Demchenko M. Clinical and psychopathological features of patients with depressive disorders who underwent cerebral ischemic stroke (combined treatment in the recovery period)

The work was based on the results of clinical and anamnestic, clinical, psychopathological, psychodiagnostic and socio-demographic studies 110 patients with post-stroke depression in the recovery period of the disease. In the course of the structure studied clinical and clinical-psychopathological content depressive disorders in patients after stroke, identified specific psychosocial and psychological features characteristic of this group of patients, evidence-based principles of the treatment of patients with depressive disorders arising after suffering a brain stroke. Based on these results it was designed and implemented an action specialized psychiatric care to patients with post-stroke depression, which contain a combination of psychological / psycho and psyhofarmakoterapevtychnoyi components that differ in scope and content, depending on the stage of treatment. The system consists of three successive stages: active, stabilizing and supportive therapy, the contents of which are connected psyhopharmacotherapy and psychotherapy impacts are based on rational, cognitive-behavioral therapy and art-therapy, which proved the effectiveness of the annual study of the dynamics of clinical remission and changes in quality of life and social functioning of patients.