e.e. the reason for the appeal and here the question regarding the recommendation, i will immediately say what should not be done. neither the patient nor the doctors, first of all, it is definitely not necessary to start with heavy psychotropic drugs , and here is such a drug of the e. it is written in each of the instructions for ptsd that do not start, do not prescribe groups without gasoline for seizures with ptsd, because it can cause serious harm. and in general, any drug treatment should be treated extremely as appropriate. should go as one of the very next steps, that is, do n't i want to thank you, i want to thank you, we will talk about treatment and drugs further. and i thank you for being in touch with us and for your advice, for your consultation with us in touch was iryna voloshina, professor of the department of family

medicine, cardiology and neurology therapy, zaporizhzhia state medical university, and there are several treatment protocols for tsr, and none of them are comprehensive and universal; for each person, the approach and medication should be selected individually but still, given the protocol and the circumstances of life and how psychiatrists treat ptsd and what are the features of this mental disorder, we will find out just now and contact us, psychiatrist, psychotherapist, candidate of medical sciences, associate professor , svitlana netrusova, ms. svitlana, nice to see you and hear today i congratulate you good day iryna i am also very happy to see and hear you and all our listeners and i am very happy to have the opportunity to help with some advice and knowledge to share what those who suffer from pcr or who are

only in this traumatic situation need to know and may be at risk of developing ptsd mrs. svitlana please tell me how many patients you currently have with ptsd, the fact is that i don't have so many patients that i can make a percentage sample of my own uh, um, i mean my experience practical activity but if we take a general sample, then up to 30% of the general population may suffer from post-traumatic stress disorder. there is no need to talk about violence against women or about other moments, there is a fire or something else or something else. we have a war and it is a big, very powerful, psychosomatic factor that can

lead to post-traumatic stress disorder. it is precisely such people who experience such a powerful stressful factor that up to a percentage of people can develop post-traumatic stress disorder . we will give such clearer answers. look, according to your estimates, are we expecting a massive increase in the number of ukrainians with such a diagnosis? well, we know that there are people who, for example, have gone abroad now, and for

them it may be over, maybe not, so when should this start happen? when will everything begin? i want to say that traumatic stress first occurs - this is when, up to two days ago, a person experienced a traumatic situation there, or bombs fell, or they hid in basements, or they lost someone close to them, or they drove out and shot them in the back, that is, up to two days later, this is traumatic stress, acute stress movement days to four weeks and already under post-traumatic stress development , it is necessary to talk about it already 54 weeks after the psychotraumatic event took place and i want to tell you that it can be very long it can be even continue for months and even years if this post-traumatic stress disorder is not treated, then in principle the

war is still going on now and people can suffer from post-traumatic stress disorder during the war not only when it ends in four weeks after they survived the bombing there before in four weeks when they survived and further not necessarily after four weeks you can well no well not earlier than after 4 weeks to 4 weeks this is an acute stress disorder it goes that in this case this post stress dramatic a disorder if it is not treated if it is not dealt with seriously it can lead to certain very serious disorders if there is an opportunity i will tell you what these are the main clinical manifestations and it is necessary to contact the specialists of psychologists , psychiatrists and psychotherapists in order to help yourself and if a psychologist is not a doctor, he has no right to make a diagnosis, only a psycho-psychiatrist has the right to make a diagnosis, only a single

specialist legally has the right to make this diagnosis, and i want to say that if a psychologist on at certain stages, it no longer helps people cope with this condition, if we are talking about post-traumatic stress disorder, then it is necessary to consult a psychiatrist, because this is the specialist who deals with the treatment of this development of ms. svitlana. but i understand that not all people who have experienced this stressful the event develops according to tsr. usually, 30% of these people have it, and the most vulnerable contingent is the women’s children, as well as it depends on the conditions in which the person who experienced the stressful situation is, for example if she is among those people who experience a stress disorder and a stress

factor together with her, then it is easier to bear together, e. post-traumatic stress disorder there are certain people who are anxious people who are people who are more like them more seriously more traumatically perceive all negative factors and other people behave differently and people experience different things and then give er if the answer is to this negative factor. this also applies to ms. svitlana's post-traumatic stress disorder. then let's er, since you see each person is an individuality, let's talk about how not to miss this symptom because a person is not can always correctly assess , for example, her psycho-emotional state, and probably in this there are more hopes for her environment, what

behavior of a person should attract attention and give this signal that she already needs the help of a specialist well if we are talking about post-traumatic stress disorder, then it is a very important issue, not only sleep disturbance, the occurrence of anxiety, excessive inner restlessness, er, er, irritation of increased certain autonomic manifestations that can cause increased anxiety or anxiety, and increased pulse and increased pressure, and er, diarrhea can be flatulence, bloating, which can lead people to specialists of a different profile , therapeutic cardiologists or gastroenterology, although in fact it is increased anxiety, i have repeatedly i also told you about this on my my channel. i also talk about somatic manifestations of anxiety, but the main such symptom of post-traumatic stress is

such flashbacks, this is a symptom of such manifestations when they occur in people who hmm experienced some kind of stressful a factor and they develop post-traumatic stress disorder, that is, these are such sudden memories of these traumatic events, and a person experiences them as vividly as he does, as if he was living it all again now, and these flashbacks trigger certain triggers, such external stimuli, irritants that can occur, for example, in some life situations, manifest themselves, for example, in people, if people, for example, hear a helicopter flying, they can perceive it as such. a trigger and they can have this flashback, such a symptom of post-traumatic stress disorder, when they

vividly remember all the events that they experienced and which traumatized them greatly. was it the bombing ? look, for example, today there was a very strong thunder in lviv and people wrote even on social networks that they woke up because they thought that rockets were already flying there, so that something was exploding and it lasted for such a long time, why is a person so stressful this is what happens to those people who have experienced certain stressful factors, and it can be, for example, increased anxiety in the evening, there can be, uh, in the trees, it's like a person

sees a silhouette and thinks that it's some kind of person, some uh, a man who wants who can bring danger to this person, it can be, for example, when not only the rumble of an airplane or a plane or a helicopter or er these wants to cry you have to cry if she wants to scream you have to scream if she wants to kill something somehow dishes find something or plates or something that does not hit so that you can hit safely and in this way physically er-e manifest to release steam so-called that is in this in this case uh i understand that thunder we can't cancel and we ca

n't cancel some fireworks if people with us want to celebrate their birthday even though it's wrong but dear such a noise dear rumble dear sound dear sight of blood or some red paint it can resemble a person can't remind someone about that, it will be a trigger that will trigger this flashback and a person will remember so vividly and experience these feelings as if they were now this minute at this moment because it remains i want so i'm listening you have literally three minutes left and i want to talk with you more about treatment for tsn and there are already talks about the legalization of medical cannabis in ukraine and the use of medicines based on it for the treatment of people with ptsd and you know it's no secret that in the world it it is a common practice to use medical

cannabis preparations specifically for the treatment of such disorders, they do not cause addiction or dependence, so i want to ask you what is your opinion and what do you think this treatment should be and does it have the right to be here the medical channel is present. i want to tell you that before a person has yet consulted a specialist and he is experiencing all this, he must take all the sedatives that just sit there, relieve anxiety, reduce anxiety and calm down . er, you mean a professor who had a family doctor’s ptr, but i may not agree with her. well, i have my own opinion on this, as you said, i have a lot of er protocols, but they are all different. that is, i can not say that tranquilizers are a group tranquilizers, which includes our

well-known gidazepam, which everyone knows and everyone can buy on white, not on red prescriptions, but you can take it for no more than a month and there is nothing wrong with it. if a person takes it and calms down, if he can calm down, calm down his anxiety and calm down thanks to taking this drug, which belongs to the class of tranquilizers, it is not at all scary to clean up, it is not antipsychotic drugs at all, are there releptics or antipsychotics, that is, i do not understand why is everyone so afraid, not psychiatrists, everyone else is afraid of these drugs, but the truth is that you don’t need more than a month or other drugs on a plant basis or some basis or there are pregabalin certain anti-anxiety drugs or there is buspirone from spitomin or some other drugs, it doesn’t matter, all the drugs that calm down , they relax as for cannabis,

my opinion is as follows: for a short period of time, it is possible and you can take it. but if it is a long-term intake, it is still organic brain damage, and my colleague called me and asked me to tell you your opinion that svitlana's role will you stand aside, because it is impossible, our children will be stupid, how will they accept these pictures, this topic with you once you arrive, because, unfortunately , for a short period, it is possible but this does not apply to the long-term, it will harm you, i i want to thank you very much ms. svitlana for your advice and for this consultation that you gave to our viewers today, so we were contacted by a psychiatrist, psychotherapist, candidate of medical sciences, associate professor - svitlana netrusova, and most often cases post-traumatic stress disorder is observed in military personnel who have been in the combat zone for a long time, because

the military personnel have to use weapons to eliminate the enemy. you see with your own eyes the death of fellow citizens and civilians from enemy shelling, and this is morally very difficult and leaves its mark. therefore, many military personnel have symptoms of depression anxiety or acute reactions to combat stress or combat trauma depressive reactions anxiety disorder after the first stay in the zone military operations and it was established that from 20 to 40% of military personnel need psychological help, symptoms of acute trauma are found in 680 soldiers, percent of soldiers who were eyewitnesses to the death of their comrades or civilians or saw the bodies of the dead, ptsd symptoms also develop in approximately 12-20% of servicemen who suffered combat trauma but they did not ask for psychological help, the development of ptsd and other

negative psychological conditions is also affected by the environment, so the issue of how society and the closest people should treat military personnel is very important experienced a difficult combat experience and we are now in touch with the executive director of veteran hub, military psychologist artem denisov and a veteran, veteran hub is a space where veterans of combat operations and their family members are supported and psychologists, lawyers, and employment specialists work with them free of charge , including experts of the hub also deal with the military from petester, mr. artem. i congratulate you . good day, mr. artem. so, hostilities in our country have been going on since 2014, and during this time, your hub has probably encountered this huge problems as veteran veterans how did you help military personnel to cope, including

their families, well, first of all, i will note that we started working in the format of the organization of veterans in 2018, but before that we worked in various projects of sister organizations and so on if we talk about ptsr in particular, well, don’t look here. the question is that it occurs exclusively in the military, but just artem, we talked about different categories of people today, we want to talk specifically about the military. okay, then i will not it's all about going there, they talked about the main story in that, as you probably already talked about it ptsr - this is a medical diagnosis and the treatment of the established diagnosis as a disorder should be dealt with by medical workers, medical specialists with the support of directly psychotherapeutic and

other, but if we are talking about symptoms, then it is really possible to work with this at stages even before the person develops the disorder itself, and before it actually happens, you can work with those manifestations that a person experiences in everyday in your life, er, it can be sleep disorders, it can be er, different things related to chronic pain, er, with alcohol abuse, including, you know, with such a life when you er, abruptly and er, constantly in such a constant readiness in essence your body is in a constant state of readiness for those factors that can arise and often may not

arise it turns out that a person is there in the future life in a conditionally peaceful state and experiences the same it's like being in a combat zone, for example of course, now it is conditional and until the start of full-scale registration. since we now perfectly understand that, well, speaking of safe places in our country, it is all a percentage, of course somewhere is safer, but to say that there is 100% now, then it will be unfortunately not and this also affects the development of the symptoms of such stories, mr. artem , what can you advise those around you on how they should behave so as not to drive a person with ptsd into an even greater psychological abyss with their words and actions.

for some reason, we are more or less used to other medical diagnoses, and we show respect for people who have, for example, bronchial asthma and mental disorders , but we are still somehow very wary of that , in principle, to have respect and give a person space to e- is self-medication in these matters. i would definitely seek help from specialists in the field of mental health, but i cannot say that now our field of mental health in our country is fully equipped and ready for the challenges that await us in the future, but everything there are specialists, there are more and more of them, and this is a good trend, so if a person really wants to support another person who has a similar disease, then the only thing he can do is advise, encourage

to seek medical help, and i want to thank you for today's inclusion. we understood that the topic here is so huge and we will still have a lot to talk about and we will certainly include you in the broadcast . be socially active and not be alone with your problems, do not refuse the support of friends and relatives, plan and think about what you will do after the war, volunteer, help others, do not refuse physical activities, give free rein to emotions in this way. take a look at the team, for example, and we tried to give you the most comprehensive information today it remains to emphasize once again that it is very important to

consult a doctor in time to establish a diagnosis and start treatment in order to prevent the disease to develop, but i want this problem to pass by you and your loved ones. i am iryna koval . take care. we are looking for 14-year-old hanna palii. nothing is known about the fate of this girl for more than 6 months. the war started, the child was in kharkiv oblast, in the city of izyum, contact with her was cut off on march 7, that is, even before the russians entered the city, now izyum is already de-occupied, but the requested information palii does not have at all, that is why i am asking especially the residents of izyum look carefully at the photo, she has beautiful blond

hair and dark eyes, the girl looks plus or minus for her 14 years, if anyone suddenly saw her or knows where she might be now, do not delay , call us on the magnolia children's search hotline at the short number 116 000 000 calls from any mobile operator are free or write to the chat bot of the child search service in telegram, this is only one story of a missing child in total for more than seven months of war. we received about two thousand requests for help fortunately, most of the children have already been found, but the fate of many remains unknown, especially in the temporarily occupied territories, where the work of the police is virtually paralyzed, from where it is impossible to leave. but there are problems with communication in some places, people who cannot find their own children do not even know what to do. where to go? contact if suddenly you find yourself in a similar situation and have no idea how to act

. call the short number 116 000 or write to the chatbot of the child tracing service in telegram, here you will be provided with all the necessary advice. i also want to tell you the amazing story of five-year-old sofiyka holinska, the girl lived in odesa in the city of balta, imagine she disappeared back in september 2020, it's scary to even guess what her mother feels, who has not known anything about her daughter's fate for almost two years, the woman can only guess how she is now she looks like her child, because the last time i saw sofiyka was when she was only 3.5 years old and she was 1.20, she was wearing a blue weasel, she was dressed the last time, a little, how much is a car, human

blue, upakkovska and who are our hospitals, everything it was in the 20th year. of course, in almost two years, sofiyka has grown up and changed, but i don't think that it is so drastic that it is impossible to recognize her , so i am asking you to look carefully at her face. the girl has big blue eyes and light blond hair, approximately 110-120 cm tall these photos are about three years old, but this is one of the last pictures of sofia, about 3.5, of course, the girl's mother also has a video of her daughter, i asked for several files, let's look at them as young adults , the girl will remind you that the girl is now 5 years old and

two months, of course, she already pronounces letters and words much better and expresses her thoughts more clearly, but i really hope that someone will definitely recognize her and help find her, at least a little news about sofiyka volynska will comfort and calm her mother, at the moment i don't know how she is what kind of condition does she look like? very caring people you will see for her please suggest i listen to you, are we not the only hope for mrs. alla ? sofia, if you see a child who looks like her somewhere, do not delay and immediately dial the short number of the magnolia child tracing service 116,000,000 calls from any mobile operator are free, this number is valid in 29 countries of the european union

, who knows, maybe because of the war, the girl is now in europe and if there someone can see me abroad now on social networks, please also pay attention to sofia's photo, you can always report the necessary information to the chat bot service of the search for children in telegram. believe me, even a small piece of news can become very important vietnamese balm star the first step in the treatment of colds a proven medicine and not a cosmetic mixture we will be healthy ask in pharmacies vietnamese trust only proven medicine events the most important events events

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