get rid of stress and depression, even if it has become clinical. At the clinic, you will receive comprehensive treatment that takes into account the condition of internal organs affected by the influence of prolonged experiences and rapid heartbeat.
Call us and we will answer all your questions - the Ultramed clinic hotline is open around the clock, seven days a week, seven days a week!
When is it time to sound the alarm?
“If the process of falling asleep lasts more than 20 minutes, and this situation lasts a week or more, this is a reason to consult a doctor,” says Gleb Lutokhin, a somnologist at the Semeynaya clinic. — If a person tosses and turns for a long time before going to bed, often wakes up during sleep and then cannot fall back to sleep for 5-10 minutes, this is a reason to think about it. Especially if these processes are accompanied by anxiety and obsessive thoughts.”
Insomnia has many adverse effects. The body does not have time to recover, the functioning of almost all systems and organs is disrupted. The nervous system suffers the most; the cardiovascular and endocrine systems, as well as the kidneys, work under stress.
“About 40% of my patients have a sleep disorder,” says GMS Clinic neurologist Sergei Makarov. — In young people, insomnia is a consequence of anxiety disorders or disruption of the daily routine. Due to the coronavirus epidemic, many people work from home until late and then sleep until lunch. And due to overexertion and lack of personal space, insomnia occurs. In older people, sleep disturbances can be caused by diseases of the heart, lungs, other internal organs, or chronic pain.”
So a young girl turned to Doctor Makarov. During the interview, it turned out that in addition to bad habits - smoking and drinking alcohol - she suffered from an incorrect daily routine. At night on weekends, the girl “hanged out” in bars and discos, sleeping off during the day. It is not surprising that the work week was difficult for the patient. The body did not have time to adapt to the daily routine when the weekend came again and history repeated itself.
