RU2318545C1 - Method for treating alcoholic addiction, tobacco-smoking and overweight cases - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves detecting clinical specific of disease, personality safety degree, characterological specific, marked attitude to treatment at the first treatment day. Suggestion without directives is carried out at the second stage. It is aimed at creating treatment motivation. The third treatment stage is composed of 5-10 sessions. Its duration is 3-4 weeks. It comprises introducing patient into hypnotic state for carrying out directive suggestion. Then, the patient is helped out of hypnotic state and the directive suggestion is carried out exerting visual, auditory, and physiotherapeutic influence. The patient accomplishes accented breathing. 1-3 months later, the fourth stage is put in practice. It comprises treatment effectiveness control and directive suggestion, if necessary.

EFFECT: enhanced effectiveness of treatment.

Description

The invention relates to medicine, namely to psychiatry, emotionally stressful psychotherapy, and relates to methods for treating alcoholism, smoking, excess weight.

There is a method of treating alcohol, nicotine, drug and food addiction, in which the patient is placed in a soundproof room, put into a state of hypnotic sleep, and a video sequence of negative pictures is projected onto the screen of a video monitor or on the video glasses of the VFX-1 helmet. They fix the patient's attention on unpleasant grotesquely emphasized moments associated with the use of alcohol, tobacco, drugs or food abuse. The odors accompanying the abuse are injected into the room, and the patient's skin and mucous membranes are exposed to air and water flows. Against the background of psycho-emotional overstrain, they perform a suggestive effect through the audio channel of the VFX-1 helmet or the speaker system and verbally form an attitude toward refusing alcohol, tobacco, drugs and food abuse. The procedure is carried out for 30-60 minutes, once or daily for 5-12 days. The creation of positive emotions is carried out by projecting on the screen a semantic video sequence in the form of positive pictures of the formation of ideal images of the development of a personality, free of various dependencies. If there is a craving for the use of alcohol, tobacco, drugs or food abuse, the procedure is repeated after 4-6 months (P. 2193900, RU).

There is a method of treating alcoholism, drug addiction, smoking, obesity, gambling and sexual inadequacy, consisting in the fact that they establish the clinical features of the disease, the degree of preservation of personality, characterological features, the severity of the treatment. Indirect suggestion is performed and a hypnotic state is induced, followed by suggestion at the subconscious level by demonstrating to the patient a video image, which includes the 25th frame with verbal information and visual images containing, depending on the patient’s diagnosis, a ban on alcohol, drugs, tobacco, and gambling games, sexual deviations. At the same time, visual images in the 25th frame are presented in a stereoscopic image. In a static or dynamic image, facial expressions of a person who is a recognized authority for the patient are also presented. At the same time, the 25th frame is shown with an interval of 1-3 s, and the number of 25 frames displayed during one treatment session is 1-2 thousand (P. 2226409, RU).

Also known is a method of treating alcoholism, drug addiction, tobacco smoking, which consists in the fact that at the first stage of treatment they clarify the clinical features of the disease, the degree of preservation of personality, characterological features, the severity of the treatment and conduct indirect suggestion. At the second stage, a hypnotic effect is performed, and at the height of hypnosis or after exiting it, at the command of a doctor, the patient opens his eyes and looks at the screen with a video image, on the 25th frame of which verbal information is placed containing a ban on alcohol, drugs, tobacco. At the same time, in the video sequence played on the screen, the transition from static to dynamic pictures is carried out. After that, a virtual reality helmet is put on the patient, in which he views the video in the same sequence (P. 2162349, RU).

The disadvantage of the above methods is the insufficient duration of remission, because they use primarily the visual channel of perception for influencing the patient, which is most of all controlled by consciousness and hardly passes through negative information and the treatment setting; in addition, the use of text with negative suggestions in the 25th frame does not always give the expected effect, since the letter row is not consciously perceived in the 25th frame, and for the deeper layers of the psyche, letter designations of information do not carry.

The objective of the proposed method is to increase the duration of remission.

The problem is solved by elucidating at the first stage of treatment the clinical features of the disease, the degree of preservation of personality, characterological features, the severity of the installation for treatment. The new in the proposed method is that if the severity of the installation for treatment is insufficient, preliminary non-directive suggestion is carried out in the second stage, then the third stage of treatment is carried out, including the introduction of the patient into a hypnotic state in which directive suggestion is performed, then the patient is taken out of the hypnotic state and the suggestion, at the same time using visual, auditory and physiotherapeutic effects, at the third stage the patient carries out accentuated breathing; visual impact is carried out through the helmet of virtual reality in the form of meaningless images in order to defocus the patient's attention; audio information is inputted through the headphones of a virtual reality helmet with layering on a verbal series of noise effects that mask the directive effect from the patient’s consciousness, aimed at changing attitudes to alcohol or tobacco, or problematic products, form a positive attitude in the patient by individually emphasizing value attitudes; physiotherapeutic effect is carried out on the forearm by an electric pulse myostimulator; the patient constantly carries out accentuated breathing, focusing attention on the liver or kidneys, or heart, or lungs, or in the area of the eyebrows; the third stage includes 5-10 sessions with an interval of 2-3 days, with a total duration of 3-4 weeks, then after 1-3 months, the fourth stage is carried out, including monitoring the effectiveness of treatment, and, if necessary, conduct a directive suggestion.

For a better understanding of the essence of the method, the following examples of its implementation are offered.

Clinical example 1.

The patient is a 43-year-old man with a higher technical education, works as a manager in a large industrial company as a production manager, is married, has two adult children. In childhood he was brought up in a military family. My father was a man of strict rules, he was alcoholized occasionally on holidays, his mother was not alcoholized at all. Relations in the family were formal, the manifestation of emotionality was not welcome. Parents did their utmost to “make a boy a real person”, for poor grades at school, the child suffered harsh penalties in the form of a long (up to 3 hours) kneeling in a corner. Initiative, curiosity were also not welcomed, his father was an indisputable authority, and his word was law. After the death of his father, when the young man was 25 years old, his “upbringing” was continued by his mother, the woman is also strong-willed and wayward. She dictated to her son how to live, where to work and chose a future spouse. In childhood, he suffered from measles, sore throats were frequent, despite the fact that parents were involved in tempering the child in the form of dousing with cold water in the morning and skiing on the weekend. After graduation, marriage and the birth of two children, when the mother began to age and not so often showed a desire to manipulate her son, there was a greater chance of independence, for which the man was not prepared.

Signs of alcohol dependence have increased over the past ten years. Initially, alcohol was consumed "on holidays", then more frequent for business negotiations, then for relaxation on weekends. The dose of alcohol tolerance gradually increased, the hangover syndrome intensified, and memory began to fall out on events during intoxication and teeth.

By the time of treatment, alcohol consumption occurs weekly for 2-3 days, there are signs of memory lapses of up to 2 hours during the period of alcohol consumption, a hangover syndrome, increased interest in alcohol, an increase in the “tolerance dose”, a decrease in the general circle of interests and intelligence.

Objective inspection.

Male, looking 48-50 years old, normal physique. The turgor of the skin is slightly reduced. Noteworthy is a slight tremor of the hands in the Romberg position, although stability has been preserved, and an increase in the vascular pattern on the skin of the face. The face is slightly puffy. The palatine test performs satisfactorily. Tendon reflexes are slightly reduced.

Blood pressure 130 and 80 mm Hg, pulse 80 beats. in minutes The chest is symmetrical, both halves are involved in the act of breathing. The vesicular breathing, single dry rales in the lower segments on the left (apparently due to bronchitis transferred a month ago). Heart tones are clear. Percussion above the lungs is determined by pulmonary sound. The last fluorography three months ago, without features. The pulmonary fields are clear, the sinuses are free, the shadow of the heart is slightly widened to the left. On the electrocardiogram, the sinus rhythm is 84 beats per minute. Signs of partial blockade of the left bundle branch branch and myocardial dystrophy. The tongue is moist, slightly coated with a white coating. The abdomen is symmetrical, participates in the act of breathing. Palpation is painless, the liver is enlarged by 2 cm along the midclavicular line on the right, painless. The spleen is painless, the border is normal.

He refused a rectal examination.

Mental status. It is fully oriented, comes into contact sluggishly, answers questions briefly.

Before treatment three times with 1-2 year intervals, “coding”, “Esperale” suturing, hypnotherapy with a reduction in the period of abstinence from alcohol from one to 4 months, followed by a long (10-15 days) binge. I agree with the diagnosis “alcoholism”, considers the reason as a lifestyle, the need to drink at work when concluding deals, hopes to “hold out” sober for at least a year.

Appealed at the insistence of relatives and employees, as a result of treatment he expresses doubt, because previous treatment experiences were unsatisfactory.

Diagnosis: chronic alcoholism 2 stages.

Treatment.

Stage 1.

Interview, familiarization with the main provisions of the proposed method of treatment, indications and contraindications.

The conclusion of a contract with the patient, which stipulates the basic conditions for the treatment, focuses on the responsibility of the patient for their condition and health, on the fact that the treatment process involves the active participation of the patient in it.

The presence of relatives is mandatory at the interview, as It is proposed to pay attention to their relationships and recall the relationships in the family where they were brought up as children. Emphasis is placed on the special atmosphere in which the child grows, on the upbringing style, in which there is a desire to “form a person” and the willful qualities of the personality are distorted.

Patients and relatives are encouraged to form more mature relationships in their family, the need for responsibility in the formation of mature relationships and their healing effect is emphasized.

2 stage.

Because the patient has insufficient severity of the attitude to treatment; non-directive suggestion is performed. Particular attention is paid to the responsibility of the patient for his sobriety and the role of the doctor as an assistant in healing. Then they explain the causes of alcoholism from the point of view of biochemistry and physiology, the emphasis is on the conditions of successful treatment in the case of the leading role of the patient and the importance of his own desire in getting rid of the disease.

To this end, they explain the signs of the development of the disease: the main ones are the signs of loss of control over thoughts, the situation and the dose and the secondary ones are binges, a hangover, memory loss, and a change in the “comfortable dose”. Explain the basics of addiction - lies and violence, which are manifested in the deception of relatives of patients and vice versa, the desire to manipulate, manage each other.

Examples of the “disguise” of the disease are given: comparing oneself with the one against whom I look better, shifting responsibility from myself to others, to the situation, etc.

Examples of exaggerated alcoholic behavior are given and signs of the manifestation of an alcoholic disease are understood on them.

Explain the mechanism of dependence in terms of the benefits of alcohol. The relaxation that its use brings is vital for the body and psyche, as violent relationships with oneself generate a reaction of stress and tension, which leads to a feeling of general discomfort and the appearance of stressful diseases.

3 stage.

The patient is put into a hypnotic state in which directive suggestion is carried out, then the patient is taken out of a hypnotic state and directive suggestion is carried out by means of visual images displayed through a virtual reality helmet, audio information inputted through the headphones of a virtual reality helmet with layering on a series of noise effects with using a computer program for processing sound Sound Sound forge (modulated speech), masking the directive effect from the patient’s consciousness, aimed at changing ix attitudes towards alcohol, and physical therapy action miostimulyatory electric pulse on the forearm reach the dispersal patient attention and create conditions for deeper of policy suggestions. Through the headphones of the helmet of virtual reality, they first broadcast the speech installation to abstain from alcohol, then the modulated speech of the psychotherapist with directives for refusing alcohol, the appearance of unpleasant sensations from their smell and memory of taste. Throughout the session, the patient breathes deeply and relaxed through the mouth, focusing on the kidneys.

2 days after a brief interview with the patient about his well-being, a second session of the 3 stages of treatment is carried out to deepen suggestions, where directives suggest the rejection of alcohol and the benefits of a sober lifestyle. The patient breathes deeply and relaxed with an emphasis on breathing in the liver area. This area is extremely important because it is the liver that is responsible for the processing of ethyl alcohol and is the first to suffer among alcoholics. Breathing activates metabolic processes in the liver.

After 3 days, they conduct the next session of the 3 stages of treatment, which is similar to the previous ones, where the patient is reminded that the treatment is aimed at deep study of the change in attitude to alcoholic beverages. The patient activates breathing in the region of the heart. This area is extremely important because it is she who is responsible for the formation of a feeling of love, without which the integration of positive and negative emotions is impossible.

After 2 days, the next session of the 3 stages of treatment is carried out, which is similar to the previous ones and is aimed at consolidating the attitude of indifference to alcoholic beverages. In this case, the patient activates breathing in the lung area.

After 2 days, they conduct the next session of the 3 stages of treatment, which is similar to the previous ones. In this case, the patient activates breathing in the area between the eyebrows.

Then, five more sessions of the 3 stages of treatment are carried out with interruptions of 3 days, with the sequence of effects described in the previous five sessions.

At the end of each session, the patient focuses on the conditions of successful recovery from the disease - responsibility for their actions, lifestyle changes, and development - expanding the range of interests and the range of pleasure from life. In addition, they remind you of possible complications in violation of sobriety.

After 1 month, the fourth stage is carried out as a control meeting. After a follow-up interview and clarification of questions about the patient’s well-being, they conduct a non-directive suggestion session. The patient is explained the difference between a “dry” alcoholic and a recovering one. They suggest realizing the role of inner maturity and courage in getting rid of the disease. True courage lies in the ability to experience any power feeling, emotion, without suppressing it and without prolonging the suffering. They explain the need for the ability to be open and loving, receive joy from life and use the power of grief as a way of tempering one’s feelings. In addition, the patient is offered, plunging into himself, to realize those feelings that were closed, suppressed, as “bad” - such as tears, anger, openness and others, to restore contact with them and see how they, cleansing his body, make him stronger and more courageous, and spread these changes to his future. Then they conduct a directive suggestion of indifference to alcohol and a positive attitude towards improving relations with oneself and people. In this case, the patient breathes deeply and relaxed.

When examined after 3 months, she feels well, there are persistent changes in interests, friends and family relations have become more mature and trusting. Marked changes in general tone, appetite and sleep. The emotional level has changed. There was a persistent disappearance of interest in alcohol, a comfortable state from being sober in the circle of colleagues, increasing respect from relatives and management, expanding the circle of interests, improving health subjectively and objectively, also began to engage in sports (jogging), previous binges and related alcohol problems are gradually forgotten. Relations with the spouse have significantly improved. The atmosphere in the family has become more friendly, aimed at mutual understanding and support, expression of feelings and thoughts without the need for mutual control and criticism. The degree of awareness of measures of their responsibility for their health, their actions has increased.

Clinical example 2.

A woman of 35 years old, works as chief accountant, higher education in economics, married, son of 14 years old. Signs of overweight appeared after pregnancy and childbirth. Up to 20 years of age, she did not have a tendency to overweight, although her mother and grandmother on the father's side were full. Lived and raised in a family with two sisters. The father drank on holidays, often venturing scandals, and little girls had to hide sometimes in the underground to avoid beating. In a sober state, the girls' father dearly loved and often indulged in the purchase of caramels and ice cream.

Having married about 20 years of necessity - pregnancy, in order to avoid human gossip, after some time she found in her husband similarities with her father. Although the husband is not an alcoholic, however, during periods of alcoholization he showed aggressiveness and discontent, easily breaking into scolding for any reason, and once it came to assault.

Several times she independently attempted to lose weight with the help of diets and aerobics, was encoded twice, but the results were not stable, the weight was regained after the termination of the diet or the coding period.

At the time of the appeal:

The physique is normosthenic. The chest is symmetrical, both halves are involved in the act of breathing. The mammary glands of the usual form, on palpation are soft, the tissue is homogeneous, painless. With auscultation of the lungs, vesicular breathing, no wheezing, heart sounds are clear, rhythmic. Blood pressure 120 and 80 mm Hg Pulse 70 beats per minute, satisfactory filling.

Percussion above the lungs pure pulmonary sound.

The abdomen is soft, painless, participates in the act of breathing, the size of the liver is not enlarged, peristalsis is alive, there is no pain on palpation. Vaginally, the uterus is not enlarged, palpation of the ovary on the right is slightly painful, the ovaries are not enlarged, the vaginal secretion is transparent, odorless.

In the Romberg position is stable, tendon reflexes without features, symmetrical.

Sensitivity saved. Notes periodic soreness in the lumbar and thoracic spine with fatigue and stress.

Mental status. Oriented, contact. He considers overeating, especially in the evening, an addiction to sweet and flour products, the reason for overweight. Has about 25 kilograms of excess weight. The most valued products are ice cream, fresh pastries, caramel. Irregular nutrition, often “seizes” stress. Hoping for a good result, going to improve relations with her husband.

Conclusion: overweight.

Treatment.

Stage 1.

Interview, familiarization with the main provisions of the proposed method of treatment, indications and contraindications.

The conclusion of a contract with the patient, where they stipulate the basic conditions for the treatment, emphasize the responsibility of the patient for her condition and health, and that the treatment process involves her active participation. They explain the causes of excess weight from the point of view of biochemistry and physiology, the emphasis is on the leading role of glycemic disorders and the role of products with a high content of carbohydrates in them. They explain the role of products with different carbohydrate contents and the mechanisms of carbohydrate dependence formation at biochemical, physiological and psychological levels, the similarity of drug, alcohol and carbohydrate dependencies. They emphasize the need to interrupt the vicious cycle of dependence - namely, the exclusion from the diet of foods - addiction stimulants.

Explain the differences in food hunger from all other causes that shape human nutritional behavior. They emphasize the inappropriateness of fasting and diets, in which the amount of food is sharply reduced, as inhibition causing a stressful reaction. They explain the principles of nutrition with a low content of carbohydrates, the need to enjoy food.

2 stage.

Conduct non-directive suggestion. The patient is offered to build a different relationship with her body. They suggest that you first feel and realize your body and make sure that relations with it are usually built on violence. Then, the emphasis is shifted to the formation of relations of more equal relations “as two friends, girlfriends”, in which obligatory attention is paid to bodily needs.

In order to create motivation, they form a goal - changing relationships with your body and establishing contact with it, based on acceptance, friendliness and love, as a guarantee of successful gaining a slender figure and the ability to enjoy life.

3 stage.

The patient is introduced into a hypnotic state in which directive suggestion is made, then she is withdrawn from the hypnotic state and 1 directive suggestion session is conducted, in which the patient’s attention is scattered and physiotherapy is stimulated by the electropulse myostimulator and conditions are formed. for a deeper suggestion. Through the headphones of the virtual reality helmet, audio information is inputted layered on a word series of noise effects using the Sound forge (modulated speech) computer-aided sound processing program, which masks the directive settings for refusing sweet and flour products. Throughout the session, the patient breathes deeply and relaxed through the mouth, with an emphasis on breathing on the kidneys.

After 3 days, spend 2 session 3 stages of the proposed method of treatment with an emphasis on breathing in the heart region. This area is extremely important because it is she who is responsible for the formation of a feeling of love, without which it is impossible to treat her body well.

After 3 days, a 3 session of 3 stages of treatment is carried out according to the proposed method with directive suggestion of indifference to sweet and flour dishes, the dangers of their use and the formation of a positive mood for well-being, movement to the desired result. During the session, the patient breathes deeply and relaxed through the mouth with an emphasis on the liver, as it is with this organ that a person has manifestations of kindness, without which nonviolent relationships with oneself are impossible.

After 3 days, spend 4 session 3 stages of treatment by the proposed method. By this session, the patient lost 3 kg, changes were identified in relation to sweet and flour products, hunger was less likely to appear, overall body sensitivity increased, and emotional tone changed.

Directive suggestion consists in emphasizing the need to expand the spectrum of the pleasures of life, balance in the system of relations with the body “I must” - “I want”, deepening awareness of my body, emotions and feelings, the ability to use them depending on the situation.

Also, a directive was instilled of indifference to sweets and starchy foods and a positive attitude towards improving relations with oneself and people. During the session, the patient breathed deeply and relaxed through the mouth with an emphasis on the point between the eyebrows, which contributes to the development of determination in achieving the chosen goal.

After 2 days, a 5 session of 3 stages of treatment was carried out according to the proposed method with an emphasis on breathing on the heart, which enhances the effect of "cleansing" of suffering and causes a more subtle experience of gratitude and love.

Within 1 month after treatment, there was a persistent disappearance of the need for sweet and starchy foods, an improvement in overall well-being, interest in work and life. I lost 13 kg in 2 months.

On examination, after 3 months she lost another 12 kg, her weight stabilized. The general state of health is good, the attitude to sweet and flour products is indifferent.

Inspected after a year. She feels great, digestive disorders have disappeared, relations with her husband have improved, including and sexual, the husband practically does not drink, more often he began to give flowers, the degree of trust and intimacy increased. Twice a week engaged in ballroom dancing.

Clinical example 3.

The patient is 67 years old. Senior citizen, lives with his wife. Smokes since 14 years. He began to smoke "for the company", with the elders. Gradually, dependence developed. There were no previous attempts to quit smoking. Recently, the appearance of “smoker's bronchitis” intensified - coughing in the morning with sputum, shortness of breath, leg fatigue when walking began to bother, and doctors advised to quit smoking. At the time of treatment smokes up to 30 Prima cigarettes. Spouse does not smoke, family relations are even, there are practically no quarrels. Occasionally, children and grandchildren come, which serves as an additional motive, since "I would not want to set a bad example for my beloved grandson."

Objective inspection:

The constitution is normosthenic, nutrition is somewhat reduced, the skin of the face and body is grayish in color, the vascular pattern is moderately enhanced.

The chest is symmetrical, both halves are involved in the act of breathing. Auscultatory breathing is harsh; single dry rales are heard over the entire surface of the lungs. Heart sounds are rhythmic.

On the electrocardiogram, the sinus rhythm, 78 beats per minute, age-related changes in the myocardium.

On the roentgenogram of the lungs, an increase in the pulmonary pattern in the middle sections of the lungs, the waist of the heart is slightly smoothed, the right ventricle is dilated.

The abdomen is symmetrical, soft, participates in the act of breathing, painless on palpation.

When examining the lower extremities, pallor and thinness of the skin, dry skin pay attention. The pulse is determined in the popliteal fossa on both sides, the limbs are cool to the touch, the pulse is not detected on the feet.

On the reovasogram of the lower extremities, impaired patency of the arteries below the popliteal fossa on both sides.

Neurologically, the palpebral fissures are symmetrical, the pupils are the same, and there are no pathological signs. In the Romberg position is steady.

Mental status - oriented correctly, easily and willingly comes into contact.

Conclusion: smoker's bronchitis with dyspnea according to the expiratory type, obliterating atherosclerosis of the vessels of the legs 2 tbsp., Expressed nicotine dependence.

Treatment.

Stage 1.

Interview, conclusion of an agreement on cooperation with mutual obligations. At the interview, they emphasize that the main role in quitting cigarettes belongs to the patient himself. If you wish to smoke, they suggest that you contact us again.

2 stage.

Because the patient has insufficient severity of the orientation to treatment, conduct non-directive suggestion, explain two sides of the dependence - physical and psychological and the principles of working with them. They emphasize that any smoker himself can quit smoking for a while. Describe positive examples of previously quitters. Explain the meaning of the proposed treatment.

3 stage.

The patient is introduced into a hypnotic state in which directive suggestion is performed. The patient is offered to build an understanding of the desired goal with increased motivation for submodalities (brighter, more, closer, etc.) and look forward. Then the past with cigarettes is automatically presented behind. Then the patient is taken out of a hypnotic state and due to visual images demonstrated through a virtual reality helmet, audio information inputted through the headphones of a virtual reality helmet with layering on a verbal series of noise effects using the sound processing software Sound forge (modulated speech), masking the directive effect from the patient’s consciousness, aimed at changing attitudes towards tobacco, and the physiotherapeutic effect of the electropulse myostimulator on the forearm area s, they achieve dispersal of the patient’s attention and the formation of conditions for a deeper conduct of directive suggestion. They give an example of a negative future associated with the use of tobacco, and the rejection of cigarettes as a means associated with a high risk of getting sick, dying and losing what is infinitely expensive. To reinforce negative motivation, they propose building such a future on a sensual level in order to abandon tobacco once and for all, leaving behind and turning again to what is expensive. Conduct a directive of indifference to cigarettes and a choice of fresh, clean breath. The patient constantly breathes deeply and gently through his mouth, focusing on the lung area.

After 2 days, a repeated session of the 3 stages of treatment is carried out, the patient breathes deeply and relaxed, focusing on the region of the heart.

After 2 days, they conduct the next session of the 3 stages of treatment, which is similar to the previous ones. The patient activates respiration to the liver area.

After 2 days, the next session of the 3 stages of treatment is carried out, which is similar to the previous ones. The patient activates respiration in the kidney area.

After 2 days, they conduct the next session of the 3 stages of treatment, which is similar to the previous ones. The patient activates breathing on the area between the eyebrows.

Then 2 more sessions of the 3 stages of treatment are carried out with interruptions of 3 days, with the sequence of actions described in 1 and 2 sessions of the 3 stages of treatment.

Examined after 1 month. Refusal of cigarettes proceeded easily; there was no need to resort to additional measures to reduce the need for cigarettes. The first month noted an increase in cough with sputum discharge, then the cough passed, it became easier to breathe, there was a sense of smell, began to feel better and more cheerful. Examined after 3 months. Objectively noted a change in skin color, increased emotional and physical tone, the disappearance of wheezing during auscultation of the lungs.

The proposed method has advantages compared with the known ones, increasing the duration of remission up to 10 years, expanding the scope of psychotherapeutic treatment of addictions; reduces the labor costs of a psychotherapist, allows you to work individually with each patient.

In the proposed method, the visual channel is used to enhance the hypnotic effect, and the main load in the treatment is borne by the audio channel, less controlled by consciousness. Used in the proposed method, a comprehensive effect on all senses in combination with preliminary psychotherapeutic preparation can significantly reduce the criticality threshold, which greatly facilitates the perception of treatment settings aimed at destroying the pathological program with the totality of effects.

Thus, for the first time, a method has been developed for the treatment of alcoholism, smoking, overweight, which is based on meaningless visual images to defocus the patient’s attention, in addition, they mask the directive effect, aimed at changing attitudes to alcohol, tobacco, problematic products, and also form the patient has a positive attitude by individually emphasizing value attitudes.

The proposed method has the following advantages:

1. The patient has the opportunity to see for himself the manifestation of the symptoms of the disease and decide whether he is a patient who needs help.

2. Following the recommendations of a psychotherapist helps not to cross out the sphere of harmful interests and endure without alcohol or tobacco or problematic products for some time, but to replace it, expanding the circle of your interests, which compensates for the emotional background and improves physical well-being.

3. The psychotherapist explains and studies with the patient the underlying causes of the disease: violent and deceitful relationships with himself and others, irresponsibility and unwillingness to grow up, a step is made towards the relationship of acceptance, relaxation and love.

4. The overall ability of patients to enjoy life is increasing, which significantly increases stress resistance and contributes to better health and the prevention of stressful diseases.

5. The ongoing method of treatment increases the suggestibility of patients and contributes to a deeper perception of the information conveyed.

6. Directive suggestions by modulated sound are perceived by the consciousness as an indifferent noise and do not include mechanisms of natural unconscious resistance to suggestions, which allows not to take into account the degree of so-called hypnosis of patients.

7. The respiratory session conducted by the patient with an emphasis on various parts of the body at the time of the session promotes deeper relaxation, activates the work of organs and metabolic processes, and causes a general healing effect.

8. A shift in emphasis from the results of "do not drink", "do not smoke", "do not eat", which is usually stated to patients, to the process of "deepening contact with oneself, emotions", with an emphasis on sincerity and responsibility, contributes to the development of the human mind, the ability to value life in all its manifestations, reducing general tension and establishing values such as love, understanding, sympathy and friendliness.

9. The involvement of family members in the treatment process can significantly accelerate the patient’s recovery process and contribute to the growth of deeper relationships based on sincerity, mutual understanding, friendliness, love and responsibility.

10. The combined combination of the proposed effects on the problem state and the use of techniques that enhance polar motivation, helps to experience conditions that enhance the patient’s determination on a sensual level, which significantly increases the effectiveness of therapy.

Contraindications of the method.

Contraindications include decompensated forms of endocrine disorders, mental illness, acute cardiovascular disorders and their consequences up to 6 months, traumatic brain injuries up to 6 months, pregnancy, acute infectious diseases, tumors.

Claims (1)

A method for the treatment of alcoholism, smoking, excess weight by clarifying at the first stage of treatment the clinical features of the disease, the degree of preservation of personality, characterological features, the severity of the treatment, characterized in that at the second stage they conduct non-directive suggestion aimed at creating motivation for treatment, then the third stage of treatment, consisting of 5-10 sessions with an interval of 2-3 days, with a total duration of 3-4 weeks and including the introduction of the patient into a hypnotic state, with which om conduct a directive suggestion, then the patient is taken out of a hypnotic state and directive suggestion is carried out, while simultaneously visualizing through a virtual reality helmet in the form of meaningless images, audio acting through the headphones of a virtual reality helmet with layering on a verbal series of noise effects that mask the directive effect from the patient’s consciousness aimed at changing attitudes towards alcohol, or tobacco, or problematic products, and forming a positive attitude in the patient by emphasizing individual set of values, and physiotherapeutic impact on the forearm electro miostimulyatory, in the third step the patient continuously breathing exercises accentuated, then after 1-3 months carried fourth step comprising monitoring the effectiveness of treatment and policy suggestion if necessary.