home Diseases Derealization: symptoms, causes, treatment. Neurologist ⇒ Feeling of loss of consciousness. I often feel like I’m going to lose consciousness. What to do

Derealization: symptoms, causes, treatment. Neurologist ⇒ Feeling of loss of consciousness. I often feel like I’m going to lose consciousness. What to do

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Derealization in VSD is mental condition, in which there is a feeling of unreality of what is happening. The surrounding reality is perceived as something alien, distant, devoid of bright colors, or, conversely, is accompanied by increased sounds and rich colors. Everything around becomes fake, and the usual surroundings seem like pale scenery. Objects and phenomena are not perceived as before.

There is a persistent feeling of the unreality of what is happening, that everything familiar and ordinary has become unnatural, alien. Fantastic changes are palpable, but none of the patients can explain how such a transformation occurred. And they also fail to clearly formulate what changes have occurred. Statements on this matter lack specificity. When describing their feelings and experiences, people use the words “as if,” “most likely,” “possibly.” It seems that patients are making guesses rather than stating anything definite.

A person sees reality as if in a dream or through a cloudy glass. When the symptoms are severe, he loses his sense of reality. For example, a patient in this condition will not say what he ate for breakfast. It is difficult for him to remember his usual route from home to work, and it is easy for him to get lost on a well-known street or in a public building. The patient may lose track of time. There are cases when the feeling of unreality turns into an aggravated state and people even cease to feel their existence in the world.

Symptoms of derealization:

The surrounding world is perceived “through the fog” or as a dream;
Orientation in time and space is disturbed. Sensations, sounds, and sizes of surrounding objects are distorted;
Trust in current events disappears;
There is a fear of going crazy. Constantly haunted by a feeling of “déjà vu”;
The sense of reality completely disappears (severe course of the syndrome).

A similar state can be observed even in mentally healthy people who are experiencing severe fatigue, systematic lack of sleep and constant stress. The psychotic nature of this syndrome is often combined with depression, various neuroses and is accompanied.

Causes of derealization and depersonalization

In modern society, people are susceptible to negative impacts. Happen interpersonal conflicts, increased emotional and physical exercise. It is necessary to withstand the busy rhythm of life. Depersonalization may occur with VSD.

The cause of the syndrome is most often associated with deprivation. Suppression, over a long period of time, of a large number of conscious and unconscious needs and desires, awareness of one’s real capabilities, which are not enough to achieve one’s goals, unsuccessful attempts to achieve success in one or another area of life.

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Subsequently, the perception of the surrounding world or oneself may be disrupted. Thus, the body turns on a protective mechanism, where derealization acts as a pain reliever, reducing the consequences of emotional shock. For this reason, the largest category of patients includes people who do not recognize the possibility of error, avoid ambiguity and uncertainty, and strive to achieve perfection in everything.

This is a common reaction of a mentally healthy person. It helps maintain reasonable behavior during emotional turmoil. In times of danger, it is important to step back from what is happening in order to maintain the ability to act effectively. But for a person with VSD and derealization, even a banal everyday situation can cause anxiety and stress. At the same time, he begins to analyze his condition, looking for any deviations, as well as the reasons that caused them. A negative assessment of what is happening further aggravates the situation and leads to a depressive state.

Derealization in VSD is not a mental illness or psychosis. There are no hallucinations, the person understands that his condition is abnormal, unlike a madman who can rarely realize this. Sometimes, a patient with VSD even claims that he has gone crazy or defines his condition as borderline.

Thus, several main causes of this syndrome can be identified:

Extreme stress;
Depression;
Traumatic situation;
Use of psychotropic drugs.

Most often, the syndrome develops under the influence of prolonged, severe stress. Exhaustion of the nervous system causes a decrease in sensitivity as a protective mechanism. Then the individual unconsciously creates a distorted perception of reality.

Factors that provoke the development of derealization may be psychophysiological in nature. These include:

Learning problems;
Difficulties in professional activities;
Difficult relationships with other people;
Bad ecology;
Lack of minimal comfort, for example, constant travel in crowded transport, poor living conditions.

The causes of derealization include somatic disorders:

Osteochondrosis, especially cervical region;
Muscle hypertonicity;
Some mental disorders;
Vegetovascular dystonia.

Among the causes of the syndrome, drug addiction and alcoholism can be particularly noted. A state of intoxication caused by drugs or alcohol can turn into derealization. Overdoses of certain drugs cause a feeling of fantastic or distorted space, an incorrect perception of oneself, which is accompanied by numbness of the limbs, the appearance of peculiar visual images, etc. Almost always delirium alcohol ( delirium tremens) are complicated by derealization syndrome and hallucinations.

So, we can identify several main risk factors that contribute to the development of derealization:

Characteristics that make it difficult for a person to adapt to difficult circumstances;
Hormonal changes, especially during puberty;
Drug use;
Psychical deviations;
Some somatic disorders.

Any manifestations of this syndrome cannot be ignored. Regardless of the degree of its development, you need to seek help from a specialist. The sooner this is done, the less time the treatment will take.

Treatment of derealization

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Treatment of derealization is carried out not by psychiatrists, but by psychologists and psychotherapists, since it is not a disease, but pathological condition. Prescription of antidepressants, antipsychotics and tranquilizers is common. Sometimes doctors prescribe nootropics. It is believed that anti-anxiety medications may reduce some of the symptoms of this syndrome.

It is possible to choose the necessary treatment only by taking into account psychological characteristics person and his general condition. Modern methods of psychotherapy are aimed at eliminating all symptoms using various modeling psychological methods, psychotherapeutic recovery methods, hypnosis techniques. Synchronization and sensory modeling, color treatment and cognitive therapy are also successfully used.

Improvement can give positive results normal conditions life of the patient, normalization of the daily routine, change of work, practice of various types of recreation.

In the future, to prevent recurrence of the abnormal condition, great importance will have preventive measures. You should periodically change your usual conditions and environment, try to fill your life with new impressions, focus only on positive aspects what's happening.

Individual therapy is prescribed by a doctor after solving the following problems:

Identification of factors that caused the syndrome.
Analysis of the patient’s condition taking into account individual symptoms.
Conducting testing.

Experience has shown that derealization is difficult to treat medications and often aggravates the problem rather than solving it. The reason that caused the mental disorder cannot be eliminated only with the help of medications, since many psychological aspects are not taken into account during drug treatment. There is often resistance to the treatment of this disease in NCD pharmacological agents. Getting rid of symptoms in itself does not make any sense. Only by influencing causative factor, really completely solve this problem. Carrying out the following recommendations, you can change the situation for the better:

Quitting alcohol;
Systematic physical education and sports. Fitness and yoga are very suitable;
Recreation, including active recreation;
Auto-trainings;
Normal sleep;
Reception vitamin complexes, especially those containing calcium and magnesium;
Psychotherapy;
Meditation;
Water procedures, various methods relaxation.

The best cure for derealization, as well as for VSD, are positive emotions. Getting them when the nervous system fails is not an easy task. But it is possible to influence the attack itself and try to reduce its intensity using the following recommendations:

Try to relax;
Remember that the distortion of reality is only a temporary, passing reaction that has nothing to do with madness;
Try to focus attention on one subject, but do not try to consider the nuances, as this can lead to additional stress;
Focus on a specific thought about everyday things. Therefore, it is important to find the cause of the disorder during a psychotherapy session.

In such ways, it is indeed possible to cope with attacks. However, the state of derealization that causes autonomic dysfunction, will still provide Negative influence on the psyche and, thus, reduce the quality of life.

The role of psychotherapy in the fight against derealization

Psychologists and psychotherapists can eliminate pathological mental attitudes that they can detect in an individual. The disorder may be associated with childhood trauma, severe emotions, or as a result of the loss of a loved one. The disorder may be caused stressful situations at work, unfulfilled hopes, troubles in your personal life and other factors. Without working through the causes, it is impossible to talk about an exact favorable prognosis for treatment. In most cases, the use of cognitive behavioral therapy, Ericksonian hypnosis and other methods of psychotherapy can help.

Success in recovery is also determined by the participation of the patient himself. You need to constantly monitor yourself various circumstances, under various emotional stress. For progress in treatment, a person’s attitude towards derealization is important, whether he considers it terrible, incurable, or is determined to get rid of it quickly. A strong will and a firm desire to get rid of the disease are required.

A high quality of life is impossible without the presence of harmony and positive emotions. It is not necessary to cope with difficulties and bring joy with the help of antidepressants and tranquilizers. In life itself you can find a lot of reasons to smile and cheer yourself up.

Every person has sufficient resources to survive failures, continue to act, and be optimistic. The psychotherapist points out the peculiarities of the patient’s psyche, helps him apply healing practices that can protect his health and defeat derealization forever.

Blood pressure in the morning 120/80 in the evening 130/90

In fact, the uniqueness of neurotic disorders lies in the fact that their external (visible) manifestations can resemble the signs of almost any disease. Neurosis is neuropsychiatric disorder, which is caused primarily by traumatic circumstances.

Very often, with neurosis there are so-called - autonomic disorders. They are called differently: vegetative-vascular dystonia or VSD, neurocirculatory dystonia (NCD), somatoform autonomic dysfunction (SVD), vegetosis, angioneurosis, cardiac neurosis (cardioneurosis or cardiophobia), anxiety-neurotic syndrome, etc.

Autonomic disorders in neuroses can be of two types. In the first type, the following symptoms may occur: increased heart rate, increased blood pressure, pallor and dry skin, decreased salivation and dry mouth, “ goose pimples", a tendency to increase body temperature, chilliness of the extremities, etc. The second type of VSD is characterized by a slower pulse, lowered blood pressure, increased salivation, increased intestinal motility, and redness of the skin.

External manifestations of neurosis, in practice, may resemble signs various diseases, but at the same time, neurosis is not accompanied by damage to the internal organs of a person. It may last for many years, but it is always a reversible disorder. In our psychotherapeutic practice, it refers to borderline states, and never leads to development mental disorders. This is a reversible reaction of the individual to some kind of traumatic situation.

Treatment of neuroses must be psychotherapeutic and comprehensive. Drug treatment for neuroses is usually of secondary importance.

Psychotherapy is a special type of treatment in which assistance is provided through psychological means in solving problems and difficulties of a psychological nature.

Psychotherapy does not set itself the goal of eliminating serious mental illness, it’s more of a practical help in solving life’s problems. Without such help, over time, a neurotic disorder can take on a chronic form.

The main goal of psychotherapy is restoration mental health. The goal of psychotherapeutic work is to help a person understand the meaning of what determines his behavior, feelings, thoughts and try to change ineffective reactions using psychological means. Currently, the latest, unique and very powerful psychological techniques, existential, narrative, cognitive behavioral therapy, etc.

The most necessary thing in the treatment of neurosis is the desire of the person himself to cope with his problems. The task of a psychotherapist, as effectively and unobtrusively as possible, is to help a person move along the path of overcoming a neurotic disorder, in the right and correct direction!

I often feel like I’m going to lose consciousness. What to do?

Vegetovascular dystonia: symptoms

Symptoms of VSD usually include headaches, weakness, fainting or fainting, tinnitus, fainting, and drowsiness. Also typical when VSD dizziness. People with vegetos vascular dystonia They quickly turn pale and red, react sensitively to weather changes, and sweat more. Often with VSD, rapid heartbeat and changes in body temperature are observed (especially when vegeto vascular dystonia with impaired thermoregulation). Symptoms of vegetative-vascular dystonia can appear constantly or occasionally, depending on the degree of the disease. As medical research shows, the constant manifestation VSD symptoms happens, as a rule, in people with congenital instability of the nervous system.

Manifestations of vegetative-vascular dystonia can be frequent and insignificant, but can cause fainting and panic attacks. In the second case, we can talk about the serious development of VSD and the need for treatment of vegetative-vascular dystonia. Unfortunately, crises (attacks of vegetative-vascular dystonia, panic attacks, phobias) to one degree or another occur quite often. We can say that panic attacks are constant companions of VSD.

Doctors do not consider VSD to be an independent disease, but consider the symptoms of VSD as a consequence of various disorders in the body. The most common cause of vegetative-vascular dystonia today is overwork, stress and a signal that the body has diseases that require professional treatment.

When treating vegetative vascular dystonia, it should be taken into account that any manifestation of VSD is a poor interaction between vascular and autonomic system, in which the most important role is played nerve structures regulating emotions.

How to cure vegetative vascular dystonia?

* Treatment of vegetative vascular dystonia can be quite effective folk remedies: in particular, infusions for cleansing blood vessels, cardiac infusions. There is a lot of information about this on various VSD forums. Treatment of vegetative vascular dystonia with herbs (hawthorn, motherwort, etc.) also refers to traditional treatment vegetative vascular dystonia and are only auxiliary in nature. Treatment of vegetative-vascular dystonia with folk remedies in practice does not provide recovery, but has a beneficial effect on the body.

and then you’ll figure out what to do yourself (=

If physiological reason then just go to the doctor, and carry ammonia with you in a small jar, it brings you to your senses

In general, you need to measure your blood pressure. And when such a condition appears unexpectedly, it is better to sit down and not make sudden movements.

Medical question

Neurologist ⇒ Feeling of loss of consciousness

mobile (from 17 to 20)

Please comment on the results.

When I did the ECG and EEG I was very worried.

ECG: sinus rhythm, vertical. EOS position, heart rate 76 in 1!

Installation: 8 channel chain.

The background EEG is represented by an insufficiently regular alpha rhythm, disorganized in amplitude, not modulated into spindles, slightly sharpened, amplitude domkV, frequency 9-10 counts/sec. Zonal differences in the alpha rhythm are preserved.

Slow activity of the theta range is represented by individual waves and short groups of waves with an amplitude of up to 30 µV, a frequency of 4-7 counts/sec, mainly in the frontal-immune-central regions of the brain without signs of lateralization.

Beta activity is moderately expressed, the amplitude of microvolts predominates in the frontotemporal regions of the brain.

The reaction to opening and closing the eyes is preserved.

Hyperventilation causes an increase in the index and amplitude of slow theta range activity periodically in the form of short bursts of theta waves in the frontotemporal central regions. brain amplitude domkv, frequency 4-7 counts/sec with a tendency to bilateral synchronous generalization across the region. brain

Conclusion: moderate EEG changes according to the type of disorganization of the cortical rhythm with a predominance of alpha activity. The nature of the EEG may indicate dysfunction of the midline nonspecific regulatory structures of the brain at the diencephalic level.

No focal or epileptic forms of activity were identified.

Yes, I forgot to mention some little things. The headache is very rare, sometimes once every 2-3 months it hurts very badly in the morning, but I take citramon and it goes away. There is often a feeling of heaviness in the head, a foggy consciousness (in the evening it seems to be getting better, some kind of enlightenment sets in), and in the morning the feeling is as if you are in some kind of bag, the heaviness is mainly in the forehead area, on the neck under ears, also some kind of slight hum in the head (especially audible when you are in silence), lasts quite a long time, sometimes for several days, sometimes I get used to it and don’t notice it. The same hum was there when they did the EEG. Hemoglobin - 136, pressure mostly 120/70, pulse beats per minute, weight 48 kg. The worst thing is that it’s as if you’re constantly waiting for it to get dark in your eyes again, and you don’t know how it might end, I’m afraid to go out somewhere alone, I’m mostly at home, because... The work involves a computer. I occasionally take sedatives, although not regularly. I also take L-thyroxine (dose 50) every morning, because... thyroid nodule and TSH-6.7. In 2002, she was operated on for a nodule on the thyroid gland (benign), but after the operation there was a recurrence.

If I’m busy with something, I don’t seem to notice this state, but in calm state I start to think, to wait for the next darkening in my eyes.

Please advise how to get out of this state. Thank you.

Please answer, I’m very worried, is there something serious?

I've already read all sorts of things on the Internet. Maybe I'm starting to develop multiple sclerosis?

Or maybe a nodule on the thyroid gland puts pressure on the blood vessels (I had a relapse after surgery), but there is no pain.

My body temperature in the morning is 35.3 and in the evening it can rise to 36.2. Then I feel fine. And all day long I walk around as if in a fog, noise in my head (slight humming).

My blood pressure is always normal, my pulse is normal. Maybe it’s because I don’t eat enough?

Feeling blacked out

Question to a psychologist

Answers from psychologists

Fedorenko Galina Alexandrovna

Psychologist Moscow Last visit: 1 day ago

Replies on the site: 1581 Conducts trainings: 1 Publications: 106

I'm actually worried. I'm worried that it might be a tumor in my head. and who will raise the child(((

Tatyana, this is not the right place to see a psychiatrist.

First, to a neurologist, then to everyone else, for the purity of the experiment.

Submit tumor markers. They detect tumors even at very early stages.

If everything is clear, go to a psychoanalyst, look for underlying reasons Your problems, find them, and everything will be solved.

Fedorenko Galina Aleksandrovna, psychoanalyst, art therapist, Moscow

Kasparova Ksenia Vladimirovna

You can ask other psychologists a question

I agree with my colleague that you first need to be examined by a neurologist, maybe get a tomogram of the brain vessels.

You can also do examinations with those specialists you consider necessary to go to.

But, judging by the symptoms that you describe, this looks like psychosomatics.

There are some experiences, feelings, internal conflicts that cannot be realized and felt. For example, hostile feelings. There is a taboo on them deep down! You can't be angry, you can't be annoyed, you can't be jealous - it's bad!

But since the feelings and experiences themselves cannot be eliminated by simple taboos, they break out! And then the body takes on the function of the psyche, it begins to live and experience different feelings. That’s why my heart is pounding and my head is spinning.

Psychotherapy helps to establish lost connections between the body and the psyche, to decipher the messages that the body, in the form of symptoms, tries in vain to convey to its owner.

Psychotherapy, that is, conversation therapy, goes well with drug treatment; one does not cancel or contradict the other.

Tatyana, the feelings I wrote about are not necessarily yours. I just cited them as an example to make it clear how exactly the mechanism of psychosomatic symptoms works.

In the process of psychotherapy, a person gradually begins to better understand himself, listen to his states and experiences, understand what exactly such a strong reaction occurs to and how to cope with it. Over time, the need for the body to experience everything disappears; this function, as nature intended, is taken over by the psyche.

Kasparova Ksenia Vladimirovna, psychologist in Moscow

Dizziness, feeling of emptiness in the head, feeling of loss of consciousness.

Please tell me what this could be. Can you advise medicines improving brain activity and cerebral circulation.

I have hypertension, but I’ve had it since school (now my blood pressure is somewhere around 140×95, 140×90, 130×90 in the morning, maybe 125×85 and 120×80) and it doesn’t particularly bother me.

My age is 29 years old, gender is male

Good afternoon. About a week ago, an incomprehensible feeling began in my head: dizziness, but not that objects were spinning around, but as if they were vibrating, as if my brain was switching off, the feeling that I would faint and lose consciousness. In the first 2-3 days this bothered me especially strongly; before going to bed, when I closed my eyes, I even felt like I was dizzy, I felt slightly nauseous, and when I opened my eyes it became easier - against this background, the fear and worry that it would never end increased. In the following days, these phenomena were not so pronounced, but if you start trying to work mentally, then these symptoms begin again, but if you rest more (take a walk in the park, lie down, etc.), then these symptoms noticeably decrease. In recent months there has been intense mental activity (I also had to work a lot on the computer). Did general analysis blood, as well as biochemistry (cholesterol, glucose, iron) - everything is normal, including hemoglobin and serum iron and glucose.

Please tell me what this could be. Can you recommend medications that improve brain activity and cerebral circulation.

My age is 29 years old, gender is male

Good afternoon. About a week ago, an incomprehensible feeling began in my head: dizziness, but not that objects were spinning around, but as if they were vibrating, as if my brain was switching off, the feeling that I would faint and lose consciousness. In the first 2-3 days this bothered me especially strongly; before going to bed, when I closed my eyes, I even felt like I was dizzy, I felt slightly nauseous, and when I opened my eyes it became easier - against this background, the fear and worry that it would never end increased. In the following days, these phenomena were not so pronounced, but if you start trying to work mentally, then these symptoms begin again, but if you rest more (take a walk in the park, lie down, etc.), then these symptoms noticeably decrease. In recent months there has been intense mental activity (I also had to work a lot on the computer). I did a general blood test, as well as biochemistry (cholesterol, glucose, iron) - everything was normal, including hemoglobin and serum iron and glucose.

Please tell me what this could be. Can you recommend medications that improve brain activity and cerebral circulation.

My age is 29 years old, gender is male

VSD by hypertensive type They put it when nothing is clear anywhere. For doctors working with the spine, everything is very clear. Contact osteopaths.

MR picture of moderate external hydrocephalus. Availability data pathological changes no focal nature was detected in the brain matter.

MRA picture of the variant development of the circle of Willis in the form of lack of visualization of blood flow along the left posterior communicating artery. MR picture of S-shaped tortuosity of the prepetrosal segment of the left inner carotid artery. MR signs of decreased blood flow / depletion due to a decrease in the intensity of the MR signal and narrowing of the diameters of the arteries / peripheral parts of the posterior cerebral arteries. MRA did not reveal any evidence for the presence of arteriovenous malformations, aneurysmal dilatation, or pathological stenotic narrowing of the intracranial arteries.

MRI picture of the initial dystrophic changes cervical spine (chondrosis); dorsal protrusion of the C4/5 disc.

1. Betaminal 1 tablet at night for 2 months

2. Actovigil 2 tablets for 10 days

3. Injections intramuscularly in the morning Mexidol (2 mg) for 10 days and Cerepro (4 mg) also for 10 days, but alternate them i.e. day Meskidol on the next day. Cerepro day, etc.

5. Antisten 1 tablet 2 times a day for 2 months

Good afternoon. Did an MRI of the brain, cerebral arteries and cervical vessels. I’ll write a fairly detailed description of everything, only a conclusion (if you need a detailed one, I’ll post it).

MR picture of moderate external hydrocephalus. There was no evidence of the presence of pathological changes of a focal nature in the brain substance.

MRA picture of the variant development of the circle of Willis in the form of lack of visualization of blood flow along the left posterior communicating artery. MR picture of S-shaped tortuosity of the prepetrosal segment of the left internal carotid artery. MR signs of decreased blood flow / depletion due to a decrease in the intensity of the MR signal and narrowing of the diameters of the arteries / peripheral parts of the posterior cerebral arteries. MRA did not reveal any evidence for the presence of arteriovenous malformations, aneurysmal dilatation, or pathological stenotic narrowing of the intracranial arteries.

MRI picture of initial degenerative changes in the cervical spine (chondrosis); dorsal protrusion of the C4/5 disc.

1. Betaminal 1 tablet at night for 2 months

2. Actovigil 2 tablets for 10 days

3. Injections intramuscularly in the morning Mexidol (2 mg) for 10 days and Cerepro (4 mg) also for 10 days, but alternate them i.e. day Meskidol on the next day. Cerepro day, etc.

5. Antisten 1 tablet 2 times a day for 2 months

I'm waiting for your messages. I have not started treatment yet because... I have a cold and don’t want to interfere with my medication. drugs. Now there seems to be no dizziness, but during the day such attacks appear in the head - as if the brain turns off for milliseconds (difficult to describe) or this can happen - for example, you sit and move your arm (leg, head, etc.) to the side as usual and in the process of this you understand that some part of the movement was not controlled, you can also compare these sensations as if you had slept little for several days and in your head, I think everyone noticed a feeling of specific failures like this and for me the sensation is only more pronounced and they are lightning fast . If you hold your head with your hand or lightly tap it, then such attacks become less frequent. What is this, I’m very afraid that something very serious has gone wrong in my head?

As for the prescriptions, they are made professionally and accurately correspond to the diagnosis. Regarding the issue of MRI examination of the vessels (arteries) of the brain, the attached file does not open and is sent to the games website. Judging by the conclusion, I can note that this is indeed the case structural changes vessels (lack of visualization of blood flow along the left posterior communicating artery; narrowing of arterial diameters/peripheral parts of the posterior cerebral arteries). In other words, a development option or a consequence of vascular damage. You must follow your doctor's instructions and drive with caution. The consultation with a neurosurgeon was helpful.

Thanks for the answer. I am posting pictures from the MRI, download link

Hello. I’m 25 years old because of my job I have to travel a lot in a car, driving for 3 days and work on a computer almost every day. About 6 months ago I started feeling nauseous in the car, but it happened 3 times a week, then everything returned to normal and I forgot about it , after this, after 2 months, my blood pressure rose and unpleasant sensations began to appear in my head, where the back of my head is, I can’t even explain what they were. After two days, everything went away. And again, a week ago, after a business trip, I came home, went to the store, and I felt like something was wrong with me. not good, I’m generally a terrible coward, I was impressed in a second that I was losing consciousness, I felt my pulse rise, but my head didn’t spin, but my eyes darkened, I flew out into the air and moved away. You can feel the tension in your neck moving into your head exactly where the neck ends.

Thank you very much for the information!

Hello. I am 23 years old. About six months ago I began to experience dizziness, a feeling of losing consciousness for a split second, a feeling of dispersion, and memory loss. Tell me, please, what can it be.

Sincerely, doctor Elena Andreevna Chernenko

Please tell me what this could be. Can you recommend medications that improve brain activity and cerebral circulation.

My age is 29 years old, gender is male

Today my daughter complained to me about the same thing and said that every time she goes to bed she gets dizzy. She is only 9 years old. What to do?

SCT of the brain: CT signs of dyscirculatory encelopathy, external atrophic hydrocephalus.

Based on examinations, the neurologist diagnosed: Cervical osteochondrosis, Neurovascular syndrome.

Prescriptions: Cerebralysin i/v 5 mg/10 days, Vesticap 48 mg * 1 r/d for 1 month, Cerucal i/m for nausea, Diacarb 1 t * 2 r/d 2 days a week, Panangin 1 t * 1 r/d when taking Diacarb and Fevarin 50 mg according to the scheme: 1/2 t at night for 7-10 days, 1 t at night for 7-10 days, 1/2 t in the morning and 1 t in the evening for 7-10 days, 1 t in the morning and 1 t in the evening for 7-10 days and reduce Also.

I am completing the course, but I still have attacks. Why am I prescribed fevarin? The doctor didn’t explain at the appointment, and I can’t get an appointment with this doctor in the near future.

At about 10 years old, then in 11th grade before entering university, there was a woman’s voice in my head, saying something, at first slowly then faster and faster, as if in rewind, it was very unnerving and scary, I immediately breathed fresh air and drank just a glass water, well, I cried, and forced myself to sleep, sleep is the best medicine for the nerves. its OK now. but this situation began to repeat itself for my sister, the symptoms are the same, only she has no voices. She’s really more irritable than I was, and a bit rude in her interactions, but everything’s ok. what could it be? What is the diagnosis? Unfortunately, we turned to many psychologists, but they did not help, and we have not yet reached psychiatrists

Last night, while having dinner, I suddenly began to worry about something, out of nowhere. That everyone was shouting, everyone had just come from work, the TV was loud, a very bright light appeared. As a result, I felt dizzy and a little nauseous. She went into the room and calmed down.

I decided to drink 20 drops of valerian. I am 24 years old. And turned on the TV.

Again, a feeling of excitement appeared inside me, I was scared, it was as if I was starting to pound from the inside.

And suddenly I notice that I don’t see the right half of the face of everyone I look at on TV. a faint thread of a multi-colored garland appeared in the eyes, upper right. and I see the full face only if I move my eyes a little to the right.

I know that there are flashes and spots in the eyes. But what happened yesterday scared me very much. I went to the bath and looked at my hands, I really couldn’t see the right half. and I didn’t see part of my face in the mirror. the pupils seemed to me to be constricted. maybe out of fear. I went into the room.

No temperature or pressure surge was detected. Despite everything, my head constantly hurts.

Tell me, please, what can it be. Which doctor should I see? Should I call an ambulance doctor if this happens again?

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8 thoughts that cause panic, 8 ways to neutralize them.

- Please, help! Teach me to live with this terrible thing, rare disease! The doctors don't know what's wrong with me!

Although people suffering from panic attacks often feel like they are the only ones in the whole world who are faced with a similar problem, the thoughts that accompany the course of a panic attack are usually very similar.

I have identified 8 main obsessive thoughts that fuel anxiety and panic attacks.

Panic thought number one - I'm dying of a heart attack!

Although at the time of the attack it may be perceived differently, but.

Our heart is created, among other things, to work under conditions of strong physical and mental stress. Remember our ancestors who chased the wild beast; athletes running the 100-meter dash, or yourself dancing at a disco; the moment when your loved one gives you the first bouquet; soldiers running to attack, or squashed into the ground under a hail of bullets. How many of these people died from heart attack? And you yourself, who have experienced a panic attack many times, are you now alive or dead? Surely you measured your pulse and blood pressure at the time of PA, what are the numbers? Your heart probably beats more than 100 or even 120 beats per minute, and your blood pressure is 160 or higher.

Such “behavior” of the heart is felt in ordinary circumstances as unnatural.

I’m not under a hail of bullets, I’m not running a 100-meter dash, but it’s beating in my chest like crazy, which means there’s something wrong with it! - You say to yourself. And this thought makes you feel even worse.

In the process of vigorous activity, a person’s attention is concentrated on some goal, and not on pulse and blood pressure. We just don't notice them, and that's normal.

If you visited a cardiologist, tests were carried out necessary research(ECG, ECHO-KG), and the doctor’s report says in black and white: your heart is normal, no organic abnormalities have been identified, then in a moment of panic, there is no threat to it.

Panic thought number two - I'm dying of suffocation!

I don’t breathe often, 13 breaths per minute, deep breaths I don’t do it often, although I used to do it. It might start out of nowhere. For three days in a row it started around 8-9 pm. If I don’t get enough sleep, then in the morning I also feel suffocated all day long. That I won’t suffocate, everything will be fine at the moment of suffocation does not work. It's suffocating and that's all.

Feeling like you can't breathe full breasts that your chest is bound by a shell, that there is a lump in your throat, that you are about to suffocate, very unpleasant, but...

They are not harbingers of death! You are no more likely to die from suffocation during a panic attack than at any other time. The reason for these unpleasant sensations is hyperventilation syndrome, which will be discussed in another article.

Panic thought number three - I'm having a stroke!

The PA retreated. And a month ago they returned to me. They plague my life at night. They started for a reason. I work in a hospital and we have opened a vascular neurology department. Seeing a lot of young people, I began to focus on the stroke. And away we go. Every night now I die from a stroke. And today I was informed about the death of classmates and a family friend. And I’m still sitting crying and afraid. About myself: woman, 46 years old. Examined from head to toe.

Your head is spinning, your vision is getting dark, you are out of reality, you don’t understand what’s happening to you?

Natural and normal reaction explain what is happening using what you already know, what you once heard about, saw the frightened faces of the narrator and listeners, that Uncle S. staggered, turned purple, began to gasp for air, fell, and had a stroke. Everything that happened to S. is tragic. People get sick and die - this is the natural course of life, but...

Strokes have nothing to do with panic attacks, so you can completely relax on this score! If you have a stroke, you won't be able to run home and call ambulance, call all your relatives, rush around the house and look out the windows waiting for the ambulance to arrive! However, if this bothers you, consult a neurologist.

Panic thought number four - I'm afraid of fainting!

A feeling that something is pressing on me, waves throughout my body, a feeling that my eyes will close on their own and I will faint or die, a feeling of the unreality of what is happening.

Do you often faint?

When you walk past garages and a pack of stray dogs jumps out, do you really faint? the best way out? When a wild beast chased ancient man, did he faint? If this were so, would humanity survive? Fainting is not the best solution in a stressful situation.

“Fight or flight” is the body’s response to stress.

The chances of panic causing you to faint are slim to none, but what if it did happen? How bad would that be? End of the world? Worse than death itself? Probably not.

The fear of fainting is worse than fainting itself!

Fear of fainting often occurs in connection with dizziness that accompanies hyperventilation, which in turn is often integral part panic reaction.

I will fall, I will lie in the middle of the street, like a homeless person or a drunkard. What will people think?

What would you think if you saw a person like you fainting?

Panic thought number five - I'm going crazy!

TERRIBLE fear of going crazy (derealization and depersonalization began - “being torn out” from the world, the feeling that it was all a dream, the hands were not mine, the voice was not mine and disgusting, the face was like someone else’s, disgusting).

If you were really going crazy, would you know or worry that you were going crazy?

You already know that anxiety, panic or the fight or flight response is a natural mechanism! And if you don’t drive this thought away, but live it, then to your surprise it will “torment” you less and less each time.

Remember in Carlson: “I have a buzzing buzzing in both ears! A-la-la-la-la-la-la, a-la-la-la-la-la-la... la, and I’m gone crazy... What a shame."

Panic thought number six - I'm losing control!

When an anxiety attack occurs, it can feel like a loss of control.

All that has happened is that control has passed from your conscious to your unconscious, so that everything is still under control, but in a different way.

Panic thought number seven - I'm so weak that I can't move or I might fall!

Out of the blue, attacks of fear arise, sometimes it seems that I’m just going to lose consciousness, I feel dizzy, my hands are shaking, weakness sets in, my heart jumps out of my chest, I want to jump up and run, but I’m afraid to move.

The feeling of weakness is caused by the shaking and dizziness that often accompany panic attacks. In fact, at the moment of panic, you become physically stronger, not weaker, than at any other time, since blood rushes to the mice and they are saturated with oxygen. This prepares the body for the “fight or flight” response.

Panic thought number eight - I'm sure I'm going to get into an awkward position!

How often have you actually felt humiliated or embarrassed as a result of a panic attack? If this happened, was it really as terrible as you imagine?

Panic is short term natural reaction. And what is natural is not ugly! (WITH)

If you have panic attacks, then you can be sure that your fight or flight response is in good working order!

Remember! If a patient really wants to live, doctors are powerless (Faina Ranevskaya).

With uv. Litvinova Oksana Nikolaevna, clinical psychologist, consultant.

All quotes used in this article are taken from "open" threads on the B17 forum.

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Annotation

At the end last day during her childhood, Zhenya Rumyantseva made an appointment with the hero-storyteller ten years later, on the twenty-ninth of May, at eight o’clock in the evening, in the middle flight between the columns of the Bolshoi Theater...

A story from the autobiographical cycle “Chistye Prudy”.

Yuri Nagibin

Yuri Nagibin

So the last lesson of the last day of our school life. There are still long and difficult exams ahead, but we will never have lessons. There will be lectures, seminars, colloquiums - all such adult words! - there will be university classrooms and laboratories, but there will be no classes or desks. Ten school years ended with the familiar hoarse trill of a bell that appears below, in the bowels of the teacher’s room, and, filling with sound, rises, with some delay, to us on the sixth floor, where the tenth grades are located.

All of us, touched, excited, joyful and regretting something, confused and embarrassed by our instant transformation from schoolchildren into adults who could even get married, wandered around the classrooms and corridor, as if afraid to leave the school walls into a world that had become infinite. And there was a feeling as if something had not been agreed upon, had not been lived through, had not been exhausted over the past ten years, as if this day had taken us by surprise.

The thick blue of the sky poured through the open windows, pigeons cooed on the windowsills in rough voices of passion, and there was a strong smell of blossoming trees and watered asphalt.

Zhenya Rumyantseva looked into the class.

Seryozha, can I see you for a minute?

I went out into the corridor. On this unusual day, Zhenya seemed to me not quite ordinary. She was dressed, as always, awkwardly: a short, above-the-knees dress, from which she had outgrown last year, a woolen blouse that did not meet at the chest, and under it a white silk blouse with blue stains from endless washings, blunt-toed children's shoes without heels . It seemed that Zhenya was wearing her younger sister’s things. Zhenya's huge ashen hair was somehow collected with hairpins, pins, and combs around small face and yet they covered her forehead and cheeks, and one strand kept falling on her short nose, and she irritably waved it away. What was new about her was the even, subtle blush that colored her face, and the lively, close shine of her large gray eyes, sometimes seriously businesslike, sometimes absent-mindedly unseeing.

Seryozha, I wanted to tell you: let’s meet in ten years.

Jocularity was not at all characteristic of Zhenya, and I asked seriously:

I wonder what you will become. - Zhenya threw away the annoying strand. - I really liked you all these years.

I thought that Zhenya Rumyantseva knew neither these words nor these feelings. Her whole life passed in two areas: in intense Komsomol work - she was our Komsomol organizer - and in dreams of starry worlds. I have never heard Zhenya talk about anything other than stars, planets, orbits, prominences, and space flights in her free time from business concerns. Few of us have firmly determined our future path in life, and Zhenya knew from the sixth grade that she would be an astronomer and nothing else.

There was never any friendly intimacy between us; we studied in parallel classes and only encountered each other through Komsomol work. Several years ago I was almost expelled from the pioneer detachment for one offense. The guys stood up for me, and I kept the red tie. Only Zhenya, new to our school, insisted to the end on my expulsion. This left an imprint on my entire attitude towards her. Later, I realized that Zhenya’s ruthlessness came from increased demands on herself and people, and not at all from an evil heart. A person who is transparent to the core, persistent and loyal, she wanted everyone around her to be like that. I was not a “knight without fear and reproach,” and now her unexpected confession surprised and confused me. In search of a solution, I mentally ran through the past, but found nothing in it, except for one meeting at Chistye Prudy…

One day we gathered on a day off to go boating at the Khimki Reservoir. The gathering was scheduled at Chistye Prudy, near a large gazebo. But it started to rain in the morning, and only Pavlik and I, Nina Varakina and Zhenya Rumyantseva came to the collection point. Nina came because she couldn’t stay at home on her day off, I came because of Nina, Pavlik because of me, and why Zhenya came was not clear to us.

Zhenya never appeared at our modest parties, did not go with us to the cinema, to the Park of Culture, to the Hermitage. No one suspected Zhenya of hypocrisy, she simply did not have enough time: she studied in an astronomy circle at Moscow State University and did something else at the planetarium. We respected Zhenya’s aspiration and did not want to interfere with her.

And so we came together in a large through pavilion, under this giant wooden umbrella in the middle of the boulevard. The rain either heavily and noisily covered the ground, or thinned into almost invisible and inaudible threads, but did not stop for a minute. Gray, overlying clouds, without a single break, went behind the roofs of the houses. There was nothing to think about Khimki. But Zhenya persistently persuaded us to go. For the first time, she allowed herself a small deviation from the usual strict routine, and she must be so unlucky! On the button of her plush jacket hung a package of sandwiches. There was something very touching about this package. Apparently, it never occurred to my wife that we could have breakfast at a diner, a cafe, or even a restaurant, as we did during our hikes. Out of pity for this package, I suggested:

Let’s take a ride on the pond,” I pointed to an old, withered punt sticking out with its nose from under the piles of the boat, “and let’s imagine that we are in Khimki.

Or in the Mediterranean Sea,” Pavlik inserted.

Or in Indian Ocean, - Zhenya enthusiastically picked up, - or off the coast of Greenland!

Won't we drown? - asked Nina. - It would be a shame: I was invited to the premiere at the Moscow Art Theater.

There were no oars. We picked up two planks on the shore, scooped up water from the boat and set off for circumnavigation. Hardly any of us, except Zhenya, enjoyed it. While Pavlik and I sluggishly splashed our planks on the water, Zhenya was coming up with the route for our journey. Here we pass the Bosphorus, through the Suez Canal we enter the Red Sea, from there to the Arabian, sail around the Greater Sunda Islands, the Philippines and enter Pacific Ocean.

Zhenya’s belated childishness was sweet and touching, but there was also something pitiful about it.

Look! - Zhenya said, pointing to where the wet columns of the Colosseum cinema darkened sadly behind the tree branches glossy from the rain. - There are palm trees, vines, elephants, we have been carried to the shores of India!

We looked at each other. As happens at the age of seventeen, we defended our inner life, still fragile and easily vulnerable, with the armor of deliberate mockery and slight cynicism, and we did not understand how it was possible to reveal ourselves so naively.

We are approaching the terrible Solomon Islands! - Zhenya announced in an ominous voice.

Right! - confirmed Pavlik, the kindest of us. - And there are the cannibal natives. - He pointed to a group of Chistoprudny guys who stopped to have a light at the fence of the reservoir.

Guns aboard! - Zhenya commanded. - Prepare the kernels!

Zhenya, wake up, this is colonialism,” I said.

Right! - Zhenya smiled, delighted that her inventions resonated with us, and in her simplicity, not noticing the irony. - We must come to them as good friends, we will bring them tools, instruments, medicines...

And instead of the Bible, there is a textbook by Abramovich and Golovenchenko,” Pavlik added.

Our boring sail through the rain continued. Zhenya tirelessly commanded: “Rudder to the right!”, “Rudder to the left!”, “Raise the sails!”, “Remove the sails!”, Finding the way by the stars - our compass was broken during a storm. This gave her the opportunity to treat us to a lecture on astronomy, from which I only remembered that beyond the equator the starry sky seemed to be upside down. Then we suffered a disaster, and Zhenya gave us the “last biscuits” - her soggy sandwiches. We chewed them dejectedly, and Zhenya talked about how she liked Robinson’s life.

I was wet, tired, my hand was splintered - it made me ruthless, and I said that I did not know a more philistine book than Robinson Crusoe.

The whole book is filled with petty concern for food, clothing and utensils. Endless price lists of grub and junk... A hymn to a triumphant life!..

And I don’t know anything more exciting than these, as you called them, price lists! - Zhenya said with tears in her eyes. - And how much space, elements, dreams there are in the book...

Our argument was stopped by Nina Varakina, she suddenly shouted:

Hooray! The shore is ahead!

Where? Where? - Zhenya was alarmed.

Let's go to Pokrovka, in summer cafe, I suggested.

Zhenya looked at us dumbfounded, her cheeks turned pink.

And what? - she said courageously. - Party like that!

We drove the boat under the piles, got out to the shore and then immediately ran into my old acquaintance and enemy Lyalik. Behind last years the hooligan teenager was in prison and in a correctional labor colony. He was very strong, his shoulders were broad, he looked from under his brows and pretended to be a seasoned bandit. Having caught up with us, Lyalik pushed me with one shoulder, Pavlik with the other and swore dirty. Now, in the aura of his criminal glory, he knew that he was not risking anything. It was not he himself who instilled fear in us, but his reputation. He suppressed us with the gloomy grandeur of his fate, we felt next to him like pathetic purists, mama's boys, how could we compete with this desperate man!

Don't you dare swear, you bully! - Zhenya shouted, she didn’t know who Lyalik was.

Lyalik silently turned and walked towards us. But...

Surely at least once in your life you have experienced the feeling that what is happening now has already happened before. Or from time to time you are sad that you will not see how your great-grandchildren will live. Do you know the incomparable feeling of comfort and warmth when it’s raining outside the window and you are basking in a warm bed under the covers? All these rather complex emotions and feelings have their own names. Most likely, among them there will be something that you often experience, but do not know how to express.

Opium

Not to be confused with hard drugs. Opium is sudden feeling excitement when one gaze meets another. Visual contact that provokes a surge of energy. If this is a person you like, you will most likely enjoy it. And if your counterpart is a potential threat, such an exchange of glances can send a nasty chill through your skin.

Deja vu

Deja vu is translated from French: deja vu - “seen before.” This is the feeling when you feel like you've been somewhere new before, or when it feels like a new event is actually happening again. Déjà vu is a fairly common emotion, reported by about 75% of respondents to various psychological surveys.

Ellipsism

Ellipsism is the sadness that a person experiences from not seeing the future. This emotion is most common among older people who watch their grandchildren grow up and worry that they will not live to see their future. important points in their lives.

Chrysalism

The term comes from the Latin chrysalis - “pupa”, denoting one of the stages of butterfly development. This is a feeling of bliss, peace and security - for example, when you are in a warm and dry house, and a thunderstorm is raging outside the window.

Adronitis

This is the name of the feeling of annoyance that you experience after meeting a new person, when you realize that a person is very interesting, but it is almost impossible to get to know him better or it will take a lot of time. In Ancient Greece, this word was used to describe the male half of the house.

Liberosis

This is the name given to the desire to loosen control over your life and worry less. It’s a liberating feeling when you think, “I wish I could be a kid again and not have to worry about anything!”

Enuement

People experience this bitter feeling when they receive an answer to a question that has been tormenting them for a long time and want to go back to the past to tell themselves about the future. There is a good proverb on this topic: “If I knew where to fall, I would spread straw.”

Zenozina

The name for this emotion is formed by adding to the name of the ancient Greek philosopher Zeno, known for his reasoning about the impossibility of movement and the immobility of time, the name of Mnemosyne, who personified memory in ancient Greek mythology. The essence of this feeling is that with each subsequent year it begins to seem that the years are passing faster and faster.

Zhuska

Surely everyone, at least once after an argument or some kind of discussion, has replayed in his head what should have been said and what could have been said in response. These imaginary dialogues are called zhuskaya, and in Russian - “wit on the stairs.”

Fugu condition

No, we’re not talking about fish now, although that’s what’s in the photo. It's about about a state when a person does something, talks, goes somewhere, but is not aware of all this, and then cannot remember that he did all this. This may be the result of drug or alcohol abuse.

VSD is a lush, terry bouquet of phobias and sensations. If there was a patient patient who would compile a classification of symptoms of VSD, it would turn out to be a whole encyclopedia with thousands of types of suffering. Even internal spasms, which many VSD sufferers repeatedly experience throughout their lives, have different reasons and manifestations.

Take off that hoop!

Every VSD student has in stock an innumerable amount of first aid: these are tablets, drops, and herbal teas, and even solving crossword puzzles to distract the brain.

But helping yourself at the scene of an emergency is like turning off the light in a room so as not to see the chaos.

Internal spasms are not as terrible as, for example, extrasystoles or phobias, but these are all flowers of the same bouquet. It is not the heart or the gastrointestinal tract that needs to be treated, but the nervous system. What could be a good remedy?

No. 26 408 Neurologist 11/29/2015

Hello. We really need your help. Exactly a year ago, my mother began to have a burning sensation in her chest (it feels like they put mustard plaster on your chest and forgot to take it off). They did a cardiogram - no abnormalities were detected, even age-related ones. We took a general blood test - everything was normal. After some time, the “mustard plaster” seemed to go away, but internal shaking began, which has not gone away to this day. I don’t know how to describe it, but if you believe my mother’s words, her heart is beating so hard that she feels it everywhere - on the left, on the right, in her stomach, as if all her internal organs are shaking at the same time. In this state, she again had a cardiogram (in another clinic) and again the doctor said that she could forget about the heart - everything was fine with it, and these were just nerves and possibly problems with the spine. Her pulse in this state is between 60-70 beats per minute. We went to an osteopath for 10 sessions, but there were no results. The doctor said that when she starts working with mom, it feels like all the organs are in a transformer booth. After the session, everything calms down, but the next day the picture repeats itself. No motherworts, peonies, valerian and other tinctures and tablets help. This made my mother have trouble sleeping. If earlier she could get up in the morning, have breakfast and go back to sleep, now she goes to bed around 12 am, wakes up at 5 am and can no longer fall asleep. My blood sugar level was tested and my hormones were normal. A couple of weeks ago we had an MRI of the brain and cervical spine (link to MRI images is attached). We immediately went for a consultation with a neurologist, but he didn’t say anything specific at all either about the conclusion or about the problem. He just suggested acupuncture and also physical therapy. Well, he said that his mother had severe depression and the nerves need to be treated. Mom also began to have a headache, or, more precisely, a throbbing headache. This didn't happen before. We really hope to get at least some advice. Thank you in advance. Ttps: //yadi. Sk/d/59PVhs4wko8rS

“It feels like you are on a desert island, and the only contact you have is with an online forum.”

Thomas Müller-Roerich from the German organization DepressionsLiga knows what he is talking about. He suffered from severe depression for more than six years. Nothing was going well at work, and my relationship with my wife and children became complicated. “Everything required too much effort, everything caused fear,” he admits. This private entrepreneur was no longer able to understand even the simplest texts. "I couldn't read anymore." This phenomenon is called “pseudo-dementia,” and this kind of disorder often occurs with depression.

Van Gogh's painting "The Grieving Old Man".

Added to this was shame. “For example, every day I felt ashamed thinking about how much my hospital stay cost,” says the 58-year-old man. After a while, he felt isolated until he accidentally stumbled upon a discussion forum for people suffering from depression. “It feels like you are on a desert island, and the only contact you have is with an Internet forum,” he emphasizes.

58-year-old Müller-Roerich tried to understand his illness using an online forum and realized that he was not the only one suffering from this illness. According to experts, about 4 million people in Germany are susceptible to depressive states. The World Health Organization (WHO) estimates that in 2020 depression will become the second most common disease after diseases associated with the cardiovascular system.

The increase in stress at work and in everyday life is becoming more and more noticeable, notes the founder of this online forum, Nico Niedermayer, a specialist in the field of psychotherapeutic medicine. “The situation at work is becoming more stressful, the pace of life is accelerating, the workload is increasing. It would be utopian to think that we can simply not notice this,” he emphasizes.

Müller-Roerich agrees with him: people are increasingly finding themselves in a dependent position, which causes fear in them. “You have to cross your own boundaries all the time, and this happens until the moment when you simply stop feeling like yourself.” At the same time, doctors have become better at diagnosing this disease, and patients are now ready to talk more openly about it.

The self-help forum also deserves credit for this, experts emphasize. Today it has 14,000 active users. Since its formation in 2000, it has hosted 360,000 anonymous messages. The psychological threshold is deliberately kept low. This online platform provides contacts and information, including for loved ones who also suffer seriously when their partners become ill.

Niedermayer explains: “Of course, the forum cannot replace therapy, but it is a way to deal with your illness and free yourself a little from the isolation associated with it.”

To his knowledge, there had been no suicides yet, although some attempts had been thwarted. As soon as someone on the forum begins to talk about such an intention, the moderators involve the police in order to prevent suicide. “We can say with confidence that we are not a suicide forum,” emphasizes Niedermayer.

Müller-Roerich today helps other people suffering from depression, writes inosmi.ru. As for his own illness, he has been keeping it under control for several years now - with the help of medications. A couple of years ago he tried to give them up. But during a trip to New York there was a relapse. “My sleep was disturbed and I could not control the fits of sobbing. I felt completely unprotected in the big city,” he admits. After that, he returned to medications again: “Now my life is like the life of a diabetic who must take medicine.”