Alcoholism and depression.

Alcoholism and depression are entangled in many ways and appear in many combinations. In spite of this fact, to this problem is rarely given sufficient attention which results in poor diagnostic and inadequate therapeutic approach with all the consequences this engenders. The frequency of depression in alcoholics is investigated here with the object of finding out to what extent it can be successfully diagnosed and medically treated. The research was carried out in the Psychiatric Clinic of the Clinical Hospital "Split" and the sample of examinees included the patients treated in the stationary part of the Clinic and in the daily hospital.

[Anorexia nervosa]. / Anoreksija nervoza.

Anorexia nervosa is a very serious and potentially lethal eating disorder. It is characterized by distorted body picture, obsession with thinness, and loss of body weight exceeding 15% of expected ideal body weight. The incidence of this disorder is increased and the earlier the diagnosis and therapy start, the better is the prognosis. Etiology is unknown, but biological, social and psychological factors are assumed. The clinical picture is characterized by loss of body weight, amenorrhea, opstipation, sensitivity to cold, dry skin, exhaustion and obsession with the fear of becoming fat. Some laboratory findings are deranged, especially electrolyte balance. Hormonal derangement is also found. Diagnosis is made according to ICD 10, or DSM IV diagnostic criteria. In differential diagnosis, distinction has to be made from many somatic and some psychiatric disorders. Generally, somatic complications indicate the treatment, first in hospital and later on the outpatient basis. In the treatment, special attention should be paid to simultaneous application of pharmacotherapy and psychotherapy in order to ensure better prognosis, which is usually poor.