OPTIONS OF RESPONSE OF RELATIVES TO THE DEVELOPMENT OF THE FIRST PSYCHOTIC EPISODE IN PATIENTS WITH SCHIZOPHRENIC SPECTRUM DISORDERS
The analysis of the reaction of the relatives of 51 patients with schizophrenic spectrum disorders to the newly established diagnosis and prescribed treatment was carried out. Patients were divided into 3 categories depending on the duration of the CHS manifest: acute (3-4 weeks), subacute (1-5 months), and slow (several years). When studying the response of relatives, it was found that the intensity and ways of responding to the problem differed depending on the duration of the manifestation of the disorder. This observation made it possible to formulate the main problems that arise in relatives of different groups of patients. Relatives of patients with acute and subacute manifestations of SCS showed alarming, dyssomnic symptoms of varying severity, as well as inadequate compliance with the doctor in matters of treatment, "psychologization" of the causes of the disease. Relatives of patients with a slow manifestation were more "prepared" for objective difficulties, the patient's first psychotic episode did not cause strongly pronounced emotional and psychological reactions, but provoked the development or intensification of overprotective behavior, which did not contribute to or even reduced the participation of the patient with SCS in the treatment process. Proceeding from this, one of the main tasks of a doctor is to achieve compliance with the relatives of a patient with CCS not only in treatment, but also in relation to the disease, to the patient himself.