Due to the lack of standards in the Russian health care system that allow to objectively differentiate depressive disorders, various errors are observed in the diagnosis and treatment . They lead to an increase in the number of suicides, the emergence of forms resistant to therapy, and disability.
The most common mistakes are:
- an error in the diagnosis, when a depressive disorder is diagnosed instead of bipolar disorder;
- treatment of depression with anxiety with antidepressants with stimulating properties, and for depression with lethargy – drugs with a sedative effect;
- short duration of therapy, not optimal dosages, due to the lack of control over the concentration of the drug in the blood;
- lack of treatment of the disease and not bringing it into remission;
- lack of treatment for comorbital diseases;
- non-use of transcranial magnetic stimulation, electroconvulsive therapy in the absence of effective treatment for 3 months;
- inadequate psychoeducation and psychotherapy;
- treatment with benzodiazepines for more than 1 month;
- the use of several antidepressants that increase the effect of serotonin.
Based on the above, we can conclude that the standards of treatment for depression in the Russian Federation do not contribute to the cure of this disease. And only objectification of the diagnosis and treatment of depression can help patients suffering from various depressive disorders.