RU2198000C1 - Method for correcting psychosomatic disorders - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves making correction in three sessions. Conversation is carried out at t1 session and psychotherapeutic agreement is concluded. Rational psychotherapy is applied during which session problem attitude is formed and balanced nutrition principles are discussed. Then no directives hypnotic suggestion psychotherapy aimed at internal resource activation. Then behavioristic psychotherapy is applied to invoke aversion against product attracting excessive appetite. The second session involves applying needle reflex therapy and general relaxation trans. Transpersonal psychotherapy with changed consciousness state induction to form slim figure stereotype. Then, no directives hypnotic suggestion psychotherapy is applied to form maximum satisfaction from minimum food quantity consumed. Needle reflex therapy and behavioristic psychotherapy to invoke aversion are applied simultaneously. Needle reflex therapy is applied next to it and dominant is built during behavioristic psychotherapy treatment to fix the results of psychotherapeutic correction. The treatment course is 5 days long. 30-40 days later, behavioristic psychotherapy session is administered to make control and afford moral support. EFFECT: enhanced effectiveness of treatment. 4 cl, 1 tbl

Description

 The invention relates to medicine, specifically to psychiatry and psychotherapy, and relates to methods for the correction of psychosomatic disorders.

 Psychosomatic diseases (PZ) arise and recur under the influence of psychogenic-traumatic factors. In the development of psychosomatic diseases, two consecutive stages are distinguished. At the first stage, “psychogenic triggered” (1) somatic disorders are functional, reversible, psychotherapeutic intervention can prevent the further development of the disease. At the second stage, somatic disease begins to develop according to the laws peculiar to this particular disease (2).

 Among the PP include hypertension, peptic ulcer of the stomach and duodenum, bronchial asthma, thyrotoxicosis, ulcerative colitis, rheumatoid arthritis, neurodermatitis (2). Psychosomatic diseases also include the consequences of eating disorders (including exogenous constitutional obesity) (3, 4).

 PP and neurotic diseases account for 43.6 to 56.4% of requests for medical help (5). It is known that actually psychosomatic disorders are more common than neuroses (6). There is a tendency to increase the frequency of these disorders, especially in women (1.7).

 Obesity (overweight), being a psychosomatic disorder, is also a risk factor for the development of other psychosomatic diseases, especially diabetes mellitus, arterial hypertension, bronchial asthma, gallstone disease, atherosclerosis, and joint diseases. It not only reduces life expectancy, but also affects its quality (6).

 There is a method of correcting a person’s body weight by combining a single psychotherapeutic effect with diet therapy for two months, first, patients are formed into groups on the basis of identical suggestibility, rational psychotherapy is awake, then, against the background of increasing relaxation, a heterosuggestive effect is carried out with the aim of generating negative emotions of abuse of food with high energy value (8).

 The known method V.I. Mirkina treatment of obesity, which consists in the fact that they form a group of patients who initially and repeatedly came to treatment. The session begins with individual therapy of re-visiting patients and is carried out in the presence of the entire group. The patient reports on the dynamics of his weight, the doctor focuses the group on the results achieved and uses this information as indirect psychotherapy. Then the patient is placed in the Romberg pose, a verbally psychological setting is introduced for the number of kilograms of weight loss over the coming week. The code is fixed, for this they press on the eyeballs, cause sharp mechanical irritation on the back surface of the arms of the outstretched arms, on the upper part in the back and chest. After that, all patients are immersed in a state of mild hypnotic trance and instilled a change in eating behavior, after the withdrawal from which the session is continued only with the first-time patients. They are encoded in the Romberg position, and the number of kilograms of weight loss for the entire course of treatment is used as a code. At the end of the session, information is provided on restricting the diet to 1300-1500 kcal, reducing the carbohydrate content by 70-80% and introducing fasting days. The course of treatment consists of 10 sessions conducted weekly (9).

 A known method of correction of mental rigidity during psychotherapeutic treatment for the treatment of various mental and psychosomatic disorders is that a representative system for perceiving information by a patient is preliminarily determined, the text of the suggestions is composed using the terms of the main representative system, and the main formula of the suggestion is using secondary systems. A treatment session is carried out in a darkened room, focusing on a luminous point, the flicker of which is synchronized with the rhythm of the pronounced text of the suggestion. After reaching a state of relaxation and the appearance of signs of transformation of consciousness, the patient is immersed in a state of hypnotic trance and suggestion is continued in an imperative form. After the end of the program, the patient’s suggestions are put into a state of hypnotic sleep and left alone until they awaken independently (10).

 There is also a known method for the correction of psychosomatic dysfunctions, which consists in the fact that they compose a psychotherapeutic program taking into account a representative patient information perception system. At the beginning of the treatment session, deprivation of vision is carried out, the breathing rhythm is established with an extended expiratory phase of the respiratory cycle, after which the patient is brought into a state of light trance, psychotherapeutic information is presented, and the semantic emphasis of the suggestion formula is combined with the expiratory phase of the patient’s respiratory cycle, and when the patient is withdrawn from trance states switch his attention to another channel of information, which ensures amnesia of the introduced psychotherapeutic program (11).

Unlike the known methods, the claimed method is based on a comprehensive, biopsychosocial approach to the psychosomatic distress of the patient. A person is considered as a system consisting of three main elements: somatic, mental and social. An integrated approach is provided by a set of specific techniques and home prescriptions. The advantages of this method are:
- the absence of imperative hypnotic influences, which makes the method psychoecological and creates the possibility of using this method for the treatment of non-hypnotic patients;
- patient independence from psychotherapy, as the patient performs the main work outside the psychotherapeutic process.

 The task of the invention is to achieve a stable result due to the autonomous control of the patient’s weight.

 The task is achieved by first finding out the reasons that led the patient to overweight, and the motives that prompted him to engage in weight loss, conduct group and individual psychotherapeutic effects, reflexology, and the treatment is carried out by two psychotherapists with different personality types: extrovert and introvert, three sessions, the first session includes rational psychotherapy, reflexology and behavioral psychotherapy, between which conduct non-directive hypnotic psychotherapy, Lednov nederektivnuyu hypnosuggestive psychotherapy carried out simultaneously with reflex; the second session includes transpersonal psychotherapy, before which she is interviewed with a patient, non-directive hypnotic psychotherapy and reflexology, and after her - non-directive hypnotic psychotherapy and reflexotherapy simultaneously with behavioral psychotherapy; the first and second sessions are carried out at night; the third session includes the consistent conduct of rational psychotherapy, reflexology, non-directive hypnotic suggestive and behavioral psychotherapy; the interval between sessions 36-40 hours; the total course of treatment is 5 days; 30-40 days after the end of the course of treatment, an individual session of behavioral psychotherapy is carried out; if necessary, patients conduct independently sessions of non-directive hypnotic psychotherapy.

This method can only be carried out in a group of 10 to 50 people. A preliminary set of patients is carried out by a general practitioner or endocrinologist. A list of patients is compiled, which necessarily indicates:
- age;
- height;
- weight;
- arterial pressure;
- place of work;
- home address (phone).

The following contraindications are identified:
- any acute illness;
- exacerbation of any chronic disease;
- conditions accompanied by an increase in hunger (taking hormones that stimulate the center of hunger, pregnancy, lactation, etc.);
- conditions in which this psychotherapeutic help is not effective (psychotic disorders, oligophrenia, dementia). In this case, individual consultation of doctors conducting direct treatment is required;
- vascular accidents (stroke, heart attack), thrombophlebitis that occurred in the last 6 months;
- Oncological diseases requiring medical treatment.

 This method is carried out only by psychotherapists with a basic specialization in psychiatry. This condition is due to the fact that during treatment, conditions may arise that require differential diagnosis, on which further individual correction of the method depends.

 The method is performed by two doctors, different in type of personality characteristics (introvert and extrovert).

 The following case is an example.

 Example.

 Patient D., 32 years old, teacher, asked for psychotherapeutic help about being overweight.

 The patient reported on the family situation that her father, the principal of the school, was completely absorbed in work. Mother is characterized by disturbing traits of character, often worries over trifles. She was an only child. Early development without significant features.

 At 24, she got married. Personal life was not quite successful. From the first days of marriage, her husband was jealous of her, watched her, made scandals. The last 6 months, the husband is alcoholized with a frequency of 2-3 times a week. Has a daughter of 7 years. Teaching activities like. She worked a lot with enthusiasm, never considered time, often lingered on work.

 Somatic status: normosthenic physique. The skin and visible mucous membranes of normal color, normal humidity. Vesicular breathing above the lungs. Heart sounds are clear, the rhythm is correct, the pulse is 78 beats / min, satisfactory filling. Blood pressure - 120/80 mm Hg The abdomen on palpation is soft, painless.

 Neurological condition: gait without features, in the Romberg position is stable. The palpebral fissures are the same in width, the pupils are equal. There are no pathological signs. Sensitivity disorders not detected. Neurological status - without symptoms of focal lesions of the central nervous system.

 Mental state: oriented correctly, accessible, laconic. She had a history of about 7 attempts to shed excess body weight, after which weight returned and thoughts of the inevitability of obesity intensified. Tired, quickly distracted, when reading after a few minutes he catches himself with what he thinks of another. The leading cause of reduced mood is the presence of excess body weight. Envies those with normal body weight and not limiting themselves in nutrition. She hopes to normalize the weight soon, I am sure that in this connection her relations with her husband will improve.

 Therapist's conclusion: chronic bronchitis in remission, chronic cholecystitis without exacerbation.

 Endocrinologist's conclusion: overweight of alimentary-constitutional genesis.

 An experimental psychological study reveals a reduced level of motivation and mood, fixation on a somatic state, introversion in a person with astheno-neurotic and psychasthenic accentuation.

 Over the past 4 months, with an increase of 167 cm, her body weight increased by 16 kg (from 69 to 85 kg). A woman associates the appearance of extra pounds with increased appetite for “sweet” dishes, which she has recently consumed in large quantities. The patient herself believed that she had an organic disease, and denied the connection between high appetite and emotional state. And only during subsequent sessions did she discover this relationship. The patient, the only child in the family, spent her childhood and youth in the suburbs. Parents, leaving for a weekend in the city, often left her alone in the apartment, promising to bring cakes, sweets or ice cream as a reward. And the only thing that kept the girl from tears of loneliness was the expectation of a “sweet gift”. After 28 years, the situation somehow repeated: the woman was sent on indefinite leave and was forced to spend days at home. The only way to enjoy and “distract from sad thoughts” for her was to use sweets. Having figured out her true desires and feelings in the course of psychotherapeutic sessions, the patient acquired a calm and indifferent attitude to sweet dishes, and within the next month and a half got rid of extra pounds.

 For three years after the sessions, normal weight remained stable, and, according to the patient, the traumatic family situation was successfully resolved.

 Treatment.

 SESSION 1.

 The time is from 21:00 p.m. to 6:00 a.m.

 1. The interview. Conclusion of a psychotherapeutic contract (60-70 min).

 Doctors talk about the causes of BMI (overweight), a variety of ways to lose weight, including the proposed method. It is emphasized that the most effective way to lose weight and maintain optimal body weight is to normalize the energy value of food consumed. A brief summary of the proposed method is given.

The conditions necessary to achieve the task (weight loss) are listed:
- high motivation;
- limitation and precise control of the energy value of the food eaten within 800-1250 kcal .;
- fractional (4-5 times) nutrition;
- a complete rejection of starvation during weight loss;
- A complete diet (proteins, fats and carbohydrates);
- no prohibited products;
- refusal to drink alcohol to normalize body weight;
- limitation of physical activity.

 In parallel with substantiating the conditions for normalizing health, a motivation check is underway for those wishing to participate in the treatment group. If you refuse to comply with any condition, the patient is excluded from the group.

 Contraindications are discussed.

 It is crucial during the first meeting the absence of any manipulative techniques. It is not weight loss that is guaranteed, but the quality of work. Patients are clearly and distinctly informed that the effectiveness of the method is associated with the active cooperation of the patient with doctors and group members. Responsibility for the achieved result is divided between doctors and patients.

 A break of 15-20 minutes.

 2. Rational psychotherapy. Formation of attitude to the problem (overweight) (15-20 min).

 Patients are offered a game approach to solving the problem of excess weight.

 Dissociation of the patient’s normal body from adipose tissue is carried out.

 It is proposed to fight with abstracted fat, and not with oneself.

 3. Non-directive hypnotic psychotherapy (Erickson hypnosis), trans relaxation (45-60 minutes). In the preliminary part, psychotherapists, firstly, focus on the fact that trance is a normal, natural state that a person experiences every day. Examples of natural trance (riding a bus or watching an interesting film with subsequent disorientation in time) are given. Secondly, attention is drawn to the fact that any healthy person can enter a trance state. Thirdly, it is emphasized that the patient in a trance state fully controls himself and controls himself. After the preliminary part, a 30-minute relaxation trance is performed simultaneously by two psychotherapists.

 A break of 10-15 minutes.

 4. Acupuncture (IRT) (acupuncture method) (40-50 min).

 IRT is used as a method of indirect psychotherapy. However, experts adhere to certain rules in this area (12).

The first is the colon meridian point GI 11, located on the left hand in the middle of the distance between the lateral epicondyle and the radial end of the fold of the elbow. The injection depth is 2.0-2.5 cm with the arm bent at the elbow. Apply light toning by twisting clockwise 3-5 times at 90 ^o (depending on the individual sensitivity of the patient).

 The second is used the hegu point of the same meridian, located between the 1st and 2nd metacarpal bones, closer to the middle of the 2nd metacarpal bone on the right hand. The needle is inserted to a depth of 1.0-1.5 cm. An average degree of toning is applied by twisting clockwise and counterclockwise.

 The third involves the auricular point of the stomach on the left auricle.

 Needles are placed for 20 minutes.

 5. Non-directive hypnotic psychotherapy, trance, aimed at forming the image of achievement (25-30 minutes).

 A break of 10-15 minutes.

 6. Rational psychotherapy. Principles of a balanced diet. (50-60 min). Psychotherapists talk about what is "hunger", "appetite", "satiety". Examples are given from the life of the patients present. Hunger is a combination of unpleasant sensations, manifested in the form of emptiness and stomach cramps, an instinctive sensation of the need for food. It occurs when the body's nutritional reserves have dropped below the level necessary for energy balance. Hunger is a physiological regulator of food intake. Appetite - a general feeling of pleasant emotional sensations that are associated with a person’s desire to eat certain foods. It is based on the desire to get the pleasant sensations that accompany the intake of a particular food. In contrast to hunger, appetite occurs with sufficient nutritional reserves of the body. Satiety - lack of desire to eat, caused by eating. At its core, it is the opposite of a feeling of appetite and hunger.

 During the conversation, the therapist emphasizes the need to calculate the energy value of food and draw up a diet based on the proposed dietary recommendations: a) there are no prohibited foods. Only the calorie intake decreases to 800-1250 kcal per day; b) the mandatory inclusion in the diet of animal proteins (lean meat, poultry, low-fat fish, boiled eggs); c) intake of vitamin complexes for the entire period of reduction of overweight; g) daily include fruits and vegetables in the diet. They are a source of vitamins, minerals, fiber; e) exclude beer and other alcoholic beverages; e) the amount of fluid is limited to 2 liters per day.

 A break of 10-15 minutes.

 6. Non-directive hypnotic psychotherapy, trans activation of internal resources. In a trance state, the therapist activates life events that are saturated with positive emotions. Development metaphors are used (20-30 minutes).

 7. Rational psychotherapy: strengthening motivation to change eating habits and reduce extra pounds (45-60 minutes). It includes the setting and specification of goals, the formation of a program to reduce body weight, keeping a weight loss diary. Finding out the secondary benefits of extra pounds. Examination of overweight from the standpoint of psychological defense.

 A break of 10-15 minutes.

 8. Acupuncture (acupuncture method) (40-50 min).

 The first involved auricular point of hunger on the right auricle. Used sedative effect.

 The second used an auricular thirst point on the same auricle. Exposure is also sedative.

 During a session of acupuncture, non-direct hypnotic suggestive psychotherapy is simultaneously carried out, trance is aimed at enhancing the feeling of fullness from a smaller amount of food (25-30 minutes).

 9. Behavioral psychotherapy, the technique of neurolinguistic programming (NLP) "Mixing anchors": visualization of products and disgusting objects (15 min).

 Patients are invited to close their eyes and put their hands on their hips with their palms up, to visualize (imagine) on the left palm a seductive appetizing piece of some product that causes excessive appetite. After successful visualization, accompanied by a sensation of appetite, the task is given to visualize a crushed rat in the right palm. The emphasis is not on the feeling of disgust for the rat, but on the feeling of pity for it. Then instructed to rub his palms.

 10. The task. Patients are given the task of bringing on the second night products that cause a compulsive drive that impedes the control of the energy value of food.

SESSION 2
The time is from 8:00 in the evening to 6:00 in the morning.

 It is carried out 40 hours after the end of the first session.

1). Interview (90-120 min). Individually, each participant in the group finds out how they feel, the number of kilocalories used, the dynamics of changes in body weight, questions and difficulties that arose. The importance of observing the following rules and recommendations is emphasized:
a) regulation of the energy balance of the body by maintaining a "calorie diary". Individual caloric value is given;
b) daily control your weight at the same time (immediately after sleep, in the morning, on an empty stomach). Measure the volume of the chest, waist and hips at least three times a week;
c) the number of meals - 4-6 times a day. The interval between meals should not exceed 4.5-5 hours;
d) while eating, it is advisable to refuse to read newspapers or magazines, watch television, etc. All attention is to the process of food itself;
d) take food slowly, chewing thoroughly. Spending on one piece of food 9-12 chewing movements.

 A break of 10-15 minutes.

 2. Non-directive hypnotic psychotherapy (20-30 min). General relaxing, relaxation trance.

 A break of 10-15 minutes.

 3. Acupuncture (30-40 minutes). Symmetric points with the same conditions are used.

 A break of 10-15 minutes.

4. A session of transpersonal psychotherapy (60-90 min). The disclosure of internal creative potential, the formation of stereotypes of behavior of a slender person, a change in attitude towards oneself, one’s state, and traumatic factors is achieved by inducing altered states of consciousness, which allows for a much more effective and faster treatment process. Introduction to an altered state of consciousness is achieved by the following methods:
1) preliminary "tuning" psychotherapeutic training,
2) specially selected music and
3) breathing exercises. Patients are encouraged to concentrate on exhalation, breathe intensively, feeling their own rhythm. If desired, movements are allowed to dance, wave hands, etc. Any reactions are allowed except manifestations of aggression and sexual harassment.

 This session corresponds to one session of the standard technique of transpersonal therapy, recommended by the manual for doctors (13).

 A break of 15-20 minutes.

 4. Non-directive hypnotic psychotherapy (20-30 minutes). A trance aimed at maximizing the pleasure of a minimal amount of food.

 A break of 10-15 minutes.

 5. Acupuncture (40-50 minutes). During a session of acupuncture, behavioral (aversive) psychotherapy is simultaneously performed. Methods of aversive therapy (from lat. Aversio - disgust) were a combination of attractive stimuli (for example, delicious food) with an unpleasant stimulus. It is fundamentally important that the patient develops an indifferent, indifferent and calm attitude to plentiful food. Despite criticism of the method (based on ethical considerations), we consider it justified to use it in cases that are resistant to other methods of psychotherapy and with the obligatory consent of the patient. Patients work with products brought with them to the session, causing excessive, from their point of view, attraction.

SESSION 3
Time from 18:00 to 22:00.

 It is carried out 36 hours after the end of the second session.

 1. Rational psychotherapy (60-90 min). It is described in detail about the principles by which excess body weight reduction will go. Recommendations aimed at fixing a normal weight are given. It is emphasized that compliance with the following recommendations is mandatory for successful weight loss: a) visualization and specification of the goal, b) maintaining a calorie counting diary, c) building self-confidence, strengthening self-esteem, d) preventing situations of possible dietary disorders.

 A break of 10-15 minutes.

 2. Acupuncture (30-40 minutes). Auricular points of hunger and thirst of the left and right auricles are used. The needles are placed in a sedative manner for 25-30 minutes.

 3. Non-directive hypnotic psychotherapy (20-30 min). Trans resource.

 A break of 10-15 minutes.

 4. Behavioral psychotherapy, the formation of a dominant according to Ukhtomsky (30-40 minutes).

 Individual session.

 Phone call 30-40 days after the end of the third session.

 Purpose: to monitor the implementation of recommendations, to clarify issues that arose within a month. To make the patient feel that, despite his independence and his own creative approach to changing his own life, he can always receive moral support during critical periods on the way to the goal.

 If necessary, family members of patients are invited, together with whom psychotherapeutic work is carried out on the restructuring of broken relationships, which helps to eliminate intra-and extra-family psycho-traumatic situations as causes of hyperamental eating behavior. These psychotherapeutic measures allow achieving the formation of an adequate attitude on the part of the significant environment and help restore patients' social adaptation in the process of normalizing body weight.

 For a full restoration of the adaptive capabilities of the body, individuals from the "real" risk group remain under dynamic observation, which includes further recommendations on the organization of a rational diet and optimal physical activity; periodic implementation of psycho-emotional discharge courses and psychological self-regulation; general strengthening measures (in the form of physiotherapy exercises, an active or calming rest regimen) aimed at consolidating the results of a psychotherapeutic correction and preventing relapse of overweight during periods of increased psycho-emotional stress.

 Self session.

 If necessary, patients conduct an independent non-directive hypnotic psychotherapy session using audio media on which the trances of the psychotherapists who performed the sessions are recorded.

 Catamnesis.

 Over the next three years, the patient maintained normal body weight.

 The night time of conducting psychotherapeutic sessions has the following specific advantages: a) partial sleep deprivation and the resulting change in biorhythms reduce the resistance of patients, potentiate the occurrence of altered states of consciousness, contribute to the reformation of behavioral stereotypes, which ultimately enhances the effectiveness of the psychotherapeutic effect; b) patients undergo psychocorrection without interruption from professional activity. The duration and continuity of group psychotherapy contributes to the inclusion of a variety of techniques and psychotechnics in a single group process.

 The simultaneous participation in the group psychotherapeutic process of two psychotherapists (introvert and extrovert) significantly increases the effectiveness of the therapeutic effect, actively involves patients in the treatment process. Facilitates immersion of patients in a trance state of various depths and levels.

 Dietary recommendations are distinguished by the absence of prohibitions on the choice of certain products. The emphasis is on limiting the energy value of food.

 Non-directive hypnotic psychotherapy enhances the effect of rational psychotherapy. As a result of non-directive hypnotic psychotherapy, the patient forms his own approach to the implementation of rational attitudes.

 During the first session, the last non-directive hypnotic psychotherapy is carried out simultaneously with reflexology, since in this case reflexology has an indirect potentiating effect.

 Transpersonal psychotherapy is at the center of the second session, since preparation for transpersonal psychotherapy and a subsequent analysis of the experiences of patients arising from transpersonal psychotherapy are necessary. Unusual experiences in altered states of consciousness in the course of clinical transpersonal psychotherapy arise with appropriate preparation and have significant healing potential with the right psychotherapeutic analysis. It is important that transpersonal psychotherapy is carried out at the peak of withdrawal, which allows us to solve the underlying etiological causes of hyperamental eating behavior and overweight.

 At the beginning of the second session, patients are in a state of wakefulness and easily remember new information received during the interview. After transpersonal psychotherapy, morning work time potentiates the occurrence of altered states of consciousness, reduces the resistance of patients. Conducting behavioral psychotherapy after transpersonal helps to reform behavioral stereotypes and changes the patient's attitude to his condition.

 The structure of the third session is aimed at consolidating the results of the psychotherapeutic correction and preventing relapse of overweight.

 In practical terms, it was determined that the optimal course of treatment is 5 days, with an increase in the duration of the course of treatment, there is a dependence on the doctor, and with a decrease, the symptoms of dependence (withdrawal symptoms) do not have time to resolve.

 In order to consolidate independent skills to reduce excess body weight, an individual session is conducted after 30-40 days, and if necessary, independent sessions of non-directive hypnotic psychotherapy using audio carriers are carried out.

 For 36-40 hours a person manages to develop a certain stereotype of eating behavior, and in the future we begin to work with any difficulties and difficulties that arise. Therefore, the interval between sessions is precisely this time.

 Three nights is an excessive stress factor, so only the first and second sessions are carried out at night.

 The proposed method was used to treat women aged 18 to 42 years who are overweight or who are exogenously constitutional obese to grade 3, in the amount of 398 people. The patients were divided into four groups according to the degree of obesity. The first group included 129 women who were overweight (up to 15% of overweight was higher than the required one, calculated according to P. Brock's formula). Groups of women with degrees 1 and 2 of exogenously constitutional obesity consisted of 133 and 127 people, respectively. Nine patients had a third degree of obesity. The control group consisted of 21 women of similar age periods who were not overweight, mentally and somatically healthy.

 Analysis of the results of the examination conducted one month later and three years after psychotherapeutic treatment revealed the following results (see table).

 Thus, the presented method for the correction of psychosomatic disorders is quite effective in reducing excess body weight. Normalization of eating behavior contributes to the success of treatment, which affects primarily the long-term results of therapy.

 Patients with other psychosomatic disorders who underwent a course of psychocorrection showed the following results.

 Bronchial asthma, bronchitis with an asthmatic component: persistent remission for 3 years - 73%, improvement - 27%.

 Hypertension, vegetovascular dystonia of the hypotonic type: persistent remission - 53%, improvement - 46%.

 Non-insulin-dependent diabetes mellitus (type II): persistent remission - 67%, improvement - 31%.

 The method is indicated in the treatment of the initial stages of psychosomatic diseases. If the patient is undergoing continuous medical treatment, this method can be used as an addition to the main therapy.

List of references
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Claims (4)

 1. A method for the correction of psychosomatic disorders with excess body weight, including group and individual psychotherapeutic effects and reflexology, characterized in that the correction is carried out in three sessions, the first two of which - at night, in the first session, they consistently conduct an interview in which they conclude a psychotherapeutic a contract in which the doctor and the patient share responsibility for the treatment, after which rational psychotherapy is carried out, during which problem-solving and discuss the principles of balanced nutrition, then simultaneously with acupuncture conduct non-directive hypnotic psychotherapy aimed at activating internal resources, after that conduct behavioral therapy with the formation of an aversion to a product that causes excessive appetite, at the second session, during the interview emphasize the importance of regulating energy balance then acupuncture and general relaxing relaxation trance are performed, after which trans general psychotherapy with the induction of an altered state of consciousness and form a stereotype of behavior of a slender person, then non-directive hypnosuggestive therapy aimed at maximizing satisfaction from a minimum amount of food, after which acupuncture is carried out simultaneously with behavioral aversive therapy, the third session begins with rational psychotherapy aimed at fixing normal body weight, then conduct acupuncture, then when conducting behavioral psychotherapy form the dominant according to Ukhtomsky, consolidate the results of psychotherapeutic correction, the course of treatment is 5 days, after 30-40 days they conduct a session of behavioral psychotherapy, which is monitored and provided moral support.  2. The method according to claim 1, characterized in that the correction is carried out by two psychotherapists with different types of personality - an extrovert and an introvert.  3. The method according to claims 1 and 2, characterized in that, if necessary, the patient conducts an independently session of non-directive hypnotic psychotherapy using audio media.  4. The method according to claims 1 to 3, characterized in that the interval between sessions is 36-40 hours

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