PSYCHOPATHOLOGICAL PHENOMENOLOGY AND CLINICAL MANAGEMENT OF PATIENTS WITH DEPRESSIVE EPISODE UNDER CONDITIONS OF FULL-SCALE INVASION

In the course of work aimed at studying clinical-psychological and pathopsychological features of depressive episode, a comprehensive examination of 123 patients under prolonged influence of war stress was conducted (group І — 57 military servicemen, group ІІ — 66 internally displaced persons). It was established that the clinical structure of depressive disorders in examined patients was represented by: anxiety-depressive (33.7 % of group І subjects and 33.9 % of group ІІ), apathetic-adynamic (22.6 % and 19.9 % respectively), melancholic (27.7 % of group І and 28.1 % of group ІІ subjects), and dysphoric (36.0 % and 8.1 % respectively) variants of psychopathological symptomatology. A differentiated approach to clinical management was developed, including personalized pharmacotherapy using SSRIs and SNRIs, adapted psychotherapeutic interventions and self-help methods taking into account the specificity of traumatic impact in each group for the formation of long-term resilience.