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Специалист работает с расстройствами, которые могут возникать самостоятельно или быть следствием других заболеваний [2](https://doct.ru/directions/psihiatriya/)[4](https://medsi.ru/articles/psikhiatr-kto-eto-i-chto-lechit-kogda-obrashchatsya-k-psikhiatru/).\n\n## Заболевания\nНекоторые расстройства, которые лечит психиатр: \n* **Тревожные расстройства** — генерализованное тревожное расстройство, паническое расстройство, фобии, социальное тревожное расстройство [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Депрессивные расстройства** — большое депрессивное расстройство, дистимия, послеродовая депрессия [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Биполярное аффективное расстройство** — чередование периодов мании и депрессии [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Шизофрения и другие психотические расстройства** — нарушения мышления, восприятия и поведения [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Обсессивно-компульсивное расстройство (ОКР)** — навязчивые мысли и действия [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Посттравматическое стрессовое расстройство (ПТСР)** — развивается после травмирующего события [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Расстройства пищевого поведения** — анорексия, булимия, компульсивное переедание [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/)[6](https://centr-clinic.ru/kakie-rasstroistva-lechit-psihiatr/). \n* **Расстройства сна** — бессонница, нарколепсия, апноэ сна [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Зависимости** — алкогольная, наркотическая, игровая [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/)[6](https://centr-clinic.ru/kakie-rasstroistva-lechit-psihiatr/). \n* **Органические психические расстройства** — связаны с повреждением головного мозга [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/)[6](https://centr-clinic.ru/kakie-rasstroistva-lechit-psihiatr/).\n\n## Методы лечения\nТерапия назначается только после постановки точного диагноза [2](https://doct.ru/directions/psihiatriya/). Комплексное лечение разрабатывается с учётом индивидуальных особенностей пациента и наличия сопутствующих заболеваний [2](https://doct.ru/directions/psihiatriya/). Некоторые методы: \n* **Медикаментозная терапия** — назначают антидепрессанты, нормотимики, гормональные препараты и другие лекарства [5](https://cirpp.ru/blog/psihiatr-kto-eto-i-chto-lechit/). \n* **Психотерапия** — психотерапевтические сеансы, включающие беседы, обсуждение и решение ситуационных задач, проведение тестов [8](https://alandmed.ru/blog/psihiatria/psihiatr-chto-on-lechit-kak-chasto-obrashhatsya-s-kakimi-simptomami/). \n* **Реабилитация** — многих больных психическими заболеваниями можно адаптировать к нормальной жизни [8](https://alandmed.ru/blog/psihiatria/psihiatr-chto-on-lechit-kak-chasto-obrashhatsya-s-kakimi-simptomami/). \n\nСхема, объём и длительность лечения подбираются индивидуально для каждого пациента — психиатр анализирует тяжесть нарушений, возраст, давность болезни и другие факторы [11](https://sakh-harmony.ru/blog/chto-takoye-psikhiatriya/).\n\n## Диагностика\nПсихиатр диагностирует психическое расстройство по общей клинической картине и результатам тестов [5](https://cirpp.ru/blog/psihiatr-kto-eto-i-chto-lechit/). Дополнительно могут назначить: \n* **Неврологическое обследование** — проверку рефлексов, координации, чувствительности [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). \n* **Инструментальные исследования** — электроэнцефалографию (ЭЭГ), магнитно-резонансную томографию (МРТ) головного мозга — при необходимости для исключения органических причин психических расстройств [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/).\n\n## Консультация\nПриём у психиатра обычно начинается с беседы — врач проводит опрос, чтобы получить полную картину состояния [1](https://skmed-mc.ru/articles/stati-o-zdorove/priem-vracha-psikhiatra-kak-prokhodit-priem-i-kak-k-nemu-podgotovitsya/). 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