. In this article expediency of application of monophasic, high frequency and low amplitude transcutaneous neuroelectrostimulation in treatment of neuropathic pain in patients with diabetic distal polyneuropathy of lower extremity was proved. This study included 159 patients with acute distal neuropathic pain in lower extremity. In all patients di-abetic mellitus 2 type was diagnosed and clinical signs and symptoms of distal polyneuropathy were found. Comparative dynamics of clinical and electromyographic manifestations of diabetic distal polyneuropathy between basis and control groups were analyzed. 62 patients in control group undergone treatment by the Duloxetine 60 mg every day within 3 months. In basis group 97 patients in addition to the Duloxetine were treated by transcutaneous neuroelectrostimulation during 30 minutes per day after day for 15 days. This study showed that complex treatment by combination use of transcutaneous neuroelectrostimula-tion with central analgesic more effective than traditional analgesic therapy in treatment of neuropathic pain in patients with diabetic distal polyneuropathy.

In the research, 31 women and 8 men with skin diseases (eczema, psoriasis, atopic dermatitis, acne vulgaris, skin itching, hives) were selected, as a result of the survey and examination, the presence of their stress history has been found. All patients had mild or moderate severity of disease, sub-acute or chronic, the adult phase. Treatment was a combination of psychotherapy, phytotherapy and reflexotherapy (acupuncture).The positive effect was confirmed by the dynamic parameters used in study of standard scales and test with severity decrease in scores. (р>0,05). Using the combined treatment made possible to focus on the one of the methods included in the combination, depending on the individual characteristics of the individual patient. The good tole-rability, no side effects and availability allow to recommend the use of this medical complex in hospital and outpatient settings.

The purpose of this work was to study clinical efficiency of the periosteal corticosteroid injections, a monophasic high-frequency low-amplitude electrical neuro-stimulation, a monophasic low-frequency high-amplitude electrical neuro-stimulation and the acupuncture in the treatment of fibularis syndrome (FS) in pa-tients with type 2 diabetes mellitus (DM-2). Materials and methods. From 2004 to 2014, 183 patients (121 women and 62 men) with a diagnosis of FS suffering from DM-2 in the stage of compensation were under medical supervision. All patients (27 people – control group) had a pharmacotherapy for treatment FS and DM-2. 78 patients had additionally a course periosteal corticosteroid injections (the 1-st group), 25 patients had a course monophasic high-frequency low-amplitude electrical neuro-stimulation (the 2-nd group), 29 people – a course monophasic high-frequency low-amplitude electrical neuro-stimulation; 24 patients – a course of acupuncture (the 4-th group). Pain, neurological status and electromyographic state peroneal nerves were studied before and after treatment. Conclusion. Periosteal corticosteroid injections in combination with TF are the most effective method in the treatment of FS in patients with DM-2. The reduction in pain, regression of the inflammatory process in the peroneal nerve and reducing the severity EMG violations were noted. The second highest decrease of pain syn-drome is the combination of the TF MVN the TENS, motor deficit and EMG - violations in the background of this treatment weren’t significantly changed. The use of the TENS in combination with TF and RTIs in combina-tion with TF reveals a reduction in pain, motor deficits and the severity of the inflammatory process in the pero-neal nerve, without significant changes of the EMG.

The authors of this review demonstrate the correlation between the cultural features, social factors and the patients’ expectations from the psychotherapy. Russian psychologists have been paying very little attention to client expectations. It is very often that convergence between the patient´s expectations from psychotherapy and that the psychotherapist offers the patient - often depends on the success of the therapy. The results of many studies confirm that clients´ expectations are an important factor with regards to the efficiency of psy-chotherapy as well as to the rate of drop-outs. Reliable methods of assessment of clients´ expectations allow to create and to implement strategies of pre-therapy interventions. The theoretical structure of patients´ expectations is complex, as is the set of their determinants. Patients´ choices reflect their mentality, the social stratum and cultural tradition they belong to, their personal traits and value systems, inner dynamic factors including the type of attachment and particularities of the psychopathology, and so on. The paper covers multiple aspects of determination of the construct «patient´s expectations». Particular focus is on the cultural determinants of Russian patients´ expectations. In the analysis of cultural determinants of therapy expectations the authors used approaches of Ruth Benedict and Geert Hofstede. According to Benedict´s classification Russian culture might be considered more as so-called Dionysian culture. According to authors’ analysis more pertinent patients´ expectations formed by Russian culture might be such psychotherapies as psychodrama, NLP, Gestalt-therapy Holotropic Breathwork; and in a less degree – psychoanalysis.

The research included 26 women with acne vulgaris. The purpose of this work was the study of the impact of non-drug methods of correction of vulgaris acne caused by stress disorders. The mental state of patients was determined by traditional clinical method using standard psychometric tests. The assessment was made before treatment, on day 14, 21 and 35 day of therapy. Dermatological control of patients was conducted at the beginning and at the end of treatment. The non-drug methods were psychotherapy, phytotherapy and reflexotherapy (acupuncture). The positive effect was confirmed by the dynamic parameters used in study of standard scales and test with severity decrease in scores (р>0,05). The study proved high efficiency of complex application of combinations of non-drug methods in the treatment of disorders related to stress and impaired adaptation with concomitant acne. The use of combined treatment gave the opportunity to focus on one method, including in the combination, depending on the individual characteristics of patient. The good tolerability, absence out-side effects and availability allow to recommend this medical complex both hospital and outpatient settings.