Treatment of mental disorders of generative cycle in women

Abstract

The clinical and etiological diversity of depressive, anxiety, dysmorphic and psychotic disorders of the generative cycle in women necessitates an integrated approach to evaluation and treatment methods.During an individual approach to treatment administration, it is necessary to take into account the risk factors (heredity, comorbid disorders, gender, age, etc.) of adverse events, the spectrum of endocrine side effects characteristic of each drug, the balance of drug efficacy and safety.The effectiveness of hormone replacement therapy, including in combination with “fortifying” drugs, vitamins, dietary supplements, physiotherapy, in mental disorders has not been proven.Psychopharmacotherapy should include modern antidepressants, anxiolytics, antipsychotics with an emphasis on good tolerance, a minimum of adverse events, compatibility with hormonal therapy, and ease of dosing.Psychotherapy, psychological support and psycho-correction can reduce the severity of anxiety and depressive symptoms and significantly increase the treatment effectiveness.

Keywords

• mental disorders
• premenstrual syndrome
• pregnancy
• infertility
• lactation
• perimenopause
• involution
• dysmorphia
• antidepressants
• antipsychotics
• normotimics
• psychotherapy
• agomelatine
• valdoxan