wake up with thoughts not about putin and mother russia, but about the inevitability of punishment for your actions. if you, dear viewers, do not feel sorry for the traitors, write to me at this email address or simply on facebook, turn in all the sellers, the more we clean the country now, the less lessons we will teach our children and grandchildren these were collaborators from miklushka's list. see you in a week on espresso air, death to enemies, greetings to all who are with us, this is yana java melnyk's news and the espresso editorial team tells about the most important and well- known at the moment crimea, cut off from russia, sale

train tickets and to and from the peninsula have been stopped , bus flights have been canceled for today, now you can get there only through the temporarily occupied territories of ukraine vladimir putin has already ordered the creation of a government commission due to the alleged extraordinary event on the crimean bridge, but the occupiers have already found the cause of the incident, the head of the so-called crimean parliament accused in the damage caused by some ukrainian vandals, but the russian anti-terrorist committee noted that a freight transport was detonated at the crossing thus, two car spans fell. by the way, the damage there is estimated at 200 to 500 million rubles, there was no panic, just after the crimean bridge got tired

, queues formed on the temporarily occupied peninsula, in particular at gas stations, so the video will be published on social networks, the occupation authorities are trying to calm people down, allegedly with gasoline, diesel and there are plenty of products there, and the ministry of energy of the russian federation noted that there will be enough fuel in crimea for 15 days. further, about the situation in zaporizhzhia, the number of dead has increased by the 17th as a result of an enemy attack on zaporizhzhia, a child among them reported to the state emergency service from under the rubble of two buildings , 21 people were rescued, of whom 12 were hospitalized, work continues in the morning of october 6, the russians populated the center of zaporizhzhia with rockets, in particular, they aimed at residential blocks of high-rise buildings and the private sector more than 50 houses were damaged, two houses were completely destroyed in kharkiv, the russian nazis

attacked with s-300 missiles and from belgorod, four strikes fell on the saltivskyi district, one more on osnovyansk and a man hospitalized with shrapnel wounds, the head of the regional military administration, oleg sinegubov, noted that as a result of the shelling, the sports complex , non-residential premises, commercial buildings, cars, garages were hit, and rescuers extinguished several fires in the open area. in a day, five more people were admitted to the hospital, four of them were blown up by mines under enemy fire again, the russians struck dnipropetrovsk the head of the region valentyn reznichenko told the nikopol region that three communities were attacked from hailstones, almost 80 shells were directed there,

previously, people were not injured in the manganetsk community, private houses, farm buildings and power lines in the yards of local residents were destroyed by invaders, more than 30 domestic animals were damaged in morovska private homes farm buildings, bus stop , gas pipeline, and electricity networks in the khrovnogrigorivskyi community. almost 500 families were left without electricity. emergency crews have already started work and are not letting up the enemy overpowered the enemy attacked mykolaiv oblast and odesa region with three kamikaze drones the night before, all of them were shot down, the head of the mykolaiv oblast military administration vitaliyka reported, in addition, the occupiers struck the water area of ​​the ochakiv community, in the shikiv community, as a result of the shelling, the agricultural enterprise was significantly destroyed. warehouses and equipment

, fortunately, there were no victims under the fire of the attackers. populated areas of the berezneguvat community, information on injured and damaged residential buildings is being clarified by enemy shelling the zaporizhzhya nuclear power plant is completely out of control, the occupiers damaged the facility's last communication line in automatic mode, the diesel generators of the available fuel reserves for their work in this mode will be enough for 10 days , plans to turn on the power units in conditions of shelling and damage to all lines are not realistic emphasized that 380 more russians have been mobilized in the new black-pack troops in energoatom, and since the beginning of the full-scale invasion, 62.2060 occupiers have already been fighting there, and the park of the enemy is increasing

scrap metal, now there are also six tanks, 18 armored fighting vehicles, 13 cars, four art systems, one rocket salvo system and three anti-aircraft defenses, in addition, our defenders landed one helicopter and 12 unmanned attackers. estimates remind that in the general staff in russia , information about disagreements within the kremlin is spreading rapidly and this is undermining the stability of the regime putin is declared at the institute for the study of war by some russian bloggers, after sharply criticizing the head of chechnya, ramzan kadyrov, and the head of the communist party of ukraine, wagner, yevgeny prigozhin, they began to miss the fact that there are two factions in the kremlin, one seeks to continue the war, and the one that is favorable to them, consisting of government officials, wants to

negotiate with the west in order to preserve its assets and residences so that ukraine could buy the necessary equipment directly from french manufacturers, the creation of a special fund was announced by emmanuel macron at an informal meeting of the european the councils in prague will concentrate 100 million euros in it, and this is only for the beginning, the head of france emphasized, with these funds, our country will be able to purchase defensive weapons to support the military and resist russian attacks. billion 300 million dollars of credit assistance from the international monetary fund, these funds should meet the needs of ukraine's balance of payments and

also support its creditworthiness, they noted in the fund, the humanitarian and economic losses of our country due to the war remain huge. the imf predicts that our economy will shrink by 35% this year, so the need for external financing remains very high. ivano-frankivsk is preparing for the heating season, residents are stocking up on warm things, and the authorities are carefully preparing the city so that there are no surprises with the networks during the winter ivan haruk - will continue mrs. alla came to ivano-frankivsk from kherson, lives in the city and says all warm things at the beginning of a full-scale invasion i left it at home, so i will have to buy new winter clothes. i hope that i will be able to spend the winter in prykarpattia. without any particular difficulties, the winter

was very warm in those years, well, it is in the south. well, i think that it will be so warm here, and like here, we won’t freeze, we wo n’t freeze a little . to get dressed, to buy things, because there is practically no winter clothing. it may be necessary to buy a convector or some kind of radiator, a fireplace in kherson, says peresylenka , they had individual heating at home, so they paid a moderate amount for utilities in the carpathian region, the family rents housing with centralized heating services, so the prices for utility bills will be higher. however, the woman's housing rent is compensated by work . also, pillows and bedding are all that we have at this stage, we

should be warm, meanwhile in ivano-frankivsk they are preparing for the cold season, if the enemy does not destroy the heating networks in the regions, then the cold season will be overwintered at least in the west and in the center the country will succeed without any particular problems in the city for this in advance, specialists have purchased all the necessary equipment these days in prykarpattia they are forecasting warm weather from 13 to 20°, above zero from prykarpattia ivan haruk ihor gursky espresso tv channel for this moment espresso tv editors be sure to subscribe to our channels in social networks, stay close and i will meet you in a few customs, the ingenuity of the armed forces of ukraine since the beginning of the full-scale

invasion of russia, ukraine was able to create a real army of drones, now about 60,000 drones help soldiers on the battlefield, how ukrainians turned ordinary commercial drones into dangerous weapons, details in the material of my colleagues from the french tv channel france 24. this is how the torpedo seemed like an ordinary commercial drone. play an important role on the battlefield in ukraine, soldiers either attach explosives to them or use them to improve visibility on the terrain , thus gaining an advantage over the enemy mark kenzier, a former marine, a security expert at the center for strategic and international

studies, will explain in more detail commercial drones are aircraft that can be purchased in a store, while combat drones are manufactured exclusively for the military, the main difference between them is that combat drones are characterized by increased strength and are intended for multiple use their use is designed in such a way that they can function in many environments the military that does not have access to combat drones buy and they use valuable drones, they demonstrate great ingenuity and ingenuity by turning such aircraft into dangerous weapons, they are quite affordable, so they can be used even once ukrainian military can simply go to a store and order such aircraft, i suspect that many people do so, so they successfully experiment with since the beginning of the russian full-scale invasion in february, the government of ukraine has

started collecting drones and now a whole army of commercial drones has been assembled, which there are about 60,000 yesterday they were on display and today modified drones can carry small weapons hitting sensitive parts of tanks and armored vehicles of the enemy you can see how explosives are attached to the drones namely a grenade which will soon be dropped on the enemy concentration also thanks to the appropriate software they can be can also be used for video recording, which is especially important for determining the location of enemy forces and adjusting artillery strikes, drones can also to perform the function of a kamikaze, namely to search for the enemy, and just to fly into it , thus causing significant injuries, the fourth house, the blue

door, boom, i flew straight into the house, straight into the door , they flew out, someone is running out, definitely, such drones boost morale, the soldiers who use them are proud of their achievements. here he rises look, because of this, the russians probably became a bit more careful, in particular, they started to look around to see if they suddenly don't have a drone flying. congratulations , i'm iryna koval, and this is a program about health during wars the war in our country goes on every day, air strikes

are coming to different cities, missiles are flying in every day , civilians are dying, children, military doctors, volunteers and journalists, people are under occupation , hiding in basements, and in bomb shelters, we see a lot of grief, and even those who seem to have held on at the beginning and were strong now feel mental exhaustion and i will tell you that this is absolutely normal because we all feel the consequences of war, everything that happens has a negative effect on our and your mental health. you are probably not alone once heard such an abbreviation as ptsd, this is post-traumatic stress disorder. today we will discuss what it is, how it manifests itself and whether it actually threatens everyone, and most importantly, what to do with it in today's conditions. every person needs to know about it first of all in order

to timely diagnose and provide psychological and medical help, preventing the dangerous development of ptsd, such a reaction of the psyche to severe stress or trauma; according to statistics, women suffer from ptsd more often than men, and by the way, not only war can provoke the appearance of ptsd in a person, it can be accidents, it can be disasters, natural disasters, violence, a negative experience of childbirth, the death of a loved one, but not every stress can lead to the appearance of ptsd, so we will understand in detail and start with the plot, not the link, more and more people are now complains of anxiety, insomnia, irritability and panic attacks but this does not mean that you already have post-traumatic stress disorder, because those who really have it are unlikely to be able to

cope on their own and need the help of specialists why it is important not to postpone the visit to the doctor until later, let's see in the plot, with each new explosion the city got worse and worse, i was shaking with powerlessness. i just fell on my knees and prayed. katya is a resident of oboloni. this is one of the districts of kyiv, where in the first days of the war, the rashies broke in. the girl hid for almost two weeks. in the shelter of one of the universities, neither sunlight nor fresh air, only eerie sounds and fear above us, battles were going on, tanks were driving, saboteurs were running, and in parallel, the battle was going on on the dam near the kyiv sea, at some point we in general, it seemed that water began to flow, but it was a vibration from the fierce battle that was taking place

outside, the neighbor said that the sky was simply red from the shelling, after two weeks, the girl and her family left to live with relatives in the west of ukraine, however, russian rockets are flying there and so after sleepless nights, katya went to where it is safe gordon and although the danger for the girl of the past anxiety has not disappeared anywhere every sharp sound every flight of a plane or helicopter throws me into the cold pitt while he flies i just i am waiting for him to fly further or not and inside everything is going down about most of his symptoms katya is not ready to talk to anya on camera or with a specialist reluctance to talk about the experience is a very common manifestation of post-traumatic stress disorder, says a psychologist who works abroad with refugees from the occupied territories, i am a manifestation of avoidance, i.e. people generally don't want to talk

about what they lived through, how they passed, hmm, how they left ukraine. personal consequences - this is only the beginning. a month passes, uh, it's already some even physical symptoms, that is, people feel bad, they feel broken, when we conduct a diagnosis, we see that everything is healthy as if it is fine. this is also a manifestation of post-traumatic stress disorder when crossing the state border . refugees undergo care and often turn to a psychologist themselves, but internal displacement of a person who have left hell for relatively safe regions less often show such a desire and lock themselves in. and this in the long run threatens not outpatient treatment but inpatient inpatient departments all the benefits of health are not just a

whim or a trend, it is a duty to your body, and especially now in the conditions of war, you need to listen to yourself and if you notice symptoms, contact a specialist, this is increased directiveness, this is a sleep disorder, if the dream is both insomnia and nightmares dreaming is not motivated, aggression, not to mention verbal anger - this is depression, this is generalized anxiety and fears, according to a psychiatrist, you should not hope that the problem will pass in time, not consulting a doctor with such symptoms may not simply relieve the psychological state of the patient and to prevent more serious complications when at first we are talking about insomnia and irritability, which is quite well treatable, then more serious mental disorders are added, these are severe depressions, suicides, and probably the most terrible thing is that

these are suicides, they are already so close 8% of men and 20% of women who have experienced traumatic events have post-traumatic stress disorder, this is the statistics published by the ministry of health of ukraine. if nothing is done, it can end in the destruction of relationships works of health or even life, just now in the plot they talked about the suicidal consequences of ptsd, you can overcome it or learn to manage it if you recognize the symptoms, diagnose and undergo treatment. so, the symptoms that indicate that you need help are constant thoughts about a traumatic event, they occur involuntarily, they can dream or appear as flashbacks of life in full combat readiness or the person has obsessive thoughts about his own safety consciously avoiding mention of the trauma panic attacks are such

as a feeling of intense fear shallow breathing dizziness, nausea, rapid heartbeat and pain behind the sternum, emotional emptiness, detachment from loved ones and loss of interest in once-loved things, mistrust and troubles in everyday life, there may also be abuse of alcohol, cigarettes and drugs, problems in relationships, sleep disturbances , attentiveness, and ptsd also has such physical manifestations as indigestion muscle hypertonicity , tachycardia, it can be chronic pain, headaches, diarrhea, or a feeling of tightness and heartburn behind the sternum, cramps and pain in the lower back. and finally we have already talked about suicidal thoughts, if they arise, tell your loved ones about it and seek help, and the first person you need to turn to is a family doctor, so how many

complaints about the symptoms of post-traumatic stress disorder and how family doctors act in such cases, we will find out with we are in contact with a family doctor, professor of the department of family medicine, therapy of cardiology and neurology of the zaporizhzhya state medical university , iryna voloshina, ms. iryna, i greet you good afternoon irina, thank you for the invitation a-a i know that ptsd develops when a person comes out of a stressful situation and finds himself in such seemingly safe conditions. do patients often present with symptoms of ptsd and are we talking about the threat of an increase in such cases in the future after the end of the war, they definitely predict an epidemic or even a pandemic in ukraine of mental disorders

and diseases. and again, these are official data, they are forecasts of the world health organization because the war is a global risk factor for the development of any mental disorder, therefore there will definitely be only an increase in appeals - an increase in statistical indicators, but i would say that what we see as statistics is only the tip of the iceberg, because in fact, well, i i don't know if it's 20-30%, in my opinion, much more of our population now has ptsd of one degree or another, and when you listed the symptoms and the psychologist listed the symptoms , and when they said that the state of constant readiness, i yes i looked around, and there is a suitcase next to me, and here it is, and i think that i am not alone either, and that the state of constant readiness is present in every resident of ukraine, no matter where he is. and

mrs. iryna, tell me, are there any cases among your patients when a person who experienced stress during the occupation , for example, has already evacuated abroad and has already asked for help from there, because we know a lot of stories that are now being told and they are already known to the whole world, they are telling that it is not so easy for ukrainians in european countries to get medical help right away, you have to go through the bureaucracy of these procedures, so do our citizens who are abroad turn to you and actually ask for advice on what to do and an algorithm for how to act in one or another country, because really even eu countries are very different systems of providing medical care and, for example, those people to whom the state already e-e, for example, poland, germany or france have provided such at least temporary insurance where the

insurance policy they can without hindrance contact the nearest family doctor and he will already give the first advice or, if such serious indicators are determined, he will delegate to a specialist, and of course here the language barrier is a very serious obstacle, so i know now a lot of our people abroad. they are looking for russian or ukrainian speakers russian-speaking doctors, of course, there are simply statistically more of them, that is why the emphasis is rather on them, that they are simply easier to find , but they are looking for a linguistic understanding, because when we say the treatment of mental disorders in particular, ptsr of panic attacks as one of the options for etesters, then understanding language so that there is no language barrier is extremely important in ukraine, i can also say that i am now the head of a direct mobile brigade in the de-occupied territories of kyiv region and what we see is that in a month we actually consulted more than

1,000 patients it is completely let's say that all people, but very many of them also have signs that require delegation not only to a psychologist, but even to a psychiatrist before hospitalization , and here i can say what you showed in the plot there are places, what they said is that the hospitals are overcrowded, maybe this is not completely true now, if a person needs hospitalization, he can go directly to a psychiatrist, even without a referral from a family doctor, which is located in a polyclinic near the hospital, or perhaps to the reception department of the hospital itself and no one will refuse the help of ms. iryna, how do you diagnose ptsd because, well, when we talk about the fact that people can turn to and simply call to get a consultation or online consultation or simply to diagnose ptsd in general, for example, without any

personal contact. i mean when we communicate with a person who is nearby, you know. the question is, after all, how fundamental will this definition be to the patient, precisely in the word ptsd? for example, we have the icpc-2 classification, which we use at the primary link, and we have such an item there, e. acute reaction to stress or reaction to stress or simply stress, stress disorder, anxiety disorder. that is, we indicate the symptom, the main symptom, what she was dealing with a person, that is, if a person presents with a panic attack, we write the reason for the visit panic attack, that's all, let's say post-traumatic stress disorder. i would say that it would be better for this diagnosis to be made by a specialist such as a clinical psychologist or a psychiatrist, if the doctor delegates a family for a doctor, a family doctor does not have such a task, that is, to issue such a

rigid differential diagnosis, we conduct it symptomatically, and if we see that there is a symptom, a manifestation of one of the manifestations of ptsd, we record it and provide it relevant recommendations for what to do next for a person and what these recommendations might be. is this recommendation to go to a psychiatrist or a special psychologist again? to determine whether a stress disorder and an anxiety disorder and a depressive disorder, the diagnosis takes from one to five minutes and this can be done by sitting the patient or at the computers or sending or mollink on the questionnaire so that he passes it, then just show the number of points or in the presence of the doctor, if there are such questionnaires printed, any method can be used to confirm the reason for

the application, and here is a question about the recommendation i will tell you right away what should not be done. neither the patient nor the doctors first of all need to start with heavy psychotropic drugs, and there is such a drug of the group of benzinepines, and it is generally such a serious enough group of drugs and in each of the instructions for ptsd state that do not start, do not prescribe groups of benzopines for ptsd, because it can cause serious harm. and in general, any drug treatment should be treated extremely as appropriate. we will talk about treatment and drugs later. and i thank you for being in touch with us and for your advice. for your consultation, irina voloshina, professor of the department , was in touch with us.