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Ваш профессионализм вселил в меня уверенность, ваше понимание поддерживало в самые трудные минуты, а человечность дарила...","fullText":"Лично убедился, что большинство негативных отзывов о ПНД не соответствуют действительности и в какой-то степени даже вредны. Из-за специфики моей болезни (ГТР в запущенной форме с паническими атаками, навязчивыми мыслями, хроническим недосыпом, бессонницей и множеством фобий) я постоянно откладывал лечение и искал любое оправдание, чтобы его избежать. Низкий рейтинг и пугающие отзывы в приложениях (2ГИС и Яндекс.Карты), стали для меня дополнительным «оправданием» и лишь подливали масла в огонь моего нежелания.\n\nОднако реальность оказалась совершенно иной. Вот что я получил в итоге:\n\n1. Обследование в стационаре. Я смог лично убедиться, что врачам не всё равно на пациентов. Никто не пытался меня «залечить»; напротив, я столкнулся с поразительной человечностью медперсонала, который всегда шёл навстречу, учитывая мои страхи и особенности.\n\n2. Индивидуальный подход. После тщательной диагностики и постановки диагноза, который учитывал все тонкости моего состояния, мне подобрали оптимальную схему лечения. Все этапы терапии мы подробно обсуждали и при необходимости оперативно корректировали. В результате моё состояние начало стремительно улучшаться. В течение месяца терапия была полностью сформирована, и моё состояние стало стабильным как никогда.\n\n3. Комплексная работа. Она включала помимо медикаментозной терапии и ежедневных осмотров у врача-психиатра, сеансы психолога и психотерапевта (где крайне важными были честность и выполнение домашних заданий).\n\nСуммируя всё вышесказанное, по моему скромному мнению, большинство негативных отзывов исходит от тех, кто либо не стремился выполнять рекомендации лечащего врача, либо не выдержал распорядка дня, который также является частью лечения и диагностики. Кстати, судя по рассказам пациентов, распорядок здесь достаточно мягкий по сравнению с другими учреждениями того же профиля. 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[1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[4](https://ecosafety.ru/ru/pacientam/vrachi/narkolog/)[6](https://AlkoSpas.ru/blog/narkolog-v-kakih-situaciyah-k-nemu-obrashchatsya/). Также врач занимается диагностикой, лечением и профилактикой расстройств психики, обусловленных зависимостями [4](https://ecosafety.ru/ru/pacientam/vrachi/narkolog/)[6](https://AlkoSpas.ru/blog/narkolog-v-kakih-situaciyah-k-nemu-obrashchatsya/).\n\n## Заболевания\nВ компетенции нарколога: \n* **Алкоголизм** — пристрастие к спиртному [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Наркомания** — зависимость от наркотических препаратов [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Токсикомания** — пристрастие к веществам, отравляющим организм, но не считающимся наркотическими [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Табакокурение** — зависимость от табака и различных курительных смесей [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Лекарственная зависимость** — возникает при отмене снотворных, успокаивающих препаратов, антидепрессантов, психостимуляторов [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Игромания** и различные типы интернет-зависимости [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n\nНарколог также помогает устранить сопутствующие психологические заболевания, которые возникли вследствие зависимости (депрессия, тревожное расстройство, расстройства личности) [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/).\n\n## Методы лечения\nЛечение может проводиться по нескольким направлениям [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha): \n* **Для людей с химической зависимостью** — сначала детоксикация с выведением токсичных веществ из организма, потом кодирование, затем — психологическая и психиатрическая работа для снижения вероятности рецидива [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/). \n* **Для людей с нехимической зависимостью** — в первую очередь психиатрическая и психологическая работа [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/). \n\nЛечение может проводиться амбулаторно или в стационаре, в зависимости от состояния пациента [4](https://ecosafety.ru/ru/pacientam/vrachi/narkolog/).\n\n## Диагностика\nНарколог проводит **наркологический осмотр** — комплексное медицинское обследование, направленное на выявление признаков употребления психоактивных веществ [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html). Некоторые этапы осмотра: \n* **Первичное интервью** — врач собирает анамнез, выясняет образ жизни пациента, его привычки и возможные контакты с психоактивными веществами и алкоголем [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html). \n* **Медицинские анализы** — проводятся тесты, включая анализы мочи и крови, которые позволяют выявить наличие наркотиков и алкоголя в организме [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html). \n* **Психологическая оценка** — используются специализированные методики и тесты для оценки психологического состояния и выявления признаков зависимости [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html).\n\n## Профилактика\nНарколог также занимается **профилактикой зависимостей** [2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/)[18](https://xn--80adf9aooh.xn--p1ai/%D0%BE-%D0%BF%D1%80%D0%BE%D1%84%D0%B8%D0%BB%D0%B0%D0%BA%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%B9-%D1%80%D0%B0%D0%B1%D0%BE%D1%82%D0%B5-%D0%BD%D0%B0%D1%80%D0%BA%D0%BE%D0%B4%D0%B8%D1%81%D0%BF/). 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