Gender approach to psychotherapeutic correction in complex treatment of depressive disorders

Abstract

The importance and necessity of studying the gender specificity of mental disorders has been repeatedly emphasized. Significant differences in the mechanisms of formation of depressive disorders in men and women determine the specificity of clinical-psychopathological and pathopsychological manifestations and determine the need for the use of differentiated therapeutic and diagnostic approaches. 147 patients with depressive disorders (76 female and 71 male) were examined. Clinical-psychopathological, psychodiagnostic and catamnetic research methods were used. Based on the data obtained during the work, a personalized system of therapy for depressive disorders with differentiated use of psychopharmacotherapy, psychotherapy and psychoeducation methods was developed and tested. As a result of the study, we concluded that for the treatment of patients with a depressive episode, a program should be used, which includes: pharmacotherapy (selective serotonin reuptake inhibitor Sertraline, melatoninergic antidepressant Agomelatine, anxiolytics), gender-specific individual and group psychotherapy and psychoeducation. For the treatment of patients with recurrent depressive disorder, a program should be used, which includes: pharmacotherapy (anxiolytics, combined serotonin and norepinephrine reuptake inhibitors (Mirtazapine, Venlafaxine)), gender-specific individual and group psychotherapy and psychoeducation. For the treatment of patients with a depressive episode of bipolar affective disorder, a program should be used, which includes: pharmacotherapy (using valproate, Lamotrigine, selective serotonin reuptake inhibitor Sertraline); gender-specific individual and group psychotherapy and psychoeducation. Keywords: depressive disorders, gender differences, psychotherapy, psychoeducation, treatment.