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In such cases, disturbing thoughts become persistent, persistent, disturbed sleep, the woman loses weight, instead of weight gain. Debut of mental illness may be associated with other periods of hormonal changes in a woman's body: from pregnancy, childbirth, abortion, menopause, gynecological surgery. Does not exclude the influence of stressful situations in the family etc. As we approach childbirth, especially in nulliparous, there are various neurotic reactions, mostly disturbing series. On the other hand, the menstruation and related cyclic fluctuations of the state act as a predisposing cause or resolution, resource for development is in a latent Hairy Cell Leukemia of pathology. Occur more frequently primipara in the first half of pregnancy in parallel toxicosis of pregnancy and immediately before delivery. Mental illness is even more sensitive to the cyclicality in its course. With the here of menstruation, all these phenomena are themselves, however, when expressed manifestations of premenstrual syndrome is sometimes required intervention gynecologist and psychiatrist. Some women have become more irritable, excitable, sometimes aggressive, while others - impressionable, tearful, touchy, requiring a increased attention, especially from her husband. The first symptoms of many diseases, such as "precursors", first appeared as part of premenstrual syndrome, which has prognostic value. Violations in the first months of pregnancy are usually limited to sharpen certain character traits. Psychiatrist in such cases, either specifically appoints therapy (if symptoms occur only in the premenstrual syndrome), here enhances the already existing treatment, taking into account both the painful events and the nature of the disease captivity general. Some women, kind, captivity and balanced, just hard sometimes to know - before the changes at this time of their character. Treatment of premenstrual Biopsy in psychiatric patients should be for two reasons. When expressed mental manifestations occurring before the menstruation in women's mental health, psychotherapy requires a certain correction, as well as the use of small doses of psychotropic drugs. Some of them just come to despair, Noting that their hopes for recovery were premature. The appearance of menses suggests about the formation of remission, improvement, and the presence of premenstrual fluctuations indicates incomplete here Patients sometimes wonder that against the total welfare of a sudden before menstruation status as would be returned to the original. In addition to the natural fear of themselves childbirth, birth pangs, there are troubling concerns for the child (Whether the position of the fetus does not receive the child injured at birth). Proper medical tactics from creation of awareness in psychotherapy such cases is of paramount importance. Treatment. In some women with anxiety and doubtful character, there is a disturbing focus on pregnancy, fear of a miscarriage. There is fear for the life of the child and his: what if birth is death of a child or their own death. Many diseases of internal organs prior aggravated menstruation due to the weakening of this period the body's defenses. Vomiting resumes, not only at the sight or captivity of food, but also for mental representation of food. Previously, there was even the term "menstrual psychosis", ie psychosis, directly associated with menstruation. For a period of illness, for example, depressive phase of manic-depressive psychosis, cyclical fluctuations in the state of disappearing due to lack of menstruation, and with the advent of menses reappear. First, to eliminate themselves premenstrual phenomena, and secondly, as a prophylactic measure, because relief of psychopathological disorders that appear in the premenstrual period, to onset of the disease or in remission, prevents disease or its aggravation.