[000:00:00;00] these nights in the basements are spent with the blowing, and the mechanism in general is this, it has been started, nothing can be done anymore, can these diseases be prevented after all, you understand what the matter is, that a stable, prolonged stress has already begun, and the longer it will be and the situation, unfortunately, the worse the condition of people will be, what to do, to do, to go to the doctor , but necessarily physical exertion, it is necessary, it is necessary to walk the same run, necessarily these 6, 8, 10,000 e steps, which anyone can do how much, you definitely need to do by itself, eh, for it to be like this, well, it is not necessary that the protein be meat, let it

be even vegetable protein. but it has to be vegetables, today vegetables are very, well, cheap, you can afford them, it's very important that it's a proper diet that we can afford, for example, and it's important to keep, but if a person is already taking medicine, already the family doctor prescribed, it is necessary to take them, commitment to treatment is important, very important. because if they quit they don't pay attention to themselves, there are a lot of them, there are a lot of such, unfortunately, we have ukrainians, because suffering, because there is exhaustion, but if you have been prescribed medicine , please, every day, every day, how to brush your teeth, take yours, mrs. marino, and other important things question, you said twice that you need to see a doctor, and i would like

you to... maybe now tell us the main symptoms that our ukrainians should know, which should not be delayed, but having experienced it yourself, yes, that you have these symptoms, you need to go to the doctor immediately and do not delay this visit, well, most importantly, if you feel pain behind the sternum, if you feel that it is rattling, your heart is even rattling, yes, if you feel that you have fainted, you must have an electrocardiogram, consult a doctor. in addition, if you have dizziness, if you have a headache, that is, a constant headache, it is also necessary to consult, measure blood pressure. you know, i generally believe that every intelligent family should have a

blood pressure monitor. and that is why it is very important to measure blood pressure, and if there is such a situation of weakness, then such an anginal pain, it can be a pain behind the sternum, you feel that it is straining, the heart is turning over, then you must consult and have an electrocardiogram done. i want to thank you, mrs. maryna, for your advice and for joining our broadcast today. thank you, all the best to you, maryna dolzhenko, doctor of medical sciences , professor, honored doctor of ukraine, cardiologist, was in touch with us, so today we are talking about how to restore your psychological and mental health, how to help yourself independently, and today i have yulia krasnihina, a psychologist, as a guest in my studio, and we continue our conversation, ms. yulia, well, i want to ask you one more thing, ms.

marina said that it is worth contacting doctors, not to neglect it, and why do our ukrainians turn to psychologists so little, no matter how much we talk about the fact that it is necessary , that you need to come to a psychologist, the psychologist will help you, maybe he will tell you some exercises, there are breathing exercises or some other, but ukrainians are in no hurry still to psychologists, why are they not trusted in your opinion, or do we still have very few psychologists who work precisely with these states of anxiety during the war. the dynamics are very good, ukrainians are starting to turn to psychologists, and this is already fashionable among young people, teenagers are asking their parents, i need a psychologist, that is, it is starting, well, it seems to me like this, you know, little by little we are entering something new for ukrainians, the level mistrust, yes, he is, well

, because, well, what to me... those chatter will help a lot, but that's too much, i see more the older generation, this is such stereotyping, it is very important what ms. marina said, this cooperation with doctors, because i have already said it, psyche, psychosomatics is a word, it is said in the word, psyche and somatics, body and psyche, you know, two sides of the same coin, it is impossible to cut them somehow, that is, the body affects the psyche, the psyche affects the body, and this is such a knot with which we live all our lives, so it is also very important when the doctor sees that the cause is psychological, yes , when a person does not pay attention, the chronic process begins and then only the doctor, well, the main one has... his or her own mission, but the start is often nowadays, well, the stress is like that, you know, if indy, well, it starts as if, if the explosion of this situation, it is because of stress, the body turns on instantly, well, because

if each of us remembers how we react to stress, we physically react to stress , each one has its own, but the body immediately tells us that something is wrong, danger, run or attack, that is, it is normal, that is why cooperation with doctors is very important, very ... important, self-care, bells, in general, for me the first bell is a dream, if a person has a dream something is not ok, well standard, a person does not get enough sleep, or a person wakes up, or a person cannot fall asleep, these are all such problems with sleep, these are one of the first markers when you need to seek help in two places, and to a doctor, so that there are somatic, real problems that require medication, and immediately to a psychologist, because there is a lot of anxiety there about sleep problems, and it has its own reason, well, we understand in the background what is happening now, i really like, you know, to do such a metaphor is a little mathematical, because people, requirements to

itself is increasing, but the awareness, there is no awareness of the fact that in the continuum there are conventionally 100, let's take a taco, before the war we had 100, units of our energy, yes, but since the war each of us has a minus... and it is very different, someone has 10%, someone has 50, someone has a husband and son at the front , it can be 60, that is, everyone has a permanent lack of energy, the background trauma of the war, no one canceled it, it was taken away, but then we continue to live , well, no one canceled worries, responsibilities, even our everyday household chores, but except moreover, we have sleepless nights from our worries, we have some kind of news every day, that is, we need even more energy, and a priori we all have less of it, so i call on all ukrainians to realize this and understand

that this already taken away while we are in the war, and i will tell you, while we are after the war, after the victory, to restore everything, it will not be so easy, it will be even more difficult in some ways, but with that 100 - x we ​​have to give advice. therefore, here we need to take care of ourselves now more than ever, because we will not be able to cope, burnout will be very fast. mrs yulia, well, there is another side of the coin. in fact, some continue to fight, help, bring victory closer, and there are other people who live an ordinary life. i'm not saying that they don't know what war is, because they read the news, they watch the news, they are so... under fire, because all ukrainian cities and towns are being bombed, but let's say they do not take any such active participation, and here they have deliberately closed themselves off, or something is wrong with these people,

because those who help and help very much actively, you can very often hear from them that they are offended by those people who don't do anything, but just say there, for example, i donated, or i paid for... but, that 's enough, they think that's enough , there is a lot of this, you know, subjective, because until the end we don't know whether he donated or not, and how much he donated, if he donated, i know the option when a person had such a feeling of guilt, for example, when he went to the cinema, that every time she bought herself popcorn, a ticket there, conditionally for x hryvnias, she immediately reported that amount for the armed forces, because with a feeling of guilt that she can afford to go to the movies, and someone is in the trenches, and someone has a loss in the family, she did not give herself the opportunity to cope, and no one knows about it, well, there are people who will say, oh , she went to the cinema here, and she doesn't care about everything, because that's why

there is so much today, it's war, it divides us, white - black, bad - good, eh, there's no volunteering there volunteers, i already know, as a psychologist , i understand that behind this f- if... well, you know, the mask with which a person socially presents himself, everyone has his own story, and we don't know to the end, well, we don't take two-meter cakes , they say it's all from a row, you know, it's not no... it's permissible in the country, but, but maybe they also donated, they can say that they also donated to someone i agree, there is so much here, we must not forget in which country we live, what history we are going through and what is happening in general, well, that is another topic of another program, but it is, well, if they say so, an adequate brain cannot perceive it, and it is about , that why is it so difficult for us all, we do not know when it will end, we do not know what price we are

we will pay, we don't know what is really happening somewhere, who is managing the whole process, and it is very exhausting, these are all such cumulative characteristics of trauma, because war is the most powerful, but still with these people who do not help, who consciously fenced off, something is wrong with them, they have no empathy , or why this is happening, well, people are all different, they take care of themselves more, they can, the first option, they can take care of themselves more, the second option, they can be really not apathetic there are psychopaths... pathic, i.e. people who don't care everything, it can be like this, they can protest so much against something that is important in their, in their head, they can deny it so much, they, they can fight so much with their experience of a traumatic event, you know, often people say, nothing, nothing, there is anxiety, i don’t have a war, everything is fine, that is, denial, that is, a person , psychological defense works in such a way that she will deny, i am sitting in a cafe, everything seems to be fine, there is no war, and so she allows herself to conditionally , as people say, don't go

crazy, this is also one of the options, as people save themselves in that very difficult situation, because there is a strategy to immediately work, hit and run , i.e. to donate, work, projects, develop, bring victory closer, and there is a strategy to run away into a hole, sit in your temporary hut and pretend that everything is fine , and nothing changes in me, but i work there for two square meters, well, remotely, i don't go anywhere so that i don't get caught. hairdressers come to me, everything is fine with me, it is their choice, and in my profession i learn to accept the difference, the otherness of the other, well, because everyone, the only truth of life, that everyone is for this the choices he made will bear their price , those who volunteer, they have their price , they burn out very quickly, they forget to take care of themselves for some reason, those who take care of themselves a lot, other things creep in there.

the price of guilt, sooner or later, the condemnation of society, they pay a different price, and those who are conditionally psychopathic radicals, and they don’t care at all, well, i want to talk to you about this price, because in fact, you can probably place it here to some positions of people by professions, volunteers there, for example, doctors, military, they generally will be in the first place, trauma. war, who is most traumatized by the war and is on the verge of burnout, who comes to you the most to psychologists with such problems? well, there is also a lot of subjective things here, but it is true, there is a list of professions that are more, even in peaceful life, there are more such stressed, definitely doctors, and there is a whole gradation according to which doctor, that is, a surgeon, emergency doctor, he will. more prone to burnout and faster, he needs

more rest than, for example, not we devalue, but the therapist is at the reception, the usual one, that is, what he comes in contact with, but there are therapists who go to the front, go to the front-line regions as well, that’s it too, there are more challenges there, there are more horrors that a person sees, and that psyche of theirs faces more challenges every day, of course, that they will be in that rating, let's say, that need more help, that is , doctors, doctors, that's one thing, we're already military...' they said that these are the first doctors, teachers, this is a very difficult profession, at a time when, especially now, they are more adapted, but when it was a lot of children, internally displaced persons, it was very hard work, those children, russian-speaking, those children, offended, their parents have their own story, it was also very hard work, social workers, because i worked at the beginning of the war, they too they work a lot with the inner layer, it is also not an easy job, that is... these are such, that is, those

professions where, as it were, they come into contact with many people very often, for a very long time, that is, during the day, well, for example, let's take a teacher, during the day he has five classes, 30 in each class children, each child with his own family history, his own character, his own transitional age, his own here and there cognitive abilities, and each of them has to be managed somehow, well, imagine the flow of information, energy exchange, that is... someone's parents divorce and the child is in his condition and it is necessary to somehow integrate him into the class so that he does not spoil the process, a very difficult job, well , very difficult, i would say work, i.e. those professions that have a lot of contact with people, they are one of the first, media workers, your colleagues, this is also very hard work, in time war, i am currently also in a project where we support the media, because the amount of information that reaches you, well, it is, i fantasize, many times more than

what i, as a viewer, see from the screen, and that too digest it, accept it, you know, filter it, what is mine, what needs to be put aside, this is what i fantasize about, just looking at how...' the brain works, it must be very difficult, i also need this rest, the work schedules of copper workers, i started working, as i heard how someone, when he goes out, at six in the morning there is already some kind of change, well, it's all complicated, does this mean that here are these people of these professions that you have just named, they just need psychological help, and we can now recommend them if they have certain problems, such as the ones you talked about, for example, poor sleep, apathy, some kind of attacks, they need to see a psychologist, well, i'm sure, it's for everyone, but for those professions that we just emphasized, it's a must, i.e. irritability, things that you used to react calmly to, now they don't give you peace, sleep this is one of the first,

for example, something too much or not enough, it is a dream, appetite, for example, began to lose weight or improve dramatically, this is a signal from the body. about some very stressful things, there are many projects where you can get this psychological help, there are many specialists now, well, i work in lviv, i know this 100%, because i went through training with those people, it is very desirable, at least to come to this the basic course of support, psychoeducation, where they will simply explain in a person-to-person context, in a specific case, the person who has a question, what is the best way to help yourself? what is important and what is necessary, well, even if it doesn't help a psychologist, then they advise you to consult a psychiatrist, if we talked with ms. yulia about the fact that at the beginning of the war it was difficult to persuade people to go to psychologists, now this situation is already improving, but with the beginning of a full-scale war, the demand for

psychotherapists, on the contrary, began to grow, why so happens and when it is really worth contacting a psychiatrist. we will find out now we are joining the doeter oksana melnyk kuzovleva, psychiatrist, psychotherapist, ms. oksano, congratulations, congratulations, friends, ms. oksano, well, you heard what we talked about, what we we talked just now in our studio, you know, i want to ask you, when should you really visit a psychotherapist, because it seems to me that such a demand for psychotherapists has increased precisely because people think that from this doctor they are getting a magic pill that they will drink and calm down here, is that true or not? eh, you understand, really, during the war, the demand for specialists who deal with mental health, who deal with

the mental health of ukrainians, increased, and it is very important to turn to a specialist in time, we really we do one thing with psychologists, we help people cope with stress in a period of such psychological stress, well, there are times when it is impossible to do without psychopharmacology, without taking medication, so at this moment it is necessary to turn to psychiatrists, psychotherapists, indeed, when a person has the level of anxiety increases when a person cannot sleep. when it goes on for more than one week, and it can be a month to three months, it is already such an alarming signal when you need to contact specialists, doctors,

mental health doctors, because uh, if a person experiences constant uh mood swings, if he has a depressed mood, sleep is disturbed, if anxiety occurs, uh, if there is, for example, a loss of appetite or an increased appetite, these are such signs of depressive disorders, and they need to be taken antidepressants, ms. oksano, i recently read such statistics that during the war people began to drink more alcohol, and also , well, let's say this, they use drugs on their own, buy them at the pharmacy and do not even look at what they take for drugs, all for the sake of comfort , let's put it this way, yes, it's like this - it's a ridiculous idea that alcohol calms down, well, it's true , now the number of people who

try to self-medicate, try to relieve some symptoms of the disease on their own, has increased , but alcohol, you know, it's an addiction and it temporary relief of such emotional tension, and over time it leads to a more serious disease, to the development of a chronic one. therefore, this is not a way out of the situation, but you very correctly noticed that they are engaged in self-medication, and this is also such an alarm signal that we try to use, well at least to educate people, to tell them that self-medication in this case is also not inappropriate, because only a specialist can choose the right drug, only he can understand your condition, even not every doctor understands which

antidepressants to prescribe, it should be doctors, psychiatrists, psychotherapists, because of that you need to change your opinion, change the opinion of society, do not be afraid to apply, because mental disorders are really growing catastrophically, and if you do not treat a depressive disorder in time, it can grow into a more dangerous mental illness, such so-called psychomatic disorders. and there are a lot of such patients, at the primary level, among family doctors , they probably often face this and see that patients come, something is disturbing, it is not clear, psychosomatics is growing, but sometimes it happens to people that it is a semi-anxious state, sleep disturbances, then pressure rises, eating disorders begin, and when patients are referred by family doctors to psychiatrists. these problems can be solved quickly. ms. oksana, we don't have much time left, let's get on with it you literally several points, what

are the main alarm bells, when people should know that they should already turn to a psychotherapist? i will probably repeat myself and say once again, first of all, if a person does not have symptoms for a long time, if it is a week, two, if it is likely, well, besides, the condition can be considered mild and the patient can probably be treated by a family doctor doctor to a psychologist. if these conditions do not pass within two to three months, if the patient does not sleep, he is disturbed by anxiety, he has depressed mood, there are cases when there is a reluctance to live, which is also a very alarming signal, suicidal thoughts in patients, they must also be considered in time, if the patient has an eating disorder, it is necessary to contact specialists. thank you, thank you, ms. oksana. oksana melnyk kuzovleva, psychiatrist,

psychotherapist, was in touch with us. and we have literally a few minutes left. ms. yulia, well, you and i have understood that moderate physical activity, you must do sports, relax your muscles, yes, enrich the body, as you said today, with oxygen, it can be walks in the fresh air, it can be gymnastics, a contrast shower, what else can there be, for example, there, maybe you will give some advice to our viewers, in order to relax , to help myself improve my psycho -emotional state, that is, the first thing is to listen to myself, that is, what all the specialists said, i confirm, if i don't sleep for a long time, somehow it will do. hear somewhere, it doesn't work anymore, hear yourself, and then

don't be afraid to go to a specialist, insure and check your somatics, your body, i.e. body, mind, soul - three components, for the body what you said, everyone chooses himself, someone walks in the forest, someone walks, swims, someone cannot do yoga without it, someone just at home doing some exercise, anything physical , after which a person feels a rush of energy , physically... he may be tired, but he has energy, and it's very important to find your own, it's very cool, it doesn't have to be , you know, as people say, the gym is expensive, there are so many things that if a little, well, a person runs away from that task, it's all inexpensive, walking through the park is free, but you have to want and try and look for your own, that is, what else, there must be some kind of emotional satisfaction, let's not forget about those things, which our ancestors still did. this is singing, this is fine motility of the hands, any creative activity, any, ms. yuli, and unfortunately, the air time is exhausted, i

thank you for visiting our studio today, thank you very much for. invitation and glory to ukraine, we are together to victory, glory to the heroes, i think we've given as much advice as we can today to take care of your mental health, it's all in your hands now, so remember we still have a country to rebuild, so be strong and do your best to be healthy, i, iryna koval and the health program were with you, take care of yourself. stiffness in the joints and spine: osteochondrosis, gout, radiculitis, arthritis and arthrosis. with all these problems, you will find a means for external use of dicrasin. consultations by phone 0800-215-349. calls are free. bleeding and inflammation of the gums. my advice is lakal aktiv. lacalactive actively overcomes

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watch the program on thursday, november 2 at 5:45 p.m. court control with tetyana shustrova on espresso tv channel. mykola veresen, vitaly portnikov and the main topics of the week. if against ukraine will be applied no god forbid a real tactical nuclear weapon, it would definitely change the world. stories, issues, analysis and personalities. john herbst, the former ambassador of the united states to ukraine, is waiting for us. if you have questions, you will get answers. sportnikov veresen every friday at 21:15 at espresso. greetings, this is svoboda live on radio svoboda. we have already come to the snake itself. the following shots may shock you. news from the scene. live kamikaze drone attacks. political analytics, objectively and meaningfully.

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12:10. it's 2 p.m. in ukraine, the release is for your attention news on the espresso tv channel, in the iryna koval studio, to all viewers. a 60-year-old man died as a result of a russian attack on the village of vesele in the kherson region. this was announced by the head of the regional military administration oleksandr prokutin. and the russians continue to terrorize kharkiv region. kupyanskyi and izyumskyi districts came under fire once again. the regional prosecutor's office opened an investigation into the attacks on the village of zeleny gai, where a 61-year-old woman was injured. the village of khustynivka and the village