Guia Saude Mental Manual Rede Atencao Psicossocial

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SMSA
Secretaria Municipal
da Saúde
Manual da
Rede de
Atenção
Psicossocial
SMSA
da Saúde
BOA VISTA 2022 Elaboração e Organização
ȲɈǘɐȲRƵȁȲǞȱɐƵwƊƧǘƊƮȌ ȲƊȁƮƣȌ Eldon Mendes de Souza
Prefeito do Município de Boa Vista 0ǶǞɹƊƦƵɈǘhȌȺƵ˛ȁƊJɐƊƮƊȲǞȺǿȌ²ƊǶƋȺ
!ƋȺȺǞȌwɐȲǞǶȌJȌǿƵȺ 0ȁǿǞǶɯIƵǞɈȌȺƊǶǞɨƵǞȲƊ
Vice-Prefeito do Município de Boa Vista IƊƦǞƊȁƊwƵȁƮȌȁƪƊƮƊ²ǞǶɨƊ²ƊȁɈȌȺ
ªƵǐǞƊȁƵ ƊɈǞȺɈƊwƊɈȌȺ mƊȁǞƺIȌȁɈƵȺ²ȌɐȺƊ
Secretária Municipal de Saúde wƊȲǞƊßƊɐǶǞƊǿIƵȲȲƵǞȲƊƮƵ ȲǞɈȌ
ǶƊȁIȲƵǞɈƊȺƮƊªȌƧǘƊ
Revisão Técnica
Superintendente da Atenção Especializada
²ƊȁƮȲƊmɑƧǞƊ!ȌȲȲƵǞƊmǞǿƊIȌȲɈƵȺ
Rayssa Leite Dutra
!ǞȁɈǘǞƊǶǞɨƵǞȲƊ Triani
ȲƊȺǞǶ
àǞǶȺȌȁƮƊ²ǞǶɨƊmƵȺȺƊhɐȁǞȌȲ
Superintendente Básica
Atenção Básica
Superintendente da Atenção
jƊȺȺǞƊwƵƮƵǞȲȌȺ
ªƊɯȺȺƊmƵǞɈƵ(ɐɈȲƊÀȲǞƊȁǞ
!ƊɈƊȲǞȁƊwƊǐƊǶǘƣƵȺ(ƊǘǶ
Superintendente da Atenção Básica
IƊƦǞƊȁƊwƵȁƮȌȁƪƊƮƊ²ǞǶɨƊ²ƊȁɈȌȺ
4 SMSA - Secretaria Municipal de Saúde

Elaboração e Organização
Eldon Mendes de Souza: Biólogo, Psicólogo, Especialista em Educação Ambiental e dependência

química, mestre em ciências da religião.
(ȲƊ‫ خ‬0ǶǞɹƊƦƵɈǘ hȌȺƵ˛ȁƊ JɐƊƮƊȲǞȺǿȌ ²ƊǶƋȺ‫ ب‬Médica de Família e Comunidade, Psicóloga,

Terapeuta Holística.
0ȁǿǞǶɯIƵǞɈȌȺƊǶǞɨƵǞȲƊ‫ب‬Enfermeira da Estratégia da Saúde da Família e Comunidade da UBS

Olenka.
IƊƦǞƊȁƊwƵȁƮȌȁƪƊƮƊ²ǞǶɨƊ²ƊȁɈȌȺ‫ب‬Psicóloga, Cirurgiã Dentista, Pedagoga, Licenciatura Plena

em Matemática, Terapeuta Naturopata, Pós-graduada em Recursos Humanos e Gestão de
Pessoas, Pós-graduada em História Brasileira e Africana, Psicóloga Clínica‫خ‬
mƊȁǞƺIȌȁɈƵȺ²ȌɐȺƊ‫ب‬Psicóloga Clínica e atual diretora do Centro de Atenção Psicossocial Dona

Antônia de Matos - CAPS ll
(ȲƊ‫خ‬wƊȲǞƊßƊɐǶǞƊǿIƵȲȲƵǞȲƊƮƵ ȲǞɈȌ‫ب‬Médica especialista em Medicina da Família e Comunidade,

curso de Saúde Mental na atenção primária de saúde, facilitadora da OPAS do manual MI-
mhGAP. Articuladora do grupo de trabalho da RAPS, coordenadora de Saúde Mental do
município de Boa Vista, coordenadora da Central de Acolhimento Psicológico Emergencial
da Covid, terapeuta holística e incentivadora das PICS (Práticas Integrativas Complementares
do SUS).
Revisão Técnica
!ƊɈƊȲǞȁƊwƊǐƊǶǘƣƵȺ(ƊǘǶ‫ب‬Consultora Nacional de Saúde Mental, Organização Pan-Americana

da Saúde/Organização Mundial da Saúde.
²ƊȁƮȲƊmɑƧǞƊ!ȌȲȲƵǞƊmǞǿƊIȌȲɈƵȺ‫ب‬Psiquiatra, professora associada de Saúde Mental e Psicologia

FCM/UERJ, coordenadora interdisciplinar de pesquisa em atenção primária, colaboradora em
Saúde Mental da OPAS.
àǞǶȺȌȁƮƊ²ǞǶɨƊmƵȺȺƊhɐȁǞȌȲ‫ب‬Graduado pela UFMS (Universidade Federal do Mato Grosso do

Sul), residência médica em Psiquiatria pela Santa Casa de Misericórdia de Campo Grande-MS,
especialista em Psiquiatria Geral e Forense pela ABP/AMB, professor do curso de Medicina
da UFPB.
jƊȺȺǞƊwƵƮƵǞȲȌȺ‫ ب‬Psiquiatra do Centro de Atenção Psicossocial - CAPS lll.
IƊƦǞƊȁƊwƵȁƮȌȁƪƊƮƊ²ǞǶɨƊ²ƊȁɈȌȺ‫ب‬Psicóloga, Cirurgiã-Dentista, Pedagoga, Licenciatura Plena

em Matemática, Terapeuta Naturopata, Pós-graduada em Recursos Humanos e Gestão de
Pessoas, Pós-graduada em História Brasileira e Africana, Psicóloga Clínica.
Colaboradores
XǶƮƊȺǞƊyɐȁƵȺIƵȲȲƵǞȲƊ‫ب‬Administradora.
IƵȲȁƊȁƮȌ§ƵȁƊwǞǐɐƵǶwƊȲɈǞȁƵɹ‫ب‬Psicólogo, Médicos Sem Fronteiras.
XȺƊƦƵǶƊªƊǿȌȺ²ǞǶɨƊ‫ب‬Psicóloga, Médicos Sem Fronteiras.
!ƊȌƦƵmɐƧƊȺªȌƮȲǞǐɐƵȺƮƵ²ȌɐȺƊ‫ب‬Psicólogo, Médicos Sem Fronteiras.
Manual da Rede de Atenção Psicossocial 5

SUMÁRIO
10 XȁɈȲȌƮɐƪƣȌ
11 ²ǞɈɐƊƪƣȌ0ȯǞƮƵǿǞȌǶȍǐǞƧƊ
12 ȲƵƮƵƮƵƊɈƵȁƪƣȌƜȺƊɑƮƵ
14 yǠɨƵǶƮƵƊɈƵȁƪƣȌ‫§ب‬ȲǞǿƋȲǞƊ
16 yǠɨƵǶƮƵƊɈƵȁƪƣȌ‫ب‬²ƵƧɐȁƮƋȲǞƊ
21 (ǞȲƵɈȲǞɹƵȺƧǶǠȁǞƧƊȺȯƊȲƊɈƵȁƪƣȌƵǿ²ƊɑƮƵwƵȁɈƊǶȁƊƊɈƵȁƪƣȌȯȲǞǿƋȲǞƊƜȺƊɑƮƵ
22 !ȌǿɐȁǞƧƊƪƣȌ

23 §ȲȌǿȌƪƣȌ‫ة‬ȯȲƵɨƵȁƪƣȌƵɈȲƊɈƊǿƵȁɈȌ
24 IƵȲȲƊǿƵȁɈƊȺƮƵȯȲƵɨƵȁƪƣȌƮȌƊƮȌƵƧǞǿƵȁɈȌ
28 ²ƊɑƮƵwƵȁɈƊǶƵǿƧȌȁɈƵɮɈȌȺƮƵǿǞǐȲƊƪƣȌ
30 ɈƵȁƪƣȌƜȺȯȌȯɐǶƊƪȪƵȺǞȁƮǠǐƵȁƊȺ
32 ɈƵȁƪƣȌƜȺȯƵȺȺȌƊȺmJ ÀX‫ڕ‬
36 ÀȲƊȁȺɈȌȲȁȌȺwƵȁɈƊǞȺ!ȌǿɐȁȺ
60 ÀȲƊȁȺɈȌȲȁȌȺwƵȁɈƊǞȺ²ƵɨƵȲȌȺƵ§ƵȲȺǞȺɈƵȁɈƵȺ
69 ÀȲƊȁȺɈȌȲȁȌȺƊȺȺȌƧǞƊƮȌȺƊȌɐȺȌƮƵƋǶƧȌȌǶƵȌɐɈȲƊȺƮȲȌǐƊȺ
75 ǶɈƵȲƊƪȪƵȺȁƊ²ƊɑƮƵwƵȁɈƊǶȱɐƵȺƵǿƊȁǞǏƵȺɈƊǿȁƊǞȁǏƓȁƧǞƊ
Ƶ‫ش‬ȌɐƊƮȌǶƵȺƧƺȁƧǞƊ
82 ÀȲƊɈƊǿƵȁɈȌǏƊȲǿƊƧȌǶȍǐǞƧȌƵɈȲƊɈƊǿƵȁɈȌȁƣȌǏƊȲǿƊƧȌǶȍǐǞƧȌ
114 ªƵǏƵȲƺȁƧǞƊȺƦǞƦǶǞȌǐȲƋ˛ƧƊȺ

LISTA
DE SIGLAS
µg/mL‫ى‬wǞƧȲȌǐȲƊǿƊȺȯȌȲǿǞǶǞǶǞɈȲȌ
ABA‫ى‬ȁƋǶǞȺƵƮȌ!ȌǿȯȌȲɈƊǿƵȁɈȌȯǶǞƧƊƮƊ
AD‫ى‬ȁɈǞƮƵȯȲƵȺȺǞɨȌȺ
APS‫ى‬ɈƵȁƪƣȌ§ȲǞǿƋȲǞƊƜ²ƊɑƮƵ
ATC‫ى‬ȁɈǞƮƵȯȲƵȺȺǞɨȌÀȲǞƧǠƧǶǞƧȌ
AVC‫ى‬ƧǞƮƵȁɈƵßƊȺƧɐǶƊȲ!ƵȲƵƦȲƊǶ
CAPS‫!ى‬ƵȁɈȲȌƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǶ
CAPS AD‫!ى‬ƵȁɈȲȌƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǶǶƧȌȌǶƵȌɐɈȲƊȺ(ȲȌǐƊȺ
CID‫!ى‬ǶƊȺȺǞ˛ƧƊƪƣȌXȁɈƵȲȁƊƧǞȌȁƊǶƮƵ(ȌƵȁƪƊȺ
CPK‫!ى‬ȲƵƊɈǞȁȌǏȌȺǏȌȱɐǞȁƊȺƵ
CRAS‫!ى‬ƵȁɈȲȌƮƵªƵǏƵȲƺȁƧǞƊƮƵȺȺǞȺɈƺȁƧǞƊ²ȌƧǞƊǶ
CREAS‫!ى‬ƵȁɈȲȌƮƵªƵǏƵȲƺȁƧǞƊ0ȺȯƵƧǞƊǶǞɹƊƮȌƮƵȺȺǞȺɈƺȁƧǞƊ²ȌƧǞƊǶ
CSA‫!ى‬ȌǿɐȁǞƧƊƪƣȌ²ɐȯǶƵǿƵȁɈƊȲƵǶɈƵȲȁƊɈǞɨƊ
DEL‫(ى‬ǞȺɈɑȲƦǞȌȺ0ȺȯƵƧǠ˛ƧȌȺƮƵmǞȁǐɐƊǐƵǿ
DPP‫(ى‬ƵȯȲƵȺȺƣȌ§ȍȺٌȯƊȲɈȌ
ECG‫ى‬0ǶƵɈȲȌƧƊȲƮǞȌǐȲƊǿƊ
EEG‫ى‬0ǶƵɈȲȌƵȁƧƵǏƊǶȌǐȲƊǿƊ
ESF‫ى‬0ȺɈȲƊɈƶǐǞƊ‫ش‬0ȱɐǞȯƵ²ƊɑƮƵƮƊIƊǿǠǶǞƊ
FSH‫ى‬RȌȲǿȏȁǞȌIȌǶǠƧɐǶȌ0ȺɈǞǿɐǶƊȁɈƵ
GABA‫ى‬ƧǞƮȌJƊǿƊǿǞȁȌƦɐɈǠȲǞƧȌ
HCTP‫ى‬RȌȺȯǞɈƊǶƮƵ!ɐȺɈȍƮǞƊƵÀȲƊɈƊǿƵȁɈȌ§ȺǞȱɐǞƋɈȲǞƧȌ
HIV‫ى‬ßǠȲɐȺƮƊXǿɐȁȌƮƵ˛ƧǞƺȁƧǞƊRɐǿƊȁƊ
HP‫ى‬RȌȺȯǞɈƊǶ§ȺǞȱɐǞƋɈȲǞƧȌ
IM‫ى‬XȁɈȲƊǿɐȺƧɐǶƊȲ
IMC‫ى‬ZȁƮǞƧƵƮƵwƊȺȺƊ!ȌȲȯȌȲƊǶ

ISRS‫ى‬XȁǞƦǞƮȌȲƵȺ²ƵǶƵɈǞɨȌȺƮƊªƵƧƊȯɈƊƪƣȌƮƊ²ƵȲȌɈȌȁǞȁƊ
LCR‫ى‬mǠȱɐǞƮȌ!ƵǏƊǶȌȲȲƊȱɐǞƮǞƊȁȌ
LH‫ى‬RȌȲǿȏȁǞȌmɐɈƵǞȁǞɹƊȁɈƵ
LSD‫(ى‬ǞƵɈǞǶƊǿǞƮƊƮȌƧǞƮȌmǞȺƶȲǐǞƧȌ
mEq/L‫ى‬wǞǶǞƵȱɐǞɨƊǶƵȁɈƵȺȯȌȲmǞɈȲȌ
MG‫ى‬wǞǶǞǐȲƊǿƊ
NASF‫ى‬yɑƧǶƵȌƮƵȯȌǞȌƜ²ƊɑƮƵƮƊIƊǿǠǶǞƊ
OMS‫ى‬ȲǐƊȁǞɹƊƪƣȌwɐȁƮǞƊǶƮƊ²ƊɑƮƵ
ONG‫ى‬ȲǐƊȁǞɹƊƪƣȌyƣȌJȌɨƵȲȁƊǿƵȁɈƊǶ
OPAS‫ى‬ȲǐƊȁǞɹƊƪƣȌ§ƊȁٌǿƵȲǞƧƊȁƊƮƵ²ƊɑƮƵ
PEP‫§ى‬ȲȌ˛ǶƊɮǞƊ§ȍȺٌ0ɮȯȌȺǞƪƣȌƊȌRXß
PICS‫§ى‬ȲƋɈǞƧƊȺXȁɈƵǐȲƊɈǞɨƊȺƵ!ȌǿȯǶƵǿƵȁɈƊȲƵȺƵǿ²ƊɑƮƵ
PNPIC‫§ى‬ȌǶǠɈǞƧƊyƊƧǞȌȁƊǶƮƵ§ȲƋɈǞƧƊȺXȁɈƵǐȲƊɈǞɨƊȺƵ!ȌǿȯǶƵǿƵȁɈƊȲƵȺȁȌ²Ç²
PSE‫§ى‬ȲȌǐȲƊǿƊ²ƊɑƮƵȁƊ0ȺƧȌǶƊ
RAPS‫ى‬ªƵƮƵƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǶ
SAA‫ى‬²ǠȁƮȲȌǿƵƮƵƦȺɈǞȁƺȁƧǞƊƊȌǶƧȌȌǶ
SNC‫ى‬²ǞȺɈƵǿƊyƵȲɨȌȺȌ!ƵȁɈȲƊǶ
SRT‫ى‬²ƵȲɨǞƪȌªƵȺǞƮƵȁƧǞƊǶÀƵȲƊȯƺɐɈǞƧȌ
SUS‫ى‬²ǞȺɈƵǿƊÈȁǞƧȌƮƵ²ƊɑƮƵ
TC‫ى‬ÀȌǿȌǐȲƊ˛Ɗ!ȌǿȯɐɈƊƮȌȲǞɹƊƮƊ
TDAH‫ى‬ÀȲƊȁȺɈȌȲȁȌƮȌ(ƶ˛ƧǞɈƮƵɈƵȁƪƣȌƧȌǿRǞȯƵȲƊɈǞɨǞƮƊƮƵ
TEA‫ى‬ÀȲƊȁȺɈȌȲȁȌƮȌ0ȺȯƵƧɈȲȌƮȌɐɈǞȺǿȌ
TEACCH‫ى‬ÀȲƊɈƊǿƵȁɈȌƵ0ƮɐƧƊƪƣȌȯƊȲƊ!ȲǞƊȁƪƊȺƧȌǿÀȲƊȁȺɈȌȲȁȌƮȌ0ȺȯƵƧɈȲȌƮȌɐɈǞȺǿȌ
TEPT‫ى‬ÀȲƊȁȺɈȌȲȁȌƮƵ0ȺɈȲƵȺȺƵ§ȍȺٌÀȲƊɐǿƋɈǞƧȌ
TOC‫ى‬ÀȲƊȁȺɈȌȲȁȌƦȺƵȺȺǞɨȌ!ȌǿȯɐǶȺǞɨȌ
TSS‫ى‬ÀȲƊȁȺɈȌȲȁȌȺƮƵ²ǞȁɈȌǿƊȺ²ȌǿƋɈǞƧȌȺ
TSS‫ى‬ÀȲƊȁȺɈȌȲȁȌȺƮƵ²ǞȁɈȌǿƊȺ²ȌǿƋɈǞƧȌȺ
UA‫ى‬ÇȁǞƮƊƮƵƮƵƧȌǶǘǞǿƵȁɈȌ
VCM‫ى‬ßȌǶɐǿƵ!ȌȲȯɐȺƧɐǶƊȲwƶƮǞȌ
VO‫ى‬ßǞƊȲƊǶ

Introdução
ɈƵȁƪƣȌ §ȲǞǿƋȲǞƊ Ɯ ²ƊɑƮƵ ‫§ـ‬²‫ ةف‬ƵȁȱɐƊȁɈȌ ɐǿ ƮȌȺ ƵǞɮȌȺ
ƵȺɈȲɐɈɐȲƊȁɈƵȺƮȌ²ǞȺɈƵǿƊÈȁǞƧȌƮƵ²ƊɑƮƵ‫ـ‬²Ç²‫ف‬ƧȌȁɈƶǿɐǿƊǐƊǿƊƮƵ
ȯȲȌǐȲƊǿƊȺ ȯȲǞȌȲǞɈƋȲǞȌȺ ƧȌǿ Ȍ ȌƦǯƵɈǞɨȌ ƮƵ ȯȲȌǿȌɨƵȲ ƊƧƵȺȺȌ Ɯ ƊɈƵȁƪƣȌ
ǞȁɈƵǐȲƊǶ Ƶǿ ƮǞɨƵȲȺƊȺ ƋȲƵƊȺ ƮƊ ȺƊɑƮƵ‫ ة‬ƮƵȁɈȲƵ ȌȺ ȱɐƊǞȺ ƮƵȺɈƊƧƊǿȌȺ Ɗ
ǞǿȯȌȲɈƓȁƧǞƊƮƊɨǞȺǞƦǞǶǞƮƊƮƵƜ²ƊɑƮƵwƵȁɈƊǶ‫خ‬
§²ɈƵǿǞǿȯȌȲɈƊȁɈƵȯƊȯƵǶȁƊªƵƮƵƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǶ
‫ـ‬ª§²‫ف‬ȯȌȲȺƵȲƊȯȲǞȁƧǞȯƊǶȯȌȲɈƊƮƵƵȁɈȲƊƮƊ‫ة‬ƧȌȌȲƮƵȁƊƮȌȲƊƮȌƧɐǞƮƊƮȌƵ
ȌȲƮƵȁƊƮȌȲƊƮƊȺƊƪȪƵȺƵȺƵȲɨǞƪȌȺƮǞȺȯȌȁǞƦǞǶǞɹƊƮȌȺȁƊȲƵƮƵƮƵƊɈƵȁƪƣȌƜ
ȺƊɑƮƵ‫خ‬0ȁɈȲƵȌȺȺƵɐȺƮƵȺƊ˛ȌȺƊɈɐƊǞȺ‫ة‬ƮƵȺɈƊƧƊǿٌȺƵƊȱɐƵǶƵȺȲƵǶƊɈǞɨȌȺƊȌ
ƊƧƵȺȺȌƵƊƧȌǶǘǞǿƵȁɈȌ‫ة‬ƜƵǏƵɈǞɨǞƮƊƮƵƵȲƵȺȌǶɐɈǞɨǞƮƊƮƵƮƊȺȺɐƊȺȯȲƋɈǞƧƊȺ‫ة‬
ƊȌȲƵƧȲɐɈƊǿƵȁɈȌ‫ة‬ȯȲȌɨǞǿƵȁɈȌƵ˛ɮƊƪƣȌƮƵȯȲȌ˛ȺȺǞȌȁƊǞȺ‫ة‬ƜƧƊȯƊƧǞƮƊƮƵ
ƮƵ ǐƵȺɈƣȌ‫ش‬ƧȌȌȲƮƵȁƊƪƣȌ ƮȌ ƧɐǞƮƊƮȌ Ƶ‫ ة‬ƮƵ ǿȌƮȌ ǿƊǞȺ ƊǿȯǶȌ‫ ة‬ƜȺ ȺɐƊȺ
ƦƊȺƵȺ ƮƵ ȺɐȺɈƵȁɈƊƪƣȌ Ƶ ǶƵǐǞɈǞǿǞƮƊƮƵ ȺȌƧǞƊǶ ‫ـ‬wǞȁǞȺɈƶȲǞȌ ƮƊ ²ƊɑƮƵ‫ة‬
ׂ‫!ׁׂٌ׀‬ƊƮƵȲȁȌȺƮƊɈƵȁƪƣȌ ƋȺǞƧƊ‫ة‬ȁ‫خ‬ѥׂ‫ة׈‬ɨ‫خ‬XX‫خف‬
Ⱥ ȯƵȺȺȌƊȺ ȱɐƵ ƊȯȲƵȺƵȁɈƊǿ ȺǞȁƊǞȺ‫ش‬ȺǞȁɈȌǿƊȺ ƮƵ ƊƮȌƵƧǞǿƵȁɈȌ

ǿƵȁɈƊǶ‫ة‬ƮƵƧȌȲȲƵȁɈƵȺȌɐȁƣȌƮȌɐȺȌƮƵȺɐƦȺɈƓȁƧǞƊȺȯȺǞƧȌƊɈǞɨƊȺ‫ة‬ƮƵȺƮƵ
ƊǶɈƵȲƊƪȪƵȺ ǶƵɨƵȺ ƊɈƶ ƊȺ ǿƊǞȺ ǐȲƊɨƵȺ‫ ة‬ƮƵɨƵǿ ɈƵȲ Ȍ ȺƵɐ ƧɐǞƮƊƮȌ ȁƊ §²
ƮƊǿƵȺǿƊǏȌȲǿƊƧȌǿȌƊȺȱɐƵȺȌǏȲƵǿƮƊȺƮƵǿƊǞȺƧȌȁƮǞƪȪƵȺƮƵȺƊɑƮƵ‫خ‬
ƵȺɈǞǐǿƊ Ƶ Ȍ ȯȲȍȯȲǞȌ ȯȲƵǯɐǠɹȌ ƮƵƧȌȲȲƵȁɈƵ ƮȌ ƊƮȌƵƧǞǿƵȁɈȌ

ǿƵȁɈƊǶ ȯȌƮƵǿ ƊǏƵɈƊȲ ȁƵǐƊɈǞɨƊǿƵȁɈƵ Ɗ ƧƊȯƊƧǞƮƊƮƵ ƮƵ ƧɐǞƮƊƮȌ ǐƵȲƊǶ
ƮƊ ȺƊɑƮƵ ƮȌ ǞȁƮǞɨǠƮɐȌ‫ ة‬ƮƵɨƵȁƮȌ Ɗ §² ɈȲƊȁȺȯȌȲ ɈƊǞȺ ƮƵȺƊ˛ȌȺ ȯƊȲƊ
ȌǏƵȲɈƊȲƊȺȺǞȺɈƺȁƧǞƊǞȁɈƵǐȲƊǶƊȌǞȁƮǞɨǠƮɐȌ‫ة‬ȺƵɐȺǏƊǿǞǶǞƊȲƵȺƵƊȺȌƧǞƵƮƊƮƵ‫خ‬
(ƵȺɈƊƧƊǿȌȺ ƊǞȁƮƊ Ɗ ǞǿȯȌȲɈƓȁƧǞƊ ƮƵ ǏȌȲȁƵƧƵȲ ȺɐƦȺǠƮǞȌȺ ȯƊȲƊ Ɗ
ǞƮƵȁɈǞ˛ƧƊƪƣȌȯȲƵƧȌƧƵƮȌƊƮȌƵƧǞǿƵȁɈȌƧȌǿƊ˛ȁƊǶǞƮƊƮƵƮƵǞȁȺɈǞɈɐǞȲȌ
ɈȲƊɈƊǿƵȁɈȌȌȯȌȲɈɐȁȌ‫ة‬ƵɨǞɈƊȁƮȌȌƊǐȲƊɨƊǿƵȁɈȌƵƊȲƵƧȌȲȲƺȁƧǞƊ‫خ‬
ȌƦǯƵɈǞɨȌƮƵȺɈƵǿƊȁɐƊǶƶǏȌȲȁƵƧƵȲƵǶƵǿƵȁɈȌȺȯƊȲƊȱɐƵƊ§²
ȯȌȺȺƊ ȲƵƊǶǞɹƊȲ ƊƪȪƵȺ Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ Ɯ ȯȌȯɐǶƊƪƣȌ ƦȌƊٌɨǞȺɈƵȁȺƵ ȺȌƦ
ȺɐƊ ȲƵȺȯȌȁȺƊƦǞǶǞƮƊƮƵ‫ ة‬ɨǞȺƊȁƮȌ ȯȲȌǿȌƪƣȌ Ƶǿ ȺƊɑƮƵ‫ ة‬ȯȲƵɨƵȁƪƣȌ ƮƵ
ƊǐȲƊɨȌȺƵƊƧȌǿȯƊȁǘƊǿƵȁɈȌ‫ش‬ɈȲƊɈƊǿƵȁɈȌƵǿ²ƊɑƮƵwƵȁɈƊǶ‫خ‬

Situação
Epidemiológica
RǞƊȁɯƵɈƊǶ‫ف׈ׁ׀ׂـ‬Ɗ˛ȲǿƊȱɐƵ‫ة‬ȁȌ ȲƊȺǞǶ‫ڭ׃ة‬ƮƊȯȌȯɐǶƊƪƣȌȺȌǏȲƵ
ƧȌǿ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ ǐȲƊɨƵȺ Ƶ ȯƵȲȺǞȺɈƵȁɈƵȺ Ƶ ‫ ڭ׆‬ɈƵǿ ɈȲƊȁȺɈȌȲȁȌ
ȯȺǞȱɐǞƋɈȲǞƧȌ ǐȲƊɨƵ ȯȲȌɨȌƧƊƮȌ ȯȌȲ ɐȺȌ ƮƵ ƋǶƧȌȌǶ Ȍɐ ƮƵ ȌɐɈȲƊȺ ƮȲȌǐƊȺ‫خ‬
0ȺȺƵȺɈȲƊȁȺɈȌȲȁȌȺƧȌȲȲƵȺȯȌȁƮƵǿƊׁׂ‫ڭ‬ƮƊȺƮȌƵȁƪƊȺȁȌǿɐȁƮȌƵƊׁ‫ڭ‬
ƮƊ ǿȌȲɈƊǶǞƮƊƮƵ Ƶ ƧƊɐȺƊǿ ɐǿ ƧȌȁȺǞƮƵȲƋɨƵǶ ǞǿȯƊƧɈȌ Ƶǿ ɈƵȲǿȌȺ ƮƵ
ǿȌȲƦǞƮƊƮƵ‫ة‬ȯȲƵǯɐǠɹȌȺȁƊǏɐȁƧǞȌȁƊǶǞƮƊƮƵƵƮǞǿǞȁɐǞƪƣȌƮƊȱɐƊǶǞƮƊƮƵƮƵ
ɨǞƮƊ ƮƵ ȺƵɐȺ ȯȌȲɈƊƮȌȲƵȺ‫ ة‬ȯȌǞȺ ƊȯȲȌɮǞǿƊƮƊǿƵȁɈƵ ‫ ڭ׀׉‬ƮȌȺ ȯȲȌƦǶƵǿƊȺ
ƮƵ²ƊɑƮƵwƵȁɈƊǶƊȯȲƵȺƵȁɈƊǿǿƊȁǞǏƵȺɈƊƪȪƵȺƮƵƮƵȯȲƵȺȺƣȌ‫ة‬ƊȁȺǞƵƮƊƮƵ‫ة‬
ǞȁȺȏȁǞƊ‫ة‬ǏƊƮǞǐƊ‫ة‬ǞȲȲǞɈƊƦǞǶǞƮƊƮƵ‫ة‬ƮǞȺǏɐȁƪƣȌƮƵǿƵǿȍȲǞƊƵƮƵƧȌȁƧƵȁɈȲƊƪƣȌ‫خ‬
yȌƵȁɈƊȁɈȌ‫ة‬ƧƵȲƧƊƮƵׄ‫ڭ׀‬ƮȌȺȯƊǠȺƵȺƊǞȁƮƊȁƣȌƊȯȲƵȺƵȁɈƊǿȯȌǶǠɈǞƧƊȺ
Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ ȱɐƵ ȺƵǯƊǿ Ƶ˛ƧǞƵȁɈƵȺ Ƶ ‫ ڭ׀׃‬ȁƣȌ Ɉƺǿ ȯȲȌǐȲƊǿƊȺ
ɨȌǶɈƊƮȌȺȯƊȲƊƵȺȺƊȺǞɈɐƊƪƣȌ‫خ‬
(Ƶ ƊƧȌȲƮȌ ƧȌǿ Ɗ !ǶƊȺȺǞ˛ƧƊƪƣȌ XȁɈƵȲȁƊƧǞȌȁƊǶ ƮƵ (ȌƵȁƪƊȺ

‫!ـ‬X(ׁٌ‫ ةف׀‬ȌȺ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ ǞƮƵȁɈǞ˛ƧƊǿٌȺƵ ƧȌǿȌ ƮȌƵȁƪƊȺ
ƧȌǿ ǿƊȁǞǏƵȺɈƊƪȪƵȺ ȯȺǞƧȌǶȍǐǞƧƊȺ‫ ة‬ƊȺȺȌƧǞƊƮƊȺ ƊȌ ƧȌǿȯȲȌǿƵɈǞǿƵȁɈȌ
ǏɐȁƧǞȌȁƊǶ ƮƵɨǞƮȌ Ɗ ȯƵȲɈɐȲƦƊƪȪƵȺ ƦǞȌǶȍǐǞƧƊȺ‫ ة‬ȺȌƧǞƊǞȺ‫ ة‬ȯȺǞƧȌǶȍǐǞƧƊȺ‫ة‬
ǐƵȁƶɈǞƧƊȺ‫ ة‬ǏǠȺǞƧƊȺ Ȍɐ ȱɐǠǿǞƧƊȺ‫© خ‬ɐƵ ȯȌƮƵǿ ȌƧƊȺǞȌȁƊȲ ǿȌƮǞ˛ƧƊƪȪƵȺ
ȁȌǿȌƮȌƮƵȯƵȁȺƊȲȌɐƊɈƶǿƵȺǿȌȁȌǘɐǿȌȲ‫ة‬ȯȲȌɨȌƧƊȁƮȌƊǶɈƵȲƊƪȪƵȺ
ȁȌƮƵȺƵǿȯƵȁǘȌǐǶȌƦƊǶƮȌǞȁƮǞɨǠƮɐȌ‫ة‬ǞȺɈȌƶ‫ة‬ȁȌƓǿƦǞɈȌȯƵȺȺȌƊǶ‫ة‬ȺȌƧǞƊǶ‫ة‬
ȌƧɐȯƊƧǞȌȁƊǶȌɐǏƊǿǞǶǞƊȲ‫ـ‬w²‫خف׈׀׀ׂة‬
yȌƵȁɈƊȁɈȌ‫ة‬ɈȌƮƊƵȺȺƊȯȲȌƦǶƵǿƋɈǞƧƊƵɨǞƮƵȁƧǞƊƮƊȁȌȺǏƊɹȲƵ˜ƵɈǞȲ
Ƶ ƮƵ ƧƵȲɈƊ ǏȌȲǿƊ ƦɐȺƧƊȲ ǿƵǞȌȺ ȌȲǐƊȁǞɹƊƧǞȌȁƊǞȺ Ƶ ˜ɐɮȌ ȯƊȲƊ ɐǿƊ
ǿƵǶǘȌȲǞƊ ƮȌȺ ȺƵȲɨǞƪȌȺ‫ خ‬IȌǞ ȯƵȁȺƊȁƮȌ ȁƵȺȺƊ ȯƵȲȺȯƵƧɈǞɨƊ ȱɐƵ Ɗ ǐƵȺɈƣȌ
ǿɐȁǞƧǞȯƊǶ‫ة‬ƊɈȲƊɨƶȺƮȌȺƵɐƧȌȲȯȌɈƶƧȁǞƧȌ‫ة‬ȯȲȌȁɈǞ˛ƧȌɐٌȺƵƵǿȌȲǐƊȁǞɹƊȲ
Ƶ‫ ة‬ƮƵ ǏȌȲǿƊ ǞȁǞƧǞƊǶ‫ ة‬ƵȺɈƊƦƵǶƵƧƵȲ ǞǿȯȌȲɈƊȁɈƵȺ ȯƊȲƧƵȲǞƊȺ ƧȌǿ ƵȁɈƵȺ Ƶ
ǞȁȺɈǞɈɐǞƪȪƵȺ ȯȲȌȯȌȲƧǞȌȁƊȁƮȌ ǿȌǿƵȁɈȌȺ ƮƵ ɈȲȌƧƊ ƮƵ ȺƊƦƵȲƵȺ ƧȌǿ
ȌƦǯƵɈǞɨȌƮƵǏȌȲɈƊǶƵƧƵȲƊƊɈƵȁƪƣȌƜȺƊɑƮƵȁȌɈƵȲȲǞɈȍȲǞȌ‫خ‬

A REDE DE
ATENÇÃO À SAÚDE
ȯƊȲɈǞȲ ƮƊ mƵǞ ȁ‫خ‬ѥ ׁ‫ ׆ׁׂخ׀‬ƮƵ ‫ ׆׀‬ƮƵ ƊƦȲǞǶ ƮƵ ׂ‫ ةׁ׀׀‬ȱɐƵ ǐƊȲƊȁɈƵ Ɗ
ȯȲȌɈƵƪƣȌƵȌȺƮǞȲƵǞɈȌȺƮƊȺȯƵȺȺȌƊȺȯȌȲɈƊƮȌȲƊȺƮƵɈȲƊȁȺɈȌȲȁȌȺǿƵȁɈƊǞȺ
Ƶ ȲƵƮǞȲƵƧǞȌȁƊ Ȍ ǿȌƮƵǶȌ ƊȺȺǞȺɈƵȁƧǞƊǶ Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ‫ ة‬ȌȺ ǘȌȺȯǞɈƊǞȺ
ȯȺǞȱɐǞƋɈȲǞƧȌȺǏȌȲƊǿȺɐƦȺɈǞɈɐǠƮȌȺȯȌȲ!ƵȁɈȲȌȺƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǞȺ
‫§!ـ‬²‫ف‬ȲƵǐɐǶƊǿƵȁɈƊƮȌȺȯƵǶƊ§ȌȲɈƊȲǞƊȁ‫خ‬ѥ‫׆׃׃‬ƮƵׁ‫׉‬ƮƵǏƵɨƵȲƵǞȲȌƮƵׂ‫خׂ׀׀‬
ªƵƮƵ ƮƵ ɈƵȁƪƣȌ §ȺǞƧȌȺȺȌƧǞƊǶ‫ ة‬ǞȁȺɈǞɈɐǠƮƊ ȯƵǶƊ §ȌȲɈƊȲǞƊ ȁ‫خ‬ѥ

‫ ةׁׁ׀ׂش׈׈׀׃‬ƶ ɐǿ ƮȌȺ ǐȲƊȁƮƵȺ ƊɨƊȁƪȌȺ ƮƊ ȯȌǶǠɈǞƧƊ ƮƵ ²ƊɑƮƵ wƵȁɈƊǶ
ȁȌ ȲƊȺǞǶ ȁƊ ƊɈɐƊǶǞƮƊƮƵ ƊȌ ƊȯȌȁɈƊȲ Ɗ ȁƵƧƵȺȺǞƮƊƮƵ ƮƵ ƵȺɈȲɐɈɐȲƊƪƣȌ‫ة‬
ƵɮȯƊȁȺƣȌƵƊȲɈǞƧɐǶƊƪƣȌƮƵɐǿƊȲƵƮƵƮƵȺƵȲɨǞƪȌȺƮƵƊɈƵȁƪƣȌƊȌȺȺɐǯƵǞɈȌȺ
ƊƧȌǿƵɈǞƮȌȺ ƧȌǿ ɈȲƊȁȺɈȌȲȁȌȺ ȯȺǠȱɐǞƧȌȺ Ƶ‫ش‬Ȍɐ ɐȺɐƋȲǞȌȺ ƮƵ ȺɐƦȺɈƓȁƧǞƊȺ
ȯȺǞƧȌƊɈǞɨƊȺ‫ ة‬ƮǞɨƵȲȺǞ˛ƧƊȁƮȌ ȌȺ ƧȌǿȯȌȁƵȁɈƵȺ ƮƵ ƧɐǞƮƊƮȌ Ƶ ƊȺȺǞȺɈƺȁƧǞƊ
ȁȌƓǿƦǞɈȌƮȌɈƵȲȲǞɈȍȲǞȌ‫ة‬ȯȲȌǿȌɨƵȁƮȌƊɨǞƮƊƧȌǿɐȁǞɈƋȲǞƊƵƊƊɐɈȌȁȌǿǞƊ
ƮƵȺȺƵȺȺɐǯƵǞɈȌȺ‫ة‬ƧȌȁǏȌȲǿƵȌȺȯȲǞȁƧǠȯǞȌȺƮƊªƵǏȌȲǿƊ§ȺǞȱɐǞƋɈȲǞƧƊ‫خ‬
§ȌȲ ǿƊǞȺ ȱɐƵ Ɗ ȯȌǶǠɈǞƧƊ ƮƵ ²ƊɑƮƵ wƵȁɈƊǶ ɈƵȁǘƊ ƮǞȲƵɈȲǞɹƵȺ

ƵȺɈƊƦƵǶƵƧǞƮƊȺ ȁƊƧǞȌȁƊǶǿƵȁɈƵ‫ ة‬ƵǶƊ ȁƣȌ ȺƵ ƮƵȺƵȁɨȌǶɨƵ ƮƵ ǏȌȲǿƊ
ǘȌǿȌǐƺȁƵƊ Ƶǿ ɈȌƮȌȺ ȌȺ ƵȺɈƊƮȌȺ Ƶ ǿɐȁǞƧǠȯǞȌȺ ƮȌ ȯƊǠȺ‫ خ‬Ⱥ ɨƊȲǞƋɨƵǞȺ
ǘǞȺɈȍȲǞƧƊȺ‫ ة‬ȺȌƧǞƊǞȺ‫ ة‬ȯȌǶǠɈǞƧƊȺ Ƶ ƧɐǶɈɐȲƊǞȺ ȲƵȯƵȲƧɐɈƵǿ ƮƵ ǏȌȲǿƊ ƮǞȲƵɈƊ
ȁȌ ȯȲȌƧƵȺȺȌ ƮƵ ǞǿȯǶƊȁɈƊƪƣȌ‫ ة‬ȌȲǐƊȁǞɹƊƪƣȌ Ƶ ƵɮƵƧɐƪƣȌ ƮƊ ȯȌǶǠɈǞƧƊ ƮƵ
²ƊɑƮƵ wƵȁɈƊǶ ȱɐƵ‫ ة‬ȯȌȲ ƧȌȁȺƵǐɐǞȁɈƵ‫ ة‬Ǟȁ˜ɐƵȁƧǞƊ Ȍ ǏȌȲǿƊɈȌ ƮƊ ȲƵƮƵ ƮƵ
ƊɈƵȁƪƣȌȯȺǞƧȌȺȺȌƧǞƊǶ‫ة‬ȌȱɐƵǏƊɹƧȌǿȱɐƵƊǿƵȺǿƊƊȺȺɐǿƊƧȌȁɈȌȲȁȌȺ
ȯƊȲɈǞƧɐǶƊȲƵȺƵǿƧƊƮƊȲƵǐǞƣȌ‫§خ‬ȌȲǞȺȺȌ‫ة‬ƮƵȺɈƊƧƊٌȺƵƊǞǿȯȌȲɈƓȁƧǞƊƮƵȺƵ
ƧȌǿȯȲƵƵȁƮƵȲƊƧƵȲƧƊƮȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌƮƊȯȌǶǠɈǞƧƊƮƵ²ƊɑƮƵwƵȁɈƊǶ
ƵƮƊǞǿȯǶƵǿƵȁɈƊƪƣȌƮƊª§²ȁȌȺȺƵɐȺƮǞǏƵȲƵȁɈƵȺƧƵȁƋȲǞȌȺ‫خ‬
ȯȍȺƊƧƊȯƊƧǞɈƊƪƣȌȲƵƊǶǞɹƊƮƊȯƵǶƊȲǐƊȁǞɹƊƪƣȌ§ƊȁٌǿƵȲǞƧƊȁƊ
ƮƵ ²ƊɑƮƵ ‫§ـ‬²‫ ف‬ȁȌ ɈƵȲƧƵǞȲȌ ȱɐƊƮȲǞǿƵȺɈȲƵ ƮƵ ׂ‫ ׉ׁ׀‬Ƶ ȁȌ ƮƵƧȌȲȲƵȲ ƮƵ
ׂ‫ة׀ׂ׀‬ƧȌǿƊȯƊȲɈǞƧǞȯƊƪƣȌƮƵƮǞɨƵȲȺȌȺȯȌȁɈȌȺƮƵƊɈƵȁƪƣȌƮƊª§²‫ة‬ǏȌǞ
ȯȌȺȺǠɨƵǶȯƵȲƧƵƦƵȲƊǞǿȯȌȲɈƓȁƧǞƊƮȌǿƊɈȲǞƧǞƊǿƵȁɈȌȯƊȲƊƊƧȌȁȺȌǶǞƮƊƪƣȌ
ƮȌ ɈȲƊƦƊǶǘȌ Ƶǿ ȲƵƮƵ ȁȌ ɈƵȲȲǞɈȍȲǞȌ‫( خ‬ǞƊȁɈƵ ƮƵȺȺƵ ȁȌɨȌ ȌǶǘƊȲ‫ ة‬ǞȁǞƧǞȌɐٌ
ȺƵ Ȍ ǿƊɈȲǞƧǞƊǿƵȁɈȌ ‫ـ‬ƧȌǿȯƊȲɈǞǶǘƊǿƵȁɈȌ ƮƵ ƧɐǞƮƊƮȌ Ƶ ɈȲȌƧƊ ƮƵ ȺƊƦƵȲ
ȯȲȌ˛ȺȺǞȌȁƊǶ‫ف‬ǯɐȁɈȌƜȺƵȱɐǞȯƵȺƮƵ0ȺɈȲƊɈƶǐǞƊƮƵ²ƊɑƮƵƮƊIƊǿǠǶǞƊ‫ـ‬0²I‫ف‬Ƶ
Ȍ!ƵȁɈȲȌƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǶ‫§!ـ‬²‫خف‬
ǿƊɈȲǞƧǞƊǿƵȁɈȌ ȺƵ ǏƊɹ ǞǿȯȌȲɈƊȁɈƵ ȯȌȲ ǐƵȲƊȲ ǿƊǞȌȲ

ȲƵȺȌǶɐɈǞɨǞƮƊƮƵ ƮƊȺ ƮƵǿƊȁƮƊȺ ƮƵ ²ƊɑƮƵ wƵȁɈƊǶ ȁƊ ɈƵȁƪƣȌ §ȲǞǿƋȲǞƊ‫ة‬
ǿǞȁǞǿǞɹƊȁƮȌƊȺȲƵǏƵȲƺȁƧǞƊȺȯƊȲƊƊɈƵȁƪƣȌ0ȺȯƵƧǞƊǶǞɹƊƮƊ‫خ‬ÀȲƊɈƊٌȺƵƮƵ
ɐǿ ƮǞȺȯȌȺǞɈǞɨȌ ƊȲɈǞƧɐǶƊƮȌȲ ȱɐƵ ƦɐȺƧƊ ȯȲȌǿȌɨƵȲ Ɗ ǞȁɈƵǐȲƊǶǞƮƊƮƵ ƮƊ
ƊɈƵȁƪƣȌƊɈȲƊɨƶȺƮƊƧȌǿɐȁǞƧƊƪƣȌƧȌǿȯƊȲɈǞǶǘƊƮƊƮƵȺƊƦƵȲƵȺƵȯȲƋɈǞƧƊȺ‫ة‬
Ȍ ȱɐƵ ȯƵȲǿǞɈƵ ǿƊǞȌȲ ƊǶƧƊȁƧƵ ƮƊȺ ȯƵȺȺȌƊȺ Ƶǿ ȺȌǏȲǞǿƵȁɈȌ ǿƵȁɈƊǶ ȯȌȲ
ɈȲƊȁȺɈȌȲȁȌȌɐƵǿƮƵƧȌȲȲƺȁƧǞƊƮȌɐȺȌƮƵƋǶƧȌȌǶƵȌɐɈȲƊȺƮȲȌǐƊȺ‫خ‬

NÍVEL DE ATENÇÃO:
PRIMÁRIA
COMPETÊNCIA TERRITÓRIO
PONTO DE ATENÇÃO
DO PONTO SANITÁRIO
9 ƧȌǶǘǞǿƵȁɈȌ‫س‬
9 0ȺɈȲƊɈǞ˛ƧƊƪƣȌƮƵȲǞȺƧȌ‫س‬
9 ȲƮƵȁƊǿƵȁɈȌƮȌ!ɐǞƮƊƮȌ‫س‬
9 ȲɈǞƧɐǶƊƪƣȌƮƊªƵƮƵXȁɈȲƊ
ƵXȁɈƵȲȺƵɈȌȲǞƊǶ‫س‬
9 !ƊƮƊȺɈȲƊǿƵȁɈȌ‫س‬
9 ßǠȁƧɐǶȌ‫س‬
9 ªƵȺȯȌȁȺƊƦǞǶǞƮƊƮƵ ȯƵǶȌȺ
ɐȺɐƋȲǞȌȺ ƮȌ ȺƵɐ ɈƵȲȲǞɈȍȲǞȌ‫س‬
0ȱɐǞȯƵ²ƊɑƮƵƮƊ 9 JƊȲƊȁɈǞƊƮȌƧɐǞƮƊƮȌƵƮƊ ÀƵȲȲǞɈȍȲǞȌƮƵ

IƊǿǠǶǞƊٌ0²I ȲƵȺȌǶɐƦǞǶǞƮƊƮƵƮƊƊɈƵȁƪƣȌȯƊȲƊ ƦȲƊȁǐƺȁƧǞƊ
ɐȺɐƋȲǞȌ ƮƵƦƊǞɮȌƵǿƶƮǞȌȲǞȺƧȌ‫س‬
9 ɐȺƧƊƊɈǞɨƊ‫س‬
9 ɈƵȁƪƣȌƮȌǿǞƧǞǶǞƊȲ‫س‬
9 0ȺɈǠǿɐǶȌƊȌƊɐɈȌƧɐǞƮƊƮȌ‫س‬
9 !ȌǿȯƊȲɈǞǶǘƊǿƵȁɈȌƧȌǿȌ
!ƵȁɈȲȌ ƮƵɈƵȁƪƣȌ§ȺǞƧȌȺȺȌƧǞƊǶ
‫§!ـ‬²‫ ف‬ƮȌƧɐǞƮƊƮȌƊȌɐȺɐƋȲǞȌ
ƮƵƊǶɈȌȲǞȺƧȌ‫س‬
9 0ƮɐƧƊƪƣȌƵǿȺƊɑƮƵ‫س‬
9 ɈǞɨǞƮƊƮƵȺƧȌǶƵɈǞɨƊȺ‫ـ‬ǐȲɐȯȌȺ
ɈƵȲƊȯƺɐɈǞƧȌȺ‫خف‬
9 §ȲƋɈǞƧƊȺƧȌȲȯȌȲƊǞȺ‫ش‬ƊɈǞɨǞƮƊƮƵȺ
ǏǠȺǞƧƊȺ‫س‬
9 §ȲƋɈǞƧƊȺ ƊȲɈǠȺɈǞƧƊȺ‫س‬
ÀƵȲȲǞɈȍȲǞȌƮƵ
9 §ȲȌǿȌƪƣȌƮƵƊɈǞɨǞƮƊƮƵȺ ƦȲƊȁǐƺȁƧǞƊ
ƧƊƮƵǿǞƊ ƮƊ²ƊɑƮƵ de ȺƵǐɐȲƊȁƪƊƊǶǞǿƵȁɈƊȲƵ
ȁɐɈȲǞƧǞȌȁƊǶ ƵƮƵƵƮɐƧƊƪƣȌ
ƊǶǞǿƵȁɈƊȲ‫س‬
9 §ǶƊȁƵǯƊǿƵȁɈȌƮƊȺƊƪȪƵȺƵǿ
ƧȌȁǯɐȁɈȌ ƧȌǿ Ɗ ƵȱɐǞȯƵ ƮƊ
§²‫خ‬

PONTO DE ATENÇÃO
DO PONTO SANITÁRIO
9 wƊɈȲǞƧǞƊǿƵȁɈȌ‫س‬
9 ɈƵȁƮǞǿƵȁɈȌǿɐǶɈǞȯȲȌ˛ȺȺǞȌȁƊǶ‫س‬
9 !ȌǿȯƊȲɈǞǶǘƊǿƵȁɈȌƮȌƧɐǞƮƊƮȌ
ao ɐȺɐƋȲǞȌƮƵǿƶƮǞȌȲǞȺƧȌ‫س‬
y²I‫ش‬0ȱɐǞȯƵ ǿƊɈȲǞƧǞƊǶ
9 !ȌǿȯƊȲɈǞǶǘƊǿƵȁɈȌƮȌƧɐǞƮƊƮȌ
ao ɐȺɐƋȲǞȌƮƵƊǶɈȌȲǞȺƧȌ‫ى‬ȯƊȲƊ
ƦȲƊȁǐƺȁƧǞƊ
ǿɐȁǞƧǠȯǞȌȺ ȌȁƮƵ ȁƣȌ ǘƋ
!§²‫س‬
9 0ƮɐƧƊƪƣȌ ȯƵȲǿƊȁƵȁɈƵ ƮƊ §²‫خ‬

9 XƮƵȁɈǞ˛ƧƊƪƣȌƮƵǏƊɈȌȲƵȺ de
ȲǞȺƧȌƵƮƵȯȲȌɈƵƪƣȌ‫س‬
9 0ȁƧƊǿǞȁǘƊǿƵȁɈȌȺ‫س‬
9 §ȲȌǿȌƪƣȌƮƵ²ƊɑƮƵwƵȁɈƊǶ e ƦȲƊȁǐƺȁƧǞƊ
!ª² ȯȲƵɨƵȁƪƣȌ ƮƵ ƊǐȲƊɨȌȺ‫س‬
9 ªƵǞȁȺƵȲƪƣȌ ȺȌƧǞƊǶ‫س‬
9 ßǞƊƦǞǶǞɹƊƪƣȌƮȌƊƧƵȺȺȌ ƜȺ
ƧȌȁƮǞƪȪƵȺƮƵƧǞƮƊƮƊȁǞƊ‫س‬
9 ɈƵȁƪƣȌ ƜȺ ǏƊǿǠǶǞƊȺ‫س‬

9 §ȲƵɨƵȁƪƣȌ ƮƵ ƊǐȲƊɨȌȺ e
ȯȲȌǿȌƪƣȌƮƵ²ƊɑƮƵwƵȁɈƊǶ‫س‬
9 XƮƵȁɈǞ˛ƧƊƪƣȌƮƵǏƊɈȌȲƵȺƮƵ
ȲǞȺƧȌ Ƶ ƮƵ ȯȲȌɈƵƪƣȌ‫س‬
0ȺƧȌǶƊȺ 9 0ȁƧƊǿǞȁǘƊǿƵȁɈȌȺ‫س‬
9 XȁƧǶɐȺƣȌ‫س‬
9 ȲǞƵȁɈƊƪƣȌ ǏƊǿǞǶǞƊȲ‫س‬
9 §ȲȌǐȲƊǿƊ²ƊɑƮƵȁƊ0ȺƧȌǶƊ
‫§ـ‬²0‫خف‬
ȺȺȌƧǞƊƪȪƵȺ‫ ة‬yJȺ‫ة‬ 9 ƧȌǶǘǞǿƵȁɈȌƵ ²ȌƧǞƊǶǞɹƊƪƣȌ‫س‬
!ƵȁɈȲȌƮƵ !ȌȁɨǞɨƺȁƧǞƊ 9 ªƵǞȁȺƵȲƪƣȌȺȌƧǞƊǶ‫س‬ !ȌǿɐȁǞƮƊƮƵ

d e XǐȲƵǯƊȺƵ²ǞǿǞǶƊȲƵȺ‫خ‬ 9 §ȲȌǿȌƪƣȌƮƵȺƊɑƮƵ‫س‬

NÍVEL DE ATENÇÃO:
SECUNDÁRIA
PONTO DE ATENÇÃO
DO PONTO SANITÁRIO
9 ƧȌǶǘǞǿƵȁɈȌ‫س‬
9 ªƵƊƦǞǶǞɈƊƪƣȌȯȺǞƧȌȺȺȌƧǞƊǶ
‫ـ‬ȲƵǞȁȺƵȲƪƣȌȺȌƧǞƊǶ‫ة‬
ƊȺȺƵǿƦǶƵǞƊȺ‫ة‬Ȍ˛ƧǞȁƊȺ‫ة‬
ƊɈƵȁƪƣȌƊȌȺǏƊǿǞǶǞƊȲƵȺ‫ة‬
ȯȲȌǯƵɈȌƮƵ ǐƵȲƊƪƣȌƮƵȲƵȁƮƊ‫ة‬
ƊɈǞɨǞƮƊƮƵȺƵǿǐȲɐȯȌ ou
ƧȌǶƵɈǞɨƊȺƵɈƧ‫سفخ‬
9 §ȲȌǯƵɈȌÀƵȲƊȯƺɐɈǞƧȌ²ǞȁǐɐǶƊȲ‫س‬
9 wƊɈȲǞƧǞƊǿƵȁɈȌ‫س‬
9 !ȌǿȯƊȲɈǞǶǘƊǿƵȁɈȌƧȌǿƊ
§²ƮȌ ƧɐǞƮƊƮȌƊȌɐȺɐƋȲǞȌ
ƮƵƊǶɈȌȲǞȺƧȌ‫س‬
9 ɈƵȁƪƣȌƜȺȺǞɈɐƊƪȪƵȺƮƵ
ƧȲǞȺƵ‫س‬ ÀƵȲȲǞɈȍȲǞȌƮƵ
!§²
9 RȌȺȯǞɈƊǶǞƮƊƮƵȁȌɈɐȲȁƊ ‫§!ـ‬²
XXX Ƶ ( XXX‫سف‬
9 ȲɈǞƧɐǶƊƪƣȌƮƵȲƵƮƵȺǞȁɈȲƊƵ
ǞȁɈƵȲȺƵɈȌȲǞƊǞȺ‫س‬
9 ªƵƮɐƪƣȌƮƵƮƊȁȌȺ‫س‬
9 ƧȌǿȯƊȁǘƊǿƵȁɈȌ ƮƵ
²ªÀ ‫ ى‬²ƵȲɨǞƪȌ ªƵȺǞƮƵȁƧǞƊǶ
ÀƵȲƊȯƺɐɈǞƧȌ ‫ـ‬ƧƊȺȌ ɈƵȁǘƊ ²ªÀ
ɨǞȁƧɐǶƊƮȌ‫سف‬
9 (Ƶ˛ȁǞƪƣȌƮƵƊƧȌǶǘǞǿƵȁɈȌȁƊ
Ç Ƶ ȁȌ ²ƵȲɨǞƪȌ ƮƵ ɈƵȁƪƣȌ
Ƶǿ ªƵǐǞǿƵªƵȺǞƮƵȁƧǞƊǶ
‫ـ‬ƧƊȺȌɈƵȁǘƊƵȺȺƵȺȺƵȲɨǞƪȌȺ
ɨǞȁƧɐǶƊƮȌȺ‫خف‬

9 ǏƵȲɈƊȲƵȲƵǏƵȲƵȁƧǞƊȲ
ȺƵȲɨǞƪȌȺ ƵȺȯƵƧǞƊǶǞɹƊƮȌȺƮƵ
ƧƊȲƋɈƵȲƧȌȁɈǞȁɐƊƮȌ ȯƊȲƊ
!ª0² ǏƊǿǠǶǞƊȺƵǞȁƮǞɨǠƮɐȌȺƵǿ
ȺǞɈɐƊƪƣȌƮƵ ȲǞȺƧȌȯƵȺȺȌƊǶ
ƵȺȌƧǞƊǶ‫ة‬ȯȌȲƊǿƵƊƪƊƵ‫ش‬Ȍɐ
ɨǞȌǶƊƪƣȌƮƵƮǞȲƵǞɈȌȺ‫خ‬
9 ƧȌǶǘǞǿƵȁɈȌ ƮƵ˛ȁǞƮȌ ȯƵǶȌ
!§²‫س‬
9 ƧȌǿȯƊȁǘƊǿƵȁɈȌ
ɈƵȲƊȯƺɐɈǞƧȌ Ƶ ȯȲȌɈƵɈǞɨȌ ƮƵ
ƧƊȲƋɈƵȲ ɈȲƊȁȺǞɈȍȲǞȌ‫س‬
9 wȌȲƊƮǞƊɈȲƊȁȺǞɈȍȲǞƊƧȌǿȺƊǠƮƊ
ÇȁǞƮƊƮƵƮƵ ȯȲȌǐȲƊǿƊƮƊ‫س‬
ƧȌǶǘǞǿƵȁɈȌ Ȍɐ²ƵȲɨǞƪȌ ÀƵȲȲǞɈȍȲǞȌƮƵ
9 ßǞȁƧɐǶƊƪƣȌ ƊȌ !§²‫س‬
ƮƵɈƵȁƪƣȌ ƵǿªƵǐǞǿƵ ƦȲƊȁǐƺȁƧǞƊ
ªƵȺǞƮƵȁƧǞƊǶ‫ؤ‬ 9 §ȲȌǯƵɈȌÀƵȲƊȯƺɐɈǞƧȌ²ǞȁǐɐǶƊȲ
Ƶǿ ƧȌȁǯɐȁɈȌ ƧȌǿ Ȍ !§²‫س‬
9 ɈƵȁƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫س‬
9 ȲɈǞƧɐǶƊƪƣȌƧȌǿƊªƵƮƵ
XȁɈƵȲȺƵɈȌȲǞƊǶɨǞȺƊȁƮȌƜ
ȲƵǞȁȺƵȲƪƣȌ ȺȌƧǞƊǶ‫ة‬ǏƊǿǞǶǞƊȲƵ
ǶƊƦȌȲƊǶ‫خ‬
9 ÀɐɈȌȲǞƊ‫ش‬ÀƵǶƵȺȺƊɑƮƵ‫س‬
9 wƊɈȲǞƧǞƊǿƵȁɈȌ ‫ـ‬ȺɐȯƵȲɨǞȺƣȌ‫ة‬
ƧƊȯƊƧǞɈƊƪƣȌƵɈƧ‫سفخ‬
9 ɈƵȁƪƣȌƊȌɐȺɐƋȲǞȌƮƵǿƶƮǞȌ
ȲǞȺƧȌ ȲƵǏƵȲƵȁƧǞƊƮȌ ȯƵǶƊ §²‫س‬
9 ɈƵȁƪƣȌƊȌɐȺɐƋȲǞȌƮƵƊǶɈȌ
ȲǞȺƧȌ ȲƵǏƵȲƵȁƧǞƊƮȌ ȯƵǶƊ §² ‫ى‬
ȯƊȲƊǿɐȁǞƧǠȯǞȌȺȌȁƮƵȁƣȌǘƋ
!ƵȁɈȲȌ ªƵǐǞȌȁƊǶ de
!§²‫س‬ ªƵǐǞȌȁƊǶ ƮƵ²ƊɑƮƵ
ɈƵȁƪƣȌ 0ȺȯƵƧǞƊǶǞɹƊƮƊ
9 ƪȪƵȺ ƮƵ ȯȲƵɨƵȁƪƣȌ de

ƊǐȲƊɨȌȺ Ƶ ȯȲȌǿȌƪƣȌ de
²ƊɑƮƵwƵȁɈƊǶƵǿƧȌȁǯɐȁɈȌ
ƧȌǿ ȌȺǿɐȁǞƧǠȯǞȌȺ‫س‬
9 !ȌǿȯƊȲɈǞǶǘƊǿƵȁɈȌƧȌǿƊ
§²ƮȌ ƧɐǞƮƊƮȌƊȌɐȺɐƋȲǞȌ
ƮƵǿƶƮǞȌƵƊǶɈȌȲǞȺƧȌ‫خ‬
9 ɈƵȁƮǞǿƵȁɈȌ
ǿɐǶɈǞȯȲȌ˛ȺȺǞȌȁƊǶ‫س‬ ÀƵȲȲǞɈȍȲǞȌƮƵ
RȌȺȯǞɈƊǶ!ȌȲȌȁƵǶwȌɈƊ
9 ȲǞƵȁɈƊƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫خ‬

PONTO DE ATENÇÃO
DO PONTO SANITÁRIO
9 ɈƵȁƮǞǿƵȁɈȌƜɐȺɐƋȲǞȌȺ
ƮƵǿƶƮǞȌ ƵƊǶɈȌȲǞȺƧȌ‫ة‬ƊȯȍȺ
ƵȺǐȌɈƊƮȌȺ ȌȺȌɐɈȲȌȺȲƵƧɐȲȺȌȺ
ɈƵȲƊȯƺɐɈǞƧȌȺ‫س‬
9 ɈƵȁƮǞǿƵȁɈȌƜƧȲǞȺƵ‫س‬
9 XȁɈƵȲȁƊǿƵȁɈȌ ƮƵ ƧɐȲɈƊ

ȯƵȲǿƊȁƺȁƧǞƊ‫س‬
RȌȺȯǞɈƊǶ JƵȲƊǶ 9 ɈƵȁƮǞǿƵȁɈȌƊ
ƧȌǿȌȲƦǞƮƊƮƵȺƧǶǠȁǞƧƊȺ‫س‬
9 ªƵǿǞȺȺƣȌƮƵȺǞȁɈȌǿƊȺƵ
ƵȺɈƊƦǞǶǞɹƊƪƣȌƮȌ ȱɐƊƮȲȌ
ƧǶǠȁǞƧȌٌȯȺǞȱɐǞƋɈȲǞƧȌ‫س‬
9 ªƵǏƵȲƵȁƧǞƊȲȯƊȲƊƊ
ƧȌȁɈǞȁɐǞƮƊƮƵ ƮȌ ƧɐǞƮƊƮȌ‫س‬
9 ȲǞƵȁɈƊƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫خ‬

9 ɈƵȁƮǞǿƵȁɈȌƜƧȲǞȺƵ‫س‬
9 !ǶƊȺȺǞ˛ƧƊƪƣȌƮƵȲǞȺƧȌ ‫ـ‬ƧǶǠȁǞƧȌٌ
ȯȺǞȱɐǞƋɈȲǞƧȌ‫سف‬ ÀƵȲȲǞɈȍȲǞȌƮƵ
§ȲȌȁɈȌٌɈƵȁƮǞǿƵȁɈȌ
9 ȲǞƵȁɈƊƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫س‬
9 ªƵǏƵȲƵȁƧǞƊȲȯƊȲƊ
ƧȌȁɈǞȁɐǞƮƊƮƵ ƮȌ ƧɐǞƮƊƮȌ‫خ‬
9 ɈƵȁƮǞǿƵȁɈȌƮƵƵǐȲƵȺȺȌȺ
ƮƵR§ƵR!À§ƮƵǶȌȁǐƊ
ȯƵȲǿƊȁƺȁƧǞƊƵȺƵǿɨǠȁƧɐǶȌ
ǏƊǿǞǶǞƊȲ‫س‬
²ªÀ‫ؤ‬ 9 wȌȲƊƮǞƊ‫س‬ !ȌǿɐȁǞƮƊƮƵ
9 ªƵǞȁȺƵȲƪƣȌȺȌƧǞƊǶƵ
ȲƵƊƦǞǶǞɈƊƪƣȌ ȯȺǞƧȌȺȺȌƧǞƊǶ‫س‬
9 ßǞȁƧɐǶƊƮȌ ƊȌ !§²‫خ‬
mƵǐƵȁƮƊ‫ؤب‬yƣȌƵȺɈƋƮǞȺȯȌȁǠɨƵǶȁȌǿɐȁǞƧǠȯǞȌ‫خ‬

para curtir a vida
e a convivência
com os outros
Viva
Reforce intensamente
seus laços seus momentos
de amizade em família
Pratique
Pratiquehábitos saudáveis.
hábitos saudáveis.
Melhores
Melhoressua
sua qualidade de
qualidade de vida.
vida.
Não abraSeu
Seu corpo e sua mente agradecem.
mão corpo e sua mente agradecem.
Pratique
de boas noites atividades
de sono físicas
Reserve um tempo
para curtir
Reserve umatempo
vida
e a convivência
para curtir a vida
com os outros
e a convivência Viva
Reforce com os outros intensamente
Não tenha seus laços Viva
seus momentos
vergonha de Reforce
de amizade Mantenha
intensamente
em família
seus laços E lembre-se: seus
umamomentos
buscar ajudade amizade em família
ƫƲ٪Ȭȯȉ˚ȷȷǛȉǾƇǛȷ você não é alimentação
um super-herói. saudável
Reconheça Pratique
Não abra mão
de boas noites seus limites atividades
físicas
de sono e viva a vida
Não abra mão intensamente Pratique
de boas noites atividades
de sono físicas
Não tenha
vergonha de Mantenha
buscar ajuda E lembre-se: uma
Não tenha Reconheça
vergonha de seus limites Mantenha
buscar ajuda Eelembre-se:
viva a vida uma
intensamente
Reconheça
seus limites UBS
S
CAP
e viva a vida
intensamente EQUIPES
CUIDADO
UBS
S
CAP
NASF EQUIPES
SEM SAÚDE MENTAL

CUIDADO
SAÚDÚEDE MENTAL
NÃO HÁSENASF ESF
M SA UBS
PS R
O SN
ÃO HÁ SAÚDE
CAP DINCÍPIOS ESF
EQUIPES
US MATR
PRINC
ÍP CUIDADO ICULA
DO SU IOS MENT
S MATR
ICU
LAME
O
NTO
NASF
SEM SAÚDE MENTAL

NÃO HÁ SAÚDE ESF
PRINC
ÍP
DO SU IOS
S MATR
20 ICULA
SMSA - Secretaria Municipal de Saúde MENT
O
DIRETRIZES CLÍNICAS PARA
ATENÇÃO EM SAÚDE MENTAL NA
ATENÇÃO PRIMÁRIA À SAÚDE
Ⱥ(ǞȲƵɈȲǞɹƵȺ!ǶǠȁǞƧƊȺƵǿ²ƊɑƮƵwƵȁɈƊǶƊǐȲƵǐƊǿǞǿȯȌȲɈƊȁɈƵȺȯȌȺȺǞƦǞǶǞƮƊƮƵȺƵǏƵȲȲƊǿƵȁɈƊȺ
ȯƊȲƊ Ȍ ƧɐǞƮƊƮȌ Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ‫ ة‬ƊȱɐǞ ƵȁɈƵȁƮǞƮƊ ƧȌǿȌ ƊǶǐȌ ǿƊǞȌȲ ƮȌ ȱɐƵ Ɗ ƊɐȺƺȁƧǞƊ ƮƵ
ɈȲƊȁȺɈȌȲȁȌȺǿƵȁɈƊǞȺ‫خ‬IƊǶƊٌȺƵƵǿ²ƊɑƮƵwƵȁɈƊǶƵȁƣȌƵǿƮȌƵȁƪƊǿƵȁɈƊǶƵ‫ة‬ɈƊǶȱɐƊǶƊƊƦȌȲƮƊǐƵǿƮƊ
ȲǐƊȁǞɹƊƪƣȌwɐȁƮǞƊǶƮƊ²ƊɑƮƵ‫ـ‬w²‫ةف‬ƧȌǿȯȲƵƵȁƮƵٌȺƵȱɐƵƊ²ƊɑƮƵwƵȁɈƊǶƶȯƊȲɈƵǞȁɈƵǐȲƊȁɈƵƮƊ
ȺƊɑƮƵǐǶȌƦƊǶƮȌȺȺɐǯƵǞɈȌȺ‫ة‬ƊǏƵɈƊƵƶƊǏƵɈƊƮƊȯȌȲǿɑǶɈǞȯǶȌȺǏƊɈȌȲƵȺ‫ب‬ȺȌƧǞƊǞȺ‫ة‬ȯȺǞƧȌǶȍǐǞƧȌȺ‫ة‬ƦǞȌǶȍǐǞƧȌȺ‫ة‬
ƵƧȌȁȏǿǞƧȌȺƵƊǿƦǞƵȁɈƊǞȺ‫خ‬
ȺǞȁɈƵȲɨƵȁƪȪƵȺƵǿ²ƊɑƮƵwƵȁɈƊǶƮƵɨƵǿȯȲȌǿȌɨƵȲȁȌɨƊȺȯȌȺȺǞƦǞǶǞƮƊƮƵȺƮƵǿȌƮǞ˛ƧƊȲƵ
ȱɐƊǶǞ˛ƧƊȲƊȺƧȌȁƮǞƪȪƵȺƵǿȌƮȌȺƮƵɨǞƮƊ‫ة‬ȌȲǞƵȁɈƊȁƮȌٌȺƵȯƵǶƊȯȲȌƮɐƪƣȌƮƵɨǞƮƊƵƮƵȺƊɑƮƵƵȁƣȌ
ȺƵȲƵȺɈȲǞȁǐǞȁƮȌƜƧɐȲƊƮƵƮȌƵȁƪƊȺ‫خ‬XȺȺȌȺǞǐȁǞ˛ƧƊƊƧȲƵƮǞɈƊȲȱɐƵƊɨǞƮƊȯȌƮƵɈƵȲɨƋȲǞƊȺǏȌȲǿƊȺƮƵ
ȺƵȲȯƵȲƧƵƦǞƮƊ‫ة‬ƵɮȯƵȲǞǿƵȁɈƊƮƊƵɨǞɨǞƮƊ‫§خ‬ƊȲƊɈƊȁɈȌ‫ة‬ƶȁƵƧƵȺȺƋȲǞȌȌǶǘƊȲȌȺɐǯƵǞɈȌƵǿȺɐƊȺǿɑǶɈǞȯǶƊȺ
ƮǞǿƵȁȺȪƵȺ‫ة‬ƧȌǿȺƵɐȺƮƵȺƵǯȌȺ‫ة‬ƊȁȺƵǞȌȺ‫ة‬ɨƊǶȌȲƵȺƵƵȺƧȌǶǘƊȺ‫خ‬yƊɈƵȁƪƣȌ ƋȺǞƧƊ‫ة‬ȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ
ƮƵǞȁɈƵȲɨƵȁƪȪƵȺƵǿ²ƊɑƮƵwƵȁɈƊǶƶƧȌȁȺɈȲɐǠƮȌȁȌƧȌɈǞƮǞƊȁȌƮȌȺƵȁƧȌȁɈȲȌȺƵȁɈȲƵȯȲȌ˛ȺȺǞȌȁƊǞȺ
ƵɐȺɐƋȲǞȌȺ‫ة‬ƵǿȱɐƵƊǿƦȌȺƧȲǞƊǿȁȌɨƊȺǏƵȲȲƊǿƵȁɈƊȺƵƵȺɈȲƊɈƶǐǞƊȺȯƊȲƊƧȌǿȯƊȲɈǞǶǘƊȲƵƧȌȁȺɈȲɐǞȲ
ǯɐȁɈȌȺȌƧɐǞƮƊƮȌƵǿȺƊɑƮƵ‫ـ‬wǞȁǞȺɈƶȲǞȌƮƊ²ƊɑƮƵ‫!ٌ׃ׁ׀ׂة‬ƊƮƵȲȁȌȺƮƊɈƵȁƪƣȌ ƋȺǞƧƊ‫ة‬ȁ‫خ‬ѥ‫خفׄ׃‬
1 ƮǞǏǠƧǞǶ ȲƵȺǞȺɈǞȲ Ɯ ɈƵȁƮƺȁƧǞƊ ƮƵ ȺǞǿȯǶǞ˛ƧƊƪȪƵȺ Ƶ Ɯ ƊƮȌƪƣȌ ƮƵ ǏȍȲǿɐǶƊȺ ǿƋǐǞƧƊȺ‫ خ‬wƵȺǿȌ
ȱɐƊȁƮȌȁȌȺȯȲȌȯȌǿȌȺƊɈȲƊȁȺǏȌȲǿƊȲȁȌȺȺƊȯȲƋɈǞƧƊƵǿƊǶǐȌƊƦƵȲɈȌƵƧȌǿȯǶƵɮȌ‫ة‬ƵȁǏȲƵȁɈƊȲƵǿȌȺ
ƮǞ˛ƧɐǶƮƊƮƵ Ƶ ƊȁǐɑȺɈǞƊ ȯȌȲ ȁƣȌ ȺƊƦƵȲ ǶǞƮƊȲ ƧȌǿ ȺǞɈɐƊƪȪƵȺ ȁȌɨƊȺ‫! خ‬ƊȲȲƵǐƊǿȌȺ ƧȌȁȌȺƧȌ ȁȌȺȺȌ
ȯƊȺȺƊƮȌ ƮƵ ǏȌȲǿƊƪƣȌ ȲƵƮɐƧǞȌȁǞȺɈƊ ‫ـ‬ȺƵǯƊ ƦǞȌǶȍǐǞƧƊ Ȍɐ ȯȺǞƧȌǶȍǐǞƧƊ‫ ف‬Ƶ ǏȲƵȁɈƵ ƊȌ ƮƵȺƧȌȁǘƵƧǞƮȌ
ȯȌƮƵǿȌȺȁȌȺȺƵȁɈǞȲǞǿȯȌɈƵȁɈƵȺ‫ة‬ƮƵǿȌƮȌȱɐƵƶǏƋƧǞǶȲƵƧƊǞȲƵǿƵɮȯǶǞƧƊƪȪƵȺȺǞǿȯǶǞȺɈƊȺ‫ة‬ȱɐƵȁȌȺ
ȯƵȲǿǞɈƊǿƊǐǞȲƮƵƊƧȌȲƮȌƧȌǿɐǿƵȺȱɐƵǿƊǿƵȁɈƊǶƮƵɨƊȲǞƋɨƵǞȺȺƵǐɐȲƊȺƵƧȌȁǘƵƧǞƮƊȺ‫خ‬ȌǏȌƧƊȲǿȌȺ
ȁȌȺȌǏȲǞǿƵȁɈȌ‫ة‬ƧȌȲȲƵǿȌȺȌȲǞȺƧȌ‫ة‬ƵȁȱɐƊȁɈȌȯȲȌ˛ȺȺǞȌȁƊǞȺƮƵȺƊɑƮƵ‫ة‬ƮƵȁƵǐǶǞǐƵȁƧǞƊȲƊȺƮǞǿƵȁȺȪƵȺ
ƮƊȯƵȺȺȌƊȱɐƵƵȺɈƵǯƊǞȁƮȌƦƵǿ‫ة‬ȱɐƵȺƵǯƊǏȌȁɈƵƮƵƧȲǞƊɈǞɨǞƮƊƮƵ‫ة‬ƊǶƵǐȲǞƊƵȯȲȌƮɐƪƣȌƮƵɨǞƮƊ‫ة‬Ƶ‫ة‬ƊȌ
ƊǐǞȲƊȺȺǞǿ‫ة‬ȯȌƮƵǿȌȺǞȁ˜ɐƵȁƧǞƋٌǶƊɈƊǿƦƶǿƊȺƵƵȺȱɐƵƧƵȲƮƵȺɐƊȺȯȲȍȯȲǞƊȺȯȌɈƵȁƧǞƊǶǞƮƊƮƵȺ‫خ‬
§ȌȲɈƊȁɈȌ‫ة‬ƶȯȲƵƧǞȺȌȱɐƵȌȯȲȌ˛ȺȺǞȌȁƊǶȲƵƊǶǞɹƵɐǿƵȺǏȌȲƪȌƮƵȺƵȯƊȲƊȲƵǿȌƧǞȌȁƊǶǿƵȁɈƵƊȺ
ȺɐƊȺɨǞɨƺȁƧǞƊȺ‫ب‬ȌȺɨƊǶȌȲƵȺȯƵȺȺȌƊǞȺƮƊȺɨǞɨƺȁƧǞƊȺƵȌȺɨƊǶȌȲƵȺȯƵȺȺȌƊǞȺƮȌȺɐȺɐƋȲǞȌȺȱɐƵƊƧȌǿȯƊȁǘƊ‫خ‬
§ȌȲɨƵɹƵȺ‫ة‬ȯȌƮƵȌƧȌȲȲƵȲƊȌɈȲƊƦƊǶǘƊƮȌȲƮƵȺƊɑƮƵƮƵȺƵǯƊȲȱɐƵȌɐȺɐƋȲǞȌǿɐƮƵƊȺȯƵƧɈȌȺƮƊɨǞƮƊ
Ƶǿ ǏɐȁƪƣȌ ƮƵ ɨƊǶȌȲƵȺ ȯƵȺȺȌƊǞȺ ƮȌ ȯȲȌ˛ȺȺǞȌȁƊǶ‫ ة‬ȌȺ ȱɐƊǞȺ ȯȌƮƵǿ ȁƣȌ ƵȺɈƊȲ Ƶǿ ȺǞȁɈȌȁǞƊ ƧȌǿ Ɗ
ƊɐɈȌȁȌǿǞƊƵȌȺɨƊǶȌȲƵȺȯƵȺȺȌƊǞȺƮȌȺɐȺɐƋȲǞȌȺ‫خ‬yȌƵȁɈƊȁɈȌ‫ة‬ȯƊȲƊǶǞƮƊȲƧȌǿǞȺȺȌ‫ة‬ƶȯȲƵƧǞȺȌƮǞȺƧɐɈǞȲ
ȌȺƧƊȺȌȺƵǿƵȱɐǞȯƵƵǿƵȺȯƊƪȌȺȯȲȌɈƵǐǞƮȌȺ‫ة‬ȌɐȯȲȌƧɐȲƊȲȺɐȯȌȲɈƵƧȌǿƵȱɐǞȯƵȺƮƵƊȯȌǞȌǿƊɈȲǞƧǞƊǶ
‫ـ‬wǞȁǞȺɈƶȲǞȌƮƊ²ƊɑƮƵ‫!ٌ׃ׁ׀ׂة‬ƊƮƵȲȁȌȺƮƊɈƵȁƪƣȌ ƋȺǞƧƊ‫ة‬ȁ‫خ‬ѥ‫خفׄ׃‬
ƧȌȁȺɈȲɐƪƣȌƮƵȺɈƵǿƊȁɐƊǶǏȌǞƦƊȺƵƊƮƊȁȌȺȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺƮȌȺȯȲǞȁƧǞȯƊǞȺɈȲƊȁȺɈȌȲȁȌȺ
ǿƵȁɈƊǞȺ‫ة‬ȺƵǿƊȁƵƧƵȺȺǞƮƊƮƵƮƵ˛ȲǿƊȲƮǞƊǐȁȍȺɈǞƧȌǞȁǞƧǞƊǶ‫ة‬ȺȌǿƊƮȌȺƜȺƧȌȁƮǞƪȪƵȺƮƵɨǞƮƊƊɈɐƊǶƮȌ
ɐȺɐƋȲǞȌ‫ة‬ȱɐƵȯȌƮƵǿƊǐȲƊɨƊȲȌȺȲǞȺƧȌȺ‫خ‬1ȁƵƧƵȺȺƋȲǞȌȲƵƊǶǞɹƊȲƵȺɈȲƊɈǞ˛ƧƊƪƣȌƮƵȲǞȺƧȌȯƊȲƊƵǶƊƦȌȲƊȲ
ȌȯǶƊȁȌƮƵƧɐǞƮƊƮȌȺȱɐƵǞȁƧǶɐǞƊƮƵ˛ȁǞƪƣȌƮȌȯȌȁɈȌƮƵƊɈƵȁƪƣȌƜȺƊɑƮƵȁȌȱɐƊǶȌɐȺɐƋȲǞȌȺƵȲƋ
ɈȲƊɈƊƮȌȁȌȯȲǞǿƵǞȲȌǿȌǿƵȁɈȌ‫خ‬
!ƊƦƵ ǶƵǿƦȲƊȲ ȱɐƵ ȯƊȲƊ ƊƮƵȱɐƊȲ Ȍ ȲƵƧɐȲȺȌ ɈƵȲƊȯƺɐɈǞƧȌ Ɗ ȺƵȲ ǞȁȺɈǞɈɐǠƮȌ‫ ة‬Ȍ ƮǞƊǐȁȍȺɈǞƧȌ
ȁȌȺȌǶȍǐǞƧȌƦƵǿƧȌǿȌƊǞƮƵȁɈǞ˛ƧƊƪƣȌƮƊȺƧȌǿȌȲƦǞƮƊƮƵȺɈƺǿƊǿƋɮǞǿƊǞǿȯȌȲɈƓȁƧǞƊƵȲƵǶƵɨƓȁƧǞƊ‫خ‬
0ȺȺƵƮǞƊǐȁȍȺɈǞƧȌƮƵɨƵȺƵȲȲƵǏƵȲƵȁƧǞƊƮȌȯƵǶƊɨƵȲȺƣȌƊɈɐƊǶǞɹƊƮƊƮƊ!ǶƊȺȺǞ˛ƧƊƪƣȌXȁɈƵȲȁƊƧǞȌȁƊǶƮƵ
(ȌƵȁƪƊȺƵ§ȲȌƦǶƵǿƊȺªƵǶƊƧǞȌȁƊƮȌȺƜ²ƊɑƮƵ‫!ـ‬X(ׁٌ‫ف׀‬ƵȲƵƊǶǞɹƊƮȌȯȌȲȯȲȌ˛ȺȺǞȌȁƊǶǿƶƮǞƧȌ‫ة‬ȺƵȁƮȌ
ƵȺɈƵȌȯȲȌ˛ȺȺǞȌȁƊǶƮƵȺƊɑƮƵǘƊƦǞǶǞɈƊƮȌǶƵǐƊǶǿƵȁɈƵȯƊȲƊƵȺȺƵƊɈȌ‫خ‬

COMUNICAÇÃO
Ⱥ ȯȲȌ˛ȺȺǞȌȁƊǞȺ ƮƵ ȺƊɑƮƵ ȁƣȌ ƮƵɨƵǿ ƵȺȱɐƵƧƵȲ ȱɐƵ ȺɐƊȺ
ǿƵȁȺƊǐƵȁȺ ȁƣȌ ȺƣȌ ǞȁɈƵȲȯȲƵɈƊƮƊȺ ƊȯƵȁƊȺ ȯƵǶƊ ǏƊǶƊ‫ ة‬ǿƊȺ ɈƊǿƦƶǿ
ȯƵǶƊ ǏȌȲǿƊ ƧȌǿȌ ȺƵ ƧȌǿȯȌȲɈƊǿ‫( خ‬ƵȺȺƊ ǿƊȁƵǞȲƊ‫ ة‬ȯȌƮƵٌȺƵ ɈȌȲȁƊȲ Ɗ
ƧȌǿɐȁǞƧƊƪƣȌ ǿƊǞȺ ƵǏƵɈǞɨƊ ƊȌ ɈȌǿƊȲ ƧȌȁȺƧǞƺȁƧǞƊ ƮƊ ǞǿȯȌȲɈƓȁƧǞƊ ƮƊ
ǶǞȁǐɐƊǐƵǿƧȌȲȯȌȲƊǶ‫ة‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵȁȌȱɐƵƮǞɹȲƵȺȯƵǞɈȌƜȯȲȌɮǞǿǞƮƊƮƵ‫ة‬
ƜȯȌȺɈɐȲƊ‫ة‬ƊȌɈȌȱɐƵƵƊȌƧȌȁɈƊɈȌɨǞȺɐƊǶ‫خ‬
©ɐƊȁƮȌȌȯȲȌ˛ȺȺǞȌȁƊǶȺƵȲƵǶƊƧǞȌȁƊƧȌǿȌȺɐǯƵǞɈȌ‫ة‬ȯȲǞǿƵǞȲƊǿƵȁɈƵ‫ة‬
ƊȱɐƵǶƵ ƮƵɨƵ ȌɐɨǞȲ Ȍ ȱɐƵ ƵȺɈƵ ǏƊǶƊ‫ ة‬Ƶǿ ȺƵǐɐȁƮȌ ǶɐǐƊȲ‫ ة‬Ȍ ȱɐƵ ƵǶƵ ȁƣȌ
ƮƵȺƵǯƊǏƊǶƊȲƵ‫ة‬ƵǿɈƵȲƧƵǞȲȌǶɐǐƊȲ‫ة‬ȌȱɐƵƵǶƵȁƣȌȯȌƮƵǏƊǶƊȲ‫خ‬
ȺȯȲȌ˛ȺȺǞȌȁƊǞȺƮƵȺƊɑƮƵɈƺǿƊɈƊȲƵǏƊƮƵǞȁɈƵȲȯȲƵɈƊȲȌȺǞǐȁǞ˛ƧƊƮȌ
ƮƊ ƧȌǿɐȁǞƧƊƪƣȌ ȁƣȌٌɨƵȲƦƊǶ ȱɐƵ Ȍ ȺɐǯƵǞɈȌ ƵȁɨǞƊ‫ ة‬ƧȌǿ Ɗ ˛ȁƊǶǞƮƊƮƵ
ƮƵ ƵȺɈƊƦƵǶƵƧƵȲ ɐǿ ȯǶƊȁȌ ƮƵ ƧɐǞƮƊƮȌȺ ƊƮƵȱɐƊƮȌ ƜȺ ȁƵƧƵȺȺǞƮƊƮƵȺ
ȺǞȁǐɐǶƊȲƵȺƮȌȯƊƧǞƵȁɈƵ‫خ‬ȯƊȺȺǞɨǞƮƊƮƵƮȌȺȺɐǯƵǞɈȌȺƵǿȺɐƊȲƵǶƊƪƣȌƧȌǿ
ȌȯȲȌ˛ȺȺǞȌȁƊǶƮƵȺƊɑƮƵȯȌƮƵǶƵɨƋٌǶȌȺƊȺƵɈȌȲȁƊȲƵǿƊȯƵȁƊȺɐǿȁɑǿƵȲȌ‫ة‬
ɐǿƧƊȺȌƧǶǠȁǞƧȌ‫ة‬ɐǿƊǏƵȲǞƮƊȌɐɐǿƊǶƵȺƣȌƮǞƊȁɈƵƮƵɐǿȌǶǘƊȲɈƵƧȁǞƧǞȺɈƊ‫خ‬
§ȌȲ ǞȺȺȌ‫ ة‬Ɗ ǞǿȯȌȲɈƓȁƧǞƊ ƮƵ ȺƵ ƧȌȁȺǞƮƵȲƊȲ Ɗ ƧȌǿɐȁǞƧƊƪƣȌ ȁƣȌٌɨƵȲƦƊǶ
ƧȌǿȌƵǶȌǏɐȁƮƊǿƵȁɈƊǶȁȌȯȲȌƧƵȺȺȌƮƵƧɐǞƮƊƮȌƵǿȺƊɑƮƵ‫خ‬
ÇǿƊ ɨƵɹ ȱɐƵ Ɗ ƧȌǿɐȁǞƧƊƪƣȌ ǞȁƧǞƮƵ ȺȌƦȲƵ Ɗ ȱɐƊǶǞƮƊƮƵ ƮƊ

ƊȺȺǞȺɈƺȁƧǞƊ ȯȲƵȺɈƊƮƊ ƊȌ ȺɐǯƵǞɈȌ‫ ة‬ȯƊȲƊ ƊǶƧƊȁƪƊȲ ɐǿƊ ƧȌǿɐȁǞƧƊƪƣȌ
ȺƊɈǞȺǏƊɈȍȲǞƊ ƶ ȯȲƵƧǞȺȌ ȱɐƵ Ȍ ȯȲȌ˛ȺȺǞȌȁƊǶ ƮƵ ȺƊɑƮƵ ƮƵȺƵǯƵ ƵȁɨȌǶɨƵȲٌȺƵ
ƵƊƧȲƵƮǞɈƵȱɐƵȺɐƊȯȲƵȺƵȁƪƊƶɈƣȌǞǿȯȌȲɈƊȁɈƵȱɐƊȁɈȌƜȲƵƊǶǞɹƊƪƣȌƮƵ
ȯȲȌƧƵƮǞǿƵȁɈȌȺɈƶƧȁǞƧȌȺ‫§خ‬ƊȲƊɈƊȁɈȌ‫ة‬ƮƵɨƵƊȺȺɐǿǞȲɐǿƊɨǞȺƣȌƮƵȺƊɑƮƵ
ǿƊǞȺǘȌǶǠȺɈǞƧƊ‫ة‬ȁƊȱɐƊǶȁƣȌǘƋɐǿƮǞɨȍȲƧǞȌƵȁɈȲƵƧȌȲȯȌƵǿƵȁɈƵ‫خ‬
ȯȲȌǿȌƪƣȌ ƮƵ ɐǿƊ ƊȺȺǞȺɈƺȁƧǞƊ ǘȌǶǠȺɈǞƧƊ ȱɐƵ ƵȁɨȌǶɨƊ ƊȺ

ȁƵƧƵȺȺǞƮƊƮƵȺƦǞȌٌȯȺǞƧȌٌȺȍƧǞȌٌƵȺȯǞȲǞɈɐƊǞȺƵƵǿȌƧǞȌȁƊǞȺƮƵɨƵȯƊȺȺƊȲȯȌȲ
ɐǿȯȲȌƧƵȺȺȌƧȌǿɐȁǞƧƊɈǞɨȌƵ˛ƧƊɹƵȁɈȲƵȯȲȌ˛ȺȺǞȌȁƊǶ‫ش‬ȺɐǯƵǞɈȌ‫ة‬ǶƵɨƊȁƮȌƵǿ
ƧȌȁȺǞƮƵȲƊƪƣȌȌȺȺƵǐɐǞȁɈƵȺȯȌȁɈȌȺ‫ب‬
9
§ȲƵǏƵȲƺȁƧǞƊȯȌȲǶȌƧƊǶȲƵȺƵȲɨƊƮȌ‫س‬
9
wƊȁɈƵȲƧȌȁɈƊɈȌɨǞȺɐƊǶ‫س‬
9
0ɨǞɈƊȲǿƊȁɐȺƵƊȲȌƦǯƵɈȌȺƵȁȱɐƊȁɈȌȌȯƊƧǞƵȁɈƵǏƊǶƊ‫س‬
9
yƣȌǏƊɹƵȲǯɐǶǐƊǿƵȁɈȌȺȌɐǞǿȯȌȲȺɐƊȺƧȲƵȁƪƊȺ‫س‬
9
!ȌȁɈȲȌǶƵƮƊƵɮȯȲƵȺȺƣȌǏƊƧǞƊǶƵƧȌȲȯȌȲƊǶ‫س‬
9
²ƵȲƧǶƊȲȌƵȌƦǯƵɈǞɨȌ‫س‬
9
0ɨǞɈƊȲɐȺȌƮƵɈƵȲǿȌȺƮƵȺƧȌȁǘƵƧǞƮȌȺȯƊȲƊȌȯƊƧǞƵȁɈƵ‫س‬
9
0ɮȯǶǞƧƊȲƵȌȲǞƵȁɈƊȲȱɐƊȁɈȌƊȌȱɐƵȺƵȲƋȲƵƊǶǞɹƊƮȌ‫س‬
9
!ȌǿɐȁǞƧƊȲȌƮǞƊǐȁȍȺɈǞƧȌȌɐƧȌȁƮǞƪƣȌƮƵȺƊɑƮƵƮȌ
ȯƊƧǞƵȁɈƵ‫خ‬

PROMOÇÃO,
PREVENÇÃO E
TRATAMENTO
yƊƊɈƵȁƪƣȌƜ²ƊɑƮƵwƵȁɈƊǶ‫ة‬ƊȺƊɈǞɨǞƮƊƮƵȺƮƵȯȲȌǿȌƪƣȌƮƊȺƊɑƮƵ
ǞǿȯǶǞƧƊǿ Ɗ ƧȲǞƊƪƣȌ ƮƵ ƧȌȁƮǞƪȪƵȺ ƊǿƦǞƵȁɈƊǞȺ Ƶ ȺȌƧǞƊǞȺ ȱɐƵ ȯȲȌȯǞƧǞƵǿ
ɐǿ ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ ȯȺǞƧȌǶȍǐǞƧȌ Ƶ ȯȺǞƧȌ˛ȺǞȌǶȍǐǞƧȌ ƊƮƵȱɐƊƮȌȺ‫ خ‬ÀƊǞȺ
ǞȁǞƧǞƊɈǞɨƊȺ ƵȁɨȌǶɨƵǿ ȌȺ ǞȁƮǞɨǠƮɐȌȺ Ƶǿ ɐǿ ȯȲȌƧƵȺȺȌ ȯȌȺǞɈǞɨȌ‫ ة‬ƧȌǿȌ
ǿƵǶǘȌȲƊƮƊȱɐƊǶǞƮƊƮƵƮƵɨǞƮƊƵȲƵƮɐƪƣȌƮƊƮǞȺɈƓȁƧǞƊƮƊƵɮȯƵƧɈƊɈǞɨƊƮƵ
ȺƊɑƮƵƵȁɈȲƵȌȺǞȁƮǞɨǠƮɐȌȺƵȌȺǐȲɐȯȌȺ‫خ‬0ȺȺƵȯȲȌƧƵȺȺȌƮƵɨƵȺƵȲƧȌȁȺɈȲɐǠƮȌ
ƮƵǏȌȲǿƊȯƊȲɈǞƧǞȯƊɈǞɨƊƧȌǿƊȺȯƵȺȺȌƊȺƵȯƊȲƊƊȺȯƵȺȺȌƊȺ‫خ‬ȯȲƵɨƵȁƪƣȌ
ƮȌȺ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ ȯȌƮƵ ȺƵȲ ƧȌȁȺǞƮƵȲƊƮƊ ɐǿ ƮȌȺ ȲƵȺɐǶɈƊƮȌȺ ƮƵ
ɐǿƊƵȺɈȲƊɈƶǐǞƊƊǿȯǶƊƮƵȯȲȌǿȌƪƣȌƮƊ²ƊɑƮƵwƵȁɈƊǶ‫ـ‬R²wy‫س‬hy1ٌ
mm§X²‫׉׉׉ׁة‬ƊȯɐƮàR‫خفׄ׀׀ׂة‬
hƋ ƊȺ ƊƪȪƵȺ ƮƵ ȯȲƵɨƵȁƪƣȌ ƮƵ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ ƮƵɨƵǿ ɈƵȲ
ƧȌǿȌ ȌƦǯƵɈǞɨȌ Ɗ ȲƵƮɐƪƣȌ ƮƊ ǞȁƧǞƮƺȁƧǞƊ‫ ة‬ȯȲƵɨƊǶƺȁƧǞƊ Ƶ ȲƵƧȌȲȲƺȁƧǞƊ
ƮƵȺȺƵȺɈȲƊȁȺɈȌȲȁȌȺ‫ة‬ƮȌɈƵǿȯȌȯƵȲƮǞƮȌƧȌǿȺǞȁɈȌǿƊȺȌɐƊȲƵƮɐƪƣȌƮƊȺ
ƧȌȁƮǞƪȪƵȺƮƵȲǞȺƧȌ‫ة‬ȯȲƵɨƵȁǞȁƮȌȌɐǞǿȯƵƮǞȁƮȌȲƵƧȌȲȲƺȁƧǞƊȺƵƮǞǿǞȁɐǞȁƮȌ
ȌǞǿȯƊƧɈȌƮƊƮȌƵȁƪƊȺȌƦȲƵȌǞȁƮǞɨǠƮɐȌ‫ة‬ȺƵɐȺǏƊǿǞǶǞƊȲƵȺƵƊȺȌƧǞƵƮƊƮƵ
‫ـ‬wªð0j‫س‬RJJ0ªÀæ‫ׄ׉׉ׁة‬ƊȯɐƮàR‫خفׄ׀׀ׂة‬
§ƊȲƊ ȱɐƵ Ɗ ƊȺȺǞȺɈƺȁƧǞƊ Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ ȺƵǯƊ Ƶ˛ƧǞƵȁɈƵ Ƶǿ

ȱɐƊǶȱɐƵȲƮȌȺȁǠɨƵǞȺƮƵƊɈƵȁƪƣȌ‫ة‬ƧȌȁȺǞƮƵȲƊǿȌȺƵȺȺƵȁƧǞƊǶȱɐƵǘƊǯƊ‫ب‬
9
ªƵƮƵƊȲɈǞƧɐǶƊƮƊƮƵȺƵȲɨǞƪȌȺ‫س‬
9
ƦȌȲƮƊǐƵǿȯȺǞƧȌȺȺȌƧǞƊǶ‫س‬
9ɐȺƧƊƊɈǞɨƊƮȌȺȯƊƧǞƵȁɈƵȺ‫س‬
9
ȯȌǞȌƵȯƊȲƧƵȲǞƊƧȌǿȌȺǏƊǿǞǶǞƊȲƵȺ‫س‬
9
0ȱɐǞȯƵȺ ǿɐǶɈǞƮǞȺƧǞȯǶǞȁƊȲƵȺ ƧȌǿȯȌȺɈƊȺ ȯȌȲ ȯȲȌ˛ȺȺǞȌȁƊǞȺ
ƮƵȺƊɑƮƵƮƵɨƋȲǞƊȺǏȌȲǿƊƪȪƵȺ‫ة‬ƊƦƊȁƮȌȁƊȁƮȌȯƊȲƊƮǞǐǿƊȺ
ǞȁƵ˛ƧƊɹƵȺ Ƶ ȯȌɐƧȌ ȲƵȺȌǶɐɈǞɨȌȺ‫ ة‬ɈƊǞȺ ƧȌǿȌ Ɗ ƊƦȌȲƮƊǐƵǿ
ƵȺɈȲǞɈƊǿƵȁɈƵ ǿƶƮǞƧƊ Ƶ ȯȺǞƧȌǏƊȲǿƊƧȌǶȍǐǞƧƊ ƧƵȁɈȲƊƮƊ ȁƊ
ǘȌȺȯǞɈƊǶǞɹƊƪƣȌ‫خ‬

FERRAMENTAS
DE PREVENÇÃO DO
ADOECIMENTO
ƧɐǞƮƊƮȌ ƶ ɐǿƊ ƧƊȲƊƧɈƵȲǠȺɈǞƧƊ ƵȺȺƵȁƧǞƊǶ ƮȌ ȺƵȲ ǘɐǿƊȁȌ‫ خ‬ȺȺǞǿ‫ ة‬ƊȺ ƊƪȪƵȺ ƮƵ ƧɐǞƮƊƮȌ
ƮƵɨƵǿȺƵȲɨǞȺɈƊȺƧȌǿȌٗɐǿȯȲȌƧƵȺȺȌȯƵȲǿƊȁƵȁɈƵƮƵƦɐȺƧƊƮƵƵȱɐǞǶǠƦȲǞȌƮǞȁƓǿǞƧȌƮƵɈȌƮȌȺȌȺ
ǏƊɈȌȲƵȺȱɐƵƧȌǿȯȪƵǿƊɨǞƮƊǘɐǿƊȁƊ٘‫خ‬
1ȁƵƧƵȺȺƋȲǞȌȌƧɐǞƮƊƮȌǞȁɈƵǐȲƊǶƮƊȺƊɑƮƵƮȌƧȌȲȯȌǏǠȺǞƧȌƵǿƵȁɈƊǶ‫ة‬ȯƊȲƊǞȺȺȌɈƵǿȌȺȺƵǿȯȲƵ
ȱɐƵȯƵȁȺƊȲƵǿȯȲƵɨƵȁƪƣȌ‫(خ‬ƵȺɈƊƧƊǿȌȺƊȱɐǞɐǿƊȺƶȲǞƵƮƵȌȲǞƵȁɈƊƪȪƵȺȯƊȲƊǿƊȁɈƵȲƵȺȺƵƵȱɐǞǶǠƦȲǞȌ‫خ‬
a) Hidratação: ƋǐɐƊȲƵȯȲƵȺƵȁɈƊ‫ڭ׉׉‬ƮƊȺǿȌǶƶƧɐǶƊȺȱɐƵƧȌȁȺɈǞɈɐƵǿ
ȌƧȌȲȯȌǘɐǿƊȁȌ‫ة‬ȺƵȁƮȌƊȺȺǞǿƶȁƵƧƵȺȺƋȲǞȌȱɐƵƊȁȌȺȺƊȲƵȺƵȲɨƊƵȺɈƵǯƊ
ȺƵǿȯȲƵ ȲƵȁȌɨƊƮƊ‫ خ‬wǞȁǞȺɈƶȲǞȌ ƮƊ ²ƊɑƮƵ ȲƵƧȌǿƵȁƮƊ ׂ ǶǞɈȲȌȺ ƮƵ ƋǐɐƊ
ȯȌȲ ƮǞƊ ȯƊȲƊ ɐǿ ƊƮɐǶɈȌ ȺƊɐƮƋɨƵǶ Ƶ ɨƊǞ ƮƵȯƵȁƮƵȲ ƮƊȺ ƊɈǞɨǞƮƊƮƵȺ ȱɐƵ Ȍ
ǞȁƮǞɨǠƮɐȌ ƵɮƵȲƪƊ‫ ة‬ǿƊȺ ɐǿ ƧƋǶƧɐǶȌ ȺǞǿȯǶƵȺ ȯȌȲ ǞȁƮǞɨǞƮɐȌ ȺƵȲǞƊ‫§ ب‬ƵȺȌ
ƧȌȲȯȌȲƊǶɮ‫׀ٌׅׄ׃‬ǿǶ‫©ڙ‬ɐƊȁɈǞƮƊƮƵɈȌɈƊǶƵǿׂׄǘȌȲƊȺ‫خ‬
b) Alimentação: 0ǿ ɐǿƊ ƊǶǞǿƵȁɈƊƪƣȌ ȺƊɐƮƋɨƵǶ ƶ ǞǿȯȌȲɈƊȁɈƵ ɈƵȲ

ɨƊȲǞƵƮƊƮƵ‫ ة‬ƵȱɐǞǶǠƦȲǞȌ Ƶ ƧȌȁɈȲȌǶƵ ƮƵ ȱɐƊȁɈǞƮƊƮƵ‫ ة‬ƧȌǿƵȲ Ȍ ȱɐƵ ǶǘƵ ƶ
ƊƮƵȱɐƊƮȌƵȱɐƊǶǞƮƊƮƵƮȌȺƊǶǞǿƵȁɈȌȺ‫خ‬²ƵǿȯȲƵƶȁƵƧƵȺȺƋȲǞȌȌȲǞƵȁɈƊȲȌȺ
ȯƊƧǞƵȁɈƵȺ Ɗ ɈƵȲ ƧȌȁȺƧǞƺȁƧǞƊ ƮƵ ɐǿƊ ƦȌƊ ƊǶǞǿƵȁɈƊƪƣȌ ƮƵȁɈȲȌ ƮȌȺ ȺƵɐȺ
ȯȲȍȯȲǞȌȺȲƵƧɐȲȺȌȺƵƊƮƵȱɐƊȲȌXw!‫خ‬
c) Respiração: 1ǞǿȯȌȲɈƊȁɈƵǶƵǿƦȲƊȲȱɐƵƊȲƵȺȯǞȲƊƪƣȌɨƊǞǿɐǞɈȌƊǶƶǿ
ƮȌǞȁȺȯǞȲƊȲƵƵɮȯǞȲƊȲ‫خ‬IɐȁƧǞȌȁƊƧȌǿȌɐǿƊȌȲȱɐƵȺɈȲƊȱɐƵƵȁɨȌǶɨƵƧƶȲƵƦȲȌ‫ة‬
ȯɐǶǿȪƵȺ‫ة‬ƧȌȲƊƪƣȌ‫ة‬ȺƊȁǐɐƵƵǿɑȺƧɐǶȌȺƵǿȯƵȲǏƵǞɈƊǘƊȲǿȌȁǞƊ‫خ‬ªƵɈȌǿƊȲ
ƊƧȌȁȺƧǞƺȁƧǞƊƵƊƧȌȌȲƮƵȁƊƪƣȌƮƊȲƵȺȯǞȲƊƪƣȌƶɐǿɨƵȲƮƊƮƵǞȲȌȲƵǿƶƮǞȌ
ȁƊɈɐȲƊǶ‫ ة‬ƧƊȯƊɹ ƮƵ ƧɐȲƊȲ ȯȲȌƦǶƵǿƊȺ ƮƵ ȌȲƮƵǿ ǏǠȺǞƧƊ Ƶ ȯȺǞƧȌǶȍǐǞƧƊ‫ خ‬
ȲƵȺȯǞȲƊƪƣȌ ǶƵȁɈƊ‫ ة‬ȯȲȌǏɐȁƮƊ Ƶ ƧȌȁȺƧǞƵȁɈƵ ƶ ɐǿ ƮȌȺ ǿƵǶǘȌȲƵȺ ȲƵǿƶƮǞȌȺ
ȯƊȲƊƊǿƵȁǞɹƊȲȺƵȁȺƊƪȪƵȺƮƵƵȺɈȲƵȺȺƵƵƊȁȺǞƵƮƊƮƵ‫ة‬ǐȲƊƪƊȺƜȺɐƊȯȌɈƵȁɈƵ
ƧƊȯƊƧǞƮƊƮƵ ƮƵ ȲƵǶƊɮƊǿƵȁɈȌ‫ خ‬Ȍ ȲƵȺȯǞȲƊȲ ƧȌǿ ƧƊǶǿƊ Ƶ ƧȌȁȺƧǞƺȁƧǞƊ‫ة‬
Ȍ ƧȌȲȯȌ ƵȁɈƵȁƮƵ ȱɐƵ ȁƣȌ ǘƋ ȯƵȲǞǐȌ ǞǿǞȁƵȁɈƵ Ƶ ȲƵɈȌǿƊ ȺƵɐ ƵȺɈƊƮȌ
ǏǠȺǞƧȌ Ƶ ƵǿȌƧǞȌȁƊǶ ƵȱɐǞǶǞƦȲƊƮȌ‫ خ‬ÀƊǶ ȲƵƊƪƣȌ ȌƧȌȲȲƵ ȯȌȲȱɐƵ Ɗ ȲƵȺȯǞȲƊƪƣȌ
ȯȲȌǏɐȁƮƊ ƵȺɈǞǿɐǶƊ Ɗ ǶǞƦƵȲƊƪƣȌ ƮȌ ƋƧǞƮȌ ǐƊǿƊ ƊǿǞȁȌƦɐɈǠȲǞƧȌ ‫ـ‬J ‫ةف‬
ȯȲǞȁƧǞȯƊǶ ȁƵɐȲȌɈȲƊȁȺǿǞȺȺȌȲ ǞȁǞƦǞɈȍȲǞȌ ƮȌ ȺǞȺɈƵǿƊ ȁƵȲɨȌȺȌ‫ خ‬²ɐƊ ƊƪƣȌ ȁȌ
ȌȲǐƊȁǞȺǿȌƶɐǿȯȌɈƵȁɈƵƧƊǶǿƊȁɈƵƵƊȁȺǞȌǶǠɈǞƧȌȁƊɈɐȲƊǶ‫ة‬ȲƵȺɈƊƦƵǶƵƧƵȁƮȌ
Ɗ ɈȲƊȁȱɐǞǶǞƮƊƮƵ Ƶ ƧȌȁɈȲȌǶƵ ƮƊȺ ƵǿȌƪȪƵȺ‫ خ‬1 ȯȌȲ ƧȌȁɈƊ ƮƊ ǶǞƦƵȲƊƪƣȌ
ƮƵȺȺƵ ȁƵɐȲȌɈȲƊȁȺǿǞȺȺȌȲ ȱɐƵ Ɗ ȲƵȺȯǞȲƊƪƣȌ ȯȲȌǏɐȁƮƊ ƶ ƊǿȯǶƊǿƵȁɈƵ
ȲƵƧȌǿƵȁƮƊƮƊȁȌƧȌȁɈȲȌǶƵƮƊȺƧȲǞȺƵȺƮƵƊȁȺǞƵƮƊƮƵƵƮƵȌɐɈȲȌȺɈȲƊȁȺɈȌȲȁȌȺ
ȯȺǞƧȌǶȍǐǞƧȌȺ‫خ‬ǶƶǿƮƊȱɐƵȺɈƣȌƵǿȌƧǞȌȁƊǶ‫ة‬ƊȲƵȺȯǞȲƊƪƣȌƧȌȲȲƵɈƊɈƊǿƦƶǿ
ƦƵȁƵ˛ƧǞƊƊȺƊɑƮƵƧȌǐȁǞɈǞɨƊ‫خ‬ƧƶȲƵƦȲȌƵɮǞǐƵȌɮǞǐƵȁƊƪƣȌƊƦɐȁƮƊȁɈƵȯƊȲƊ
ǏɐȁƧǞȌȁƊȲƮƵǿƊȁƵǞȲƊȯǶƵȁƊ‫ى‬ȱɐƵǿȯȲƊɈǞƧƊȲƵȺȯǞȲƊƪƣȌȺɐȯƵȲ˛ƧǞƊǶɈƵȁƮƵ
ƊƵȁǏȲƵȁɈƊȲȯȲȌƦǶƵǿƊȺƧȌǿƊɈƵȁƪƣȌ‫ة‬ƧȌȁƧƵȁɈȲƊƪƣȌ‫ة‬ǿƵǿȍȲǞƊ‫ة‬ȲƊƧǞȌƧǠȁǞȌ
ǶȍǐǞƧȌƵƧȌǿȯȲƵƵȁȺƣȌ‫خ‬

d) Exercícios: 0ɮƵȲƧǠƧǞȌ ǏǠȺǞƧȌ ƶ ȱɐƊǶȱɐƵȲ ƊɈǞɨǞƮƊƮƵ ȯǶƊȁƵǯƊƮƊ ȱɐƵ ǏƊƪƊ
ȺƵɐȺǿɑȺƧɐǶȌȺǏɐȁƧǞȌȁƊȲƵǿƵƊǯɐƮƵȌƧȌȲȯȌƊȱɐƵǞǿƊȲƧƊǶȌȲǞƊȺ‫ب‬ƧȌȲȲǞƮƊ‫ة‬
ƧƊǿǞȁǘƊƮƊ‫ ة‬ǏɐɈƵƦȌǶ‫ ة‬ȁƊɈƊƪƣȌ‫ ة‬ƮƊȁƪƊ ƵɈƧ‫ خ‬ȯƪȪƵȺ ȁƣȌ ǏƊǶɈƊǿ Ƶ ƮǞɨƵȲȺƊȺ
ȯƵȺȱɐǞȺƊȺƧȌǿȯȲȌɨƊǿȌȺƦƵȁƵǏǠƧǞȌȺƮȌƵɮƵȲƧǠƧǞȌǏǠȺǞƧȌȯƊȲƊƊȺƊɑƮƵƮȌ
ƧȌȲȯȌ Ƶ ƮƊ ǿƵȁɈƵ‫ خ‬ȯȲƋɈǞƧƊ ȲƵǐɐǶƊȲ ƊǯɐƮƊ Ɗ ƊɐǿƵȁɈƊȲ ȺƵɐȺ ȁǠɨƵǞȺ ƮƵ
ƵȁƵȲǐǞƊ‫ة‬ǏƊɹƦƵǿȯƊȲƊƊȯƵǶƵƵƶƵȺȺƵȁƧǞƊǶȯƊȲƊȌƦȌǿǏɐȁƧǞȌȁƊǿƵȁɈȌ
ƮȌ ȺǞȺɈƵǿƊ ƧƊȲƮǞȌɨƊȺƧɐǶƊȲ‫§ خ‬ȌȲ ǞȺȺȌ‫ ة‬ƶ ɐǿ ƧȌǿȯȌȁƵȁɈƵ ٌ ƧǘƊɨƵ ȯƊȲƊ
ƧȌȁȱɐǞȺɈƊȲ ɐǿ ƵȺɈǞǶȌ ƮƵ ɨǞƮƊ ȺƊɐƮƋɨƵǶ‫ خ‬1 ƧȌǿȯȲȌɨƊƮƊǿƵȁɈƵ Ƶ˛ƧƊɹ ȁƊ
ǿƵǶǘȌȲƊ ƮȌ ǘɐǿȌȲ Ƶ ȁȌ ƊǶǠɨǞȌ ƮȌȺ ȺǞȁɈȌǿƊȺ ƮƵ ƮƵȯȲƵȺȺƣȌ‫ ة‬ansiedade
e ƵȺɈȲƵȺȺƵ‫ خ‬²ƵǐɐȁƮȌ estudos‫ ة‬ǞȺȺȌ ƊƧȌȁɈƵƧƵ ȯȌȲȱɐƵ ȌȺ ƵɮƵȲƧǠƧǞȌȺ
ȯȲȌƮɐɹƵǿƊǶɈƵȲƊƪȪƵȺȁƊȺȯƊȲɈƵȺƮȌƧƶȲƵƦȲȌȱɐƵȲƵǐɐǶƊǿȌƵȺɈȲƵȺȺƵƵƊ
ƊȁȺǞƵƮƊƮƵ‫ خ‬0ǶƵȺ ɈƊǿƦƶǿ ȯȌƮƵǿ ƊɐǿƵȁɈƊȲ Ɗ ȺƵȁȺǞƦǞǶǞƮƊƮƵ ƮȌ ƧƶȲƵƦȲȌ
ƊȌȺǘȌȲǿȏȁǞȌȺȺƵȲȌɈȌȁǞȁƊe ȁȌȲƊƮȲƵȁƊǶǞȁƊ‫ة‬ȱɐƵƊǶǞɨǞƊǿȌȺȺƵȁɈǞǿƵȁɈȌȺ
ƮƵƮƵȯȲƵȺȺƣȌ‫خ‬ǶƶǿƮǞȺȺȌ‫ة‬ȌƵɮƵȲƧǠƧǞȌǏǠȺǞƧȌȲƵǐɐǶƊȲƊɐǿƵȁɈƊƊȯȲȌƮɐƪƣȌ
de ƵȁƮȌȲ˛ȁƊȺ‫ة‬ƧȌȁǘƵƧǞƮƊȺȯȌȲƊǯɐƮƊȲƊȯȲȌƮɐɹǞȲȺƵȁɈǞǿƵȁɈȌȺȯȌȺǞɈǞɨȌȺƵ
ȲƵƮɐɹǞȲƊȯƵȲƧƵȯƪƣȌƮƊƮȌȲ‫خ‬ȯȲƋɈǞƧƊȲƵǐɐǶƊȲƮƵƵɮƵȲƧǠƧǞȌȺǏǠȺǞƧȌȺƊǞȁƮƊ
ƶƧƊȯƊɹƮƵȲƵƮɐɹǞȲȌȺȺǞȁɈȌǿƊȺƵǿȯƵȺȺȌƊȺȱɐƵȺȌǏȲƵǿƮƵƊȁȺǞƵƮƊƮƵ‫خ‬
e) Meditação:wƵƮǞɈƊƪƣȌƶɐǿƊȯƊɐȺƊ‫ة‬ǿȌǿƵȁɈȌƵǿȱɐƵȌȺƦƊȲɐǶǘȌȺ
ƮȌȺ ȯƵȁȺƊǿƵȁɈȌȺ ȁƣȌ ȺƣȌ ɈƣȌ ǞǿȯȌȲɈƊȁɈƵȺ‫ ة‬ƶ ƵȺɈƊȲ Ƶǿ ƧȌȁɈƊɈȌ ƧȌǿ Ɗ
ȯȲȍȯȲǞƊƵȺȺƺȁƧǞƊ‫ة‬ǶȌȁǐƵƮƊǿƊɈƵȲǞƊǶǞƮƊƮƵ‫خ‬ɐɮǞǶǞƊȁƊƊɈǞɨƊƪƣȌƮȌȺǞȺɈƵǿƊ
ȁƵȲɨȌȺȌ ȯƊȲƊȺȺǞǿȯƋɈǞƧȌ‫ ة‬Ȍ ȱɐƊǶ ȯȲȌȯȌȲƧǞȌȁƊȲƋ ƊȌ ƧȌȲȯȌ ȲƵǶƊɮƊǿƵȁɈȌ
ȯȲȌǏɐȁƮȌ ƊɈȲƊɨƶȺ ƮƊ ƮǞǿǞȁɐǞƪƣȌ ƮƵ ƧȌȲɈǞȺȌǶ ‫ـ‬ǘȌȲǿȏȁǞȌ ƮȌ ƵȺɈȲƵȺȺƵ‫خف‬
ÀƊǿƦƶǿ ǿƵǶǘȌȲƊ Ɗ ȯȲȌƮɐƪƣȌ ƮƵ ƵȁɹǞǿƊȺ ƮǞǐƵȺɈǞɨƊȺ Ƶ ƧȌǿ ǞȺȺȌ Ȍ
ǏȌȲɈƊǶƵƧǞǿƵȁɈȌ ƮȌ ȺǞȺɈƵǿƊ ǞǿɐȁȌǶȍǐǞƧȌ‫ خ‬ǿƵƮǞɈƊƪƣȌ‫ ة‬ƊǶƶǿ ƮƵ ȲƵƮɐɹǞȲ
Ȍ ƵȺɈȲƵȺȺƵ Ƶ ƊȁȺǞƵƮƊƮƵ‫ ة‬ƊɐǿƵȁɈƊ Ɗ ƵȁƵȲǐǞƊ Ƶ Ɗ ƧȲǞƊɈǞɨǞƮƊƮƵ‫ خ‬wƵǶǘȌȲƊ Ɗ
ȺƊɑƮƵ ƧȌǿȌ ɐǿ ɈȌƮȌ‫ ة‬ȲƵǐɐǶƊ ȯȲƵȺȺƣȌ ƊȲɈƵȲǞƊǶ‫ ة‬ȯȲȌǿȌɨƵ ȲƵɨƵȲȺƣȌ ƮȌ
ƵȁɨƵǶǘƵƧǞǿƵȁɈȌ‫ة‬ǿƵǶǘȌȲƊƊǿƵǿȍȲǞƊ‫ة‬ǞȁɈƵǶǞǐƺȁƧǞƊƵƵɮȯƊȁƮƵƊǿƵȁɈƵ‫خ‬
!ȌǿƊȯȲƋɈǞƧƊȲƵǐɐǶƊȲ‫ة‬ȌȯȲȌƧƵȺȺȌɈȌȲȁƊٌȺƵǿƊǞȺȁƊɈɐȲƊǶ‫ة‬ȺƵȁƮȌȯȌȺȺǠɨƵǶ
ȯƵȲǿƊȁƵƧƵȲ ȁƵȺȺƵ ƵȺɈƊƮȌ Ƶǿ ǐȲƊȁƮƵ ȯƊȲɈƵ ƮȌ ɈƵǿȯȌ Ƶ ƊɐǿƵȁɈƊȲ Ɗ
ȱɐƊǶǞƮƊƮƵƮƵɨǞƮƊƮȌǞȁƮǞɨǠƮɐȌ‫خ‬mindfulness‫ة‬ȌɐƊɈƵȁƪƣȌȯǶƵȁƊ‫ة‬ƶɐǿƊ
ƵȺɈȲƊɈƶǐǞƊȯȌƮƵȲȌȺƊȁƊȲƵǐɐǶƊƪƣȌƮƊƵǿȌƪƣȌ‫ة‬ƧƊȲƊƧɈƵȲǞɹƊƮȌȯȌȲȺƵȲɐǿ
ȯȲȌƧƵȺȺȌƮƵƊȯȲƵȁƮǞɹƊǐƵǿȲƋȯǞƮƊƵǞǿȯǶƊȁɈƊƮƊƧȌǿǿɐǞɈƊƵ˛ƧƋƧǞƊȁƊ
ȲȌɈǞȁƊ ƮƵ ȱɐƊǶȱɐƵȲ ǞȁƮǞɨǠƮɐȌ‫ خ‬ªƵȺƵȲɨƊȲ ƊǶǐɐȁȺ ǿȌǿƵȁɈȌȺ ƮȌ ƮǞƊ ȯƊȲƊ
ȯȲƵȺɈƊȲƊɈƵȁƪƣȌȁȌƊȱɐǞƵƊǐȌȲƊ‫ة‬ƊȱɐǞƵɈƊȲƊǿƵȁɈƵƵȲƵȺȯǞȲƊȲȺƣȌƊƪȪƵȺ
ȱɐƵǏƊɹƵǿȯƊȲɈƵƮƵȺȺƊȯȲƋɈǞƧƊ‫خ‬

PRÁTICAS
INTEGRATIVAS
Ⱥ §ȲƋɈǞƧƊȺ XȁɈƵǐȲƊɈǞɨƊȺ Ƶ !ȌǿȯǶƵǿƵȁɈƊȲƵȺ Ƶǿ ²ƊɑƮƵ ‫§ـ‬X!²‫ف‬
Ɉƺǿ ȺǞƮȌ ƵɨǞƮƵȁƧǞƊƮƊȺ ƧȌǿȌ ǞǿȯȌȲɈƊȁɈƵ ǏƵȲȲƊǿƵȁɈƊ ɈƵȲƊȯƺɐɈǞƧƊ ȁƊ
ǿƊȁɐɈƵȁƪƣȌ‫ش‬ȲƵƧɐȯƵȲƊƪƣȌ ƮƊ ȺƊɑƮƵ‫ ة‬ƦƵǿ ƵȺɈƊȲ Ƶ ȱɐƊǶǞƮƊƮƵ ƮƵ ɨǞƮƊ‫ة‬
ƧȌǿ ȯȌȺǞɈǞɨȌ Ƶ ƵȺȯƵƧǞƊǶ ǞǿȯƊƧɈȌ ȁȌ ɈȲƊɈƊǿƵȁɈȌ ƮƵ ȯƊƧǞƵȁɈƵȺ ƧȌǿ
ɈȲƊȁȺɈȌȲȁȌȺǿƵȁɈƊǞȺƮƵȺƮƵȌȺǿƊǞȺǶƵɨƵȺƊɈƶȌȺǿƊǞȺǐȲƊɨƵȺ‫خ‬
²ƣȌȲƵƧɐȲȺȌȺɈƵȲƊȯƺɐɈǞƧȌȺȱɐƵƦɐȺƧƊǿƊȯȲƵɨƵȁƪƣȌƮƵƮȌƵȁƪƊȺ
Ƶ Ɗ ȲƵƧɐȯƵȲƊƪƣȌ ƮƊ ȺƊɑƮƵ‫ ة‬ƧȌǿ ƺȁǏƊȺƵ ȁƊ ƵȺƧɐɈƊ ƊƧȌǶǘƵƮȌȲƊ‫ ة‬ȁȌ
ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌƮȌɨǠȁƧɐǶȌɈƵȲƊȯƺɐɈǞƧȌƵȁƊǞȁɈƵǐȲƊƪƣȌƮȌȺƵȲǘɐǿƊȁȌ
ƧȌǿȌǿƵǞȌƊǿƦǞƵȁɈƵƵƊȺȌƧǞƵƮƊƮƵ‫خ‬
Ⱥ ȯȲƋɈǞƧƊȺ ǏȌȲƊǿ ǞȁȺɈǞɈɐƧǞȌȁƊǶǞɹƊƮƊȺ ȯȌȲ ǿƵǞȌ ƮƊ §ȌǶǠɈǞƧƊ

yƊƧǞȌȁƊǶƮƵ§ȲƋɈǞƧƊȺXȁɈƵǐȲƊɈǞɨƊȺƵ!ȌǿȯǶƵǿƵȁɈƊȲƵȺȁȌ²Ç²‫§ـ‬y§X!‫خف‬
²ƣȌ ƵǶƊȺ‫ ب‬wƵƮǞƧǞȁƊ ÀȲƊƮǞƧǞȌȁƊǶ !ǘǞȁƵȺƊ‫ش‬ƧɐȯɐȁɈɐȲƊ‫ ة‬wƵƮǞƧǞȁƊ
ȁɈȲȌȯȌȺȍ˛ƧƊ‫ ة‬RȌǿƵȌȯƊɈǞƊ‫§ ة‬ǶƊȁɈƊȺ wƵƮǞƧǞȁƊǞȺ Ƶ IǞɈȌɈƵȲƊȯǞƊ‫ة‬
ÀƵȲǿƊǶǞȺǿȌ ²ȌƧǞƊǶ‫!ش‬ȲƵȁȌɈƵȲƊȯǞƊ‫ ة‬ȲɈƵɈƵȲƊȯǞƊ‫ ة‬ɯɐȲɨƵƮƊ‫ ة‬ǞȌƮƊȁƪƊ‫ة‬
(ƊȁƪƊ !ǞȲƧɐǶƊȲ‫ ة‬wƵƮǞɈƊƪƣȌ‫ ة‬wɐȺǞƧȌɈƵȲƊȯǞƊ‫ ة‬yƊɈɐȲȌȯƊɈǞƊ‫ ة‬ȺɈƵȌȯƊɈǞƊ‫ة‬
©ɐǞȲȌȯȲƊɮǞƊ‫ ة‬ªƵ˜ƵɮȌɈƵȲƊȯǞƊ‫ ة‬ªƵǞǲǞ‫ ة‬²ǘƊȁɈƊǶƊ‫ ة‬ÀƵȲƊȯǞƊ !ȌǿɐȁǞɈƋȲǞƊ
XȁɈƵǐȲƊɈǞɨƊ‫ة‬æȌǐƊ‫ة‬ȯǞɈƵȲƊȯǞƊ‫ة‬ȲȌǿƊɈƵȲƊȯǞƊ‫ ة‬ǞȌƵȁƵȲǐƶɈǞƧƊ‫!ة‬ȌȁȺɈƵǶƊƪƣȌ
IƊǿǞǶǞƊȲ‫!ة‬ȲȌǿȌɈƵȲƊȯǞƊ‫ة‬JƵȌɈƵȲƊȯǞƊ‫ة‬RǞȯȁȌɈƵȲƊȯǞƊ‫ة‬XǿȯȌȺǞƪƣȌƮƵwƣȌȺ‫ة‬
ɹȌȁǞȌɈƵȲƊȯǞƊƵÀƵȲƊȯǞƊƮƵIǶȌȲƊǞȺ‫خ‬
0ȺɈƊȺ ǞǿȯȌȲɈƊȁɈƵȺ ȯȲƋɈǞƧƊȺ ȺƣȌ ɈȲƊȁȺɨƵȲȺƊǞȺ Ƶǿ ȺɐƊȺ ƊƪȪƵȺ ȁȌ

²Ç²ƵȯȌƮƵǿƵȺɈƊȲȯȲƵȺƵȁɈƵȺƵǿɈȌƮȌȺȌȺȯȌȁɈȌȺƮƊªƵƮƵƮƵɈƵȁƪƣȌ
Ɯ²ƊɑƮƵ‫ة‬ȯȲǞȌȲǞɈƊȲǞƊǿƵȁɈƵȁƊɈƵȁƪƣȌ§ȲǞǿƋȲǞƊƧȌǿǐȲƊȁƮƵȯȌɈƵȁƧǞƊǶ
ƮƵ ƊɈɐƊƪƣȌ‫ خ‬ÇǿƊ ƮƊȺ ƊƦȌȲƮƊǐƵȁȺ ƮƵȺȺƵ ƧƊǿȯȌ ȺƣȌ Ɗ ɨǞȺƣȌ ƊǿȯǶǞƊƮƊ
ƮȌȯȲȌƧƵȺȺȌȺƊɑƮƵ‫ش‬ƮȌƵȁƪƊƵƮƊȯȲȌǿȌƪƣȌǐǶȌƦƊǶƮȌƧɐǞƮƊƮȌǘɐǿƊȁȌ‫ة‬
ƵȺȯƵƧǞƊǶǿƵȁɈƵ ƮȌ ƊɐɈȌƧɐǞƮƊƮȌ‫ خ‬Ⱥ ǞȁƮǞƧƊƪȪƵȺ ȺƣȌ ƵǿƦƊȺƊƮƊȺ ȁȌ
ǞȁƮǞɨǠƮɐȌ ƧȌǿȌ ɐǿ ɈȌƮȌ‫ ة‬ƧȌȁȺǞƮƵȲƊȁƮȌٌȌ Ƶǿ ȺƵɐȺ ɨƋȲǞȌȺ ƊȺȯƵƧɈȌȺ‫ب‬
ǏǠȺǞƧȌ‫ة‬ȯȺǠȱɐǞƧȌ‫ة‬ƵǿȌƧǞȌȁƊǶƵȺȌƧǞƊǶ‫خ‬
0ȁɈȲƵ ƊȺ ȯȲǞȁƧǞȯƊǞȺ ƮǞȲƵɈȲǞɹƵȺ ƮƊ §y§X! ƵȺɈƋ Ȍ ƊɐǿƵȁɈȌ ƮƊ

ȲƵȺȌǶɐɈǞɨǞƮƊƮƵƮȌȺȺƵȲɨǞƪȌȺƮƵȺƊɑƮƵ‫ة‬ȱɐƵȌƧȌȲȲƵƊȯƊȲɈǞȲƮƊǞȁɈƵǐȲƊƪƣȌ
‫ى‬ƊȌǿȌƮƵǶȌƧȌȁɨƵȁƧǞȌȁƊǶƮƵƧɐǞƮƊƮȌ‫ى‬ƮƵȲƊƧǞȌȁƊǶǞƮƊƮƵȺƧȌǿȌǶǘƊȲƵ
ƊɈɐƊƪƣȌǿƊǞȺƊǿȯǶǞƊƮȌȺ‫ة‬ƊǐǞȁƮȌƮƵǏȌȲǿƊǞȁɈƵǐȲƊƮƊƵ‫ش‬ȌɐƧȌǿȯǶƵǿƵȁɈƊȲ
ȁȌƮǞƊǐȁȍȺɈǞƧȌ‫ة‬ȁƊƊɨƊǶǞƊƪƣȌƵȁȌƧɐǞƮƊƮȌ‫خ‬

SAÚDE MENTAL EM
CONTEXTOS DE MIGRAÇÃO
RǞȺɈȌȲǞƧƊǿƵȁɈƵ‫ ة‬ȌȺ ȺƵȲƵȺ ǘɐǿƊȁȌȺ Ɉƺǿ ǿǞǐȲƊƮȌ ƮƵ ɐǿ ǶɐǐƊȲ ȯƊȲƊ ȌɐɈȲȌ ȯȌȲ ƮǞǏƵȲƵȁɈƵȺ
ȲƊɹȪƵȺ‫ ة‬ƵȁɈȲƵ ƊȺ ȱɐƊǞȺ Ɗ ƦɐȺƧƊ ƮƵ ƊǶǞǿƵȁɈȌȺ‫ ة‬ǿƵǶǘȌȲƵȺ ȌȯȌȲɈɐȁǞƮƊƮƵȺ ƮƵ ƵǿȯȲƵǐȌ‫ ة‬ǿƵǶǘȌȲ
ƵƮɐƧƊƪƣȌƵ‫ة‬ǿƊǞȺȲƵƧƵȁɈƵǿƵȁɈƵ‫ة‬ƮƵɨǞƮȌƊȌȺƵǏƵǞɈȌȺƮƊǿɐƮƊȁƪƊƧǶǞǿƋɈǞƧƊȌɐȯƊȲƊȺƵȯȲȌɈƵǐƵȲƵǿ
ƮƵƵɨƵȁɈȌȺȌɐƊǿƵƊƪƊȺɨǞȌǶƵȁɈƊȺ‫خ‬0ȺȺƊȺǿǞǐȲƊƪȪƵȺƵȺɈƣȌȌƧȌȲȲƵȁƮȌƵǿɈȌƮȌȌǿɐȁƮȌ‫ة‬ƮƵƊƧȌȲƮȌ
ƧȌǿ Ȍ ªƵǶƊɈȍȲǞȌ wɐȁƮǞƊǶ ƮƊȺ wǞǐȲƊƪȪƵȺ ׂ‫ ׀ׂ׀‬ƮƊ ȲǐƊȁǞɹƊƪƣȌ XȁɈƵȲȁƊƧǞȌȁƊǶ ȯƊȲƊ ƊȺ wǞǐȲƊƪȪƵȺ
‫ـ‬Xw‫ةف‬ȱɐƊȺƵׂ‫ׇׂ‬ǿǞǶǘȪƵȺƮƵǿǞǐȲƊȁɈƵȺǞȁɈƵȲȁƊƧǞȌȁƊǞȺǏȌȲƊǿȲƵǐǞȺɈȲƊƮȌȺƵǿɈȌƮȌȌǿɐȁƮȌƵǿ
ׂ‫ׁׅة׉ׁ׀‬ǿǞǶǘȪƵȺƊǿƊǞȺƮȌȱɐƵƵǿׂ‫خ׀ׁ׀‬
0ȁȱɐƊȁɈȌǞȺȺȌ‫ة‬ƵǿɐǿƮȌƧɐǿƵȁɈȌȺȌƦȲƵƊǿǞǐȲƊƪƣȌɨƵȁƵɹɐƵǶƊȁƊƮƊǿƵȺǿƊȌȲǐƊȁǞɹƊƪƣȌ‫ة‬
ƶƮƵȺɈƊƧƊƮȌȱɐƵ‫ة‬Ƶǿׂ‫ةׁׂ׀‬ȁƊǿƶȲǞƧƊmƊɈǞȁƊǘƋǿƊǞȺƮƵׄ‫׆ة‬ǿǞǶǘȪƵȺƮƵǿǞǐȲƊȁɈƵȺƵȲƵǏɐǐǞƊƮȌȺ‫ة‬
ƧȌǿׂ‫׃ׇׁخ׃ׇ‬ǿǞǐȲƊȁɈƵȺƮƵȌȲǞǐƵǿɨƵȁƵɹɐƵǶƊȁƊȁȌ ȲƊȺǞǶƮƵɨǞƮȌƜƧȲǞȺƵƵƧȌȁȏǿǞƧƊƵȯȌǶǠɈǞƧƊƮȌ
ȯƊǠȺɨǞɹǞȁǘȌ‫§خ‬ƵȺȱɐǞȺƊƮȌȲƵȺɈƊǿƦƶǿƮƵȺɈƊƧƊǿȱɐƵƊǞȁɈƵȁȺƊǿȌƦǞǶǞƮƊƮƵȁƊȲƵǐǞƣȌƵƊȺǿǞǐȲƊƪȪƵȺ
ƮȌƵǞɮȌ²ɐǶٌ²ɐǶȲƵȯȲƵȺƵȁɈƊǿɐǿƮƵȺƊ˛ȌȯƊȲƊȌȺȺǞȺɈƵǿƊȺȁƊƧǞȌȁƊǞȺƮƵȺƊɑƮƵ‫ة‬ȯȲƵƧƊȲǞɹƊƮȌȺȯȌȲ
ƊȁȌȺƮƵȺɐƦ˛ȁƊȁƧǞƊǿƵȁɈȌƵȯƵǶƊǞȁɈƵȁȺǞ˛ƧƊƪƣȌƮƵȯȌǶǠɈǞƧƊȺƮƵƊɐȺɈƵȲǞƮƊƮƵ‫ـ‬ßƵȁɈɐȲƊƵɈƊǶ‫خفׁׂ׀ׂةخ‬
ǿǞǐȲƊƪƣȌ ƶ ɐǿ ǏƵȁȏǿƵȁȌ ƮƊ ƵɮȯƵȲǞƺȁƧǞƊ ǘɐǿƊȁƊ ȱɐƵ ȯȌƮƵ ǏƊɨȌȲƵƧƵȲ Ȍ ƵȁƧȌȁɈȲȌ
ƵȁɈȲƵƧɐǶɈɐȲƊȺƵɈȲƊɹƵȲƧȌȁɈȲǞƦɐǞƪȪƵȺȺȌƧǞƊǞȺ‫ة‬ƧɐǶɈɐȲƊǞȺƵƵƧȌȁȏǿǞƧƊȺƜȺȌƧǞƵƮƊƮƵ‫ة‬ȁȌƵȁɈƊȁɈȌ‫ة‬ƊȺ
ȯƵȺȺȌƊȺƵǿƮƵȺǶȌƧƊǿƵȁɈȌȯȌƮƵǿƵȺɈƊȲȺɐǯƵǞɈȌȺƊƮǞǏƵȲƵȁɈƵȺɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵȺ‫ة‬ȺƵǯƊȁȌȯȲȌƧƵȺȺȌ
ƮƵȺƊǠƮƊ‫ة‬ȁȌɈȲƓȁȺǞɈȌȌɐȁƊƧǘƵǐƊƮƊƊȌȯƊǠȺƮƵƊƧȌǶǘǞƮƊ‫!خ‬ȌȁƮǞƪȪƵȺȺȌƧǞƊǞȺƮǞǏǠƧƵǞȺ‫ة‬ƊƮƵǿƊǞȺƊȺ
ƧȌȁȺƵȱɐƺȁƧǞƊȺȺȌƧǞƊǞȺƵȺƊȁǞɈƋȲǞƊȺƮƊ!ßX(ׁٌ‫ة׉‬ȯȌƮƵǿǐƵȲƊȲȺƶȲǞȌȺǞǿȯƊƧɈȌȺȁƊ²ƊɑƮƵwƵȁɈƊǶƮƵ
ƧȲǞƊȁƪƊȺ‫ة‬ƊƮȌǶƵȺƧƵȁɈƵȺ‫ة‬ƊƮɐǶɈȌȺƵǞƮȌȺȌȺ‫خ‬
ȲƊȺǞǶƵȁǏȲƵȁɈƊƮƵȺƊ˛ȌȺȺǞǐȁǞ˛ƧƊɈǞɨȌȺȁƊǞȁɈƵǐȲƊƪƣȌȺȌƧǞƊǶƮƊƧȌǿɐȁǞƮƊƮƵɨƵȁƵɹɐƵǶƊȁƊ
ȱɐƵ ƵȁɈȲƊ ȁȌ ȯƊǠȺ ȯƵǶƊ ǏȲȌȁɈƵǞȲƊ ƮȌ ƵȺɈƊƮȌ ƮƵ ªȌȲƊǞǿƊ‫ ة‬ǿɐǞɈȌȺ Ƶǿ ƮƵȺǶȌƧƊǿƵȁɈȌ ǏɐǐǞȁƮȌ ƮƊ
ɨǞȌǶƺȁƧǞƊ‫ة‬ƮƊǏȌǿƵ‫ة‬ƮȌƮƵȺƵǿȯȲƵǐȌƵƮƊǏƊǶɈƊƮƵȺƵȲɨǞƪȌȺƮƵȺƊɑƮƵ‫خ‬ǞȁɈƵȁȺȌƵƧȲƵȺƧƵȁɈƵȯȲȌƧƵȺȺȌ
ƮƵǞǿǞǐȲƊƪƣȌȯƊȲƊȌƵȺɈƊƮȌǶƵɨȌɐȌJȌɨƵȲȁȌƮƵªȌȲƊǞǿƊƊƮƵƧȲƵɈƊȲƵǿƵȲǐƺȁƧǞƊȺȌƧǞƊǶƵǿׂ‫خׁׅ׀‬
ȺƧȌȁƮǞƪȪƵȺƮƵɨǞƮƊƵƮƵɈȲƊƦƊǶǘȌ‫ة‬ȌƊƧƵȺȺȌƜƵƮɐƧƊƪƣȌ‫ة‬ǿȌȲƊƮǞƊ‫ة‬ƊǶǞǿƵȁɈƊƪƣȌ‫ة‬ȺƵȲɨǞƪȌȺ
ƵȺȺƵȁƧǞƊǞȺ ƮƵ ȺƊɑƮƵ Ƶ ƮƵ ȯȲȌɈƵƪƣȌ ȺȌƧǞƊǶ Ɉƺǿ ƮƵǿȌȁȺɈȲƊƮȌ Ǟȁ˜ɐƺȁƧǞƊ ȺȌƦȲƵ ƊȺ ƮǞǿƵȁȺȪƵȺ ƮȌ
ȯȲȌƧƵȺȺȌƮƵȺƊɑƮƵƵƦƵǿٌƵȺɈƊȲȯȺǞƧȌȺȺȌƧǞƊǶƮƊȺȯȌȯɐǶƊƪȪƵȺ‫ة‬ǞǿȯƊƧɈƊȁƮȌƊ²ƊɑƮƵwƵȁɈƊǶɈƊȁɈȌ
ƮȌǞȁƮǞɨǠƮɐȌȱɐƊȁɈȌƮƊƧȌǶƵɈǞɨǞƮƊƮƵȁƊȱɐƊǶƵǶƵȺƵǞȁȺƵȲƵ‫خ‬ßƵȁɈɐȲƊƵæɐǯȲƊ‫ف׉ׁ׀ׂـ‬ƊȯȌȁɈƊǿƊ
ȁƵƧƵȺȺǞƮƊƮƵƮƵƧȌȁȺǞƮƵȲƊȲȌȺƮƵɈƵȲǿǞȁƊȁɈƵȺȺȌƧǞƊǞȺƮȌȺƮƵȺǶȌƧƊǿƵȁɈȌȺƵƵȁǏȌƧƊȲƊȺƊƪȪƵȺ
ȁƊȯȲȌɈƵƪƣȌƮȌȺƮǞȲƵǞɈȌȺƮƊȺȯƵȺȺȌƊȺƵȁȌƵɮƵȲƧǠƧǞȌƮƊƧǞƮƊƮƊȁǞƊ‫ة‬ɐǿƊɨƵɹȱɐƵƊȲƵȺɈȲǞƪƣȌƮȌȺ
ƮǞȲƵǞɈȌȺƮȌȺǿǞǐȲƊȁɈƵȺƊǿȯǶǞƊȺɐƊɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵƵƧȲǞƊȌɐƊƧƵȁɈɐƊǞȁǞȱɐǞƮƊƮƵȺȲƵǶƊƧǞȌȁƊƮƊȺ
ƜȺƊɑƮƵ‫ة‬ƊȌȯƊȺȺȌȱɐƵȲƵƧȌȁǘƵƧƺٌǶȌȺȯȲȌǿȌɨƵƊǞȁɈƵǐȲƊƪƣȌȺȌƧǞƊǶ‫ة‬ƵɨǞɈƊƧɐȺɈȌȺȺȌƧǞƊǞȺƵƮƵ
ȺƊɑƮƵƊǶȌȁǐȌȯȲƊɹȌƵǞǿȯɐǶȺǞȌȁƊȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌƵƧȌȁȏǿǞƧȌ‫خ‬
!ȌȁɈƵɮɈȌȺƮƵƵǿƵȲǐƺȁƧǞƊǘɐǿƊȁǞɈƋȲǞƊȯȌƮƵǿƊƧƵȁɈɐƊȲȌȺȌǏȲǞǿƵȁɈȌȯȺǞƧȌȺȺȌƧǞƊǶƮƊȺ
ȯȌȯɐǶƊƪȪƵȺ ƊǏƵɈƊƮƊȺ‫ ة‬Ƶǿ ƵȺȯƵƧǞƊǶ ƮƵ ȯƵȺȺȌƊȺ Ƶ ǐȲɐȯȌȺ ɨɐǶȁƵȲƊƦǞǶǞɹƊƮȌȺ‫ خ‬Ⱥ ƵǏƵǞɈȌȺ ȯȌƮƵǿ
ȺƵȲ ƊǐɐƮȌȺ Ƶ ɈȲƊȁȺǞɈȍȲǞȌȺ‫ ة‬ƧȌǿȌ ɈƊǿƦƶǿ ȯȌƮƵǿ ȯƵȲƮɐȲƊȲ Ɗ ǿƶƮǞȌ Ƶ ǶȌȁǐȌ ȯȲƊɹȌ Ƶ ƊǏƵɈƊȲ
ȁƵǐƊɈǞɨƊǿƵȁɈƵ Ɗ ²ƊɑƮƵ wƵȁɈƊǶ Ƶ Ȍ ƦƵǿٌƵȺɈƊȲ‫§ خ‬ƊȲƊ ǿǞǐȲƊȁɈƵȺ Ƶ ȲƵǏɐǐǞƊƮȌȺ ƶ ɈƊǿƦƶǿ
ɐǿ ƮƵȺƊ˛Ȍ ɈƵȁɈƊȲ ȺƵ ƊǯɐȺɈƊȲ Ɗ ɐǿ ƊǿƦǞƵȁɈƵ ƵȺɈȲƊȁǘȌ Ɯ ȺɐƊ ɨǞȺƣȌ ƮƵ ǿɐȁƮȌ ƊȌ ȱɐƊǶ
ƵȺɈƣȌƊƧȌȺɈɐǿƊƮȌȺ‫ة‬ȌȁƮƵƵǶƵȺƮƵɨƵǿƊȯȲƵȁƮƵȲȌɐɈȲƊǶǠȁǐɐƊ‫ة‬ƵǿɐǿƊǿƦǞƵȁɈƵȱɐƵ
ƶ ƵȺɈȲƊȁǘȌ ƜȺ ȺɐƊȺ ɈȲƊƮǞƪȪƵȺ‫ ة‬ȲǞɈɐƊǞȺ‫ ة‬ǏȌȲǿƊȺ ƮƵ ƊǶǞǿƵȁɈƊƪƣȌ‫ ة‬Ƶǿ ȺɐǿƊ‫ ة‬Ɗ ɈȌƮȌȺ
ƊȱɐƵǶƵȺǘƋƦǞɈȌȺȱɐƵǐƵȲƊǿȌƦƵǿٌƵȺɈƊȲǞȁƮǞɨǞƮɐƊǶƵƧȌǶƵɈǞɨȌƵȌȺƵȁɈǞǿƵȁɈȌƮƵ
ȯƵȲɈƵȁƧǞǿƵȁɈȌ‫ خ‬RǞȺɈȍȲǞƊȺ ƮƵ ȺƵȯƊȲƊƪƣȌ ƮƵ ǏƊǿǞǶǞƊȲƵȺ‫ ة‬ƮƊ ƮȌȲ ƮƵ ƮƵǞɮƊȲ Ȍ ǶɐǐƊȲ
ƮƵ ȌȲǞǐƵǿ Ƶ ƮƵ ɨǞȌǶƺȁƧǞƊȺ ȺƣȌ ƊǶǐɐȁȺ ǏƊɈȌȲƵȺ ȱɐƵ ɈȲƊɹƵǿ ǐȲƊȁƮƵ ƧƊȲǐƊ ƮƵ
ȺȌǏȲǞǿƵȁɈȌǿƵȁɈƊǶƊȌȺȺɐǯƵǞɈȌȺ‫ة‬ȯȌǞȺȯȌƮƵǿȲƵȯȲƵȺƵȁɈƊȲƊǞƮƵǞƊƮƵȯƵȲƮƊƮƊ
ɨǞƮƊȱɐƵǘƊɨǞƊǿƧȌȁȺɈȲɐǠƮȌ‫خ‬

ɨǞȌǶƊƪƣȌƮȌȺƮǞȲƵǞɈȌȺǘɐǿƊȁȌȺ‫ة‬ȌȺƮǞȺƧɐȲȺȌȺƮƵȍƮǞȌ‫ة‬ȌȲƊƧǞȺǿȌƵȺɈȲɐɈɐȲƊǶ‫ة‬ƊɮƵȁȌǏȌƦǞƊ
Ƶ Ɗ ƵɮƧǶɐȺƣȌ ȺȌƧǞƊǶ ƧȲǞƊǿ ƮƵȺƊ˛ȌȺ Ɯ ǞȁɈƵǐȲƊƪƣȌ ȺȌƧǞƊǶ ȁƊ ƧȌǿɐȁǞƮƊƮƵ ƮƵ ƊƧȌǶǘǞƮƊ‫( خ‬ǞȺƧɐȲȺȌȺ
ɮƵȁȌǏȍƦǞƧȌȺ ɨǞȺƊǿ ǿȌƦǞǶǞɹƊȲ ƊǏƵɈȌȺ ƮƵ ǿƵƮȌ Ƶ ȲƵȺȺƵȁɈǞǿƵȁɈȌ‫ ة‬ǏƊɹƵǿ ƊȯƵǶȌ Ɗ ȺƵȁɈǞǿƵȁɈȌȺ
ȁƊƧǞȌȁƊǶǞȺɈƊȺȱɐƵɨǞȺƊǿƵȺɈƊƦƵǶƵƧƵȲɐǿƊǘǞƵȲƊȲȱɐǞƊƵȁɈȲƵȁƊƧǞȌȁƊǞȺƵƵȺɈȲƊȁǐƵǞȲȌȺȁȌƊƧƵȺȺȌƊ
ȌȯȌȲɈɐȁǞƮƊƮƵȺƮƵǿƵǞȌƮƵɨǞƮƊƵƊȺƵȲɨǞƪȌȺȺȌƧǞƊǞȺ‫ة‬ƮƵƵƮɐƧƊƪƣȌƵƊȌȺǞȺɈƵǿƊƮƵȺƊɑƮƵ‫خ‬0ȺȺƵȺ
ƮǞȺƧɐȲȺȌȺɈƵȁƮƵǿƊƦɐȺƧƊȲɐǿȲƵȺȯȌȁȺƋɨƵǶȯƵǶƊȺȯȲƵƧƊȲǞƵƮƊƮƵȺƵƮǞ˛ƧɐǶƮƊƮƵȺȯƵȲƧƵƦǞƮƊȺȯƵǶƊ
ȯȌȯɐǶƊƪƣȌǶȌƧƊǶȁȌƊƧƵȺȺȌƊȌȺƦƵȁȺƧȌǿɐȁȺ‫ة‬ǿƊȺȱɐƵ‫ة‬ƧƊƦƵǶƵǿƦȲƊȲ‫ة‬ȺƣȌƮƵƧȌȲȲƵȁɈƵȺƮƵƮƶƧƊƮƊȺ
ƮƵȯȌǶǠɈǞƧƊȺȯɑƦǶǞƧƊȺȺɐƦ˛ȁƊȁƧǞƊƮƊȺ‫خ‬
ƵȺɈǞǐǿƊɈǞɹƊƪƣȌ ƮƵ ȯȌȯɐǶƊƪȪƵȺ ǿǞǐȲƊȁɈƵȺ Ƶ ȲƵǏɐǐǞƊƮƊȺ‫ ة‬ƊɈȲǞƦɐǞȁƮȌ ƜȺ ȯƵȺȺȌƊȺ ȲȍɈɐǶȌȺ

ȁƵǐƊɈǞɨȌȺȌɐȺɐȯȌȺǞƪȪƵȺƮƊȺȲƊɹȪƵȺȱɐƵƊȺ˛ɹƵȲƊǿƵǿǞǐȲƊȲ‫ة‬ƧȌȁɈȲǞƦɐƵǿȯƊȲƊȌȺȌǏȲǞǿƵȁɈȌǿƵȁɈƊǶ
ƵǞȺȌǶƊǿƵȁɈȌƵǞǿȯȪƵƦƊȲȲƵǞȲƊȺƊȌȲƵƧȌȁǘƵƧǞǿƵȁɈȌƮƊƧǞƮƊƮƊȁǞƊƮƵȺȺƵȺǐȲɐȯȌȺ‫!خ‬ƊƦƵǶƵǿƦȲƊȲ
ȱɐƵƊǿǞǐȲƊƪƣȌƵȌȺƮƵȺǶȌƧƊǿƵȁɈȌȺȺƣȌɐǿǏƵȁȏǿƵȁȌǘɐǿƊȁȌȱɐƵƵȺɈƋȯȲƵȺƵȁɈƵȁƊȱɐƵǶƵȺȱɐƵ
ɨƺǿƮƵȌɐɈȲȌȯƊǠȺƵǿƦɐȺƧƊƮƵɐǿȁȌɨȌǶɐǐƊȲȯƊȲƊɨǞɨƵȲ‫ة‬ǿƊȺɈƊǿƦƶǿȁƊȺǏƊǿǠǶǞƊȺƦȲƊȺǞǶƵǞȲƊȺ
ȱɐƵȯȌƮƵǿȺƵȲǿǞǐȲƊȁɈƵȺǞȁɈƵȲȁƊȺȌɐƵǿǞǐȲƊȁɈƵȺƵǿȯȌɈƵȁƧǞƊǶ‫خ‬
(ƵȺɈƊƧƊǿȌȺ Ȍ ȯƊȯƵǶ ȯȌɈƵȁƧǞƊǶ ȱɐƵ Ɗ ƊɈƵȁƪƣȌ ƦƋȺǞƧƊ‫ ة‬ȯȌȲ ǿƵǞȌ ƮƊ 0ȺɈȲƊɈƶǐǞƊ ²ƊɑƮƵ ƮƊ
IƊǿǠǶǞƊ‫ ة‬ȯȌƮƵ ƵɮƵȲƧƵȲ ȁȌ ȯȲȌƧƵȺȺȌ ƮƵ ǞȁɈƵǐȲƊƪƣȌ ƮƊȺ ƧȌǿɐȁǞƮƊƮƵȺ ƮƵ ǞǿǞǐȲƊȁɈƵȺ‫ ة‬ȺƵǯƊ ƊɈȲƊɨƶȺ
ƮƊƊɈƵȁƪƣȌȁȌǿȌƮƵǶȌƮƊƧǶǠȁǞƧƊƊǿȯǶǞƊƮƊ‫ة‬ƮƊȺƊƪȪƵȺǞȁɈƵȲȺƵɈȌȲǞƊǞȺȌɐƮȌȺȯȲȌǯƵɈȌȺɈƵȲƊȯƺɐɈǞƧȌȺ
ȺǞȁǐɐǶƊȲƵȺ ƧȌȁȺɈȲɐǠƮȌȺ ȯƊȲƊ Ȍ ƧɐǞƮƊƮȌ ƮƵȺȺƵȺ ǞȁƮǞɨǠƮɐȌȺ‫ خ‬1 ȁƵƧƵȺȺƋȲǞȌ ǶƵɨƊȲ Ƶǿ ƧȌȁɈƊ ƊȺ
ƮƵǿƊȁƮƊȺȯȺǞƧȌȺȺȌƧǞƊǞȺƮƵȺȺƵǐȲɐȯȌ‫ة‬ǞȁƧǶɐǞȁƮȌȁȌȺƊɈƵȁƮǞǿƵȁɈȌȺȱɐƵȺɈȪƵȺȺȌƦȲƵǿɐƮƊȁƪƊȺȁƊȺ
ȲƵƮƵȺǏƊǿǞǶǞƊȲƵȺƵȺȌƧǞƊǞȺƧȌǿƊǿǞǐȲƊƪƣȌ‫ة‬ǿƵǿȍȲǞƊȺƮȌȯƊǠȺƮƵȌȲǞǐƵǿ‫ة‬ȯƵȲƧƵȯƪȪƵȺƮȌ ȲƊȺǞǶƵ
ǏȲɐȺɈȲƊƪȪƵȺƵƵɮȯƵȲǞƺȁƧǞƊȺȱɐƵƊǏƵɈƊǿȌȯȲȌƧƵȺȺȌȺƊɑƮƵٌƮȌƵȁƪƊ‫خ‬
ǶǐɐȁȺȯȌȁɈȌȺƊȺƵȲƵǿƧȌȁȺǞƮƵȲƊƮȌȺ‫ب‬
9
ÇǿǞȁƮǞƧƊƮȌȲƮƵȲǞȺƧȌƵǿ²ƊɑƮƵwƵȁɈƊǶȯȌƮƵȺƵȲȌǘǞȺɈȍȲǞƧȌƮƵǿǞǐȲƊƪƣȌƵȲƵǏɑǐǞȌ
ǘƋ ǿƵȁȌȺ ƮƵ ɐǿ ƊȁȌ‫ خ‬1 ɐǿ ǿȌǿƵȁɈȌ ǞǿȯȌȲɈƊȁɈƵ ȯƊȲƊ ƊƦȌȲƮƊȲ‫ ة‬ƮƵȁɈȲȌ ƮƵ ȺɐƊȺ
ȁƵƧƵȺȺǞƮƊƮƵȺƮƵȺƊɑƮƵƵȯȺǞƧȌȺȺȌƧǞƊǞȺ‫ة‬ƊȺƮǞǏƵȲƵȁɈƵȺǏȌȲǿƊȺƮƵƊƧƵȺȺƊȲȌȺȺƵȲɨǞƪȌȺƵ
ȌǏɐȁƧǞȌȁƊǿƵȁɈȌƮȌȺǞȺɈƵǿƊƮƵȺƊɑƮƵ‫س‬
9ɐȺƧƊȲȺƵǿȯȲƵƮƵȺƧȌȁɈȲɐǞȲȌǞǿƊǐǞȁƋȲǞȌȁƵǐƊɈǞɨȌȱɐƵƊȯƵȺȺȌƊǿǞǐȲƊȁɈƵȯȌȺȺƊ
ƧƊȲȲƵǐƊȲ‫س‬
9
ƦȌȲƮƊȲȁȌȺȯȲǞǿƵǞȲȌȺƊɈƵȁƮǞǿƵȁɈȌȺȁƣȌƊȺȲƊɹȪƵȺƮƊǿǞǐȲƊƪƣȌƵƮƵȺǶȌƧƊǿƵȁɈȌ‫ة‬ǿƊȺ
ȌȺɈǞȯȌȺƮƵȲǞȺƧȌȱɐƵƊȯƵȺȺȌƊƵȺɈƊɨƊƵɮȯȌȺɈƊƵǿȺƵɐȯƊǠȺƮƵȌȲǞǐƵǿ‫ة‬ǞƮƵȁɈǞ˛ƧƊȁƮȌȌȺ
ȲǞȺƧȌȺȯƊȲƊƊ²ƊɑƮƵwƵȁɈƊǶƵȯȌȺȺǠɨƵǞȺƊƪȪƵȺ‫س‬
9!ȌȁȺɈȲɐǞȲ ȯȲȌǯƵɈȌȺ ɈƵȲƊȯƺɐɈǞƧȌȺ ɨȌǶɈƊƮȌȺ Ɗ ƵȺȺƊ

ȯȌȯɐǶƊƪƣȌ‫ ة‬ƊɈƵȁɈȌ Ɯ ȯȲƵȺƵȁƪƊ Ȍɐ ƊɐȺƺȁƧǞƊ ƮƵ ȲƵƮƵ
ǏƊǿǞǶǞƊȲƵȺȌƧǞƊǶ‫س‬
9 XȁƧȌȲȯȌȲƊȲ ȁƊȺ ȲƵɐȁǞȪƵȺ

ǿɐǶɈǞƮǞȺƧǞȯǶǞȁƊȲƵȺƵƊɈǞɨǞƮƊƮƵȺƧȌǶƵɈǞɨƊȺ
ȌȺ ɈƵǿƊȺ ƮƊ ǞȁɈƵȲƧɐǶɈɐȲƊǶǞƮƊƮƵ Ƶ ƮȌ
ƧȌǿƦƊɈƵ Ɯ ɮƵȁȌǏȌƦǞƊ Ƶ Ɗ ȱɐƊǶȱɐƵȲ
ɈǞȯȌ ƮƵ ƮǞȺƧȲǞǿǞȁƊƪƣȌ‫ خ‬0ȺȺƊȺ ȺƣȌ ƊƪȪƵȺ
ȁƵƧƵȺȺƋȲǞƊȺ ȯƊȲƊ ƧȲǞƊȲ ɐǿ ƵȺȯƊƪȌ
ȯƵȲǿƊȁƵȁɈƵƮƵƊƧȌǶǘǞǿƵȁɈȌ‫خ‬

ATENÇÃO ÀS
POPULAÇÕES
INDÍGENAS
Ȍ ǶȌȁǐȌ ƮƊ ǘǞȺɈȍȲǞƊ‫ ة‬ƊȺ ȯȌȯɐǶƊƪȪƵȺ ǞȁƮǠǐƵȁƊȺ ǏȌȲƊǿ ǶƊȲǐƊǿƵȁɈƵ ǞǿȯƊƧɈƊƮƊȺ ȯƵǶƊ
ƧȌǶȌȁǞɹƊƪƣȌ‫ة‬ƵɮȯȲȌȯȲǞƊƪƣȌɈƵȲȲǞɈȌȲǞƊǶ‫ة‬ȯȲȌƧƵȺȺȌȺƮƵƵȺƧȲƊɨǞɹƊƪƣȌ‫ة‬ƮƵȺȌȲǐƊȁǞɹƊƪƣȌȺȌƧǞƊǶƵƧɐǶɈɐȲƊǶ‫ة‬
ȯɐȁǞƪȪƵȺƜȺȺɐƊȺǿƊȁǞǏƵȺɈƊƪȪƵȺȲƵǶǞǐǞȌȺƊȺƵƊȌȺȺƵɐȺǿȌɨǞǿƵȁɈȌȺƮƵȲƵȺǞȺɈƺȁƧǞƊ‫ة‬ǿƊȺ‫ة‬ȺȌƦȲƵɈɐƮȌ‫ة‬
ȯƵǶƊȺ ƵȯǞƮƵǿǞƊȺ ƮƵ ƮȌƵȁƪƊȺ ǞȁǏƵƧƧǞȌȺƊȺ‫ ة‬ƧɐǯȌ ƵǏƵǞɈȌ ǞǿȯɐǶȺǞȌȁȌɐ ɐǿ ȯȲȌƧƵȺȺȌ ƮƵ ƵɮɈƵȲǿǠȁǞȌ
ƮƵ ǐȲƊȁƮƵȺ ǐȲɐȯȌȺ ȯȌȯɐǶƊƧǞȌȁƊǞȺ‫ خ‬ȯƵȲƮƊ ƮƊ ƊɐɈȌƵȺɈǞǿƊ‫ ة‬Ɗ ƮƵȺȌȲǐƊȁǞɹƊƪƣȌ ƵƧȌȁȏǿǞƧƊ Ƶ ƮȌȺ
ǿƊȲƧȌȺ ƮƊ ƵȺɈȲɐɈɐȲƊƪƣȌ ƮƊ ɨǞƮƊ ɈƊǿƦƶǿ ɈǞɨƵȲƊǿ ɐǿƊ ȲƵȯƵȲƧɐȺȺƣȌ ǞǿȯȌȲɈƊȁɈƵ ȁȌ ƦƵǿ ƵȺɈƊȲ
ƮƊȺȯȌȯɐǶƊƪȪƵȺǞȁƮǠǐƵȁƊȺ‫خ‬0ȺȺƊɈȲƊǿƊƧȌǿȯǶƵɮƊƮƊȺȲƵǶƊƪȪƵȺƵȁɈȲƵǞȁƮǠǐƵȁƊȺƵȺƵǐǿƵȁɈȌȺƮƊ
ȺȌƧǞƵƮƊƮƵƊɈƶȌȺƮǞƊȺƮƵǘȌǯƵɈƵǿǞȁ˜ɐƵȁƧǞƊƮȌƵǿȯȲȌƧƵȺȺȌȺƮƵȺƊɑƮƵƵƮȌƵȁƪƊ‫ة‬ȱɐƵȺȌƦȲƵǿȌƮȌ
ƮƵɨƵǿȺƵȲƧȌȁȺǞƮƵȲƊƮȌȺȯƊȲƊȺƵȯƵȁȺƊȲƵǿƊɈƵȁƪƣȌƜȺƊɑƮƵƮȌȺȯȌɨȌȺǞȁƮǠǐƵȁƊȺ‫خ‬
ȯȌǶǠɈǞƧƊ ȯɑƦǶǞƧƊ ƮƵ ȺƊɑƮƵ ƦȲƊȺǞǶƵǞȲƊ ƊƧɐǿɐǶƊ ȌȲǞƵȁɈƊƪȪƵȺ ɈƶƧȁǞƧƊȺ Ƶ ǿƊȲƧȌȺ ǶƵǐƊǞȺ ȯƊȲƊ
Ȍ ɈȲƊƦƊǶǘȌ ƧȌǿ ǞȁƮǠǐƵȁƊȺ ȱɐƵ ȯȌƮƵǿ ƧȌǿȯȌȲ ƦƊȺƵȺ ȺȍǶǞƮƊȺ ȯƊȲƊ Ȍ ȯǶƊȁƵǯƊǿƵȁɈȌ ƮƵ ƊƪȪƵȺ ȱɐƵ
ƧȌȁȺǞƮƵȲƵǿƵȲƵȺȯƵǞɈƵǿƊȺǞȁǐɐǶƊȲǞƮƊƮƵƮƵƧƊƮƊȯȌɨȌ‫ة‬ƧȌǿȌƶȌƧƊȺȌƮƊ§ȌǶǠɈǞƧƊyƊƧǞȌȁƊǶƮƵɈƵȁƪƣȌ
Ɯ²ƊɑƮƵƮȌȺ§ȌɨȌȺXȁƮǠǐƵȁƊȺ‫ـ‬ȁ‫خ‬ѥ‫خفׂ׀׀ׂش׆׃׈خ׉‬0ȺȺƵǿȌƮƵǶȌƮƵɈȲƊƦƊǶǘȌɈƵǿƮƵǿȌȁȺɈȲƊƮȌǿƵǶǘȌȲƵȺ
ȲƵȺȯȌȺɈƊȺȁƊƮǞǿǞȁɐǞƪƣȌƮƵǞȁƧǞƮƺȁƧǞƊƮƵƧƊȺȌȺƵǿƊǞȌȲȱɐƊǶǞ˛ƧƊƪƣȌƮƵǞȁɈƵȲɨƵȁƪȪƵȺ‫!خ‬ȌǿȌƵɮƵǿȯǶȌ
ȯȌƮƵǿȌȺƧǞɈƊȲȯȲƋɈǞƧƊȺƵƧȌȁƧƵǞɈȌȺƧȌǿȌٗƧɐǞƮƊƮȌǞȁɈƵȲƧɐǶɈɐȲƊǶ٘‫ٗة‬ƦƵǿɨǞɨƵȲ٘ƵٗƊɈƵȁƪƣȌƮǞǏƵȲƵȁƧǞƊƮƊ
ƮƵȺƊɑƮƵ٘‫ة‬ȱɐƵȯȌƮƵǿƧȌȁɈȲǞƦɐǞȲƧȌǿƊƊƮƵȱɐƊƪƣȌƮƵƵȺɈȲƊɈƶǐǞƊȺƊȌƧȌȁɈƵɮɈȌ‫خ‬
ƊƦȌȲƮƊǐƵǿƮȌƦƵǿɨǞɨƵȲƶƊǿȯǶƊǿƵȁɈƵƮǞǏɐȁƮǞƮƊƵȁɈȲƵȌȺǞȁƮǠǐƵȁƊȺƮƊǿƶȲǞƧƊmƊɈǞȁƊ
ƵƧȌȁɈȲƊȲǞƊɐǿƊɨǞȺƣȌǞȁƮǞɨǞƮɐƊǶǞȺɈƊ‫ة‬ȯȲǞɨǞǶƵǐǞƊȁƮȌȌȺƵȁȺȌƮƵƧȌǿɐȁǞƮƊƮƵ‫خ‬XǿȯǶǞƧƊȲƵƧȌȁǘƵƧƵȲ
Ɗ ɨǞƮƊ Ɗ ȯƊȲɈǞȲ ƮƵ ɐǿƊ ƧȌȺǿȌɨǞȺƣȌ‫ ة‬Ȍɐ ȺƵǯƊ‫ ة‬ƧȌȁƧƵȯƪƣȌ Ȍɐ ɨǞȺƣȌ ƮƵ ǿɐȁƮȌ‫ ة‬ȱɐƵ ǞȁɈƵǐȲƊ ɐǿƊ
ȺɐƦǯƵɈǞɨǞƮƊƮƵƧȌȁȺɈǞɈɐǠƮƊȁƊȲƵǶƊƪƣȌƵȁɈȲƵɈƵȲȲǞɈȍȲǞȌ‫ة‬ƧȌǿɐȁǞƮƊƮƵƵȺǞǿƵȺǿȌ‫خ‬
²ƊƦƵȁƮȌȱɐƵƊȯȲȌƮɐƪƣȌƮƊȺɐƦǯƵɈǞɨǞƮƊƮƵƵƮƵɐǿƧȌȲȯȌƊǏƵɈǞɨȌƵȺɈƋȁƊȲƵǶƊƪƣȌƧȌǿȌ
ȌɐɈȲȌ‫ة‬ƊǏƵɈƊȲƵȺƵȲƊǏƵɈƊƮȌƶȯƊȲɈƵǞȁɈƵǐȲƊȁɈƵƮƵȺȺƵȯȲȌƧƵȺȺȌ‫خ‬yƵȺȺƵȺƵȁɈǞƮȌ‫ة‬ȌǿƵȺǿȌƊƧȌȁɈƵƧƵ
ƧȌǿƊȺƊɑƮƵ‫ة‬ȌȱɐƵƵɐǏƊƪȌɈȌƮȌȺȌȺƮǞƊȺȁȌɈȲƊƦƊǶǘȌǿƵƊǏƵɈƊƵƊǏƵɈƊȌȺȌɐɈȲȌȺ‫خ‬0ɮǞȺɈƵǿɈƊȁɈȌȺ
ǿȌƮƵǶȌȺƮƵȺƊɑƮƵȱɐƊȁɈȌƵɮǞȺɈƵǿȯƵȺȺȌƊȺɈȌƧƊȁƮȌƊȺƊɑƮƵ‫ة‬ȯȌǞȺƧƊƮƊȯƵȺȺȌƊƶɐǿǿȌƮƵǶȌ‫خ‬
ȲƵǶƊƪƣȌƧȌǿȌȌɐɈȲȌȯȌƮƵȯȲȌƮɐɹǞȲȺƊɑƮƵȌɐǿƊǞȺƮȌƵȁƪƊ‫ة‬ȯƊȲƊȱɐƵȺƵȯȌȺȺǞƦǞǶǞɈƵƊƧȌȁȺɈȲɐƪƣȌƮƵ
ǘǞȺɈȍȲǞƊȺƮƵƧɐǞƮƊƮȌƧȌǿƊȺ‫ش‬ȌȺɐȺɐƋȲǞƊȺ‫ش‬ȌȺƶǞǿȯȌȲɈƊȁɈƵƊɈƵȁɈƊȲȯƊȲƊƊȺɈƵƧȁȌǶȌǐǞƊȺƮƊȺȲƵǶƊƪȪƵȺ‫ة‬
ƧȌǿȌɨǠȁƧɐǶȌ‫ة‬ƊɐɈȌȁȌǿǞƊƵƊƧȌǶǘǞǿƵȁɈȌ‫خ‬

!ɐǞƮƊƮȌ ǞȁɈƵȲƧɐǶɈɐȲƊǶ Ƶ ƊɈƵȁƪƣȌ ƮǞǏƵȲƵȁƧǞƊƮƊ Ɉƺǿ ǠȁɈǞǿƊ ȲƵǶƊƪƣȌ ƧȌǿ ƊȺ ǏƵȲȲƊǿƵȁɈƊȺ
ƵȺƧȌǶǘǞƮƊȺ ȯƊȲƊ Ȍ ɈȲƊƦƊǶǘȌ‫ ة‬ȱɐƵ ȁƵȺȺƵ ƧƵȁƋȲǞȌ ȯȌƮƵǿ ƵȺɈƊȲ ƮǞȲƵƧǞȌȁƊƮƊȺ Ɗ ƧȌȁǘƵƧƵȲ ƊȺ
ȯȌɈƵȁƧǞƊǶǞƮƊƮƵȺ‫ ة‬ȲƵƧɐȲȺȌȺ‫ ة‬ɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵȺ Ƶ ǿƊȲƧȌȺ ƧɐǶɈɐȲƊǞȺ ‫ـ‬ɈȲƊƮǞƪȪƵȺ‫ ة‬ȌȲǐƊȁǞɹƊƪƣȌ ȺȌƧǞƊǶ Ƶ
ȯƊȲƵȁɈƵȺƧȌ‫ ف‬ƮƊȺ ȯȌȯɐǶƊƪȪƵȺ ƧȌǿ ƊȺ ȱɐƊǞȺ ȺƵ ɈȲƊƦƊǶǘƊ‫ خ‬ȯȲƵȁƮƵȲ ȺȌƦȲƵ ƊȺ ɨǞȺȪƵȺ ǞȁƮǠǐƵȁƊȺ ƮȌȺ
ȯȲȌƧƵȺȺȌȺ Ƶ ƵǏƵǞɈȌȺ ȁȌȺ ȺƵɐȺ ƧɐǞƮƊƮȌȺ ƮƵ ȺƊɑƮƵ‫ ة‬ȯȲǞɨǞǶƵǐǞƊȁƮȌ Ɗ ƧȌȁȺɈȲɐƪƣȌ ƮƵ ȯȌȺȺǞƦǞǶǞƮƊƮƵȺ
ǞȁɈƵȲƧɐǶɈɐȲƊǞȺƊƮƵȱɐƊƮƊȺƵƮƵƊƮƊȯɈƊƪƣȌƮƊȺƊƪȪƵȺƊȌƧȌȁɈƵɮɈȌȺȌƧǞƊǶ‫ة‬ƧɐǶɈɐȲƊǶƵǘǞȺɈȍȲǞƧȌ‫§خ‬ƊȲƊ
ǞȺȺȌ‫ة‬ƶȺǞǐȁǞ˛ƧƊɈǞɨȌƧȌǿȯȲƵƵȁƮƵȲȌȺǞȺɈƵǿƊƮƵƧȌȁǘƵƧǞǿƵȁɈȌǞȁƮǠǐƵȁƊƵȺɐƊȺȯȲƋɈǞƧƊȺƮƵƧɐǞƮƊƮȌ‫ة‬
ǞȁɈƵȲƧƊǿƦǞƊȁƮȌǞȁǏȌȲǿƊƪȪƵȺȺȌƦȲƵȺƊɑƮƵƊȯƊȲɈǞȲƮƵɐǿƮǞƋǶȌǐȌǞȁɈƵȲƧɐǶɈɐȲƊǶȺǞǿƶɈȲǞƧȌƵƦƵǿ
ǞȁǏȌȲǿƊƮȌ‫خ‬
ȺƊƪȪƵȺƮƵȺƊɑƮƵƮƵɨƵǿƧȌȁȺǞƮƵȲƊȲƊǞȁɨǞƊƦǞǶǞƮƊƮƵƮƵƮƵȺƵȁɨȌǶɨƵȲƊƪȪƵȺƮƵȯȲȌǿȌƪƣȌƵ
ȯȲƵɨƵȁƪƣȌƮƵƊǐȲƊɨȌȺƧȌǿȯȌɨȌȺǞȁƮǠǐƵȁƊȺȲƵȺɈȲǞɈƊȺɐȁǞƧƊǿƵȁɈƵƊȌȺȺƊƦƵȲƵȺǿƶƮǞƧȌٌƧƵȁɈȲƊƮȌȺƵ
ƵǿƧǶǠȁǞƧƊȺƮƊȺƵȺȯƵƧǞƊǶǞƮƊƮƵȺ‫خ‬RƋȁƵƧƵȺȺǞƮƊƮƵƵǿƊǿȯǶǞƊȲƊɨǞȺƣȌƮƵȺƊɑƮƵƵƮȌƵȁƪƊ‫ة‬ƧȌȁȺǞƮƵȲƊƮƊ
ƧȌǿȌƵǶƵǿƵȁɈȌƦƊȺƵȯƊȲƊƊƪȪƵȺ‫ة‬ƧȌǿƵȺɈȲƊɈƶǐǞƊȺǶȌƧƊǞȺȁƊȺȌǶɐƪƣȌƮƵƊǐȲƊɨȌȺƵƊȺƵȺƧƊǶƊȺƮƵ
ƮƵǿƊȁƮƊȺ ȯȲǞȌȲǞɈƋȲǞƊȺ ƮƵ˛ȁǞƮƊȺ ȯƵǶƊȺ ƧɐǶɈɐȲƊȺ Ƶ ȺƊƦƵȲƵȺ ƮƊȺ ƧȌǿɐȁǞƮƊƮƵȺ‫ خ‬yƵȺȺƵ ȺƵȁɈǞƮȌ‫ ة‬ƶ
ǏɐȁƮƊǿƵȁɈƊǶ ǏȌȲɈƊǶƵƧƵȲ Ȍ ȯȲȌɈƊǐȌȁǞȺǿȌ ƮƊ ƧȌǿɐȁǞƮƊƮƵ‫ ة‬ƵȁɨȌǶɨƵȲ ƵȺȯƵƧǞƊǶǞȺɈƊȺ Ƶ ɈƵƧȁȌǶȌǐǞƊȺ
ǞȁƮǠǐƵȁƊȺƮƵƧɐǞƮƊƮȌƵǿȺƊɑƮƵȁƊȯȲǞȌȲǞɹƊƪƣȌƮƵƮƵǿƊȁƮƊȺ‫ة‬ȯǶƊȁƵǯƊǿƵȁɈȌƵƵɮƵƧɐƪƣȌƮƵƊƪȪƵȺ
ƮƵȺƊɑƮƵ‫خ‬
ƧɐǞƮƊƮȌƵǿȺƊɑƮƵȁƊƊɈƵȁƪƣȌƦƋȺǞƧƊƮƵɨƵȯƊȲɈǞȲƮȌƵȁɈƵȁƮǞǿƵȁɈȌƮƵȱɐƵƊȯȲȌƮɐƪƣȌƮȌ
ƧɐǞƮƊƮȌȺƵƮƋƵǿȲƵƮƵȺ‫ة‬ȁƣȌƊȯƵȁƊȺǞȁȺɈǞɈɐƧǞȌȁƊǞȺ‫ة‬ǿƊȺȲƵƮƵȺɨǞɨƊȺƵƮƵȯȌɈƺȁƧǞƊƧȲǞƊɈǞɨƊ‫خ‬ªƵƮƵȺ
ƧȌǿȌǿȌƮȌƮƵȯȲȌƮɐƪƣȌƮƊȺƧȌȁƵɮȪƵȺƵȁɈȲƵǞȁƮǞɨǠƮɐȌȺƵƧȌǶƵɈǞɨȌȺ‫ة‬ƵǿƮǞǏƵȲƵȁɈƵȺƧȌȁɈƵɮɈȌȺƮƵ
ǐȲɐȯƊǶǞƮƊƮƵƵǿȌƮȌȺƮƵɨǞɨƵȲȺȌƧǞƊǶǿƵȁɈƵ‫§خ‬ȌȲɨƵɹƵȺ‫ة‬ǞƮƵȁɈǞ˛ƧƊȲɐǿƊȲƵƮƵƶǿƊȁɈƵȲƵǶƊƊȱɐƵƧǞƮƊ
ȯȌƮƵȺƵȲɐǿɈȲƊƦƊǶǘȌƋȲƮɐȌ‫ة‬ǿƊȺƊƧǘƊɨƵȯƊȲƊȯȲȌƮɐɹǞȲɐǿƊǿƵǶǘȌȲȺƊɑƮƵ‫خ‬
ȯȌǶǠɈǞƧƊȯɑƦǶǞƧƊƦȲƊȺǞǶƵǞȲƊƮƵȺƊɑƮƵƵȺɈƊƦƵǶƵƧƵƧȌǿȌȯȲǞȌȲǞɈƋȲǞƊȺƊȺƊƪȪƵȺƮƵȯȲƵɨƵȁƪƣȌ
ƮƵ ƊǐȲƊɨȌ Ƶ ȯȲȌǿȌƪƣȌ ƮƵ ȺƊɑƮƵ‫ خ‬ÀƊǞȺ ǞȁɈƵȲɨƵȁƪȪƵȺ Ɉƺǿ ƧȌǿȌ ƦƊȺƵ Ȍ ƧɐǞƮƊƮȌ ɈƵȲȲǞɈȌȲǞƊǶǞɹƊƮȌ
ƧȌǿȁƵƧƵȺȺǞƮƊƮƵƮƵȯȲƶɨǞƊƧƊȲɈȌǐȲƊ˛ƊȺȌƧǞƊǶƵƧȌȁɈǞȁɐƊƮƊǶƵǞɈɐȲƊƮƵƧƵȁƋȲǞȌȱɐƵƧȌǿȯȌȁǘƊȌȺ
ȯȲȌƧƵȺȺȌȺƮƵƧȌǿȯȲƵƵȁȺƣȌƮȌȺȯƵȲ˛ȺƵȯǞƮƵǿǞȌǶȍǐǞƧȌȺ‫(خ‬ƵȺȺƵǿȌƮȌ‫ة‬ƧȌȁȺǞƮƵȲƊȲȌȺƵȺȯƊƪȌȺƮƵ
ǿȌȲƊƮǞƊ Ƶ ȺƵɐ ƵȁɈȌȲȁȌ Ƶ ƊƧƵȺȺȌ Ɯ ƧǞƮƊƮƵ‫ ة‬ƧȌȁƮǞƪȪƵȺ ȺƊȁǞɈƋȲǞƊȺ‫ ة‬ƵȱɐǞȯƊǿƵȁɈȌȺ ȯɑƦǶǞƧȌȺ‫ ة‬ȁȌƪƣȌ
ƮƵ ȯƵȲɈƵȁƪƊ‫ ة‬ɨǠȁƧɐǶȌȺ ƮƵ ȺȌǶǞƮƊȲǞƵƮƊƮƵ‫ ة‬ƮƵȁɈȲƵ ƮƵǿƊǞȺ ǏƊɈȌȲƵȺ ƧȌǿȌ ƵǶƵǿƵȁɈȌȺ ƮǞȲƵɈƊǿƵȁɈƵ
ƵȁɨȌǶɨǞƮȌȺȁȌȺȯȲȌƧƵȺȺȌȺƮƵȺƊɑƮƵ‫خ‬
!ȌǿȌ ɈȲƊƦƊǶǘƊƮȌȲ‫ش‬Ɗ ƮƊ ȺƊɑƮƵ ƶ ǞǿȯȌȲɈƊȁɈƵ ȺƵȲ ƧƊȯƊɹ ƮƵ ȺƵ ȌƦȺƵȲɨƊȲ ƮƵȁɈȲȌ ƮƵ ɐǿƊ
ȯƵȲȺȯƵƧɈǞɨƊǿƊǞȌȲƵȱɐƵǏƊɹȯƊȲɈƵƮƵɐǿǿƵƧƊȁǞȺǿȌȱɐƵƶƊǶɈƵȲȁƊɈǞɨȌƵƧȌǿȯǶƵǿƵȁɈƊȲƜȺȯȲƋɈǞƧƊȺ
ƮƵƧȌȁɨƵȲȺƊƪƣȌƮƊȺƊɑƮƵƵƮƊɨǞƮƊȯȲȍȯȲǞȌȺƮƊȺƧȌǿɐȁǞƮƊƮƵȺǞȁƮǠǐƵȁƊȺ‫خ‬ǶǐɐȁȺƧƊǿǞȁǘȌȺƮȌ
ɈȲƊƦƊǶǘȌ ȺƵȲƣȌ ƊȯȌȁɈƊƮȌȺ ȯƵǶƊ ȯȲȍȯȲǞƊ ƧȌǿɐȁǞƮƊƮƵ Ƶ ƶ ƵȺȺƵȁƧǞƊǶ ȱɐƵ ƵȺɈƵǯƊ ȯȲƵȯƊȲƊƮƊ‫ش‬Ȍ ȯƊȲƊ
ȌɐɨǞȲƵǏƊƧǞǶǞɈƊȲ‫خ‬

ATENÇÃO ÀS
PESSOAS LGBTI+
yƊȺ ɑǶɈǞǿƊȺ ƮƶƧƊƮƊȺ‫ ة‬ƊȺ ȯƵȺȺȌƊȺ mJ ÀX‫ ڕ‬Ɉƺǿ ƧƊƮƊ ɨƵɹ ǿƊǞȺ
ȲƵǞɨǞȁƮǞƧƊƮȌƵȺȯƊƪȌȺȁƊȺȌƧǞƵƮƊƮƵƵȁƊǶɐɈƊȯȌȲȲƵƧȌȁǘƵƧǞǿƵȁɈȌƵǿ
ƮǞǏƵȲƵȁɈƵȺȲƵǐǞȪƵȺƮȌǿɐȁƮȌ‫§خ‬ƊȲɈƵƮƵȺȺƊǶɐɈƊƮǞɹȲƵȺȯƵǞɈȌƊƮƵǿƊȁƮƊȺ
ƵȺȯƵƧǠ˛ƧƊȺƮƵƮǞȲƵǞɈȌƜȺƊɑƮƵ‫ة‬ƧȌǿȌȺƵȲƋǿƵǶǘȌȲƊƦȌȲƮƊƮȌȁƵȺȺƊȺƵƪƣȌ
ƮȌǐɐǞƊ‫خ‬
§ȲǞǿƵǞȲƊǿƵȁɈƵ‫ ة‬ƧȌȁɨƶǿ ȁȌɈƊȲ ȱɐƵ ƶ ǿɐǞɈȌ ƧȌǿɐǿ ȱɐƵ ƵȺȺƊ

ȺǞǐǶƊǐƵȲƵƮɑɨǞƮƊȺƵȁɈȲƵȯȲȌ˛ȺȺǞȌȁƊǞȺƮƵȺƊɑƮƵ‫ة‬ƵȺȯƵƧǞƊǶǿƵȁɈƵȯȌȲȱɐƵ
ɨƊȲǞƊƦƊȺɈƊȁɈƵ‫خ‬ȺǞǐǶƊȱɐƵɐɈǞǶǞɹƊȲƵǿȌȺȁƵȺȺƵǐɐǞƊƶmJ ÀX‫ڕ‬ȱɐƵȺƵɈȲƊɈƊ
ƮƵɐǿƊƧȲȏȁǞǿȌȯƊȲƊ‫ب‬
LƶȺƦǞƧƊȺ
GƊɯȺ
BǞȺȺƵɮɐƊǞȺ
TȲƊɨƵȺɈǞȺƵÀȲƊȁȺƵɮɐƊǞȺ
IȁɈƵȲȺȺƵɮȌȺ
+‫ـ‬ȱɐƵȺǞǿƦȌǶǞɹƊƊȺȌɐɈȲƊȺǞƮƵȁɈǞƮƊƮƵȺƵȌȲǞƵȁɈƊƪȪƵȺ
ȺƵɮɐƊǞȺƮǞȺȺǞƮƵȁɈƵȺȯȌȺȺǠɨƵǞȺ‫ف‬
RƋ ȌɐɈȲƊȺ ɨƊȲǞƊƪȪƵȺ ƧȌǿȌ LGBTQI‫ ة‬ǞȁƧǶɐǞȁƮȌ ƊȺ ȯƵȺȺȌƊȺ ȱɐƵ

ȺƵ ǞƮƵȁɈǞ˛ƧƊǿ ƧȌǿȌ ȱɐƵȲ‫ـ س‬ɐǿƊ ǞƮƵȁɈǞƮƊƮƵ ȱɐƵ ȺɐȲǐǞɐ ȁȌ ƧȌȁɈƵɮɈȌ
ƊȁǐǶȍǏȌȁȌ ȱɐƵ‫ ة‬ȲƵȺɐǿǞƮƊǿƵȁɈƵ‫ ة‬ȺƵ ȲƵǏƵȲƵ Ɗ ƊǶǐɐƶǿ ƧɐǯƊ ǞƮƵȁɈǞƮƊƮƵ
ƮƵȺƊ˛ƊȲǞƊƊȺǶȍǐǞƧƊȺȁȌȲǿƊɈǞɨƊȺƮƵǐƺȁƵȲȌƵȺƵɮɐƊǶǞƮƊƮƵ‫ف‬ȌɐLGBTQIA‫ة‬
ǞȁƧǶɐǞȁƮȌƊȺȯƵȺȺȌƊȺƊȺȺƵɮɐƊǞȺ‫ـ‬ȌɐȺƵǯƊ‫ة‬ȯƵȺȺȌƊȺƧɐǯƊȌȲǞƵȁɈƊƪƣȌȺƵɮɐƊǶ
ȺƵƊȁƧȌȲƊȁƊƊɐȺƺȁƧǞƊɈȌɈƊǶȌɐȯƊȲƧǞƊǶƮƵƮƵȺƵǯȌȯȌȲȲƵǶƊƪȪƵȺȺƵɮɐƊǞȺ‫ة‬
ȱɐƵɨƊȲǞƊƵǿȁǠɨƵǶƵǏȌȲǿƊȯƊȲƊƧƊƮƊȯƵȺȺȌƊ‫خف‬
Ⱥ ȯȌȺȺǞƦǞǶǞƮƊƮƵȺ ƮƵ ƵɮȯƵȲǞƺȁƧǞƊȺ ǘɐǿƊȁƊȺ ȺƣȌ ȲƵƊǶǿƵȁɈƵ

ǞȁƧȌȁɈƋɨƵǞȺ‫! خ‬ȌǿȌ ǿɐǞɈƊȺ ƧȌǞȺƊȺ ȁƊ ɨǞƮƊ‫ ة‬ǐƺȁƵȲȌ Ƶ ȺƵɮɐƊǶǞƮƊƮƵ ȺƣȌ
ƮǞɨƵȲȺȌȺƵɨƊȲǞƊȁɈƵȺ‫§خ‬ȌȲǞȺȺȌ‫ة‬ȁƣȌǘƋɐǿƊȺǞǐǶƊƧƵȲɈƊȌɐƮƵ˛ȁǞɈǞɨƊ‫ة‬ƵƊȺ
ǿɐƮƊȁƪƊȺȁƊȺǞǐǶƊȲƵ˜ƵɈƵǿƜȺƮǞǏƵȲƵȁɈƵȺƵǿƵȲǐƺȁƧǞƊȺƵɈȲƊȁȺǏȌȲǿƊƪȪƵȺ
ǘǞȺɈȍȲǞƧƊȺ Ƶ ȯȌǶǠɈǞƧƊȺ‫§ خ‬ȌȲƶǿ‫ ة‬Ƶǿ ɈȌƮȌȺ ȌȺ ƧƊȺȌȺ‫ ة‬ƵȺȺƊ ȺǞǐǶƊ ɨǞȺƊ ȲƵɐȁǞȲ
ǞƮƵȁɈǞƮƊƮƵȺƮƵǐƺȁƵȲȌƵȌȲǞƵȁɈƊƪȪƵȺȺƵɮɐƊǞȺȱɐƵȁƣȌȺƵƵȁƧƊǞɮƊǿȁȌȺ
ȯƊƮȲȪƵȺȱɐƵƊȺȌƧǞƵƮƊƮƵǐƵȲƊǶǿƵȁɈƵƧȌȁȺǞƮƵȲƊƧȌǿȌȁȌȲǿƊǶ‫خ‬
§ƊȲƊƵȁɈƵȁƮƵȲǿƵǶǘȌȲƵȺȺƵȺƮȌǞȺƧȌȁƧƵǞɈȌȺƵǿȁƵǐȲǞɈȌ‫ة‬ɨƊǿȌȺ
ȲƵƧȌȲȲƵȲƊȌȺPrincípios de Yogyakarta ‫ةف׆׀׀ׂـ‬ɐǿǞǿȯȌȲɈƊȁɈƵƮȌƧɐǿƵȁɈȌ
ǞȁɈƵȲȁƊƧǞȌȁƊǶȱɐƵȌǏƵȲƵƧƵȯȲǞȁƧǠȯǞȌȺȯƊȲƊȯȲƋɈǞƧƊȺƮƵƮǞȲƵǞɈȌȺǘɐǿƊȁȌȺ
ȺȌƦȲƵȌȲǞƵȁɈƊƪƣȌȺƵɮɐƊǶƵǞƮƵȁɈǞƮƊƮƵƮƵǐƺȁƵȲȌ‫خ‬

²ƵǐɐƵǿƊȺƮƵ˛ȁǞƪȪƵȺ‫ب‬
Identidade de gênero: ƵɮȯƵȲǞƺȁƧǞƊ ǞȁɈƵȲȁƊ‫ ة‬ǞȁƮǞɨǞƮɐƊǶ Ƶ ȯȲȌǏɐȁƮƊǿƵȁɈƵ ȺƵȁɈǞƮƊ ȱɐƵ

ƧƊƮƊȯƵȺȺȌƊɈƵǿƵǿȲƵǶƊƪƣȌƊȌǐƺȁƵȲȌ‫ة‬ȱɐƵȯȌƮƵ‫ة‬ȌɐȁƣȌ‫ة‬ƧȌȲȲƵȺȯȌȁƮƵȲƊȌȺƵɮȌƊɈȲǞƦɐǠƮȌ
ȁȌ ȁƊȺƧǞǿƵȁɈȌ‫ ة‬ǞȁƧǶɐǞȁƮȌٌȺƵ ƊǠ Ȍ ȺƵȁɈǞǿƵȁɈȌ ȯƵȺȺȌƊǶ ƮȌ ƧȌȲȯȌ ‫ـ‬ȱɐƵ ȯȌƮƵ ƵȁɨȌǶɨƵȲ‫ ة‬ȯȌȲ
ǶǞɨȲƵƵȺƧȌǶǘƊ‫ة‬ǿȌƮǞ˛ƧƊƪƣȌƮƊƊȯƊȲƺȁƧǞƊȌɐǏɐȁƪƣȌƧȌȲȯȌȲƊǶȯȌȲǿƵǞȌȺǿƶƮǞƧȌȺ‫ة‬ƧǞȲɑȲǐǞƧȌȺ
ȌɐȌɐɈȲȌȺ‫ف‬ƵȌɐɈȲƊȺƵɮȯȲƵȺȺȪƵȺƮƵǐƺȁƵȲȌ‫ة‬ǞȁƧǶɐȺǞɨƵȌǿȌƮȌƮƵɨƵȺɈǞȲٌȺƵ‫ة‬ȌǿȌƮȌƮƵǏƊǶƊȲƵ
ǿƊȁƵǞȲǞȺǿȌȺ‫!ـ‬mw‫ة׆׀׀ׂة‬ȯ‫سف׀ׁخ‬
Orientação sexual:ƊƧƊȯƊƧǞƮƊƮƵƮƵƧƊƮƊȯƵȺȺȌƊƮƵƵɮȯƵȲǞǿƵȁɈƊȲɐǿƊȯȲȌǏɐȁƮƊƊɈȲƊƪƣȌ
ƵǿȌƧǞȌȁƊǶ‫ ة‬ƊǏƵɈǞɨƊ Ȍɐ ȺƵɮɐƊǶ ȯȌȲ ǞȁƮǞɨǠƮɐȌȺ ƮƵ ǐƺȁƵȲȌ ƮǞǏƵȲƵȁɈƵ‫ ة‬ƮȌ ǿƵȺǿȌ ǐƺȁƵȲȌ Ȍɐ
ƮƵǿƊǞȺƮƵɐǿǐƺȁƵȲȌ‫ة‬ƊȺȺǞǿƧȌǿȌƮƵɈƵȲȲƵǶƊƪȪƵȺǠȁɈǞǿƊȺƵȺƵɮɐƊǞȺƧȌǿƵȺȺƊȺȯƵȺȺȌƊȺ
‫!ـ‬mw‫ة׆׀׀ׂة‬ȯ‫خف׀ׁخ‬
0ǿ ǿɐǞɈȌȺ ǶɐǐƊȲƵȺ‫ ة‬ƧȌǿȌ ȁȌ ȲƊȺǞǶ‫ ة‬ƊȺ ȯƵȺȺȌƊȺ mJ ÀX‫ ڕ‬ȺƣȌ ǐƵȲƊǶǿƵȁɈƵ ǿƊȲǐǞȁƊǶǞɹƊƮƊȺ
Ƶ ɈƵǿ Ȍ ƊƧƵȺȺȌ Ɗ ȺƵȲɨǞƪȌȺ ƮƵ ȺƊɑƮƵ ƮǞ˛ƧɐǶɈƊƮȌ Ȍɐ ƊɈƶ ǿƵȺǿȌ ȁƵǐƊƮȌ‫ خ‬XȁǏƵǶǞɹǿƵȁɈƵ‫ ة‬ǿɐǞɈȌȺ
ȯȲȌ˛ȺȺǞȌȁƊǞȺ ƮƵ ȺƊɑƮƵ‫ ة‬ƮƵ ƮǞǏƵȲƵȁɈƵȺ ǏȌȲǿƊƪȪƵȺ Ƶ ȯȌȺɈȌȺ‫ ة‬ȲƵȯȲȌƮɐɹƵǿ ȁƊ ȺɐƊ ƧȌȁƮɐɈƊ Ɗ ǞƮƵǞƊ
ƮƵȱɐƵƊȺɨǞɨƺȁƧǞƊȺƮƵȺȺƊȯȌȯɐǶƊƪƣȌȺƣȌǞȁǏƵȲǞȌȲƵȺ‫ة‬ƊȁɈǞȁƊɈɐȲƊǞȺȌɐǿȌȲƊǶǿƵȁɈƵȲƵȯȲȌɨƋɨƵǞȺ‫خ‬XȺȺȌ
ƮǞ˛ƧɐǶɈƊƊȲƵǶƊƪƣȌƵȁɈȲƵȯȲȌ˛ȺȺǞȌȁƊǞȺƵɐȺɐƋȲǞȌȺƵȯȲȌƮɐɹǞȁǞƦǞƪȪƵȺ‫ة‬ƮƵǿȌƮȌȱɐƵƵȺȺƊȺȯƵȺȺȌƊȺȁƣȌ
ȁƵƧƵȺȺƊȲǞƊǿƵȁɈƵƧȌȁȺƵǐɐƵǿƧȌȁ˛ƊȲȁȌȺƊǐƵȁɈƵȺƮƵȺƊɑƮƵȯƊȲƊƵɮȯȲƵȺȺƊȲƧȌǿƵȺȯȌȁɈƊȁƵǞƮƊƮƵ
ȺɐƊȺƮƵǿƊȁƮƊȺƵȁƵƧƵȺȺǞƮƊƮƵȺ‫خ‬

yƵǿ ɈȌƮƊȺ ƊȺ ƵȺȯƵƧǞ˛ƧǞƮƊƮƵȺ ƮƵ ȯƵȺȺȌƊȺ mJ ÀX‫ ڕ‬Ɉƺǿ Ɗ ɨƵȲ ƧȌǿ ȺƵɮɐƊǶǞƮƊƮƵ‫ ة‬ǞȁƧǶɐȺǞɨƵ
ƵȺȺƵȯȌƮƵȺƵȲǿƊǞȺɐǿƮȌȺǿɐǞɈȌȺȯȲƵƧȌȁƧƵǞɈȌȺȱɐƵƵȺȺƵǐȲɐȯȌƵȁǏȲƵȁɈƊ‫ة‬ɈƵȁƮȌƵǿɨǞȺɈƊȱɐƵ
ȯƊȲƊǿɐǞɈƊǐƵȁɈƵȺƣȌȯƵȺȺȌƊȺٗǿƊǞȺȯȲȌǿǠȺƧɐƊȺ٘‫ة‬ȌȱɐƵȺƵɈȲƊɈƊȁƊɨƵȲƮƊƮƵƮƵɐǿƊǐƵȁƵȲƊǶǞɹƊƪƣȌ
ƵȲȲȏȁƵƊ‫§خ‬ȌȲƶǿ‫ة‬ȁȌƓǿƦǞɈȌƮƊȺƊɑƮƵȯɑƦǶǞƧƊƶƧȌǿɐǿȱɐƵȺƵǏƊǶƵƮƵmJ ÀX‫ڕ‬ȱɐƊȁƮȌǏƊǶƊǿȌȺƮƵ
ȺƵɮɐƊǶǞƮƊƮƵ‫ة‬ȺȌƦȲƵɈɐƮȌȯȌȲƧȌȁɈƊƮƊȯȲƵɨƵȁƪƣȌƮƵX²ÀȺ‫ـ‬XȁǏƵƧƪȪƵȺ²ƵɮɐƊǞȺÀȲƊȁȺǿǞȺȺǠɨƵǞȺ‫ةف‬ȱɐƵƶ
ɐǿƊƮƊȺǏȲƵȁɈƵȺƮƊɈƵȁƪƣȌ ƋȺǞƧƊ‫خ‬ǶƶǿƮǞȺȺȌ‫ة‬ȌƧȌǿƦƊɈƵƜȺX²ÀȺɈƵǿȺǞƮȌǘǞȺɈȌȲǞƧƊǿƵȁɈƵɐǿ
ƮȌȺƮƵȺƊ˛ȌȺȯȲǞȌȲǞɹƊƮȌȺȯȌȲƵȺȺƵǐȲɐȯȌ‫ة‬ƮƵȺƮƵƊƮƶƧƊƮƊƮƵׁ‫׀׈׉‬ƧȌǿȌȺȯȲǞǿƵǞȲȌȺƧƊȺȌȺƮƵRXß
ȁȌ ȲƊȺǞǶ‫خ‬
ȯƵȺƊȲƮƊȁƵƧƵȺȺǞƮƊƮƵƮƵȯȌǶǠɈǞƧƊȺȯɑƦǶǞƧƊȺƵȺȯƵƧǠ˛ƧƊȺȯƊȲƊǘȌǿƵȁȺȱɐƵǏƊɹƵǿȺƵɮȌƧȌǿ
ȌɐɈȲȌȺ ǘȌǿƵȁȺ ƮƵȺƮƵ ƵȁɈƣȌ ‫ـ‬ƧȌǿȌ ƊȺ ȲƵƧƵȁɈƵȺ §0§ Ƶ Ɗ §ª0§‫ ة‬ȯȌȲ ƵɮƵǿȯǶȌ‫ ف‬Ƶ ȌɐɈȲȌȺ ǐȲɐȯȌȺ
ƧȌȁȺǞƮƵȲƊƮȌȺǿƊǞȺɨɐǶȁƵȲƋɨƵǞȺƊƧƵȲɈƊȺǞȁǏƵƧƪȪƵȺ‫ة‬ƊȌƧȌȁɈȲƋȲǞȌƮȌȱɐƵǿɐǞɈƊǐƵȁɈƵȯƵȁȺƊ‫ة‬RXßƵ
ȌɐɈȲƊȺX²ÀȺȁƣȌƊǏƵɈƊǿƊȯƵȁƊȺȯƵȺȺȌƊȺmJ ÀX‫خڕ‬
(ƵɈȌƮƊǏȌȲǿƊ‫ة‬ɨƊǶƵǶƵǿƦȲƊȲȱɐƵȌ²Ç²‫ـ‬²ǞȺɈƵǿƊÈȁǞƧȌƮƵ²ƊɑƮƵ‫ف‬ɈƵǿƧȌǿȌȯȲǞȁƧǠȯǞȌƊ
ƵȱɐǞƮƊƮƵ‫خ‬ɐȺƵǯƊ‫ة‬ȯȲƵƧȌȁǞɹƊƊɈƵȁƮǞǿƵȁɈȌȺƊȌȺǞȁƮǞɨǠƮɐȌȺƮƵƊƧȌȲƮȌƧȌǿȺɐƊȺƵȺȯƵƧǞ˛ƧǞƮƊƮƵȺ‫ة‬
ȌƦȺƵȲɨƊȁƮȌ ƧȌǿȌ ƊȺ ƮǞǏƵȲƵȁƪƊȺ ȺȌƧǞƊǞȺ ƊǏƵɈƊǿ ƮƵȺǞǐɐƊǶǿƵȁɈƵ ȌȺ ǐȲɐȯȌȺ ȯȌȯɐǶƊƧǞȌȁƊǞȺ‫ة‬
ǞȁƮƵȯƵȁƮƵȁɈƵǿƵȁɈƵƮƊɨǞȺƣȌƮƵǿɐȁƮȌƵƮȌȺɨƊǶȌȲƵȺȯƵȺȺȌƊǞȺƮȌƊǐƵȁɈƵƮƵȺƊɑƮƵȱɐƵȯȲȌǿȌɨƵ
ȌƊɈƵȁƮǞǿƵȁɈȌ‫خ‬
ªƵǶƊɈȍȲǞȌ ȺȌƦȲƵ ßǞȌǶƺȁƧǞƊ RȌǿȌǏȍƦǞƧƊ ȁȌ ȲƊȺǞǶ ȲƵǏƵȲƵȁɈƵ ƊȌ ƊȁȌ ƮƵ ׂ‫ ة׃ׁ׀‬ǏƵǞɈȌ ȯƵǶƊ
²ƵƧȲƵɈƊȲǞƊ 0ȺȯƵƧǞƊǶ ƮƵ (ǞȲƵǞɈȌȺ RɐǿƊȁȌȺ‫ ة‬ǞȁƮǞƧƊ ȱɐƵ Ɗ ɨǞȌǶƺȁƧǞƊ ǿƊǞȺ ǏȲƵȱɐƵȁɈƵ ƵȁɈȲƵ ƵȺȺƊ
ȯȌȯɐǶƊƪƣȌ ƶ Ɗ ɨǞȌǶƺȁƧǞƊ ȯȺǞƧȌǶȍǐǞƧƊ ‫ ةفڭׁة׀ׄـ‬ȺƵǐɐǞƮƊ ȯƵǶƊ ƮǞȺƧȲǞǿǞȁƊƪƣȌ ‫ فڭׄة׆׃ـ‬Ƶ‫ ة‬Ƶǿ ɈƵȲƧƵǞȲȌ‫ة‬
ȯƵǶƊȺɨǞȌǶƺȁƧǞƊȺǏǠȺǞƧƊȺ‫خفڭׄةׁׄـ‬ɐȺƵǯƊ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵȁƣȌƮƵȺȯȲƵɹƊȲƊƮǞǿƵȁȺƣȌȯȺǠȱɐǞƧƊȱɐƊȁƮȌ
ȺƵǏƊǶƊƮƵȺƊɑƮƵmJ ÀX‫خڕ‬
ǶƶǿƮǞȺȺȌ‫ة‬ƶȲƵǶƵɨƊȁɈƵɈƵȲƵǿǿƵȁɈƵȱɐƵƧƊƮƊǶƵɈȲƊƮƊȺǞǐǶƊƧȌȲȲƵȺȯȌȁƮƵƊɐǿƊǞƮƵȁɈǞƮƊƮƵ
ȌɐȌȲǞƵȁɈƊƪƣȌȺƵɮɐƊǶȱɐƵɈȲƊɹƊȲȲƊȁǯȌȺǿɐǞɈȌȯȲȍȯȲǞȌȺƵȺǞȁǐɐǶƊȲƵȺ‫ة‬ƮƵǿȌƮȌȱɐƵȁƣȌȺƵǯƊȯȌȺȺǠɨƵǶ
ȯƵȁȺƊȲǿȌȺ Ƶǿ ɐǿ ǐȲɐȯȌ ǘȌǿȌǐƺȁƵȌ Ƶ ƧȌƵȺȌ‫ خ‬yƣȌ ƶ ȲƊȲȌ ȱɐƵ ƊȺ ƵȺȯƵƧǞ˛ƧǞƮƊƮƵȺ ƮƵ ǶƶȺƦǞƧƊȺ‫ة‬
ƦǞȺȺƵɮɐƊǞȺƵǘȌǿƵȁȺ‫ش‬ǿɐǶǘƵȲƵȺɈȲƊȁȺȺƵǯƊǿǞȁɨǞȺǞƦǞǶǞɹƊƮƊȺȱɐƊȁƮȌȺƵǏƊɹǐƵȁƵȲƊǶǞɹƊƪȪƵȺ‫خ‬
0ȁɈȲƵɈƊȁɈȌ‫ة‬ǘƋƊǶǐɐȁȺȯȌȁɈȌȺȁȌȱɐƵƮǞɹȲƵȺȯƵǞɈȌƜ²ƊɑƮƵwƵȁɈƊǶȱɐƵȯȌƮƵǿȺƵȲƊȺȺǞȁƊǶƊƮȌȺ
ƮƵǿƊȁƵǞȲƊǿƊǞȺƊƦȲƊȁǐƵȁɈƵȺȌƦȲƵȌƊɈƵȁƮǞǿƵȁɈȌƮƵȺȺƊȺȯƵȺȺȌƊȺ‫ة‬ƵǿƦȌȲƊƵɨǞƮƵȁɈƵǿƵȁɈƵɨƊȲǞƵǿ
ƮƵ ƊƧȌȲƮȌ ƧȌǿ ƧƊƮƊ ǞƮƵȁɈǞƮƊƮƵ Ƶ ƵɮȯƵȲǞƺȁƧǞƊ ȺǞȁǐɐǶƊȲ‫ خ‬ßƊǶƵ ȺƵǿȯȲƵ ɈƵȲ Ƶǿ ɨǞȺɈƊ ƧȌǿȌ ɈƊȁɈȌȺ
ȯȲƵƧȌȁƧƵǞɈȌȺ ƊǏƵɈƊǿ ȯȺǞȱɐǞƧƊǿƵȁɈƵ ƵȺȺƊȺ ȯƵȺȺȌƊȺ‫ ة‬Ƶ ƧȌǿȌ‫ ة‬ƮƵȺƮƵ ƧȲǞƊȁƪƊȺ‫ ة‬ȯƵȺȺȌƊȺ mJ ÀX‫ڕ‬
ȯƊȺȺƊǿ ȯȌȲ ȺǞɈɐƊƪȪƵȺ ȱɐƵ ȯȌƮƵǿ ȺƵȲ ɈȲƊɐǿƋɈǞƧƊȺ‫ ة‬ƧȌǿȌ‫ ة‬ȯȌȲ ƵɮƵǿȯǶȌ‫ ة‬Ɗ ƵɮƧǶɐȺƣȌ ƮƊ ȯȲȍȯȲǞƊ
ǏƊǿǠǶǞƊ‫ة‬ȱɐƵȯȌƮƵȲƵȺɐǶɈƊȲȁƊȲɐȯɈɐȲƊƮȌɨǠȁƧɐǶȌƧȌǿȌȺȯȲȍȯȲǞȌȺȯƊǞȺ‫خ‬ɐȁƊƵȺƧȌǶƊ‫ب‬ƶƧȌǿɐǿ‫ة‬
ȯȌȲƵɮƵǿȯǶȌ‫ة‬ȱɐƵȯƵȺȺȌƊȺɈȲƊȁȺȺƵɮɐƊǞȺȺƵȱɐƵȲɈƵȲǿǞȁƵǿȌ0ȁȺǞȁȌwƶƮǞȌȯƵǶƊȺƮǞ˛ƧɐǶƮƊƮƵȺƮƵ
ȺƵȲƵǿȲƵȺȯƵǞɈƊƮƊȺȁƵȺȺƵȺƵȺȯƊƪȌȺ‫ـ‬ȁƵǿȺƵǿȯȲƵȌȁȌǿƵȺȌƧǞƊǶ‫ة‬ȌɐȺƵǯƊ‫ة‬ȌȁȌǿƵȯƵǶȌȱɐƊǶƊȯƵȺȺȌƊ
ɈȲƊȁȺȺƵǞƮƵȁɈǞ˛ƧƊƵǿƮƵɈȲǞǿƵȁɈȌƮȌȺƵɐȁȌǿƵƮƵȲƵǐǞȺɈȲȌ‫ة‬ƶɐɈǞǶǞɹƊƮȌ‫ة‬ȌȱɐƵȯȌƮƵǐƵȲƊȲǿɐǞɈȌ
ȺȌǏȲǞǿƵȁɈȌȯȺǠȱɐǞƧȌ‫§خف‬ȌȲɈƊȁɈȌ‫ة‬ƧȌǿȌɨǞȺɈȌ‫ة‬ƊɈƶƧǘƵǐƊȲƵǿɐǿȺƵȲɨǞƪȌƮƵȺƊɑƮƵƊȯƵȺȺȌƊmJ ÀX‫ڕ‬
ǯƋƧƊȲȲƵǐƊɐǿǘǞȺɈȍȲǞƧȌƮƵȯȲƵƧȌȁƧƵǞɈȌȺƵȺǞɈɐƊƪȪƵȺȯƊȺȺƊƮƊȺȱɐƵǐƵȲƊȲƊǿȺȌǏȲǞǿƵȁɈȌȺ‫خ‬
yƣȌ ƶ ȲƊȲȌ ȱɐƵ ȯƵȺȺȌƊȺ ȱɐƵ ƧȌǿȯȪƵǿ ƵȺȺƵ ǐȲɐȯȌ ǞȁɈƵȲȁƊǶǞɹƵǿ ǞƮƵǞƊȺ ȯȲƵƧȌȁƧƵǞɈɐȌȺƊȺ
ȺȌƦȲƵȺɐƊȺȯȲȍȯȲǞƊȺǞƮƵȁɈǞƮƊƮƵȺƮƵǐƺȁƵȲȌƵȌȲǞƵȁɈƊƪȪƵȺȺƵɮɐƊǞȺ‫ة‬ȯȌȲɈƊȁɈȌ‫ة‬ȁȌƧɐǞƮƊƮȌƵǿ²ƊɑƮƵ
wƵȁɈƊǶƮƵɨƵٌȺƵƮƊȲƊǞǿȯȌȲɈƓȁƧǞƊȯƊȲƊƧȌǿȌƵȺȺƊȺǞƮƵǞƊȺƊǏƵɈƊǿƊƊɐɈȌǞǿƊǐƵǿƵƊɐɈȌƵȺɈǞǿƊ‫خ‬
ǶƶǿƮǞȺȺȌ‫ة‬ɈƊȁɈƊȺƵɮȯƵȲǞƺȁƧǞƊȺƮƵƵɮƧǶɐȺȪƵȺƧƵȲɈƊǿƵȁɈƵȯȌƮƵǿȺƵȲƊȲƊǞɹƮƵȺǞȁɈȌǿƊȺȯȺǞƧȌǶȍǐǞƧȌȺ
ɨƊȲǞƊƮȌȺ‫ـ‬ȺǞȁɈȌǿƊȺƊȁȺǞȌȺȌȺ‫ة‬ƮƵȯȲƵȺȺǞɨȌȺ‫ة‬ƮƵȁɈȲƵȌɐɈȲȌȺ‫خف‬1ǞǐɐƊǶǿƵȁɈƵǞǿȯȌȲɈƊȁɈƵƵȺɈƊȲƊɈƵȁɈȌ‫ش‬Ɗ
ȯƊȲƊȱɐƊǞȺȺƣȌƊȺȲƵƮƵȺƮƵȯȲȌɈƵƪƣȌƮǞȺȯȌȁǠɨƵǞȺȯƊȲƊƵȺȺƊȺȯƵȺȺȌƊȺ‫ة‬ȺƵȁƣȌǏȌȲƊǏƊǿǠǶǞƊȺƊȁǐɐǠȁƵƊ‫ة‬
ƮƵɨƵٌȺƵǞȁƧƵȁɈǞɨƊȲȌɐɈȲȌȺɨǠȁƧɐǶȌȺ‫ة‬ƧȌǿȌƧȌǿɐȁǞɈƋȲǞȌȺ‫ة‬ȯȌǶǠɈǞƧȌȺȌɐǿƵȺǿȌƊȺƊǿǞɹƊƮƵȺ‫خ‬0ȁ˛ǿ‫ة‬
ȌǞƮƵƊǶƶȱɐƵ‫ة‬ƊȌƧǘƵǐƊȲƵǿȁȌȺƵȺȯƊƪȌȺƮƵȯȲȌǿȌƪƣȌ‫ش‬ȯȲƵɨƵȁƪƣȌƮƵȺƊɑƮƵ‫ة‬ƵȺȺƊȯȌȯɐǶƊƪƣȌȁƣȌ
ȺƵǯƊƊǞȁƮƊǿƊǞȺɨǞɈǞǿǞɹƊƮƊ‫!خ‬ȌȁɈƊȲƧȌǿɐǿ‫ش‬ɐǿƊȯȲȌ˛ȺȺǞȌȁƊǶȺƵȁȺǠɨƵǶƵƵǿȯƋɈǞƧȌ‫ش‬ƊȺƵǿƮɑɨǞƮƊȺ
ȯȌƮƵǏƊɹƵȲɈȌƮƊƊƮǞǏƵȲƵȁƪƊ‫خ‬

TRANSTORNOS
MENTAIS COMUNS
1 Ɗ ǏȌȲǿƊ ƮƵ ȺȌǏȲǞǿƵȁɈȌ ƵǿȌƧǞȌȁƊǶ ǿƊǞȺ ƧȌǿɐǿ ƊȯȲƵȺƵȁɈƊƮȌ
ȁƊ ɈƵȁƪƣȌ §ȲǞǿƋȲǞƊ‫! خ‬ƊȲƊƧɈƵȲǞɹƊƮȌ ȯȌȲ ƊȯȲƵȺƵȁɈƊȲ ƮǞɨƵȲȺȌȺ ȺǞȁɈȌǿƊȺ
ƧȌǿȌ‫ب‬ȱɐƵǞɮƊȺȺȌǿƋɈǞƧƊȺǞȁƵȺȯƵƧǠ˛ƧƊȺ‫ة‬ǞȲȲǞɈƊƦǞǶǞƮƊƮƵ‫ة‬ǞȁȺȏȁǞƊ‫ة‬ȁƵȲɨȌȺǞȺǿȌ‫ة‬
ƮȌȲƵȺƮƵƧƊƦƵƪƊ‫ة‬ǏƊƮǞǐƊ‫ة‬ƵȺȱɐƵƧǞǿƵȁɈȌƵǏƊǶɈƊƮƵƧȌȁƧƵȁɈȲƊƪƣȌ‫§خ‬ȌƮƵǿٌ
ȺƵƮƵȺɈƊƧƊȲȺǞȁɈȌǿƊȺƮƵȯȲƵȺȺǞɨȌȺƊȁȺǞȌȺȌȺƵȺȌǿƋɈǞƧȌȺǏȲƵȱɐƵȁɈƵǿƵȁɈƵ
ƊȺȺȌƧǞƊƮȌȺ Ɗ ȯȲȌƦǶƵǿƊȺ ȯȺǞƧȌȺȺȌƧǞƊǞȺ‫ ة‬ǞȁƧǶɐǞȁƮȌ ɐǿƊ ǐƊǿƊ ƊǿȯǶƊ ƮƊ
ȯȌȯɐǶƊƪƣȌȱɐƵȯȲƵƧǞȺƊƮƵƊǶǐɐǿƧɐǞƮƊƮȌƵǿ²ƊɑƮƵwƵȁɈƊǶ‫ة‬ȺƵȁƮȌȌɐȁƣȌ
ȯȌȲɈƊƮȌȲƵȺƮƵɐǿƮǞƊǐȁȍȺɈǞƧȌȯȺǞȱɐǞƋɈȲǞƧȌ‫خ‬²ƊƦƵٌȺƵȱɐƵƊɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵ
ȯȺǞƧȌȺȺȌƧǞƊǶ ƵǶƵɨƊ ƊȺ ƧǘƊȁƧƵȺ ƮƵȺȺƵ ȺȌǏȲǞǿƵȁɈȌ ȯȺǠȱɐǞƧȌ Ƶ ȌȺ ȯƊƧǞƵȁɈƵȺ
ȯȲȌƧɐȲƊǿƊǯɐƮƊƮƊƵȱɐǞȯƵƮƵȺƊɑƮƵǿƊǞȺȯȲȍɮǞǿƊƮƵȺɐƊȲƵȺǞƮƺȁƧǞƊ‫ة‬ȌȁƮƵ
ƵȺɈƊȯȌȲȺɐƊɨƵɹȯȌƮƵȌǏƵȲɈƊȲȌȯȲǞǿƵǞȲȌƊɈƵȁƮǞǿƵȁɈȌƵƵȁƧƊǿǞȁǘƊȲ‫ة‬ƧƊȺȌ
ȁƵƧƵȺȺƋȲǞȌ‫ة‬ƮƵɨƵȁƮȌɈƵȲƊɨƊǶǞƊƪƣȌƵǿƧȌȁȺɐǶɈƊǿƶƮǞƧƊƧȌǿȯƵȲǞȌƮǞƧǞƮƊƮƵ
ȁȌǿƋɮǞǿȌɈȲǞǿƵȺɈȲƊǶ‫خ‬
ɈȲƊƦƊǶǘȌƧȌǿǐȲɐȯȌȺȯȺǞƧȌƵƮɐƧƊɈǞɨȌȺƧȌȁȺɈǞɈɐǞɐǿƊǞǿȯȌȲɈƊȁɈƵ
ƵȺɈȲƊɈƶǐǞƊ ƮƵ ƊȯȌǞȌ‫ ة‬ƊƦȌȲƮƊȁƮȌ ɈƵǿƊȺ ƧȌǿɐȁȺ Ɗ ƵȺȺƵȺ ɈȲƊȁȺɈȌȲȁȌȺ‫ة‬
ƊȺȺǞǿƧȌǿȌƊȺƵɐȺǏƊǿǞǶǞƊȲƵȺ‫ة‬ȺƵȁƮȌǿɐǞɈȌǞǿȯȌȲɈƊȁɈƵȯƊȲƊȺƵȺƵȁɈǞȲƵǿ
ȯȲȌɈƊǐȌȁǞȺɈƊȺȁƊƧȌȁƮɐƪƣȌƮƵȺɐƊƧȌȁƮǞƪƣȌƮƵȺƊɑƮƵƵȺɐƊȺɈȲƊǯƵɈȍȲǞƊȺ
ȁȌȺƮǞɨƵȲȺȌȺƧƵȁƋȲǞȌȺɈƵȲƊȯƺɐɈǞƧȌȺ‫خ‬ȺȺǞǿ‫ة‬ȺƵȲƣȌȲƵƊǶǞɹƊƮȌȺƊɈƵȁƮǞǿƵȁɈȌȺ
ǞȁƮǞɨǞƮɐƊǞȺȌɐƧȌȁȺɐǶɈƊȺƧȌǿȯƊȲɈǞǶǘƊƮƊȺƵǿ²ƊɑƮƵwƵȁɈƊǶ‫ة‬ƧȌǿȌɈƊǿƦƶǿ‫ة‬
ȱɐƊȁƮȌǞƮƵȁɈǞ˛ƧƊƮƊƊȁƵƧƵȺȺǞƮƊƮƵȯƵǶƊ§²‫ة‬ƵǯɐȁɈƊǿƵȁɈƵƧȌǿȌy²I‫ة‬
ȁȌȺǿɐȁǞƧǠȯǞȌȺȱɐƵȯȌȺȺɐƵǿɈƊǞȺƵȱɐǞȯƵȺ‫خ‬

INSÔNIA
Descrição:ƶɐǿƊƮǞȺȺȌȁǞƊƧƊȲƊƧɈƵȲǞɹƊƮƊȯƵǶƊƮǞ˛ƧɐǶƮƊƮƵƵǿǞȁǞƧǞƊȲƵ‫ش‬ȌɐǿƊȁɈƵȲȌȺȌȁȌƵ
ȯƵǶƊȺƵȁȺƊƪƣȌƮƵȁƣȌɈƵȲɐǿȺȌȁȌȲƵȯƊȲƊƮȌȲƮɐȲƊȁɈƵɐǿȯƵȲǠȌƮȌȁƣȌǞȁǏƵȲǞȌȲƊׁǿƺȺ‫خ‬
Causas:
9
Insônia Primária‫ ب‬ǞȁǠƧǞȌ ȲƵȯƵȁɈǞȁȌ‫ ة‬ƧȌǞȁƧǞƮǞȁƮȌ ƧȌǿ ɐǿƊ ȺǞɈɐƊƪƣȌ ƮƵ ƵȺɈȲƵȺȺƵ
ȯȺǞƧȌǶȍǐǞƧȌ ‫ـ‬ɈȲǞȺɈƵɹƊ‫ ة‬ƊǏƊȺɈƊǿƵȁɈȌ ƮƵ ɐǿ ǏƊǿǞǶǞƊȲ‫ ةف‬ȺȌƧǞƊǶ ‫ـ‬ȯƵȲƮƊ ƮȌ ƵǿȯȲƵǐȌ‫ة‬
ƮǞ˛ƧɐǶƮƊƮƵ ƵƧȌȁȏǿǞƧƊ‫ ف‬Ȍɐ ǿƶƮǞƧȌ ‫ـ‬ǞǿǞȁƺȁƧǞƊ ƮƵ ɐǿƊ ǞȁɈƵȲɨƵȁƪƣȌ ƧǞȲɑȲǐǞƧƊ‫خف‬
§ƵȲȺǞȺɈǞȁƮȌǐƵȲƊǶǿƵȁɈƵǿɐǞɈȌɈƵǿȯȌƮƵȯȌǞȺƮȌƮƵȺƊȯƊȲƵƧǞǿƵȁɈȌƮƊƧƊɐȺƊȌȲǞǐǞȁƊǶ‫ة‬
ƮƵɨǞƮȌƜȯȲƵȺƵȁƪƊƮƵɐǿȁǠɨƵǶƵǶƵɨƊƮȌƮƵƊǶƵȲɈƊƵƮƵɐǿƧȌȁƮǞƧǞȌȁƊǿƵȁɈȌȁƵǐƊɈǞɨȌ‫خ‬
9
Insônia secundária‫ب‬ɐȺȌƮƵƮȲȌǐƊȺȁƣȌƧȌȁɈȲȌǶƊƮƊȺ‫ـ‬ƧƊǏƵǠȁƊ‫ة‬ɈƊƦƊƧȌ‫ةف‬ǿƵƮǞƧƊǿƵȁɈȌȺ
ȯȲƵȺƧȲǞɈȌȺ‫ة‬ƧȌȁƮǞƪȪƵȺǿƶƮǞƧƊȺƵȯȺǞȱɐǞƋɈȲǞƧƊȺ‫خ‬
Sinais e sintomas:
9
(ƵǿȌȲƊȲǿƊǞȺȱɐƵ‫ـ׀׃‬ɈȲǞȁɈƊ‫ف‬ǿǞȁɐɈȌȺȯƊȲƊƊƮȌȲǿƵƧƵȲƊȯȍȺƮƵǞɈƊȲ‫س‬
9
ÀȲƺȺ‫ف׃׀ـ‬ƵȯǞȺȍƮǞȌȺƮɐȲƊȁɈƵƊȺƵǿƊȁƊ‫س‬
9
ƧȌȲƮƊȲȺƵǐɐǞƮƊǿƵȁɈƵƮɐȲƊȁɈƵƊȁȌǞɈƵ‫س‬
9
(ƵȺȯƵȲɈƊȲǿƊǞȺȯȲƵƧȌƧƵȱɐƵȌǘƊƦǞɈɐƊǶ‫خ‬
Diagnóstico:
9
ɨƊǶǞƊƪƣȌƵȱɐƊƮȲȌƧǶǠȁǞƧȌ‫خ‬
Tratamento:
9
RǞǐǞƵȁƵƮȌȺȌȁȌ‫ب‬ȲƵƊǶǞɹƊȲƊɈǞɨǞƮƊƮƵȺǏǠȺǞƧƊȺƮɐȲƊȁɈƵƊǿƊȁǘƣ‫س‬ƵɨǞɈƊȲȁǞƧȌɈǞȁƊ‫س‬ƋǶƧȌȌǶƵ
ƦƵƦǞƮƊȺȱɐƵƧȌȁɈƵȁǘƊǿƧƊǏƵǠȁƊ‫س‬ƵɨǞɈƊȲȌɐȺȌƮƵɈƵǶƊȺ‫ـ‬ƧƵǶɐǶƊȲ‫ة‬ɈɨƵɈƧ‫سف‬
9
ÀƵȲƊȯǞƊƮƵƧȌȁƮɐɈƊ‫ب‬ȲƵǶƊɮƊǿƵȁɈȌ‫س‬
9
ªƵƊɨƊǶǞƊȲ ƊȯȍȺ ‫ـ ׂ׀‬ƮȌǞȺ‫ ف‬ƮǞƊȺ‫ ة‬ƧƊȺȌ ȯƵȲȺǞȺɈƊ Ȍ ȱɐƊƮȲȌ ƊɨƊǶǞƊȲ ƧȌȁƮǞƪƣȌ ȺƵƧɐȁƮƋȲǞƊ Ƶ
ɐɈǞǶǞɹƊȲɈȲƊɈƊǿƵȁɈȌǏƊȲǿƊƧȌǶȍǐǞƧȌƮƵƊƧȌȲƮȌƧȌǿƧȌȁƮǞƪƣȌǞƮƵȁɈǞ˛ƧƊƮƊ‫خ‬
Diagnóstico diferencial:
9
ǞȁȺȏȁǞƊȯȌƮƵȺƵȲƊǞȁƮƊɐǿƮǞȺɈɑȲƦǞȌȺƵƧɐȁƮƋȲǞȌƧƊɐȺƊƮȌȯȌȲȌɐɈȲȌǿȌɈǞɨȌ‫ة‬ƧȌǿȌ
ƮȌƵȁƪƊȌɐɐȺȌǞȁƧȌȲȲƵɈȌƮƵǿƵƮǞƧƊƪƣȌ‫ـ‬ǞȁɨƵȺɈǞǐƊȲƧƊɐȺƊ‫سف‬
9
RǞǐǞƵȁƵǞȁƊƮƵȱɐƊƮƊƮȌȺȌȁȌ‫س‬
9
ÀȲƊȁȺɈȌȲȁȌƊǏƵɈǞɨȌ‫س‬
9
ÀȲƊȁȺɈȌȲȁȌƮƵƊȁȺǞƵƮƊƮƵǐƵȁƵȲƊǶǞɹƊƮƊ‫خ‬

TRANSTORNOS
DE ANSIEDADE
Descrição: ȺƵȁɈǞǿƵȁɈȌ ɨƊǐȌ Ƶ ƮƵȺƊǐȲƊƮƋɨƵǶ ƮƵ ǿƵƮȌ‫ ة‬ƊȯȲƵƵȁȺƣȌ‫ ة‬ƧƊȲƊƧɈƵȲǞɹƊƮȌ ȯȌȲ
ɈƵȁȺƣȌ Ȍɐ ƮƵȺƧȌȁǏȌȲɈȌ ƮƵȲǞɨƊƮȌ ƮƵ ƊȁɈƵƧǞȯƊƪƣȌ ƮƵ ȯƵȲǞǐȌ‫ ة‬ƮƵ ƊǶǐȌ ƮƵȺƧȌȁǘƵƧǞƮȌ Ȍɐ ƵȺɈȲƊȁǘȌ‫خ‬
ƊȁȺǞƵƮƊƮƵ Ƶ Ȍ ǿƵƮȌ ȯƊȺȺƊǿ Ɗ ȺƵȲ ȲƵƧȌȁǘƵƧǞƮȌȺ ƧȌǿȌ ȯƊɈȌǶȍǐǞƧȌȺ ȱɐƊȁƮȌ ȺƣȌ ƵɮƊǐƵȲƊƮȌȺ‫ة‬
ƮƵȺȯȲȌȯȌȲƧǞȌȁƊǞȺƵǿȲƵǶƊƪƣȌƊȌƵȺɈǠǿɐǶȌ‫ة‬ȌɐȱɐƊǶǞɈƊɈǞɨƊǿƵȁɈƵƮǞɨƵȲȺȌȺƮȌȱɐƵȺƵȌƦȺƵȲɨƊƧȌǿȌ
ȁȌȲǿƊǶ ȁƊȱɐƵǶƊ ǏƊǞɮƊ ƵɈƋȲǞƊ Ƶ ǞȁɈƵȲǏƵȲƵǿ ƧȌǿ Ɗ ȱɐƊǶǞƮƊƮƵ ƮƵ ɨǞƮƊ‫ ة‬Ȍ ƧȌȁǏȌȲɈȌ ƵǿȌƧǞȌȁƊǶ Ȍɐ Ȍ
ƮƵȺƵǿȯƵȁǘȌƮǞƋȲǞȌƮȌǞȁƮǞɨǠƮɐȌ‫خ‬
Causas:
9
1 ȯȲȌɨƊɨƵǶǿƵȁɈƵ ǿɐǶɈǞǏƊɈȌȲǞƊǶ‫ ة‬ǞȁƧǶɐǞȁƮȌ ǏƊɈȌȲƵȺ ǐƵȁƶɈǞƧȌȺ‫ ة‬ƦǞȌǶȍǐǞƧȌȺ‫ ة‬ƧȌǐȁǞɈǞɨȌȺ
ƧȌǿȯȌȲɈƊǿƵȁɈƊǞȺƵȯȺǞƧȌȺȺȌƧǞƊǞȺ‫ة‬ȱɐƵƧȌȁɈȲǞƦɐƵǿȯƊȲƊȌƊȯƊȲƵƧǞǿƵȁɈȌƮƵȺǞȁɈȌǿƊȺ
ƮƵƊȁȺǞƵƮƊƮƵǿɐǞɈƊȺɨƵɹƵȺƮɐȲƊȁɈƵƊǞȁǏƓȁƧǞƊƵƧȌǿǿƊȁǞǏƵȺɈƊƪȪƵȺɨƊȲǞƋɨƵǞȺƮɐȲƊȁɈƵ
ɈȌƮȌȌƧǞƧǶȌƮƵɨǞƮƊ‫خ‬ÀƵǿƊǶɈȌǠȁƮǞƧƵƮƵƧȌǿȌȲƦǞƮƊƮƵƧȌǿƮƵȯȲƵȺȺƣȌǿƊǞȌȲƵƊƦɐȺȌ
ƮƵȺɐƦȺɈƓȁƧǞƊȺȯȺǞƧȌƊɈǞɨƊȺ‫خ‬
Sinais e sintomas:
9
XȲȲǞɈƊƦǞǶǞƮƊƮƵ‫س‬
9
XȁȱɐǞƵɈƊƪƣȌ‫ة‬ƵɮȯƵƧɈƊɈǞɨƊƊȯȲƵƵȁȺǞɨƊ‫س‬
9
ÀƵȁȺƣȌǿɐȺƧɐǶƊȲ‫س‬
9
(ǞȺȯȁƵǞƊ‫ة‬ȺƵȁȺƊƪƣȌƮƵƊȺ˛ɮǞƊƵƮƵƮƵȺǿƊǞȌ‫س‬
9
ßƵȲɈǞǐƵǿ‫ة‬ȯƊǶȯǞɈƊƪȪƵȺ‫ة‬ɈȲƵǿȌȲƵȺ‫ة‬ȺɐƮȌȲƵȺƵ‫س‬
9
yƋɐȺƵƊȺ‫ة‬ƮƵȺƧȌȁǏȌȲɈȌƊƦƮȌǿǞȁƊǶ‫س‬
9
²ɐǏȌƧƊǿƵȁɈȌ‫ة‬ȯƊȲƵȺɈƵȺǞƊȺ‫س‬
9
(ƵȺȯƵȲȺȌȁƊǶǞɹƊƪƣȌ‫ة‬ȯƊȲƵȺɈƵȺǞƊȺ‫ة‬ȌȁƮƊȺƮƵƧƊǶȌȲȌɐǏȲǞȌ‫س‬
9
(ȌȲƵ‫ش‬ȌɐƮƵȺƧȌȁǏȌȲɈȌȁȌȯƵǞɈȌ‫ة‬ǿƵƮȌƮƵǿȌȲȲƵȲȌɐƵȁǶȌɐȱɐƵƧƵȲ‫ـ‬ƧȲǞȺƵȺȱɐƵƮɐȲƊǿ
ǐƵȲƊǶǿƵȁɈƵǿǞȁɐɈȌȺ‫سف‬
9
²ǞȁɈȌǿƊȺ ƮƵȯȲƵȺȺǞɨȌȺ ɈƊǿƦƶǿ ȺƣȌ ǏȲƵȱɐƵȁɈƵȺ ‫ ڭ׀׈ـ‬ƮȌȺ ƧƊȺȌȺ‫ ف‬ƊƧȌǿȯƊȁǘƊƮȌȺ Ȍɐ
ȁƣȌƮƵƮƶ˛ƧǞɈȁƊƊɈƵȁƪƣȌƵǿƵǿȍȲǞƊ‫س‬ǏƊƮǞǐƊƵǞȁȺȏȁǞƊǞȁǞƧǞƊǶƵ‫ش‬ȌɐǞȁɈƵȲǿƵƮǞƋȲǞƊ‫خ‬
Exames complementares:
9
0ǶƵɈȲȌƧƊȲƮǞȌǐȲƊǿƊ‫س‬
9
§ȲȌɨƊȺƮƊǏɐȁƪƣȌɈǞȲƵȌǞƮǞƊȁƊ‫ة‬ȲƵȁƊǶ‫ة‬ǘƵȯƋɈǞƧƊ‫خ‬
Diagnóstico:
9
0ǿǞȁƵȁɈƵǿƵȁɈƵƧǶǠȁǞƧȌ‫خ‬

Tratamento:
9
§ȺǞƧȌƵƮɐƧƊƪƣȌ‫س‬
9
§ȺǞƧȌɈƵȲƊȯǞƊ‫س‬
9
§ȺǞƧȌǏƋȲǿƊƧȌȺ‫س‬
9
ªƵƊɨƊǶǞƊȲƊȯȍȺ‫ـ׃׀‬ɈȲƺȺ‫ف‬ȺƵǿƊȁƊȺ‫ة‬ƧƊȺȌȁƣȌƊȯȲƵȺƵȁɈƵǿƵǶǘȌȲƊȺǞǐȁǞ˛ƧƊɈǞɨƊǞƮƵȁɈǞ˛ƧƊȲ
ƧȌȁƮǞƪƣȌȺƵƧɐȁƮƋȲǞƊƊȺȺȌƧǞƊƮƊ‫خ‬
9
ǿƊȁƵǞȲƊ ȯȲƋɈǞƧƊ ƮƵ ȺƵ ƮǞǏƵȲƵȁƧǞƊȲ ƊȁȺǞƵƮƊƮƵ ȁȌȲǿƊǶ ƮƵ ƊȁȺǞƵƮƊƮƵ ȯƊɈȌǶȍǐǞƧƊ ƶ
ƦƊȺǞƧƊǿƵȁɈƵƊɨƊǶǞƊȲȺƵƊȲƵƊƪƣȌƊȁȺǞȌȺƊƶƮƵƧɐȲɈƊƮɐȲƊƪƣȌ‫ة‬ƊɐɈȌǶǞǿǞɈƊƮƊƵȲƵǶƊƧǞȌȁƊƮƊ
ƊȌƵȺɈǠǿɐǶȌƮȌǿȌǿƵȁɈȌȌɐȁƣȌ‫س‬
9
ȺɈȲƊȁȺɈȌȲȁȌȺƊȁȺǞȌȺȌȺȺƣȌȱɐƊƮȲȌȺƧǶǠȁǞƧȌȺƵǿȱɐƵƵȺȺƵȺȺǞȁɈȌǿƊȺȺƣȌȯȲǞǿƋȲǞȌȺ‫ة‬
Ȍɐ ȺƵǯƊ‫ ة‬ȁƣȌ ȺƣȌ ƮƵȲǞɨƊƮȌȺ ƮƵ ȌɐɈȲƊȺ ƧȌȁƮǞƪȪƵȺ ȯȺǞȱɐǞƋɈȲǞƧƊȺ ‫ـ‬ƮƵȯȲƵȺȺƣȌ‫ ة‬ȯȺǞƧȌȺƵȺ‫ة‬
ɈȲƊȁȺɈȌȲȁȌƮȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ‫ة‬ɈȲƊȁȺɈȌȲȁȌǘǞȯƵȲƧǞȁƶɈǞƧȌƵɈƧ‫خف‬

TRANSTORNOS
DE SINTOMAS
SOMÁTICOS (TSS)
Descrição: Ⱥ ÀȲƊȁȺɈȌȲȁȌȺ ƮƵ ²ǞȁɈȌǿƊȺ ²ȌǿƋɈǞƧȌȺ ‫ـ‬À²²‫ ةف‬ƊȁɈƵȲǞȌȲǿƵȁɈƵ ƧȌȁǘƵƧǞƮȌȺ
ƧȌǿȌ ȺȌǿƊɈȌǏȌȲǿƵȺ‫ ة‬ȺƣȌ ƧƊȲƊƧɈƵȲǞɹƊƮȌȺ ȯȌȲ ɐǿ Ȍɐ ǿƊǞȺ ȺǞȁɈȌǿƊȺ ȺȌǿƋɈǞƧȌȺ ƊƧȌǿȯƊȁǘƊƮȌȺ
ȯȌȲ ȯƵȁȺƊǿƵȁɈȌȺ ƵɮƧƵȺȺǞɨȌȺ‫ ة‬ȺƵȁɈǞǿƵȁɈȌȺ Ƶ ƊɈǞɈɐƮƵȺ Ƶǿ ȲƵǶƊƪƣȌ ƊȌȺ ȺǞȁɈȌǿƊȺ ȺȌǿƋɈǞƧȌȺ‫ ة‬ƧȌǿ
ȯȲȌƧɐȲƊ ȺǞǐȁǞ˛ƧƊɈǞɨƊ ƮƵ ƊɈƵȁƪƣȌ ǿƶƮǞƧƊ‫ ة‬Ƶǿ ȯƊȲɈǞƧɐǶƊȲ Ƶǿ ƮƵȯƊȲɈƊǿƵȁɈȌȺ ƮƵ ƵǿƵȲǐƺȁƧǞƊȺ‫خ‬
XȁƧǶɐƵǿǘǞȯȌƧȌȁƮȲǞƊƵɈȲƊȁȺɈȌȲȁȌȺƮȌǶȌȲȌȺȌȺ‫خ‬
Causa:
9
À²²ƶ‫ة‬ɈǞȯǞƧƊǿƵȁɈƵ‫ة‬ǿƊǞȺƧȌǿɐǿƵǿǿɐǶǘƵȲƵȺƮƵƦƊǞɮȌȁǠɨƵǶȺȌƧǞȌƵƧȌȁȏǿǞƧȌ‫ة‬ȱɐƵ
ƊȯȲƵȺƵȁɈƊǿƵȁɈȲƵׂ‫׀‬Ƶ‫׀׃‬ƊȁȌȺƮƵǞƮƊƮƵ‫ة‬ƧȌǿƊǶɈƊǞȁƧǞƮƺȁƧǞƊƮƵƧȌǿȌȲƦǞƮƊƮƵȺƧȌǿȌ
ƊȁȺǞƵƮƊƮƵȌɐƮƵȯȲƵȺȺƣȌ‫خ‬
9
À²²ǶƵɨƵ‫ب‬ƊȯƵȁƊȺɐǿȺǞȁɈȌǿƊƵȺɈƋȯȲƵȺƵȁɈƵ‫ـ‬ȯȌȲƵɮƵǿȯǶȌ‫ة‬ɈƵǿȯȌƵɮƧƵȺȺǞɨȌƵƵȁƵȲǐǞƊ
ƮƵƮǞƧƊƮƊƊȌȺǞȁɈȌǿƊȺȌǿƋɈǞƧȌ‫سف‬
9
À²²ǿȌƮƵȲƊƮȌ‫ب‬ƮȌǞȺȌɐǿƊǞȺȺǞȁɈȌǿƊȺƵȺɈƣȌȯȲƵȺƵȁɈƵȺ‫ـ‬ȯȌȲƵɮƵǿȯǶȌ‫ة‬ȯƵȁȺƊǿƵȁɈȌȺ
ȯƵȲȺǞȺɈƵȁɈƵȺƵƊȁȺǞƵƮƊƮƵȺƵɨƵȲƊ‫سف‬
9
À²²ǐȲƊɨƵ‫ب‬ƮɐƊȺȌɐǿƊǞȺƮƊȺƧƊȲƊƧɈƵȲǠȺɈǞƧƊȺƵȺɈƣȌȯȲƵȺƵȁɈƵȺ‫س‬ƊǶƶǿƮǞȺȺȌ‫ة‬ȌȯƊƧǞƵȁɈƵ
ǿƊȁǞǏƵȺɈƊǿɑǶɈǞȯǶƊȺȱɐƵǞɮƊȺȺȌǿƋɈǞƧƊȺ‫ـ‬ȯȌȲƵɮƵǿȯǶȌ‫ة‬ǏƊƮǞǐƊ‫ة‬ɈȌȁɈɐȲƊƵƮƵȺƧȌȁǏȌȲɈȌ
ǐƊȺɈȲǞȁɈƵȺɈǞȁƊǶ‫ف‬ȌɐɐǿȺǞȁɈȌǿƊȺȌǿƋɈǞƧȌǿɐǞɈȌǐȲƊɨƵ‫س‬
9
À²² ȯƵȲȺǞȺɈƵȁɈƵ‫ ب‬Ȍ ƧɐȲȺȌ ƮƊ ƮȌƵȁƪƊ ƮɐȲƊ ǿƊǞȺ ƮƵ ‫ ׆‬ǿƵȺƵȺ‫ س‬Ȍ ǏɐȁƧǞȌȁƊǿƵȁɈȌ
ȯȺǞƧȌȺȺȌƧǞƊǶƵȺɈƋƦƊȺɈƊȁɈƵȯȲƵǯɐƮǞƧƊƮȌ‫ة‬ƶƧǶƊȺȺǞ˛ƧƊƮƊƧȌǿȌǐȲƊɨƵ‫خ‬

Sinais e sintomas
9
©ɐƵǞɮƊȺǏǠȺǞƧƊȺȲƵƧȌȲȲƵȁɈƵȺǐƵȲƊǶǿƵȁɈƵƧȌǿƵƪƊǿƊȁɈƵȺƮȌȺ‫׀׃‬ƊȁȌȺ‫س‬
9
ǿƊǞȌȲǞƊ ƮȌȺ ȯƊƧǞƵȁɈƵȺ ɈƵǿ ǿɑǶɈǞȯǶȌȺ ȺǞȁɈȌǿƊȺ ȺȌǿƋɈǞƧȌȺ‫ ة‬ǿƊȺ ƊǶǐɐȁȺ Ɉƺǿ ɐǿ
ɑȁǞƧȌȺǞȁɈȌǿƊǐȲƊɨƵ‫ة‬ɈǞȯǞƧƊǿƵȁɈƵƮȌȲ‫س‬
9
ƵȺȺƺȁƧǞƊ ƮȌ ɈȲƊȁȺɈȌȲȁȌ ƮƵ ȺǞȁɈȌǿƊ ȺȌǿƋɈǞƧȌ ȺƣȌ ȯƵȁȺƊǿƵȁɈȌȺ‫ ة‬ȺƵȁɈǞǿƵȁɈȌȺ Ȍɐ
ƧȌǿȯȌȲɈƊǿƵȁɈȌȺ ƵɮƧƵȺȺǞɨȌȺ Ȍɐ ǿƊǶٌƊƮƊȯɈƊɈǞɨȌȺ ƮȌ ȯƊƧǞƵȁɈƵ Ƶǿ ȲƵȺȯȌȺɈƊ ƊȌȺ
ȺǞȁɈȌǿƊȺ‫س‬
9
ǐȲƊɨǞƮƊƮƵ ȯȌƮƵ ˜ɐɈɐƊȲ‫ ة‬ȯȌȲƶǿ ȌȺ ȺǞȁɈȌǿƊȺ ȲƊȲƊǿƵȁɈƵ ȲƵƧȌȲȲƵǿ ȯȌȲ ȯƵȲǠȌƮȌ
ƵɮɈƵȁȺȌƮƵɈƵǿȯȌ‫س‬
9
ȺȯȲȍȯȲǞȌȺȺǞȁɈȌǿƊȺȌɐƊȯȲƵȌƧɐȯƊƪƣȌƵɮƧƵȺȺǞɨƊƵǿȲƵǶƊƪƣȌƊƵǶƵȺƶƊȁǐɐȺɈǞƊȁɈƵȌɐ
ȯƵȲɈɐȲƦƊƊɨǞƮƊƮǞƋȲǞƊ‫س‬
9
ǶǐɐȁȺȯƊƧǞƵȁɈƵȺȺƵɈȌȲȁƊǿƧǶƊȲƊǿƵȁɈƵƮƵȯȲǞǿǞƮȌȺ‫س‬
9
©ɐƊȁƮȌ Ȍ ɈȲƊȁȺɈȌȲȁȌ ƮƵ ȺǞȁɈȌǿƊ ȺȌǿƋɈǞƧȌ ƊƧȌǿȯƊȁǘƊ ȌɐɈȲȌ ɈȲƊȁȺɈȌȲȁȌ ǿƶƮǞƧȌ‫ة‬
ȌȺ ȯƊƧǞƵȁɈƵȺ ȲƵȺȯȌȁƮƵǿ ƵɮƧƵȺȺǞɨƊǿƵȁɈƵ ƜȺ ǞǿȯǶǞƧƊƪȪƵȺ ƮȌ ɈȲƊȁȺɈȌȲȁȌ ǿƶƮǞƧȌ‫س‬
ȯȌȲƵɮƵǿȯǶȌ‫ة‬ȯƊƧǞƵȁɈƵȺȱɐƵɈǞɨƵȲƊǿȲƵƧɐȯƵȲƊƪƣȌǏǠȺǞƧƊƧȌǿȯǶƵɈƊƮƵɐǿǞȁǏƊȲɈȌƮȌ
ǿǞȌƧƋȲƮǞȌ ȺǞǿȯǶƵȺ ȯȌƮƵǿ ƧȌȁɈǞȁɐƊȲ Ɗ ȺƵ ƧȌǿȯȌȲɈƊȲ ƧȌǿȌ ȺƵ ǏȌȺȺƵǿ ǞȁɨƋǶǞƮȌȺ Ȍɐ
ƧȌȁȺɈƊȁɈƵǿƵȁɈƵȺƵȯȲƵȌƧɐȯƊȲƵǿɈƵȲȌɐɈȲȌǞȁǏƊȲɈȌƮȌǿǞȌƧƋȲƮǞȌ‫س‬
9
©ɐƊǶȱɐƵȲ ȯƊȲɈƵ ƮȌ ƧȌȲȯȌ ȯȌƮƵ ȺƵȲ ƊǏƵɈƊƮƊ‫ س‬ȺǞȁɈȌǿƊȺ ƵȺȯƵƧǠ˛ƧȌȺ Ƶ ȺɐƊ ǏȲƵȱɐƺȁƧǞƊ
ɨƊȲǞƊǿƵȁɈȲƵƧɐǶɈɐȲƊȺ‫س‬
9
ȯƊƧǞƵȁɈƵ ˛ƧƊ ǏɐȲǞȌȺȌ ȱɐƊȁƮȌ ȺƵȁɈƵ ȱɐƵ ȺɐƊȺ ȁƵƧƵȺȺǞƮƊƮƵȺ ȁƣȌ ȺƣȌ ƊɈƵȁƮǞƮƊȺ‫خ‬
§ȌƮƵǿ ɈƊǿƦƶǿ ƊǿƵƊƪƊȲ Ȍɐ ɈƵȁɈƊȲ ȺɐǞƧǠƮǞȌ‫ خ‬wɐǞɈƊȺ ɨƵɹƵȺ ǞȁȺƊɈǞȺǏƵǞɈȌȺ ƧȌǿ ȺƵɐȺ
ƧɐǞƮƊƮȌȺ ǿƶƮǞƧȌȺ‫ ة‬ƵǶƵȺ ɈǞȯǞƧƊǿƵȁɈƵ ɨƣȌ ƮƵ ɐǿ ǿƶƮǞƧȌ ȯƊȲƊ ȌɐɈȲȌ Ȍɐ ȯȲȌƧɐȲƊǿ
ɈȲƊɈƊǿƵȁɈȌƧȌǿɨƋȲǞȌȺǿƶƮǞƧȌȺƊȌǿƵȺǿȌɈƵǿȯȌ‫خ‬
Diagnóstico
9
JƵȲƊǶǿƵȁɈƵƧȲǞɈƶȲǞȌȺƧǶǠȁǞƧȌȺ‫ب‬ȌȺȺǞȁɈȌǿƊȺƮƵɨƵǿȺƵȲƊȁǐɐȺɈǞƊȁɈƵȺȌɐȯƵȲɈɐȲƦƊƮȌȲƵȺ
ƮƊɨǞƮƊƮǞƋȲǞƊȯȌȲǿƊǞȺƮƵ‫׆‬ǿƵȺƵȺƵƵȺɈƊȲƵǿƊȺȺȌƧǞƊƮȌȺƊȯƵǶȌǿƵȁȌȺɐǿƮȌȺǞɈƵȁȺ‫ب‬
9
ׁ‫§ف‬ƵȁȺƊǿƵȁɈȌȺƮƵȺȯȲȌȯȌȲƧǞȌȁƊƮȌȺƵȯƵȲȺǞȺɈƵȁɈƵȺȺȌƦȲƵƊǐȲƊɨǞƮƊƮƵƮȌȺȺǞȁɈȌǿƊȺ‫س‬
9
ׂ‫ف‬ȁȺǞƵƮƊƮƵȯƵȲȺǞȺɈƵȁɈƵǿƵȁɈƵȺȌƦȲƵƊȺƊɑƮƵȌɐȌȺȺǞȁɈȌǿƊȺ‫س‬
9
‫ف׃‬ÀƵǿȯȌƵƵȁƵȲǐǞƊƵɮƧƵȺȺǞɨȌȺǐƊȺɈȌȺƧȌǿȌȺȺǞȁɈȌǿƊȺȌɐȯȲƵȌƧɐȯƊƪȪƵȺƧȌǿƊȺƊɑƮƵ‫س‬
9
ɐȺƺȁƧǞƊƮƵƵɨǞƮƺȁƧǞƊȺȌƦǯƵɈǞɨƊȺȯƊȲƊƧȌǿȯȲȌɨƊƪƣȌƮƵƮȌƵȁƪƊǏǠȺǞƧƊ‫خ‬
Tratamento
9
9
§ȺǞƧȌɈƵȲƊȯǞƊ‫ـ‬ÀƵȲƊȯǞƊ!ȌǐȁǞɈǞɨȌٌ!ȌǿȯȌȲɈƊǿƵȁɈƊǶ‫سف‬
9
²ȌǶǞƧǞɈƊȲwƊɈȲǞƧǞƊǿƵȁɈȌ.
9

TRANSTORNO
OBSESSIVO-COMPULSIVO
Descrição: ÀȲƊȁȺɈȌȲȁȌƦȺƵȺȺǞɨȌٌ!ȌǿȯɐǶȺǞɨȌ‫ـ‬À!‫ف‬ǞȁƧǶɐǞƮǞɨƵȲȺȌȺȺǞȁɈȌǿƊȺƵȁɨȌǶɨƵȁƮȌ
ƮȌǿǠȁǞȌȺ ȯȺǞƧȌȯƊɈȌǶȍǐǞƧȌȺ‫ ة‬ƊƦȲƊȁǐƵȁƮȌ ƵǿȌƪȪƵȺ‫ ة‬ƧȌǿȯȌȲɈƊǿƵȁɈȌȺ ǿȌɈȌȲƵȺ‫ ة‬ƧȌǐȁǞƪȪƵȺ‫ة‬
ȲƵǶƊƧǞȌȁƊǿƵȁɈȌȺȺȌƧǞƊǞȺƵȯƵȲƧƵȯƪȪƵȺ‫خ‬1ƧȌȁƧƵƦǞƮȌƧȌǿȌɐǿƊƧȌȁƵɮƣȌƵȁɈȲƵƊȺƧȌǿȯɐǶȺȪƵȺƵ
ȌƦȺƵȺȺȪƵȺ‫خ‬ƦȺƵȺȺȪƵȺȺƣȌƊƪȪƵȺȌɐƊɈȌȺǿƵȁɈƊǞȺǞȁɈƵȲȯȲƵɈƊƮƊȺƧȌǿȌǞǿƊǐƵȁȺƵȌɐȯƵȁȺƊǿƵȁɈȌȺ
ǞȁɨƊȺǞɨȌȺ‫ ة‬ǞȁɈȲɐȺǞɨȌȺ‫ ة‬ǞȁɨȌǶɐȁɈƋȲǞȌȺ Ƶ ȯƵȲȺǞȺɈƵȁɈƵȺ ǐƵȲƊȁƮȌ ƊȁǐɑȺɈǞƊ Ƶ ƊȁȺǞƵƮƊƮƵ ȁȌ ǞȁƮǞɨǠƮɐȌ‫خ‬
!ȌǿȯɐǶȺȪƵȺȺƣȌƧȌǿȯȌȲɈƊǿƵȁɈȌȺȲƵȯƵɈǞɈǞɨȌȺȌɐƊɈȌȺȲƵƊǶǞɹƊƮȌȺɨȌǶɐȁɈƊȲǞƊǿƵȁɈƵȯƊȲƊȁƵɐɈȲƊǶǞɹƊȲ
ȌɐƊǿƵȁǞɹƊȲɐǿƮƵȺƧȌȁǏȌȲɈȌȌɐȯƊȲƊǿƊǐǞƧƊǿƵȁɈƵȯȲƵɨƵȁǞȲȌƵɨƵȁɈȌɈƵǿǞƮȌ‫خ‬
Causas:
9
ǞȁƮƊ ȁƣȌ ƵȺɈƣȌ ɈȌɈƊǶǿƵȁɈƵ ƵȺƧǶƊȲƵƧǞƮƊȺ‫ ة‬ǿƊȺ ƊƧȲƵƮǞɈƊٌȺƵ ȱɐƵ ȺƵǯƊǿ ƮƵ ȌȲƮƵǿ
ǿɐǶɈǞǏƊɈȌȲǞƊǶ‫ب‬ǘǞȺɈȍȲǞƧȌǏƊǿǞǶǞƊȲ‫ة‬ƊǶɈƵȲƊƪȪƵȺȁƵɐȲȌȱɐǠǿǞƧƊȺƵȌɐɈȲȌȺǏƊɈȌȲƵȺƦǞȌǶȍǐǞƧȌȺ
ƵȺɈƣȌƊȺȺȌƧǞƊƮȌȺ‫س‬
9
1ɐǿȯȌɐƧȌǿƊǞȺƧȌǿɐǿƵǿǿɐǶǘƵȲƵȺƮȌȱɐƵƵǿǘȌǿƵȁȺƵƊǏƵɈƊƧƵȲƧƊƮƵׁ‫ڭ‬Ɗׂ‫ڭ‬
ƮƊȯȌȯɐǶƊƪƣȌ‫س‬
9
À!ɈƵǿɈȲƊȁȺɈȌȲȁȌȺȯȺǞƧȌǶȍǐǞƧȌȺȯƵȲȺǞȺɈƵȁɈƵȺ‫ة‬ƧȌǿȌ‫ب‬
9
ׁ‫ف‬ÀȲƊȁȺɈȌȲȁȌȺƮƵƊȁȺǞƵƮƊƮƵ‫س‬
9
ׂ‫ف‬ÀȲƊȁȺɈȌȲȁȌƮƵȯȲƵȺȺǞɨȌȌɐɈȲƊȁȺɈȌȲȁȌƦǞȯȌǶƊȲ‫ـ‬ǿƊǞȺƧȌǿɐǿɈȲƊȁȺɈȌȲȁȌƮƵȯȲƵȺȺǞɨȌ
ǿƊǞȌȲ‫سف‬
9
‫ف׃‬ÀȲƊȁȺɈȌȲȁȌƮƵȯƵȲȺȌȁƊǶǞƮƊƮƵȌƦȺƵȺȺǞɨȌٌƧȌǿȯɐǶȺǞɨƊ‫خ‬
Sinais e sintomas
9
ƦȺƵȺȺȪƵȺƮƵƧȌȁɈƊǿǞȁƊƪƣȌ‫س‬
9
ƦȺƵȺȺȪƵȺƊǐȲƵȺȺǞɨƊȺ‫س‬
9
ƦȺƵȺȺȪƵȺȺƵɮɐƊǞȺ‫س‬
9
ƦȺƵȺȺȪƵȺȺȌǿƋɈǞƧƊȺ‫س‬
9
!ȌǿȯɐǶȺȪƵȺƮƵǶƊɨƊǐƵǿ‫س‬
9
!ȌǿȯɐǶȺȪƵȺƮƵƧȌȁɈƊǐƵǿ‫س‬
9
!ȌǿȯɐǶȺȪƵȺƮƵɨƵȲǞ˛ƧƊƪƣȌ‫س‬
9
!ȌǿȯɐǶȺȪƵȺƮƵȌȲƮƵǿƵȺǞǿƵɈȲǞƊ‫خ‬

9
RƵǿȌǐȲƊǿƊ‫س‬
9
§ȲȌɨƊȺƮƵǏɐȁƪƣȌǘƵȯƋɈǞƧƊ‫س‬
9
§ȲȌɨƊȺƮƵǏɐȁƪƣȌȲƵȁƊǶ‫س‬
9
0!J‫س‬
9
00J‫س‬
9
À!‫س‬
9
ªyw ‫ـ‬ƮǞǿǞȁɐǞƪƣȌ ƮȌ ɨȌǶɐǿƵ ƮƊ ȺɐƦȺɈƓȁƧǞƊ ƧǞȁɹƵȁɈƊ‫ ة‬ɐȁǞ Ȍɐ ƦǞǶƊɈƵȲƊǶǿƵȁɈƵ‫ ة‬ȁƊ
ƧƊƦƵƪƊƮȌȁɑƧǶƵȌƧƊɐƮƊƮȌ‫خف‬
Diagnóstico:
90ǿǞȁƵȁɈƵǿƵȁɈƵƧǶǠȁǞƧȌ‫خ‬
Tratamento
9
9
9
9
wƊɈȲǞƧǞƊǿƵȁɈȌ‫خ‬

TRANSTORNO
DE ESTRESSE
PÓS-TRAUMÁTICO (TEPT)
Descrição: ƧƊȲƊƧɈƵȲǞɹƊƮȌƦƊȺǞƧƊǿƵȁɈƵƧȌǿȌɐǿƧȌȁǯɐȁɈȌƮƵȺǞȁɈȌǿƊȺƵȁɨȌǶɨƵȁƮȌƊǶɈȌȺ
ȁǠɨƵǞȺƮƵƊȁȺǞƵƮƊƮƵƵǿȌǿƵȁɈȌȺƵǿȱɐƵȌǞȁƮǞɨǠƮɐȌɈƵǿƊǞǿȯȲƵȺȺƣȌƮƵƵȺɈƊȲȲƵɨǞɨƵȁƮȌȌƵɨƵȁɈȌ
ɈȲƊɐǿƋɈǞƧȌƵɮȯƵȲǞƵȁƧǞƊƮȌ‫خ‬
Causas:
9
À0§À ȯȌƮƵ ȺƵȲ ƮƵȺƵȁƧƊƮƵƊƮȌ ȁȌ ǞȁƮǞɨǠƮɐȌ ȯȌȲ ɈƵȲ ɨǞɨǞƮȌ ɐǿƊ ƵɮȯƵȲǞƺȁƧǞƊ
ƊǿƵƊƪƊƮȌȲƊȌɐƊɈƵȲȲȌȲǞɹƊȁɈƵƵȁƊȱɐƊǶȺƵȺƵȁɈǞɐǞǿȯȌɈƵȁɈƵȯƊȲƊȲƵƊǐǞȲ‫ة‬ƧȌǿȌƊȌȺƵȲ
ɨǠɈǞǿƊȌɐɈƵȺɈƵǿɐȁǘƊƮƵƊɈȌȺɨǞȌǶƵȁɈȌȺȌɐȺǞɈɐƊƪȪƵȺɈȲƊɐǿƋɈǞƧƊȺȱɐƵȲƵȯȲƵȺƵȁɈƊȲƊǿ
ƊǿƵƊƪƊ Ɯ ȺɐƊ ɨǞƮƊ Ȍɐ Ɯ ɨǞƮƊ ƮƵ ɈƵȲƧƵǞȲȌȺ ‫ـ‬ȯȌȲ ƵɮƵǿȯǶȌ‫ ب‬ɨǞȌǶƺȁƧǞƊ ɐȲƦƊȁƊ‫ ة‬ƊȺȺƊǶɈȌ‫ة‬
ȺƵȱɐƵȺɈȲȌ‫ة‬ƊǐȲƵȺȺƣȌǏǠȺǞƧƊ‫ة‬ƊƦɐȺȌƵɨǞȌǶƺȁƧǞƊȺƵɮɐƊǶ‫ة‬ɈȌȲɈɐȲƊ‫ة‬ƧƊɈƋȺɈȲȌǏƵȺȁƊɈɐȲƊǞȺȌɐ
ȯȲȌɨȌƧƊƮƊȺȯƵǶȌǘȌǿƵǿ‫خف‬
Sinais e Sintomas:
9
Fase de alerta: ȌƧȌȲȲƵȱɐƊȁƮȌȌǞȁƮǞɨǠƮɐȌƵȁɈȲƊƵǿƧȌȁɈƊɈȌƧȌǿȌƊǐƵȁɈƵƵȺɈȲƵȺȺȌȲ‫خ‬
§ȌƮƵƮɐȲƊȲƊɈƶׂׄǘƮƵȺƮƵȌǞȁǠƧǞȌƮȌȺȺǞȁɈȌǿƊȺ‫خ‬
9
wƣȌȺƵ‫ش‬ȌɐȯƶȺǏȲǞȌȺ‫س‬
9ȌƧƊȺƵƧƊ‫س‬
9
(ȌȲȁȌƵȺɈȏǿƊǐȌ‫س‬
9
²ɐȌȲ‫س‬
9
ÀƵȁȺƣȌƵƮȌȲǿɐȺƧɐǶƊȲ‫ة‬ȯȌȲƵɮƵǿȯǶȌ‫ة‬ȁƊȲƵǐǞƣȌƮȌȺȌǿƦȲȌȺ‫س‬
9
ȯƵȲɈȌȁƊǿƊȁƮǠƦɐǶƊ‫ش‬ȲƊȁǐƵȲȌȺƮƵȁɈƵȺȌɐȲȌƵȲɐȁǘƊȺ‫ش‬ȯȌȁɈƊƮƊƧƊȁƵɈƊ‫س‬
9
(ǞƊȲȲƵǞƊȯƊȺȺƊǐƵǞȲƊ‫س‬
9
XȁȺȏȁǞƊ‫س‬
9ƊɈǞǿƵȁɈȌȺƧƊȲƮǠƊƧȌȺƊƧƵǶƵȲƊƮȌȺ‫س‬
9
ªƵȺȯǞȲƊƪƣȌȌǏƵǐƊȁɈƵ‫س‬
9
ɐǿƵȁɈȌȺɑƦǞɈȌƵȯƊȺȺƊǐƵǞȲȌƮƊȯȲƵȺȺƣȌȺƊȁǐɐǠȁƵƊƵƊǐǞɈƊƪƣȌ‫خ‬

9
Fase de resistência: Ȍ ƧȌȲȯȌ ɈƵȁɈƊ ɨȌǶɈƊȲ ƊȌ ȺƵɐ ƵȱɐǞǶǠƦȲǞȌ‫ خ‬ȌȲǐƊȁǞȺǿȌ ȯȌƮƵ ȺƵ
ƊƮƊȯɈƊȲ ƊȌ ȯȲȌƦǶƵǿƊ Ȍɐ ƵǶǞǿǞȁƋٌǶȌ‫§ خ‬ȌƮƵ ƮɐȲƊȲ ƊɈƶ ׄ ȺƵǿƊȁƊȺ ƮƵȺƮƵ Ȍ ǞȁǠƧǞȌ ƮȌȺ
ȺǞȁɈȌǿƊȺ‫خ‬
9
§ȲȌƦǶƵǿƊȺƧȌǿƊǿƵǿȍȲǞƊ‫س‬
9
wƊǶٌƵȺɈƊȲǐƵȁƵȲƊǶǞɹƊƮȌ‫س‬
9
IȌȲǿǞǐƊǿƵȁɈȌȁƊȺƵɮɈȲƵǿǞƮƊƮƵȺ‫ـ‬ǿƣȌȺƵ‫ش‬ȌɐȯƶȺ‫سف‬
9
²ƵȁȺƊƪƣȌƮƵƮƵȺǐƊȺɈƵǏǠȺǞƧȌƧȌȁȺɈƊȁɈƵ‫س‬
9
wɐƮƊȁƪƊȁȌƊȯƵɈǞɈƵ‫س‬
9
ȯƊȲƵƧǞǿƵȁɈȌƮƵȯȲȌƦǶƵǿƊȺƮƵȯƵǶƵ‫س‬
9
RǞȯƵȲɈƵȁȺƣȌƊȲɈƵȲǞƊǶ‫س‬
9
!ƊȁȺƊƪȌƧȌȁȺɈƊȁɈƵ‫س‬
9
JƊȺɈȲǞɈƵȯȲȌǶȌȁǐƊƮƊ‫س‬
9
ÀȌȁɈɐȲƊ‫س‬
9
²ƵȁȺǞƦǞǶǞƮƊƮƵƵǿȌɈǞɨƊƵɮƧƵȺȺǞɨƊ‫س‬
9
ƦȺƵȺȺƣȌƧȌǿȌƊǐƵȁɈƵƵȺɈȲƵȺȺȌȲ‫س‬
9
XȲȲǞɈƊƦǞǶǞƮƊƮƵƵɮƧƵȺȺǞɨƊƵƮƵȺƵǯȌȺƵɮɐƊǶƮǞǿǞȁɐǠƮȌ‫خ‬

9
Fase de exaustão:ȁƵȺȺƊǏƊȺƵȯȌƮƵǿȺɐȲǐǞȲƮǞɨƵȲȺȌȺƧȌǿȯȲȌǿƵɈǞǿƵȁɈȌȺǏǠȺǞƧȌȺ
ƵǿǏȌȲǿƊƮƵƮȌƵȁƪƊ‫خ‬yƣȌǘƊɨƵȁƮȌɐǿƊǞȁɈƵȲɨƵȁƪƣȌƊƮƵȱɐƊƮƊƊɈƶƊׄѥ‫ـ‬ȱɐƊȲɈƊ‫ف‬
ȺƵǿƊȁƊ‫ة‬ȌȱɐƊƮȲȌƮƵƵȺɈȲƵȺȺƵȯƊȺȺƊƊȺƵȲƧȲȏȁǞƧȌ‫خ‬²ǞȁɈȌǿƊȺƮƊǏƊȺƵƮƵƵɮƊɐȺɈƣȌ‫ب‬
9
(ǞƊȲȲƵǞƊȺǏȲƵȱɐƵȁɈƵȺ‫س‬
9
(Ǟ˛ƧɐǶƮƊƮƵȺȺƵɮɐƊǞȺ‫س‬
9
IȌȲǿǞǐƊǿƵȁɈȌȁƊȺƵɮɈȲƵǿǞƮƊƮƵȺ‫س‬
9
XȁȺȏȁǞƊ‫س‬
9
ÀǞȱɐƵȺȁƵȲɨȌȺȌȺ‫س‬
9
RǞȯƵȲɈƵȁȺƣȌƊȲɈƵȲǞƊǶƧȌȁ˛ȲǿƊƮƊ‫س‬
9
§ȲȌƦǶƵǿƊȺƮƵȯƵǶƵȯȲȌǶȌȁǐƊƮȌȺ‫س‬
9
wɐƮƊȁƪƊƵɮɈȲƵǿƊƮƵƊȯƵɈǞɈƵ‫س‬
9ƊɈǞǿƵȁɈȌȺƧƊȲƮǠƊƧȌȺƊƧƵǶƵȲƊƮȌȺ‫س‬
9
ÀȌȁɈɐȲƊǏȲƵȱɐƵȁɈƵ‫س‬
9
ÈǶƧƵȲƊ‫س‬
9
XǿȯȌȺȺǞƦǞǶǞƮƊƮƵƮƵɈȲƊƦƊǶǘƊȲ‫س‬
9
§ƵȺƊƮƵǶȌȺ‫س‬
9
ȯƊɈǞƊ‫س‬
9
!ƊȁȺƊƪȌƵɮƧƵȺȺǞɨȌ‫س‬
9
9
ȁǐɑȺɈǞƊ‫س‬
9
RǞȯƵȲȺƵȁȺǞƦǞǶǞƮƊƮƵƵǿȌɈǞɨƊƵȯƵȲƮƊƮȌȺƵȁȺȌƮƵǘɐǿȌȲ‫خ‬
Diagnóstico:
0ǿǞȁƵȁɈƵǿƵȁɈƵƧǶǠȁǞƧȌ.
9
Tratamento:
9
9
9
ɨƊǶǞƊȲȁƵƧƵȺȺǞƮƊƮƵƮƵȯȺǞƧȌǏƋȲǿƊƧȌȺ‫س‬
9
wƊɈȲǞƧǞƊǿƵȁɈȌ‫س‬
9
ªƵƊɨƊǶǞƊȲȌȯƊƧǞƵȁɈƵƊȯȍȺ‫ׂ׀‬ȺƵǿƊȁƊȺ‫خ‬

TRISTEZA
MATERNA OU
BABY BLUES
Descrição:ɈȲǞȺɈƵɹƊǿƊɈƵȲȁƊ‫ ـ‬ƊƦɯƦǶɐƵȺ‫ف‬ƶɐǿȱɐƊƮȲȌƮƵƊǶɈƵȲƊƪƣȌƮƵǘɐǿȌȲȲƵǶƊƧǞȌȁƊƮȌ
ƊȌȯɐƵȲȯƶȲǞȌȱɐƵƊƧȌǿƵɈƵƧƵȲƧƊƮƵ‫ڭ׀׈‬ƮƊȺǿɐǶǘƵȲƵȺ‫ة‬ƊǶɈƵȲȁƊȁƮȌǿȌǿƵȁɈȌȺƮƵƊǶƵǐȲǞƊȺƵǐɐǞƮȌȺ
ƮƵɈȲǞȺɈƵɹƊ‫ة‬ƧƵȲɈƊǿƵǶƊȁƧȌǶǞƊƵȯƵǶƊȺƵȁȺƊƪƣȌƮƵȁƣȌȺƵȲƧƊȯƊɹȌɐƮƵƧȌȁȺƵǐɐǞȲƧɐǞƮƊȲƮȌƦƵƦƺ‫خ‬
!ȌȺɈɐǿƊɈƵȲȺƵɐǞȁǠƧǞȌƊȯƊȲɈǞȲƮƊȯȲǞǿƵǞȲƊȺƵǿƊȁƊƮƵȯȌǞȺƮȌȯƊȲɈȌ‫خ‬0ȺȺƵȱɐƊƮȲȌƮƵǘɐǿȌȲȁƣȌƶ
ɐǿƊƮȌƵȁƪƊ‫ة‬ɐǿƊɨƵɹȱɐƵƵȺɈƋƊȺȺȌƧǞƊƮȌƜȺƊƮƊȯɈƊƪȪƵȺȁƵƧƵȺȺƋȲǞƊȺȲƵǶƊƧǞȌȁƊƮƊȺƜƧǘƵǐƊƮƊƮȌ
ƦƵƦƺȁƊǏƊǿǠǶǞƊ‫ة‬ȯȌƮƵȁƮȌƊƧȌǿƵɈƵȲǿɐǶǘƵȲƵȺƵ‫ة‬ɈƊǿƦƶǿ‫ة‬ǘȌǿƵȁȺȌɐƧɐǞƮƊƮȌȲƵȺƮȌƦƵƦƺ‫خ‬0ȺȺƵ
ȱɐƊƮȲȌƶƧȌǿȯȲƵƵȁƮǞƮȌƧȌǿȌƦƵȁǞǐȁȌ‫ة‬ȯȌǞȺƧȌȺɈɐǿƊɈƵȲƮɐȲƊƪƣȌƊɐɈȌǶǞǿǞɈƊƮƊ‫ة‬ƵǿǿƶƮǞƊƮƵɐǿ
ƊɈȲƺȺǿƵȺƵȺ‫ة‬ȺƵǐɐǞƮȌƮƊȲƵǐȲƵȺȺƣȌƮȌȺȺǞȁɈȌǿƊȺ‫خ‬wɐǞɈȌȺƮȌȺȺǞȁɈȌǿƊȺƮƊɈȲǞȺɈƵɹƊǿƊɈƵȲȁƊȺƣȌ
ȯȲȌƧƵȺȺȌȺƊƮƊȯɈƊɈǞɨȌȺƵ‫ة‬ƊȌȺƵƊƧȌȺɈɐǿƊȲƜȁȌɨƊȲȌɈǞȁƊ‫ة‬ƊǿɐǶǘƵȲ‫ـ‬ȌɐƧɐǞƮƊƮȌȲ‫ف‬ɨȌǶɈƊƊȌǘɐǿȌȲ
ȁȌȲǿƊǶȺƵǿɈȲƊɈƊǿƵȁɈȌ‫خ‬
Causas: ȯɐƵȲȯƶȲǞȌƵȺɈƋƊȺȺȌƧǞƊƮȌƊǿɐƮƊȁƪƊȺǘȌȲǿȌȁƊǞȺ‫ة‬ǏǠȺǞƧƊȺ‫ة‬ȯȺǞƧȌǶȍǐǞƧƊȺ‫ة‬ƊǏƵɈǞɨƊȺ
ƵȺȌƧǞƊǞȺȱɐƵƊǿɐǶǘƵȲƵɮȯƵȲǞƵȁƧǞƊ‫خ‬0ǶƵȯȌƮƵȺƵȲƧȌȁȺǞƮƵȲƊƮȌɐǿȯƵȲǠȌƮȌƮƵȲǞȺƧȌȯƊȲƊƊ²ƊɑƮƵ
wƵȁɈƊǶƮƊǿɐǶǘƵȲ‫ة‬ɐǿƊɨƵɹȱɐƵȁƵƧƵȺȺǞɈƊƊƮƊȯɈƊȲٌȺƵƊȌȁȌɨȌȯƊȯƵǶƵƜȺȁȌɨƊȺȲƵȺȯȌȁȺƊƦǞǶǞƮƊƮƵȺ‫ة‬
ƊȺȺǞǿ ƧȌǿȌ ǶǞƮƊȲ ƧȌǿ ƊȺ ɈȲƊȁȺǏȌȲǿƊƪȪƵȺ ƧȌȲȯȌȲƊǞȺ‫ ة‬Ɗ ȯȲǞɨƊƪƣȌ ƮƵ ȺȌȁȌ Ƶ ǿɐƮƊȁƪƊȺ ȁȌ
ȲƵǶƊƧǞȌȁƊǿƵȁɈȌƧȌȁǯɐǐƊǶƵƵǿȺɐƊȲƵƮƵȺȌƧǞƊǶ‫ة‬ƊǶƶǿƮƵƵȁɈȲƊȲƵǿƧȌȁɈƊɈȌƧȌǿȌƦƵƦƺȲƵƊǶ‫ة‬ǿɐǞɈƊȺ
ɨƵɹƵȺƧȌȁɈȲƊȯȌȁƮȌٌȺƵƜǞǿƊǐƵǿƮȌƦƵƦƺǞƮƵƊǶȱɐƵǏȌǞƧȌȁȺɈȲɐǠƮƊƮɐȲƊȁɈƵƊǐƵȺɈƊƪƣȌ‫خ‬
ƊǶɈƵȲƊƪƣȌƮƵǘɐǿȌȲƶƧȌƵȲƵȁɈƵƧȌǿƊɈƊȲƵǏƊƮƵȲƵȌȲǐƊȁǞɹƊȲƊɨǞƮƊƵȯȌƮƵƧƊɐȺƊȲȺȌǏȲǞǿƵȁɈȌ
ƜȺȯɐƶȲȯƵȲƊȺƵƊȌȺƧɐǞƮƊƮȌȲƵȺȯȲȍɮǞǿȌȺƊȌƦƵƦƺ‫خ‬ƧǘƵǐƊƮƊƮƵɐǿƦƵƦƺȯȌƮƵȺƵȲɐǿƊƵɮȯƵȲǞƺȁƧǞƊ
ɈȲƊȁȺǏȌȲǿƊƮȌȲƊ ȯƊȲƊ Ɗ ǿɐǶǘƵȲ Ƶ Ɯ ȁȌɨƊ ǏƊǿǠǶǞƊ Ƶǿ ǏȌȲǿƊƪƣȌ‫ ة‬ɈȲƊɹƵȁƮȌ ƊǶƵǐȲǞƊȺ Ƶ ȺƵȁɈǞǿƵȁɈȌȺ
ƮƵ ȲƵƊǶǞɹƊƪƣȌ‫ ة‬ȯȌȲƶǿ ǏȲƵȱɐƵȁɈƵǿƵȁɈƵ ȺƣȌ ƵɮȯƵȲǞƵȁƧǞƊƮƊȺ ƊȁǐɑȺɈǞƊȺ‫ ة‬ǿƵƮȌȺ Ƶ ǞȁȺƵǐɐȲƊȁƪƊȺ
ȲƵǶƊƧǞȌȁƊƮƊȺ ƧȌǿ ǿɐƮƊȁƪƊȺ ǞȁɈƵȲȁƊȺ Ƶ ƵɮɈƵȲȁƊȺ‫ خ‬0ǿ ƧƊȺȌ ƮȌȺ ȺǞȁɈȌǿƊȺ ȯƵȲȺƵɨƵȲƊȲƵǿ Ƶ
ȯȲƵǯɐƮǞƧƊȲƵǿƊǏɐȁƧǞȌȁƊǶǞƮƊƮƵƮƊǿɐǶǘƵȲƵ‫ش‬ȌɐƧɐǞƮƊƮȌȲ‫ة‬ɨƵǯƊȌɈȍȯǞƧȌٗ(0§ª0²²§²ٌ§ªÀ٘‫خ‬
Sinais e sintomas:
9
9
XȁƮǞȺȯȌȺǞƪƣȌ‫س‬
9
ÀȲǞȺɈƵɹƊ‫ة‬ǞȁɈƵȲƧƊǶƊƮƊƧȌǿǿȌǿƵȁɈȌȺƮƵƊǶƵǐȲǞƊƵȺƊɈǞȺǏƊƪƣȌ‫س‬
9
XȁȺƵǐɐȲƊȁƪƊ‫س‬
9
wɐƮƊȁƪƊȺƦȲɐȺƧƊȺƮƵǘɐǿȌȲ‫س‬
9ƊǞɮƊƊɐɈȌƵȺɈǞǿƊ‫س‬
9
²ƵȁȺƊƪƣȌƮƵǞȁƧƊȯƊƧǞƮƊƮƵƮƵƧɐǞƮƊȲƮȌƦƵƦƺƵȌɐɈȲȌȺ‫خ‬
ȺȺǞȁɈȌǿƊȺƧȌȺɈɐǿƊǿƮƵȺƊȯƊȲƵƧƵȲƵȺȯȌȁɈƊȁƵƊǿƵȁɈƵƵȁƣȌƶȁƵƧƵȺȺƋȲǞȌɈȲƊɈƊǿƵȁɈȌ
ǿƶƮǞƧȌȯƊȲƊƵȺȺƊƧȌȁƮǞƪƣȌ‫خ‬
1ǞǿȯȌȲɈƊȁɈƵȌƊƧȌǶǘǞǿƵȁɈȌƵȌǏȌȲɈƊǶƵƧǞǿƵȁɈȌƮƊȲƵƮƵƮƵƊȯȌǞȌȯƊȲƊȌȺƧɐǞƮƊƮȌȺƧȌǿ
ȌƦƵƦƺ‫خ‬

DEPRESSÃO
PÓS-PARTO
Descrição‫ب‬Ɗ(ƵȯȲƵȺȺƣȌ§ȍȺٌ§ƊȲɈȌ‫ف§§(ـ‬ƶɐǿȱɐƊƮȲȌǿȌƮƵȲƊƮȌƜǐȲƊɨƵƮƵɈȲǞȺɈƵɹƊȱɐƵ
ȯȌƮƵƵȁɨȌǶɨƵȲǞƮƵƊƪƣȌȺɐǞƧǞƮƊȌɐǘȌǿǞƧǞƮƊƵȌƧƊȺǞȌȁƊȲƮȌƵȁƪƊȺȯȺǞƧȌȺȺȌǿƋɈǞƧƊȺ‫خ‬ȺƮƵȯȲƵȺȺȪƵȺ
ȯȌƮƵǿƊƧȌǿƵɈƵȲȱɐƊǶȱɐƵȲȯƵȺȺȌƊƊȌǶȌȁǐȌƮȌƧǞƧǶȌƮƵɨǞƮƊ‫ة‬ȁȌƵȁɈƊȁɈȌ‫ة‬ȌȱɐƵƮǞǏƵȲƵƊ(§§ƶȌ
ƧȌȁɈƵɮɈȌƵǿȱɐƵƵǶƊƊƧȌȁɈƵƧƵ‫ب‬ƊƧǘƵǐƊƮƊƮȌƦƵƦƺ‫خ‬wƣƵȺ‫ـ‬ȌɐƧɐǞƮƊƮȌȲƵȺ‫ف‬ƮƵȯȲǞǿǞƮȌȺȯȌƮƵǿȺƵȲ
ǿƵȁȌȺ ƊǏƵɈɐȌȺȌȺ ƧȌǿ ȺƵɐ ƦƵƦƺ Ƶ ɈƵȲ ƮǞ˛ƧɐǶƮƊƮƵȺ Ƶǿ ƧɐǞƮƊȲ ƊƮƵȱɐƊƮƊǿƵȁɈƵ Ƶ ȁƣȌ ȺƊɈǞȺǏƊɹƵȲ
ȁƵƧƵȺȺǞƮƊƮƵȺ ƦƋȺǞƧƊȺ ƮȌ ƦƵƦƺ‫ خ‬0ȺȺƊ ƧȌȁƮǞƪƣȌ ƶ ǞƮƵȁɈǞ˛ƧƊƮƊ ǿƊǯȌȲǞɈƊȲǞƊǿƵȁɈƵ Ƶǿ ǿɐǶǘƵȲƵȺ‫ة‬
ƧȌǿȯȲƵɨƊǶƺȁƧǞƊƵȺɈǞǿƊƮƊƮƵׁ‫ڭ׀‬Ɗׂ‫ڭ׀‬ƮƊȺǿɐǶǘƵȲƵȺ‫ة‬ǿƊȺɈƊǿƦƶǿȯȌƮƵƊƧȌȁɈƵƧƵȲƧȌǿȌȯƊǞ
Ƶ‫ش‬Ȍɐ ƧɐǞƮƊƮȌȲ ƮȌ ƦƵƦƺ‫§ خ‬ȌƮƵ ǞȁǞƧǞƊȲ Ɗ ȯƊȲɈǞȲ ƮƊ ȯȲǞǿƵǞȲƊ ȺƵǿƊȁƊ ƮȌ ȯƊȲɈȌ Ƶ ȯƵȲƮɐȲƊȲ ƊɈƶ ƮȌǞȺ
ƊȁȌȺ‫( خ‬ǞǏƵȲƵ ƮƊ ɈȲǞȺɈƵɹƊ ǿƊɈƵȲȁƊ ‫ ـ‬ƊƦɯ ƦǶɐƵȺ‫ ةف‬ȯȌǞȺ Ȍ ȱɐƊƮȲȌ ȁƣȌ ƧȌȺɈɐǿƊ ȲƵǐȲƵƮǞȲ ȺƵǿ ƊȯȌǞȌ
ȯȲȌ˛ȺȺǞȌȁƊǶƵǞǿȯǶǞƧƊƧȌǿȯȲȌǿƵɈǞǿƵȁɈȌȺƮƊǏɐȁƧǞȌȁƊǶǞƮƊƮƵƮƊȯƵȺȺȌƊ‫خ‬ɈƵǿȯȌƮƵƮɐȲƊƪƣȌƮƊ
(§§ɨƊǞƮƵȯƵȁƮƵȲƮȌɈȲƊɈƊǿƵȁɈȌƵƮƊȺǞȁɈƵȲɨƵȁƪȪƵȺȯȺǞƧȌȺȺȌƧǞƊǞȺ‫خ‬
Causas:ȁƣȌǘƋɐǿƊƧƊɐȺƊɑȁǞƧƊȌɐǐƵȲƊǶȯƊȲƊƊ(§§‫ة‬ǿƊȺȯȌƮƵٌȺƵƊɨƊǶǞƊȲƊǶǐɐȁȺǏƊɈȌȲƵȺ
ƮƵȲǞȺƧȌȯƊȲƊǿɐǶǘƵȲƵȺ‫ب‬
9
§ȲƵȺƵȁƪƊƮƵȺǞȁɈȌǿƊȺƮƵȯȲƵȺȺǞɨȌȺƊȁɈƵȺȌɐƮɐȲƊȁɈƵƊǐƵȺɈƊƪƣȌ‫س‬
9
RǞȺɈȍȲǞƧȌƮƵɈȲƊȁȺɈȌȲȁȌȺƊǏƵɈǞɨȌȺ‫س‬
9
RǞȺɈȍȲǞƧȌƮƵȯȲȌƦǶƵǿƊȺƮƵǞȁǏƵȲɈǞǶǞƮƊƮƵ‫س‬
9
©ɐƵȯƊȺȺƊȲƊǿȺǞɈɐƊƪȪƵȺƮǞǏǠƧƵǞȺȁƊǐƵȺɈƊƪƣȌ‫س‬
9
²ȌƦȲƵɨǞɨƵȁɈƵȺƮƵɨǞȌǶƺȁƧǞƊȌƦȺɈƶɈȲǞƧƊ‫س‬
9
(ƵȺƵǿȯȲƵǐȌ‫س‬
9
ɐȺƺȁƧǞƊƮƵȺɐȯȌȲɈƵȺȌƧǞƊǶ‫س‬
9
RǞȺɈȍȲǞƧȌƮƵǶɐɈȌ‫س‬
9ƵƦƺȱɐƵƊȯȲƵȺƵȁɈƊƊȁȌǿƊǶǞƊȺ‫س‬
9
JȲƊɨǞƮƵɹȯȲƵƧȌƧƵȌɐȁƣȌȯǶƊȁƵǯƊƮƊƵ‫ش‬ȌɐƮƵȺƵǯƊƮƊ‫س‬
9
!ƊȺƊǿƵȁɈȌƵǿƮƵƧȌȲȲƺȁƧǞƊƮƊǐȲƊɨǞƮƵɹ‫س‬
9
!Ȍȁ˜ǞɈȌȺƧȌȁǯɐǐƊǞȺ‫س‬
9
ßǞȌǶƺȁƧǞƊƮȌǿƶȺɈǞƧƊ‫س‬
9
ƦɐȺȌƮƵȺɐƦȺɈƓȁƧǞƊ‫س‬

Sinais e sintomas:
9
RɐǿȌȲƮƵȯȲǞǿǞƮȌ‫س‬
9
ȁȺǞƵƮƊƮƵ‫س‬
9
9
ǶɈƵȲƊƪƣȌƮƵȺȌȁȌ‫س‬
9
ǶɈƵȲƊƪƣȌƮƵƊȯƵɈǞɈƵ‫س‬
9
wɐƮƊȁƪƊȺƦȲɐȺƧƊȺƮƵǘɐǿȌȲ‫س‬
9
!ƊȁȺƊƪȌ‫س‬
9
(ƵȺƓȁǞǿȌǞȁɈƵȁȺȌ‫س‬
9
§ƵȲƮƊƮƊƧƊȯƊƧǞƮƊƮƵƮƵȺƵȁɈǞȲȯȲƊɹƵȲ‫س‬
9
(ƵȺǞȁɈƵȲƵȺȺƵȁƊȺƊɈǞɨǞƮƊƮƵȺƮȌƮǞƊٌƊٌƮǞƊ‫س‬
9
²ƵȁɈǞǿƵȁɈȌƮƵƧɐǶȯƊƵ‫ش‬ȌɐǞȁɐɈǞǶǞƮƊƮƵ‫س‬
9
²ƵȁȺƊƪƣȌƮƵǞȁƧƊȯƊƧǞƮƊƮƵƮƵƧɐǞƮƊȲƮȌƦƵƦƺ‫ة‬ȌɐƮƵȺǞȁɈƵȲƵȺȺƵȯȌȲƵǶƵ‫س‬
9
§ȲƵȺƵȁƪƊƮƵȯƵȁȺƊǿƵȁɈȌȺƮƵǿȌȲɈƵȌɐǞƮƵƊƪƣȌȺɐǞƧǞƮƊƵ‫ش‬ȌɐǘȌǿǞƧǞƮƊ‫خ‬
Tratamento: (§§ȲƵȱɐƵȲƊƧȌǿȯƊȁǘƊǿƵȁɈȌǿƶƮǞƧȌƵȯȺǞƧȌǶȍǐǞƧȌ‫ة‬ƵȺƵɐɈȲƊɈƊǿƵȁɈȌ
ȯȌƮƵǞȁƧǶɐǞȲȯȺǞƧȌɈƵȲƊȯǞƊƵ‫ة‬ƵǿƊǶǐɐȁȺƧƊȺȌȺ‫ة‬ɐȺȌƮƵǿƵƮǞƧƊǿƵȁɈȌȺ‫خ‬1ɐǿǿȌǿƵȁɈȌƮƵǐȲƊȁƮƵ
ɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵƮƊǿɐǶǘƵȲƵȱɐƵȯȌƮƵɨǞɨƵȲǏȌȲɈƵȺȺƵȁɈǞǿƵȁɈȌȺƮƵƧɐǶȯƊȯȌȲȁƣȌƧȌȁȺƵǐɐǞȲƧɐǞƮƊȲ
ƮȌƦƵƦƺƧȌǿȌƵȺȯƵȲƊ‫خ‬IȌȲɈƊǶƵƧƵȲƊȲƵƮƵȺȌƧǞƊǶ‫ـ‬ƊǿǞǐȌȺ‫ة‬ǏƊǿǠǶǞƊ‫ف‬ƶǏɐȁƮƊǿƵȁɈƊǶȯƊȲƊȌȺɐȯȌȲɈƵƜ
ǿɐǶǘƵȲƧȌǿ(§§ȯƊȲƊȱɐƵȺƵȺǞȁɈƊƊǿȯƊȲƊƮƊƵƧɐǞƮƊƮƊ‫خ‬

DEPRESSÃO
Descrição: 0ȺȺƵ ɈȲƊȁȺɈȌȲȁȌ ȯȺǞȱɐǞƋɈȲǞƧȌ ƊɈǞȁǐƵ ȯƵȺȺȌƊȺ ƮƵ ȱɐƊǶȱɐƵȲ ǞƮƊƮƵ‫ ة‬ǿƊȺ
ȁȌȲǿƊǶǿƵȁɈƵȺƵƮƵȺƵȁɨȌǶɨƵƵǿǿƵƊƮȌȺƮƊƊƮȌǶƵȺƧƺȁƧǞƊ‫ة‬ɈƵȲƧƵǞȲƊȌɐȱɐƊȲɈƊƮƶƧƊƮƊƮƵɨǞƮƊ‫خ‬1
ƧȌȁȺǞƮƵȲƊƮȌɐǿɈǞȯȌƮƵɈȲƊȁȺɈȌȲȁȌƊǏƵɈǞɨȌȱɐƵȯȲȌɨȌƧƊƊǶɈƵȲƊƪȪƵȺǿƵȁɈƊǞȺ‫ة‬ƧȌȲȯȌȲƊǞȺƵȯƵȲɈɐȲƦƊƪƣȌ
ƮƵǘɐǿȌȲ‫خ‬1ɐǿƧȌȁǯɐȁɈȌƮƵȺǞȁɈȌǿƊȺȱɐƵȯȌƮƵǿƮɐȲƊȲȺƵǿƊȁƊȺ‫ة‬ǿƵȺƵȺƵȯƵȲƮɐȲƊȲȯȌȲƊȁȌȺ‫ة‬
ǞȁɈƵȲǏƵȲǞȁƮȌƮƵǏȌȲǿƊȺǞǐȁǞ˛ƧƊɈǞɨƊȁƊɨǞƮƊȯƵȺȺȌƊǶ‫ة‬ȺȌƧǞƊǶƵȯȲȌ˛ȺȺǞȌȁƊǶƮȌǞȁƮǞɨǠƮɐȌ‫خ‬
Causas:
9
ƧƊɐȺƊ ƵɮƊɈƊ ƶ ƮƵȺƧȌȁǘƵƧǞƮƊ‫ خ‬wƊȺ ȯȲȌɨƊɨƵǶǿƵȁɈƵ ƵȁɨȌǶɨƵ ǏƊɈȌȲƵȺ ǐƵȁƶɈǞƧȌȺ‫ة‬
ƦǞȌȱɐǠǿǞƧȌȺ‫ة‬ȯȺǞƧȌǶȍǐǞƧȌȺƵȺȌƧǞȌǏƊǿǞǶǞƊȲƵȺ‫س‬
9
ƮƵȺƓȁǞǿȌ ȺƵǿ ˛ǿ ƶ ǏȲɐɈȌ ƮƵ ƮƵȺƵȱɐǞǶǠƦȲǞȌȺ ȁƊ ƦǞȌȱɐǠǿǞƧƊ ƧƵȲƵƦȲƊǶ‫ ة‬ƧȌǿȌ Ɗ
ƮǞǿǞȁɐǞƪƣȌȁƊȌǏƵȲɈƊƮƵȁƵɐȲȌɈȲƊȁȺǿǞȺȺȌȲƵȺƧȌǿȌƊȺƵȲȌɈȌȁǞȁƊ‫ة‬ǶǞǐƊƮƊƜȺƵȁȺƊƪƣȌ
ƮƵƦƵǿٌƵȺɈƊȲ‫خ‬
Sinais e sintomas:
9
No humor:ɈȲǞȺɈƵɹƊƊǿƊǞȌȲȯƊȲɈƵƮȌƮǞƊȯȌȲȯƵǶȌǿƵȁȌȺׁׄƮǞƊȺƶȌȺǞȁɈȌǿƊƧƵȁɈȲƊǶ‫خ‬
§ȌƮƵ ǘƊɨƵȲ ǞȲȲǞɈƊƦǞǶǞƮƊƮƵ‫ ة‬ƊȯƊɈǞƊ‫ ة‬ƧɐǶȯƊ‫ ة‬ƮƵȺƧȌȁɈƵȁɈƊǿƵȁɈȌ ǐƵȲƊǶ‫ ة‬ƮƵȺƵȺȯƵȲƊȁƪƊ‫ة‬
ǿɐƮƊȁƪƊƮƵǘɐǿȌȲ‫ة‬ȯƵȲƮƊƮƵǞȁɈƵȲƵȺȺƵȌɐȯȲƊɹƵȲȁƊȺƊɈǞɨǞƮƊƮƵȺ‫ة‬ȺȌǶǞƮƣȌ‫ة‬ɈƶƮǞȌȌɐ
ȺȌǏȲǞǿƵȁɈȌƵǿȌƧǞȌȁƊǶ‫ة‬ƶƧȌǿɐǿƧȌǿȌȲƦǞƮƊƮƵƧȌǿƊȁȺǞƵƮƊƮƵ‫س‬
9
No comportamento: ƊǐǞɈƊƪƣȌ‫ ة‬ƊɐɈȌǿɐɈǞǶƊƪƣȌ‫ ة‬ƧǘȌȲȌ ƵɮƧƵȺȺǞɨȌ‫ ة‬ǞȁȱɐǞƵɈƊƪƣȌ‫ة‬
ǶƵȁɈǞ˛ƧƊƪƣȌȯȺǞƧȌǿȌɈȌȲƊȌɐǞȺȌǶƊǿƵȁɈȌȺȌƧǞƊǶ‫س‬
9
No sono: ƮƵȺȯƵȲɈƊȲ ȯȲƵƧȌƧƵ ‫ـ‬ǿƊǞȺ ƧȌǿɐǿ‫ ةف‬ȺȌȁȌǶƺȁƧǞƊ ƵɮƧƵȺȺǞɨƊ‫ ة‬ǞȁȺȏȁǞƊ Ȍɐ ȺȌȁȌ
ƊǐǞɈƊƮȌ‫س‬
9
Na cognição:ǏƊǶɈƊƮƵƧȌȁƧƵȁɈȲƊƪƣȌ‫ة‬ƮǞ˛ƧɐǶƮƊƮƵȺƧȌǿƊǿƵǿȍȲǞƊ‫ة‬ǶƵȁɈǞƮƣȌƮɐȲƊȁɈƵ
ƊɈǞɨǞƮƊƮƵȺȌɐȯƵȁȺƊǿƵȁɈȌȺȺɐǞƧǞƮƊȺ‫س‬
9
No corpo‫ب‬ƧƵǏƊǶƵǞƊ‫ة‬ƵȯǞǐƊȺɈȲƊǶǐǞƊ‫ة‬ɈƵȁȺƣȌǿɐȺƧɐǶƊȲ‫ة‬ǏƊƮǞǐƊ‫ة‬ǐƊȁǘȌȌɐȯƵȲƮƊƮƵȯƵȺȌ‫ة‬
ǏȌǿƵƵɮƧƵȺȺǞɨƊȌɐǏƊǶɈƊƮƵƊȯƵɈǞɈƵ‫خ‬
9
9
§ȲȌɨƊȺƮƊǏɐȁƪƣȌɈǞȲƵȌǞƮǞƊȁƊ‫ة‬ȲƵȁƊǶ‫ة‬ǘƵȯƋɈǞƧƊ‫س‬
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ÀƵȺɈƵƮƵǐȲƊɨǞƮƵɹ‫س‬
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0ǶƵɈȲȌƵȁƧƵǏƊǶȌǐȲƊǿƊ‫س‬
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(ȌȺƊǐƵǿƮƵɨǞɈƊǿǞȁƊ(ƵɨǞɈƊǿǞȁƊ ׁׂ‫خ‬

Diagnóstico:
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©ɐƊƮȲȌƧǶǠȁǞƧȌ‫س‬
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ÇɈǞǶǞɹƊȲ!ƊȲɈƣȌ ƊƦƵǶ‫خ‬
Tratamento:
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ɨƊǶǞƊƪƣȌ ƮȌ ȲǞȺƧȌ ƮƵ ȺɐǞƧǠƮǞȌ‫ ة‬ƧƊȺȌȺ ǿƊǞȺ ǐȲƊɨƵȺ ƮƵǿƊȁƮƊǿ ɨǞǐǞǶƓȁƧǞƊ Ƶ ȯȌƮƵǿ
ȲƵȱɐƵȲƵȲƊǞȁɈƵȲȁƊƪƣȌƵǿƊǿƦǞƵȁɈƵǘȌȺȯǞɈƊǶƊȲ‫س‬
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ªƵƊɨƊǶǞƊȲƊȯȍȺ‫ـׁ׀‬ɐǿƊ‫ف‬ȺƵǿƊȁƊȌɐƊȁɈƵȺƵǿƧƊȺȌƮƵǞƮƵƊƪƣȌȺɐǞƧǞƮƊ‫خ‬
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(ǞȺɈǞȁǐɐǞȲ Ɗ ƮƵȯȲƵȺȺƣȌ ȯƊɈȌǶȍǐǞƧƊ ƮƊȱɐƵǶƊ ɈȲǞȺɈƵɹƊ ɈȲƊȁȺǞɈȍȲǞƊ ȯȲȌɨȌƧƊƮƊ ȯȌȲ
ƊƧȌȁɈƵƧǞǿƵȁɈȌȺ ƮƵȺƊǐȲƊƮƋɨƵǞȺ‫ ة‬ǞȁƵȲƵȁɈƵȺ Ɯ ɨǞƮƊ ƮƵ ɈȌƮƊȺ ƊȺ ȯƵȺȺȌƊȺ‫ ة‬ƧȌǿȌ ȯȌȲ
ƵɮƵǿȯǶȌ Ɗ ǿȌȲɈƵ ƮƵ ɐǿƊ ȯƵȺȺȌƊ‫ ة‬ɐǿƊ ƮƵƧƵȯƪƣȌ ƊǿȌȲȌȺƊ‫ ة‬ƮƵȺƵȁɈƵȁƮǞǿƵȁɈȌȺ
ǏƊǿǞǶǞƊȲƵȺ Ƶ ƮǞ˛ƧɐǶƮƊƮƵȺ ƵƧȌȁȏǿǞƧƊȺ ƵɈƧ‫§ خ‬ƵȺȺȌƊȺ ȺƵǿ Ɗ ƮȌƵȁƪƊ ȱɐƵ ȯƊȺȺƊǿ ȯȌȲ
ƊƮɨƵȲȺǞƮƊƮƵȺȺȌǏȲƵǿ‫ة‬ƵȁɈȲǞȺɈƵƧƵǿٌȺƵ‫ة‬ǿƊȺƵȁƧȌȁɈȲƊǿɐǿƊǏȌȲǿƊƮƵȺɐȯƵȲƋٌǶƊȺ‫س‬
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yȌȺ ȱɐƊƮȲȌȺ ƮƵ ƮƵȯȲƵȺȺƣȌ ƵǏƵɈǞɨƊǿƵȁɈƵ‫ ة‬Ɗ ɈȲǞȺɈƵɹƊ Ƶ Ȍ ƮƵȺƓȁǞǿȌ ȁƣȌ ƮƣȌ ɈȲƶǐɐƊ‫ة‬
ǿƵȺǿȌȱɐƵǘƊǯƊɐǿƊƧƊɐȺƊƊȯƊȲƵȁɈƵ‫ة‬ƮƵȺƊȯƊȲƵƧƵȌǞȁɈƵȲƵȺȺƵȯƵǶƊȺƊɈǞɨǞƮƊƮƵȺȱɐƵ
ȯȲȌȯȌȲƧǞȌȁƊǿȯȲƊɹƵȲƵȺƵȁȺƊƪƣȌƮƵƦƵǿٌƵȺɈƊȲ‫س‬
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yȌƮǞƊǐȁȍȺɈǞƧȌƮƊƮƵȯȲƵȺȺƣȌǶƵɨƊǿٌȺƵƵǿƧȌȁɈƊ‫ب‬ȺǞȁɈȌǿƊȺȯȺǠȱɐǞƧȌȺ‫˛ة‬ȺǞȌǶȍǐǞƧȌȺƵ
ƵɨǞƮƺȁƧǞƊȺƧȌǿȯȌȲɈƊǿƵȁɈƊǞȺ‫خ‬

SUICÍDIO
Descrição: Ȍ ȺɐǞƧǠƮǞȌ ƶ ɐǿ ǏƵȁȏǿƵȁȌ ǿɐǶɈǞǏƊɈȌȲǞƊǶ ȱɐƵ ȯȌƮƵ ȺƵȲ ȲƵȺɐǶɈƊƮȌ ƮƵ ɐǿƊ
ƧȌǿȯǶƵɮƊǞȁɈƵȲƊƪƣȌƮƵǏƊɈȌȲƵȺȯȺǞƧȌǶȍǐǞƧȌȺ‫ة‬ȺȌƧǞƊǞȺ‫ة‬ƧɐǶɈɐȲƊǞȺƵƊǿƦǞƵȁɈƊǞȺ‫خ‬1ɐǿƊɈȌǞȁƮǞɨǞƮɐƊǶ
ȱɐƵȯȌƮƵȺƵȲƵȁɈƵȁƮǞƮȌƧȌǿȌȌƮƵȺǏƵƧǘȌƮƵɐǿȯȲȌƧƵȺȺȌƧȌǿȯǶƵɮȌ‫خ‬
!ƵȲƧƊ ƮƵ ‫ ׀׀׈‬ǿǞǶ ȯƵȺȺȌƊȺ ƧȌǿƵɈƵǿ ȺɐǞƧǠƮǞȌ ƊȁɐƊǶǿƵȁɈƵ‫ ة‬Ȍ ȱɐƵ ƵȱɐǞɨƊǶƵ Ɗ ƮǞɹƵȲ ȱɐƵ Ɗ
ƧƊƮƊ ׄ‫ ׀‬ȺƵǐɐȁƮȌȺ ɐǿƊ ȯƵȺȺȌƊ ƧȌǿƵɈƵ ȺɐǞƧǠƮǞȌ ȁȌ ǿɐȁƮȌ Ƶ Ɗ ƧƊƮƊ ‫ ׃‬ȺƵǐɐȁƮȌȺ ɐǿƊ ȯƵȺȺȌƊ
ƊɈƵȁɈƊƧȌȁɈȲƊƊȯȲȍȯȲǞƊɨǞƮƊ‫!خ‬ƊƮƊȺɐǞƧǠƮǞȌɈƵǿɐǿȺƶȲǞȌǞǿȯƊƧɈȌƵǿȯƵǶȌǿƵȁȌȺȌɐɈȲƊȺ‫׆‬ȯƵȺȺȌƊȺ
ƵɈȲƊɹǞǿȯƊƧɈȌȺȯȺǞƧȌǶȍǐǞƧȌȺ‫ة‬ȺȌƧǞƊǞȺƵ˛ȁƊȁƧƵǞȲȌȺǞǿƵȁȺɐȲƋɨƵǞȺȯƊȲƊƊǏƊǿǠǶǞƊƵƜƧȌǿɐȁǞƮƊƮƵ‫خ‬
yȌ ȲƊȺǞǶ‫ة‬ȺƣȌȲƵǐǞȺɈȲƊƮȌȺƧƵȲƧƊƮƵׁׂǿǞǶȺɐǞƧǠƮǞȌȺɈȌƮȌȺȌȺƊȁȌȺ‫ة‬ȌƧɐȯƊȁƮȌƊ‫׈‬ѤȯȌȺǞƪƣȌȁȌ
ȲƊȁǲǞȁǐǿɐȁƮǞƊǶƮƵȺɐǞƧǠƮǞȌ‫خ‬0ǿׂ‫ة׉ׁ׀‬ªȌȲƊǞǿƊȌƧɐȯȌɐƊȺƵǐɐȁƮƊȯȌȺǞƪƣȌȁȌȲƊȁǲǞȁǐȁƊƧǞȌȁƊǶ
ƮƵȺɐǞƧǠƮǞȌȺ‫ة‬ƵƊȯȲƵȺƵȁɈƊɐǿƊɈƊɮƊƮƵǿȌȲɈƊǶǞƮƊƮƵƮƵ‫ׇة׈‬ȯȌȲׁ‫׀׀‬ǿǞǶǘƊƦǞɈƊȁɈƵȺ‫خ‬0ȺɈɐƮȌȺȺȌƦȲƵ
ƧȌǿȯȌȲɈƊǿƵȁɈȌȺɐǞƧǞƮƊ‫ة‬ȁȌƵȺɈƊƮȌ‫ة‬ǞȁƮǞƧƊȲƊǿɐǿȲǞȺƧȌƮƵȺɐǞƧǠƮǞȌ‫ڭׇׄ‬ǿƊǞȌȲƵȁɈȲƵǞȁƮǠǐƵȁƊȺ‫ة‬
ȱɐƊȁƮȌƧȌǿȯƊȲƊƮȌȺƊȁƣȌǞȁƮǠǐƵȁƊȺ‫ ـ‬ª²Xm‫ ة‬ȌǶƵɈǞǿ0ȯǞƮƵǿǞȌǶȍǐǞƧȌ‫خ‬²ƵƧȲƵɈƊȲǞƊƮƵßǞǐǞǶƓȁƧǞƊ
Ƶǿ²ƊɑƮƵ‫ة‬wǞȁǞȺɈƶȲǞȌƮƊ²ƊɑƮƵ‫ة‬ßȌǶɐǿƵ‫ةׂׅ‬ȺƵɈ‫خفׁׂ׀ׂخ‬
O suicídio é atualmente uma questão de saúde pública e todosȌȺȯȲȌ˛ȺȺǞȌȁƊǞȺƮƵȺƊɑƮƵ

ƮƵɨƵǿȲƵƧƵƦƵȲɈȲƵǞȁƊǿƵȁɈȌȯƊȲƊǶǞƮƊȲƵǿƧȌǿƵȺȺƵɈǞȯȌƮƵȺǞɈɐƊƪƣȌ‫خ‬
0ǿׂ‫ةׁׄ׀‬Ɗw²ȯɐƦǶǞƧȌɐƮȌƧɐǿƵȁɈȌȺȌƦȲƵȯȲƵɨƵȁƪƣȌȁȌȱɐƊǶƮƵȺƧȲƵɨƵƧȌǿȯȌȲɈƊǿƵȁɈȌ
ȺɐǞƧǞƮƊ ƧȌǿȌ Ȍ ƧȌȁǯɐȁɈȌ ƮƵ ƮǞɨƵȲȺȌȺ ƧȌǿȯȌȲɈƊǿƵȁɈȌȺ ȱɐƵ ǞȁƧǶɐǞ ȯƵȁȺƊǿƵȁɈȌȺ ‫ـ‬ǞƮƵƊƪƣȌ‫ةف‬
ȯǶƊȁƵǯƊǿƵȁɈȌƵɈƵȁɈƊɈǞɨƊƮƵȺɐǞƧǠƮǞȌ‫خ‬
Causas:
yƣȌƵɮǞȺɈƵƵɮȯǶǞƧƊƪƣȌɐȁǞɨƵȲȺƊǶȯƊȲƊȌȺɐǞƧǠƮǞȌ‫ة‬ǿƊȺƶǞǿȯȌȲɈƊȁɈƵǶƵɨƊȲƵǿƧȌȁɈƊǏƊɈȌȲƵȺ
ǞȁɈƵȲȁȌȺ ‫ـ‬ȲƵǶƊƧǞȌȁƊƮȌȺ Ɯ ǘǞȺɈȍȲǞƊ ƮƵ ɨǞƮƊ ƮȌ ȺɐǯƵǞɈȌ Ƶ‫ش‬Ȍɐ Ɗ ȯȲƵȺƵȁƪƊ ƮƵ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ‫ةف‬
ȯȲƵƧǞȯǞɈƊȁɈƵȺ‫ـ‬ȁȌȲǿƊǶǿƵȁɈƵƵɮɈƵȲȁȌȺƊȌȺɐǯƵǞɈȌƵƊɈɐƊǞȺ‫ف‬ƵȌƧȌȁɈƵɮɈȌȺȌƧǞȌƧɐǶɈɐȲƊǶƮȌƊɈȌ‫خ‬
Fatores de risco:
Ⱥ ȯȲǞȁƧǞȯƊǞȺ ǏƊɈȌȲƵȺ ƮƵ ȲǞȺƧȌ ȺƣȌ ȯȲƵȺƵȁƪƊ ƮƵ ɈȲƊȁȺɈȌȲȁȌ ǿƵȁɈƊǶ Ƶ ɈƵȁɈƊɈǞɨƊ ȯȲƶɨǞƊ ƮƵ
ȺɐǞƧǠƮǞȌ‫ خ‬ÀƊǿƦƶǿ ƶ ǞǿȯȌȲɈƊȁɈƵ ƧȌȁȺǞƮƵȲƊȲ ȁƊ ƊɨƊǶǞƊƪƣȌ ƧȌȁɈƵɮɈɐƊǶ ǏƊɈȌȲƵȺ ȲƵǶƊƧǞȌȁƊƮȌȺ ƜȺ
ȺƵǐɐǞȁɈƵȺƮǞǿƵȁȺȪƵȺ‫ب‬
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²ǞȺɈƵǿƊƮƵȺƊɑƮƵ‫ب‬ƦƊȲȲƵǞȲƊƊȌƊƧƵȺȺȌƵƮǞȺȯȌȁǞƦǞǶǞƮƊƮƵƮƵȺƵȲɨǞƪȌȺƮƵ²ƊɑƮƵwƵȁɈƊǶ
ȁȌɈƵȲȲǞɈȍȲǞȌ‫س‬
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²ȌƧǞƵɈƋȲǞȌȺ‫ب‬ƊƧƵȺȺȌƊȌȺǿƵǞȌȺ‫ة‬ǿǠƮǞƊ‫ة‬ƵȺɈǞǐǿƊ‫س‬
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!ȌǿɐȁǞɈƋȲǞȌȺ‫ب‬ƊƧɐǶɈɐȲƊƪƣȌƵƮƵȺǶȌƧƊǿƵȁɈȌ‫ة‬ƮǞȺƧȲǞǿǞȁƊƪƣȌ‫ة‬ɈȲƊɐǿƊȌɐƊƦɐȺȌ‫س‬
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XȁɈƵȲȯƵȺȺȌƊǶ‫ب‬ȺƵȁȺƊƪƣȌƮƵǞȺȌǶƊǿƵȁɈȌ‫ة‬ǏƊǶɈƊƮƵƊȯȌǞȌȺȌƧǞƊǶ‫ة‬ƧȌȁ˜ǞɈȌȺƵȯƵȲƮƊȺ‫س‬
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XȁƮǞɨǞƮɐƊǶ‫ ب‬ɈƵȁɈƊɈǞɨƊ ƊȁɈƵȲǞȌȲ ƮƵ ȺɐǞƧǠƮǞȌ‫ ة‬ȯȲƵȺƵȁƪƊ ƮƵ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ‫ ة‬ǞƮƊƮƵ‫ة‬
ǐƺȁƵȲȌ‫ة‬ƊƧȌȁɈƵƧǞǿƵȁɈȌȺȁƊǞȁǏƓȁƧǞƊ‫ة‬ǘǞȺɈȍȲǞƧȌǏƊǿǞǶǞƊȲƮƵȺɐǞƧǠƮǞȌ‫ة‬ƮȌƵȁƪƊȺƧȲȏȁǞƧƊȺ
ȁƣȌȯȺǞȱɐǞƋɈȲǞƧƊȺ‫ة‬ȯƵȲƮƊƮƵƵǿȯȲƵǐȌȌɐ˛ȁƊȁƧƵǞȲƊƵȯȲƵȺƵȁƪƊƮƵȺƵȁɈǞǿƵȁɈȌȺٗׄ(٘
‫ـ‬ƮƵȯȲƵȺȺƣȌ‫ة‬ƮƵȺƵȺȯƵȲƊȁƪƊ‫ة‬ƮƵȺƊǿȯƊȲȌƵƮƵȺƵȺȯƵȲȌ‫خف‬
JȲɐȯȌȺ ȺȌƧǞƊǶǿƵȁɈƵ ǿƊȲǐǞȁƊǶǞɹƊƮȌȺ‫ ة‬ƵɮƧǶɐǠƮȌȺ Ƶ ƵȺɈǞǐǿƊɈǞɹƊƮȌȺ Ɉƺǿ ǿƊǞȺ ȲǞȺƧȌ ȯƊȲƊ

Ȍ ȺɐǞƧǠƮǞȌ‫ ة‬ƧȌǿȌ ɈȲƊȁȺǐƺȁƵȲȌȺ‫ ة‬ǶƶȺƦǞƧƊȺ Ƶ ǐƊɯȺ‫ ة‬ȯȌȯɐǶƊƪȪƵȺ ǞȁƮǠǐƵȁƊȺ Ƶ ȁƵǐȲƊȺ‫ ة‬ȲƵǏɐǐǞƊƮȌȺ Ƶ
ǿǞǐȲƊȁɈƵȺ‫خ‬

(ƵȺƮƵ ׂ‫ ةׇׁ׀‬Ȍ ƵȺɈƊƮȌ ƮƵ ªȌȲƊǞǿƊ ɈƵǿ ȲƵƧƵƦǞƮȌ ǞȁɈƵȁȺȌ Ƶ ƧȲƵȺƧƵȁɈƵ ˜ɐɮȌ ƮƵ ǿǞǐȲƊȁɈƵȺ
ƵȲƵǏɐǐǞƊƮȌȺɨƵȁƵɹɐƵǶƊȁȌȺȯȌȲƧȌȁɈƊƮƊƧȲǞȺƵƵƧȌȁȏǿǞƧƊƵȯȌǶǠɈǞƧƊɨǞɨǞƮƊȁȌȯƊǠȺƮƵȌȲǞǐƵǿ‫خ‬1
ȯȲƵƧǞȺȌƧȌȁȺǞƮƵȲƊȲȱɐƵȌƧȌȁɈƵɮɈȌǿǞǐȲƊɈȍȲǞȌƵǿȺǞȁƣȌƶǏƊɈȌȲƮƵȲǞȺƧȌƜ²ƊɑƮƵwƵȁɈƊǶ‫ة‬ǿƊȺƊȺ
ƧȌȁƮǞƪȪƵȺ Ƶǿ ȱɐƵ Ȍ ƮƵȺǶȌƧƊǿƵȁɈȌ ƶ ȲƵƊǶǞɹƊƮȌ Ƶ Ɗ ƧǘƵǐƊƮƊ ȁȌ ȯƊǠȺ ƮƵ ƊƧȌǶǘǞƮƊ ȯȌƮƵǿ ɈȲƊɹƵȲ
ƮƵȺƊ˛ȌȺƊȌȺǞȁƮǞɨǠƮɐȌȺ‫خ‬ǶǐɐȁȺǏƊɈȌȲƵȺƊȺƵȲƵǿƧȌȁȺǞƮƵȲƊƮȌȺȁƊƊɨƊǶǞƊƪƣȌȯƊȲƊƵȺȺƵƧȌȁɈƵɮɈȌȺƣȌ‫ب‬
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XȁƧƵȲɈƵɹƊȺȌƦȲƵȌǏɐɈɐȲȌƵȌȯƵƮǞƮȌƮƵƊȺǞǶȌ‫ش‬ȲƵȺǞƮƺȁƧǞƊ‫س‬
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(ƵȺƊ˛ȌȺȲƵǶƊƧǞȌȁƊƮȌȺƜƊƧɐǶɈɐȲƊƪƣȌƵƊȌȺɈȲƵȺȺƧɐǶɈɐȲƊǶ‫س‬
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IƊǶɈƊƮƵƧȌȁǘƵƧǞǿƵȁɈȌȺȌƦȲƵȌȺǞȺɈƵǿƊƮƵȺƊɑƮƵƮȌȯƊǠȺƮƵƊƧȌǶǘǞƮƊ‫س‬
9
(Ǟ˛ƧɐǶƮƊƮƵƧȌǿƊǞȁɈƵǐȲƊƪƣȌȺȌƧǞƊǶ‫ب‬ƵɮƧǶɐȺƣȌ‫ة‬ƮȌǿǠȁǞȌȯȌƦȲƵƮƊǶǠȁǐɐƊ‫ة‬ǞȺȌǶƊǿƵȁɈȌ
ȺȌƧǞƊǶƵƮƵȺƵǿȯȲƵǐȌ‫س‬
9
wɐƮƊȁƪƊȺȁȌȺȯƊȯƶǞȺȺȌƧǞƊǞȺ‫ة‬ǏƊǿǞǶǞƊȲƵȺƵƮƵǐƺȁƵȲȌ‫س‬
9ƊȲȲƵǞȲƊȺƊȌƊƧƵȺȺȌƊȌȺƧɐǞƮƊƮȌȺƵǿȺƊɑƮƵ‫س‬
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0ɮȯƵƧɈƊɈǞɨƊȺƧɐǶɈɐȲƊǞȺȺȌƦȲƵȯȲȌ˛ȺȺǞȌȁƊǞȺƮƵȺƊɑƮƵƵƧȲƵȁƪƊȺȺȌƦȲƵ²ƊɑƮƵwƵȁɈƊǶ‫خ‬
Fatores de proteção:
!ȌǿȯȲƵƵȁƮƵȲ ȌȺ ǏƊɈȌȲƵȺ ƮƵ ȯȲȌɈƵƪƣȌ Ƶ ǞȁɨƵȺɈǞȲ ȁƵǶƵȺ ƊɐɮǞǶǞƊ ȁƊ ǞȁɈƵȲɨƵȁƪƣȌ Ƶ ȁƊ ȯȲƵɨƵȁƪƣȌ ƮȌ
ȺɐǞƧǠƮǞȌ‫ب‬
9
Relacionamentos pessoais fortes:
ǿǞǐȌȺ Ƶ ǏƊǿǞǶǞƊȲƵȺ ȯȌƮƵǿ ȺƵȲ ɐǿƊ ǏȌȁɈƵ ȺǞǐȁǞ˛ƧƊɈǞɨƊ ƮƵ ƊȯȌǞȌ ȺȌƧǞƊǶ‫ة‬
ƵǿȌƧǞȌȁƊǶ Ƶ ˛ȁƊȁƧƵǞȲȌ Ƶ ȯȌƮƵǿ ƊǿȌȲɈƵƧƵȲ Ȍ ǞǿȯƊƧɈȌ ƮƵ ƵȺɈȲƵȺȺȌȲƵȺ
ƵɮɈƵȲȁȌȺ‫خ‬
9
Estratégias positivas de enfrentamento:
ÇǿƊ ƧƊȯƊƧǞƮƊƮƵ ƮƵ ƊƮƊȯɈƊƪƣȌ ȯȌȺǞɈǞɨƊ‫ ة‬ƵȺɈǞǶȌ ƮƵ ɨǞƮƊ ȺƊɐƮƋɨƵǶ‫ ة‬ƦȌƊ
ƊɐɈȌƵȺɈǞǿƊ Ƶ ɐǿƊ ƊɐɈȌǞƮƵȁɈǞƮƊƮƵ ƮƵȺƵȁɨȌǶɨǞƮƊ ƊǯɐƮƊǿ Ɗ ǶǞƮƊȲ ƧȌǿ ƊȺ
ƮǞ˛ƧɐǶƮƊƮƵȺƮƊɨǞƮƊ‫خ‬
9
Sistema de crenças pessoais:
ªƵǏƵȲƵٌȺƵ ƜȺ ǞƮƵǞƊȺ‫ ة‬ȯƵȁȺƊǿƵȁɈȌȺ Ƶ ɨƊǶȌȲƵȺ ȱɐƵ ƮƣȌ ȺƵȁɈǞƮȌ ȺǞȁǐɐǶƊȲ ƜȺ
ɨǞɨƺȁƧǞƊȺƮƊȯƵȺȺȌƊƵȌȲǞƵȁɈƊǿȺɐƊȺƵȺƧȌǶǘƊȺȁƊɨǞƮƊ‫!خ‬ƊƦƵȲƵ˜ƵɈǞȲȱɐƵƊǏƶ
ȯȌƮƵȺƵȲɐǿǏƊɈȌȲƮƵȯȲȌɈƵƪƣȌ‫ة‬ȁȌƵȁɈƊȁɈȌ‫ة‬ǿɐǞɈƊȺƧȲƵȁƪƊȺƵƧȌǿȯȌȲɈƊǿƵȁɈȌȺ
ȲƵǶǞǐǞȌȺȌȺ ȯȌƮƵǿ ƧȌȁɈȲǞƦɐǞȲ ȯƊȲƊ Ȍ ƵȺɈǞǐǿƊ Ƶǿ ȲƵǶƊƪƣȌ ƊȌ ȺɐǞƧǠƮǞȌ‫ ة‬Ȍ ȱɐƵ
ȯȌƮƵƮƵȺƵȁƧȌȲƊǯƊȲƊƦɐȺƧƊȯȌȲƊǯɐƮƊ‫خ‬

Crise suicida:
yƊƧȲǞȺƵȺɐǞƧǞƮƊȌǞȁƮǞɨǠƮɐȌȯȌƮƵƊȯȲƵȺƵȁɈƊȲȌȺȺƵǐɐǞȁɈƵȺƊȺȯƵƧɈȌȺȯȺǠȱɐǞƧȌȺ‫ب‬
9
Ambivalência:
RƋȌƮƵȺƵǯȌƮƵƵǶǞǿǞȁƊȲƊƮȌȲƊȌǿƵȺǿȌɈƵǿȯȌȱɐƵƊȯȲƵȺƵȁɈƊȌƮƵȺƵǯȌƮƵ
ɨǞɨƵȲ‫خ‬ȯƵȺȺȌƊƧȌȺɈɐǿƊȲƵǶƊɈƊȲɐǿƊȯƵȱɐƵȁƊƵȺȯƵȲƊȁƪƊ‫خ‬Trabalhar o desejo
de vida será um dos principais fatores da prevenção.
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Impulsividade:
§ȌƮƵƵȺɈƊȲȲƵǶƊƧǞȌȁƊƮȌƊɐǿƊƧȲǞȺƵȌɐƊǶǐȌȁƵǐƊɈǞɨȌȱɐƵȌƧȌȲȲƵɐ‫خ‬ǞǿȯɐǶȺȌ
ȯƊȲƊȌƊɈȌȯȌƮƵȺƵȲɈȲƊȁȺǞɈȍȲǞȌ‫§خ‬ȌȲǞȺȺȌ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵǿƊȁɈƵȲ‫ة‬ƊȯƊȲɈǞȲƮƵƧƵȲɈȌ
ȁǠɨƵǶƮƵǞȁɈƵȁƧǞȌȁƊǶǞƮƊƮƵ‫ة‬ȌƊƧȌǿȯƊȁǘƊǿƵȁɈȌǞȁɈƵǐȲƊǶ‫خ‬
9
Rigidez/Constrição:
ȯƵȁȺƊǿƵȁɈȌ ȯƊȺȺƊ Ɗ ȺƵȲ ɈɐƮȌ Ȍɐ ȁƊƮƊ‫§ خ‬ȌƮƵ ȯƊȲƵƧƵȲ ȱɐƵ Ȍ ȺɐǞƧǠƮǞȌ ƶ Ɗ
ɑȁǞƧƊ ȺȌǶɐƪƣȌ‫ خ‬ȯƵȺȺȌƊ ɈƵǿ ǿɐǞɈƊ ƮǞ˛ƧɐǶƮƊƮƵ ȯƊȲƊ ɨǞȺɐƊǶǞɹƊȲ ƊǶɈƵȲȁƊɈǞɨƊȺ
ȯƊȲƊƊǶǞɨǞƊȲȺɐƊȺƮȌȲƵȺ‫خ‬
Avaliação e manejo do comportamento suicida:
yƊ ƊɨƊǶǞƊƪƣȌ ƮȌ ȯȲȌ˛ȺȺǞȌȁƊǶ ƮƵ ȺƊɑƮƵ‫ ة‬ȺƵǿȯȲƵ ȱɐƵ ǘȌɐɨƵȲ ǿƊȁǞǏƵȺɈƊƪƣȌ ƮƵ ǞƮƵƊƪƣȌ
ȺɐǞƧǞƮƊ‫ة‬ƶȁƵƧƵȺȺƋȲǞƊƊƊɨƊǶǞƊƪƣȌƮƵɈƊǶǘƊƮƊƮȌǐȲƊɐƮȌȲǞȺƧȌƮƵȺɐǞƧǠƮǞȌƵƮƊǞȁɈƵȁƪƣȌȺɐǞƧǞƮƊ‫خ‬0ȺɈƊ
ƶǞȁɨƵȺɈǞǐƊƮƊƊɈȲƊɨƶȺƮƊɨƵȲǞ˛ƧƊƪƣȌƮƊȯȲƵȺƵȁƪƊƮƵȯǶƊȁȌȺƵǿƶɈȌƮȌȺȯƊȲƊȌƊɈȌ‫خ‬
yƊƊɨƊǶǞƊƪƣȌƮƊǞȁɈƵȁƧǞȌȁƊǶǞƮƊƮƵȺɐǞƧǞƮƊƶǞǿȯȌȲɈƊȁɈƵƧȌȁȺǞƮƵȲƊȲɈȌƮȌȌƧȌȁɈƵɮɈȌ‫خ‬
9
Quando perguntar?
©ɐƊȁƮȌ Ɗ ȯƵȺȺȌƊ ɈƵǿ Ȍ ȺƵȁɈǞǿƵȁɈȌ ƮƵ ƵȺɈƊȲ ȺƵȁƮȌ ƧȌǿȯȲƵƵȁƮǞƮƊ‫ ة‬Ȍɐ

ƵȺɈƋ ƧȌȁǏȌȲɈƋɨƵǶ ǏƊǶƊȁƮȌ ȺȌƦȲƵ ȺƵɐȺ ȺƵȁɈǞǿƵȁɈȌȺ‫ ة‬Ȍɐ ƵȺɈƋ ǏƊǶƊȁƮȌ ȺȌƦȲƵ
ȺƵȁɈǞǿƵȁɈȌȺȁƵǐƊɈǞɨȌȺƮƵȺȌǶǞƮƣȌ‫ة‬ƮƵȺƊǿȯƊȲȌ‫ة‬ƵȁɈȲƵȌɐɈȲȌȺ‫خ‬
9
Como perguntar?
yƣȌƶǏƋƧǞǶȯƵȲǐɐȁɈƊȲȯƊȲƊɐǿƊȯƵȺȺȌƊȺȌƦȲƵȺɐƊǞƮƵƊƪƣȌȺɐǞƧǞƮƊ‫خ‬Ajuda se
você chegar gradualmente;
wƊǞȺǞǿȯȌȲɈƊȁɈƵȱɐƵȺƊƦƵȲƧȌǿȌǞȁɈƵȲɨǞȲ‫ة‬ƶsaber escutar com atenção e

sem julgamentos;
ƵȺɈƊƦƵǶƵƧǞǿƵȁɈȌƮȌɨǠȁƧɐǶȌƮƵƧȌȁ˛ƊȁƪƊƶǞǿȯȲƵȺƧǞȁƮǠɨƵǶȯƊȲƊȌǿƊȁƵǯȌ
ƵȯƊȲƊƊȯȲƵɨƵȁƪƣȌ‫س‬
1ȯȲƵƧǞȺȌȱɐƵȌȯƊƧǞƵȁɈƵȺƵȺǞȁɈƊƊƧȌǶǘǞƮȌ‫ة‬ȲƵȺȯƵǞɈƊƮȌƵȁƣȌǯɐǶǐƊƮȌ‫خ‬

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O que perguntar?
Ⱥ ȯƵȲǐɐȁɈƊȺ Ɗ ȺƵǐɐǞȲ ȺƣȌ ƊǶǐɐǿƊȺ ȺɐǐƵȺɈȪƵȺ ȱɐƵ ȯȌƮƵǿ ȺƵȲ ƊƮƊȯɈƊƮƊȺ
ȯƊȲƊƵɮȯǶȌȲƊȲȌȺȺƵȁɈǞǿƵȁɈȌȺƮƵȺƵɐȯƊƧǞƵȁɈƵƵƊɨƊǶǞƊȲƧȌǿƵǶƵȺɐƊȺǞɈɐƊƪƣȌ‫خ‬
§ȌƮƵٌȺƵ ǞȁǞƧǞƊȲ ƧȌǿ ȯƵȲǐɐȁɈƊȺ ǿƊǞȺ ƊƦƵȲɈƊȺ Ƶ ȺƵǐɐǞȲ ȯƊȲƊ ȯƵȲǐɐȁɈƊȺ ǿƊǞȺ
ƵȺȯƵƧǠ˛ƧƊȺ‫ب‬
9
!ȌǿȌɨȌƧƺȺƵȺƵȁɈƵ‫د‬
9
ßȌƧƺȺƵȁɈƵȱɐƵȁǞȁǐɐƶǿȺƵȯȲƵȌƧɐȯƊƧȌǿɨȌƧƺ‫د‬
9
ßȌƧƺȺƵȁɈƵȱɐƵƊɨǞƮƊȁƣȌɨƊǶƵǿƊǞȺƊȯƵȁƊƮƵȺƵȲɨǞɨǞƮƊ‫د‬
9
ßȌƧƺǯƋȯƵȁȺȌɐƵǿǏƊɹƵȲǿƊǶƊɨȌƧƺǿƵȺǿȌ‫د‬
9
hƋȯƵȁȺȌɐȱɐƵȺƵȲǞƊǿƵǶǘȌȲǿȌȲȲƵȲ‫د‬
9
!ȌǿȌȺƣȌƵȺȺƵȺȯƵȁȺƊǿƵȁɈȌȺ‫©د‬ɐƊȁƮȌƵǶƵȺǞȁǞƧǞƊȲƊǿ‫د‬
9
hƋȯƵȁȺȌɐƵǿɈǞȲƊȲƊȯȲȍȯȲǞƊɨǞƮƊ‫د‬0ȺȺƵȺȯƵȁȺƊǿƵȁɈȌȺɈƵ
ƊȺȺɐȺɈƊǿ‫!د‬ȌȁȺƵǐɐƵƊǏƊȺɈƋٌǶȌȺ‫د‬
9
Você encontra razões para continuar vivo?
ÇǿƊɨƵɹƧȌȁȺɈȲɐǠƮƊƊȲƵǶƊƪƣȌƮƵƧȌȁ˛ƊȁƪƊƵƧȌǿȯȲƵƵȁƮǞƮȌȺȌȺǏƊɈȌȲƵȺƮƵ
ȲǞȺƧȌƵƮƵȯȲȌɈƵƪƣȌƮƊȯƵȺȺȌƊ‫ة‬ƊɨƊǶǞƵƊǞȁɈƵȁƧǞȌȁƊǶǞƮƊƮƵȺɐǞƧǞƮƊƵȌƧȌȁɈƵɮɈȌ‫ب‬
1. ȯƵȺȺȌƊɈƵǿɐǿȯǶƊȁȌƮƵ˛ȁǞƮȌȯƊȲƊƧȌǿƵɈƵȲȺɐǞƧǠƮǞȌ‫د‬
2. ȯƵȺȺȌƊ ɈƵǿ ȌȺ ǿƵǞȌȺ ȯƊȲƊ ȺƵ ǿƊɈƊȲ‫ د‬0ǶƵȺ ȺƣȌ ǏƊƧǞǶǿƵȁɈƵ
ƮǞȺȯȌȁǠɨƵǞȺ‫د‬
3. ȯƵȺȺȌƊ˛ɮȌɐɐǿƊƮƊɈƊ‫§د‬ƊȲƊȱɐƊȁƮȌƵǶƊȯǶƊȁƵǯȌɐǏƊɹƺٌǶȌ‫د‬
!ǶƊȺȺǞ˛ƧƊƪƣȌƮƵȲǞȺƧȌƵƊƪȪƵȺȁƵƧƵȺȺƋȲǞƊȺ‫ب‬
9
Baixo:
§ƊƧǞƵȁɈƵ ȺƵǿ ǘǞȺɈȍȲǞƧȌ ƮƵ ɈƵȁɈƊɈǞɨƊ ȯȲƶɨǞƊ‫ ة‬ƊȯȲƵȺƵȁɈƊȁƮȌ ǞƮƵƊƪƣȌ ȺɐǞƧǞƮƊ‫ة‬

ȺƵǿȯǶƊȁƵǯƊǿƵȁɈȌ‫ب‬
9
ǏƵȲƵƧƵȲƊȯȌǞȌƵǿȌƧǞȌȁƊǶ‫س‬
9
ÀȲƊƦƊǶǘƊȲƧȌǿȌȺȺƵȁɈǞǿƵȁɈȌȺȺɐǞƧǞƮƊȺƮƊȯƵȺȺȌƊ‫س‬
9
IȌƧƊǶǞɹƵȁȌȺƊȺȯƵƧɈȌȺȯȌȺǞɈǞɨȌȺƮƊȯƵȺȺȌƊ‫خ‬

9
Moderado:
§ƊƧǞƵȁɈƵ ƧȌǿ ǘǞȺɈȍȲǞƧȌ ƮƵ ɈƵȁɈƊɈǞɨƊ ȯȲƶɨǞƊ‫ ة‬ƊȯȲƵȺƵȁɈƊȁƮȌ ǞƮƵƊƪƣȌ ȺɐǞƧǞƮƊ

ǏȲƵȱɐƵȁɈƵƵȯƵȲȺǞȺɈƵȁɈƵ‫ـ‬ȌȯƵȁȺƊǿƵȁɈȌƵȺɈƋȯȲƵȺƵȁɈƵȯȌȲǿɐǞɈȌɈƵǿȯȌ‫ةف‬ȺƵǿ
ȯǶƊȁƵǯƊǿƵȁɈȌ‫خ‬ɐȺƺȁƧǞƊƮƵǞǿȯɐǶȺǞɨǞƮƊƮƵȌɐƊƦɐȺȌ‫ش‬ƮƵȯƵȁƮƺȁƧǞƊƮƵƋǶƧȌȌǶ
ȌɐƮȲȌǐƊȺ‫خ‬
9
0ɮȯǶȌȲƵƊǶɈƵȲȁƊɈǞɨƊȺƊȌȺɐǞƧǠƮǞȌ‫س‬
9
IƊƪƊɐǿƧȌȁɈȲƊɈȌƮƵȁƣȌȺɐǞƧǠƮǞȌ‫خ‬ȌƦǯƵɈǞɨȌƶǐƊȁǘƊȲɈƵǿȯȌƊɈƶ
ƧȌȁȺƵǐɐǞȲ ƊǯɐƮƊ ƵȺȯƵƧǞƊǶǞɹƊƮƊ Ȍɐ ƊɈƶ ȱɐƵ ƊȺ ǿƵƮǞƮƊȺ ɈȌǿƊƮƊȺ
ƧȌǿƵƧƵǿƊƮƊȲȲƵȺɐǶɈƊƮȌ‫س‬
9
0ȁɈȲƵ Ƶǿ ƧȌȁɈƊɈȌ ƧȌǿ Ɗ ȲƵƮƵ ƮƵ ƊȯȌǞȌ ‫ـ‬ǏƊǿǞǶǞƊȲƵȺ‫ ة‬ƊǿǞǐȌȺ Ƶ
ƧȌǶƵǐƊȺ‫ ف‬Ƶ ȌȲǞƵȁɈƵ ȺȌƦȲƵ ǿƵƮǞƮƊȺ ƮƵ ȯȲƵɨƵȁƪƣȌ ƊȌ ȺɐǞƧǠƮǞȌ Ƶ
ƧȌǿȌǞǿȯƵƮǞȲȌƊƧƵȺȺȌƊȌȺǿƵǞȌȺ‫س‬
9
(ǞȺƧɐɈƊȌƧƊȺȌȁƊȺȲƵɐȁǞȪƵȺƮƵǿƊɈȲǞƧǞƊǿƵȁɈȌ‫خ‬
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Alto:
§ƊƧǞƵȁɈƵ ƧȌǿ ǘǞȺɈȍȲǞƧȌ ƮƵ ɈƵȁɈƊɈǞɨƊ ȯȲƶɨǞƊ‫ ة‬ƊȯȲƵȺƵȁɈƊȁƮȌ ǞƮƵƊƪƣȌ ȺɐǞƧǞƮƊ

ǏȲƵȱɐƵȁɈƵƵȯƵȲȺǞȺɈƵȁɈƵ‫ـ‬ȌȯƵȁȺƊǿƵȁɈȌƵȺɈƋȯȲƵȺƵȁɈƵȯȌȲǿɐǞɈȌɈƵǿȯȌ‫ةف‬ƧȌǿ
ȯǶƊȁƵǯƊǿƵȁɈȌ Ƶ ƊƧƵȺȺȌ Ɯ ǏȌȲǿƊ ƧȌǿȌ ȯǶƊȁƵǯȌɐ‫ خ‬XǿȯɐǶȺǞɨǞƮƊƮƵ‫ ة‬ȲǞǐǞƮƵɹ ƮȌ
ȯȲȌȯȍȺǞɈȌ ƮƵ ȺƵ ǿƊɈƊȲ‫ ة‬ƮƵȺƵȺȯƵȲȌ‫ ة‬ƮƵǶǠȲǞȌ‫ ة‬ƊǶɐƧǞȁƊƪȪƵȺ‫ ة‬ƊƦɐȺȌ‫ش‬ƮƵȯƵȁƮƺȁƧǞƊ
ƮƵƋǶƧȌȌǶȌɐƮȲȌǐƊȺȺƣȌǏƊɈȌȲƵȺƊǐȲƊɨƊȁɈƵȺ‫خ‬
9
0ȺɈƊȲǯɐȁɈȌƮƊȯƵȺȺȌƊ‫خ‬yɐȁƧƊƮƵǞɮƋٌǶƊȺȌɹǞȁǘƊ‫س‬
9
JƵȁɈǞǶǿƵȁɈƵ ǏƊǶƊȲ ƧȌǿ Ɗ ȯƵȺȺȌƊ Ƶ ȲƵǿȌɨƵȲ ȯǠǶɐǶƊȺ‫ ة‬ǏƊƧƊ‫ ة‬ƊȲǿƊ‫ة‬
ɨƵȁƵȁȌȺƵȌɐɈȲȌȺǿƵǞȌȺȯƊȲƊȌȺɐǞƧǠƮǞȌ‫س‬
9
XȁǏȌȲǿƊȲƊǏƊǿǠǶǞƊƵȲƵƊ˛ȲǿƊȲȺƵɐƊȯȌǞȌ‫س‬
9
0ȁƧƊǿǞȁǘƊȲƊȺƵȲɨǞƪȌƮƵƊɈƵȁƪƣȌƜȺƵǿƵȲǐƺȁƧǞƊȺȯȺǞȱɐǞƋɈȲǞƧƊȺ‫خ‬
!ȌȁȺǞƮƵȲƊƪȪƵȺ‫ب‬
1ǞǿȯȲƵȺƧǞȁƮǠɨƵǶȱɐƵȌɈȲƊƦƊǶǘȌȺƵǯƊƮƵƦɐȺƧƊȲȲƵȺǐƊɈƊȲƧȌǿȌȯƊƧǞƵȁɈƵȌȺƮƵȺƵǯȌȺƮƵɨǞƮƊ
ȱɐƵȯȌƮƵǿɈȲƊȁȺǏȌȲǿƊȲ‫ة‬ȌɐȲƵƧȲǞƊȲ‫ة‬ɐǿȁȌɨȌȺƵȁɈǞƮȌƮƵƵɮǞȺɈƺȁƧǞƊ‫!خ‬ȌȁȺɈȲɐǞȲȺɐƦȺǠƮǞȌȺƵǿȌƧǞȌȁƊǞȺ
ƮƵƵȁǏȲƵȁɈƊǿƵȁɈȌƮƵȺǞɈɐƊƪȪƵȺƮƵƊȁǐɑȺɈǞƊƮƊȯȲȍȯȲǞƊɨǞƮƊ‫خ‬
ȺȌǏȲǞǿƵȁɈȌƶǞȁƮǞɨǞƮɐƊǶƵȌȺƵȁɈǞƮȌƮƵƵɮǞȺɈǞȲɈƊǿƦƶǿ‫خ‬XȺȺȌƮƵɨƵȺƵȲȺƵǿȯȲƵǶƵǿƦȲƊƮȌ
ƮɐȲƊȁɈƵȌɈȲƊɈƊǿƵȁɈȌ‫ة‬ƮɐȲƊȁɈƵȌȯȲȌƧƵȺȺȌƮƵƊȯȌǞȌȯȺǞƧȌȺȺȌƧǞƊǶƮȌȺȯƊƧǞƵȁɈƵȺƵǿƧȲǞȺƵȺɐǞƧǞƮƊȌɐ
ȯȍȺɈƵȁɈƊɈǞɨƊ‫خ‬
ȱɐƵȺɈƣȌǏɐȁƮƊǿƵȁɈƊǶƮȌȺɐǞƧǠƮǞȌɈƊǶɨƵɹȺƵǯƊque vida estou vivendo?
0ȁȌȺȺȌɈȲƊƦƊǶǘȌǏɐȁƮƊǿƵȁɈƊǶƵȁȱɐƊȁɈȌȯȲȌ˛ȺȺǞȌȁƊǞȺƮƵȺƊɑƮƵȯȌƮƵȺƵȲɈȲƊƦƊǶǘƊȲǯɐȁɈȌ
ƊȌȯƊƧǞƵȁɈƵƊȱɐƵȺɈƣȌ‫ب‬qual vida você quer viver daqui para frente?
yȌȺƧƊȺȌȺƮƵȲǞȺƧȌƮƵȺɐǞƧǠƮǞȌ‫ة‬ƶǿƊǞȺƊƮƵȱɐƊƮȌȯƵƧƊȲȯƵǶȌƵɮƧƵȺȺȌƮƵcuidado.

TRANSTORNOS
MENTAIS SEVEROS E
PERSISTENTES
²ƣȌƧƊȲƊƧɈƵȲǞɹƊƮȌȺȯƵǶƊǐȲƊɨǞƮƊƮƵƧǶǠȁǞƧƊƵƊƮɐȲƊƪƣȌƮƊƮȌƵȁƪƊ‫ة‬
ƊǶƶǿ ƮȌ ǐȲƊɐ ƮƵ ȺȌǏȲǞǿƵȁɈȌ ƵǿȌƧǞȌȁƊǶ‫ ة‬Ȍ ȁǠɨƵǶ ƮƵ ǞȁƧƊȯƊƧǞƮƊƮƵ
ǶƊƦȌȲƊɈǞɨƊ Ƶ Ȍ ȯȲƵǯɐǠɹȌ ȁƊȺ ȲƵǶƊƪȪƵȺ ǞȁɈƵȲȯƵȺȺȌƊǞȺ‫ ة‬ƊȺȺǞǿ ƧȌǿȌ ȁƊ
ƮǞȁƓǿǞƧƊ ǏƊǿǞǶǞƊȲ‫ خ‬0ȁɈȲƵ ƵǶƵȺ‫ ة‬ɈƵǿȌȺ ƵȺȱɐǞɹȌǏȲƵȁǞƊ‫ ة‬ɈȲƊȁȺɈȌȲȁȌȺ
ȯȺǞƧȍɈǞƧȌȺƵɈȲƊȁȺɈȌȲȁȌƊǏƵɈǞɨȌƦǞȯȌǶƊȲƵȌɐɈȲƊȺȯȺǞƧȌȺƵȺ‫خ‬
ƮǞƊǐȁȍȺɈǞƧȌȯȲƵƧȌƧƵƶȌƊȺȯƵƧɈȌǿƊǞȺǞǿȯȌȲɈƊȁɈƵ‫§خ‬ƊȲƊȌǞȁǠƧǞȌ
ȲƋȯǞƮȌƮȌɈȲƊɈƊǿƵȁɈȌ‫ة‬ƧȌȁɈȲȌǶƵƮƊȺƧȲǞȺƵȺƵǿƊȁɐɈƵȁƪƣȌƮȌɈȲƊɈƊǿƵȁɈȌ
ǏƊȲǿƊƧȌǶȍǐǞƧȌ‫ة‬ƧȌǿƊɨƊǶǞƊƪƣȌȯƵȲǞȍƮǞƧƊȺƵǿƊȁƊǶ‫ة‬ȱɐǞȁɹƵȁƊǶƵǿƵȁȺƊǶ‫خ‬
ɈƵȁƪƣȌ §ȲǞǿƋȲǞƊ ƧȌȁɈȲǞƦɐǞ ƧȌǿ ȌȺ ƊɈƵȁƮǞǿƵȁɈȌȺ Ƶǿ ƮȌǿǞƧǠǶǞȌ‫ة‬
ƊȺȺǞǿ ƧȌǿȌ Ȍ ɨǠȁƧɐǶȌ ƧȲǞƊƮȌ ƵȁɈȲƵ ȌȺ ȯƊƧǞƵȁɈƵȺ Ƶ Ɗ ƵȱɐǞȯƵ ǏƊƧǞǶǞɈƊ ƊȺ
ǞȁɈƵȲɨƵȁƪȪƵȺ‫خ‬
§ȌȲɈƊȁɈȌ‫ ة‬Ȍ ƊȯȌǞȌ ƮƊ ȲƵƮƵ ǿɐȁǞƧǞȯƊǶ‫ ة‬ƧƊȯƊƧǞɈƊƪƣȌ‫ ة‬ȺɐȯƵȲɨǞȺƣȌ

Ƶ ƊȯȌǞȌ ǿƊɈȲǞƧǞƊǶ ƮƵ ȯȲȌ˛ȺȺǞȌȁƊǞȺ ƮȌ yɑƧǶƵȌ ȯȌǞȌ ƮƊ ²ƊɑƮƵ ƮƊ
IƊǿǠǶǞƊ‫ـ‬y²I‫ةف‬ƵƮȌȺȯȌȁɈȌȺƮƵɈƵȁƪƣȌ²ƵƧɐȁƮƋȲǞƊ‫ة‬ƧȌǿȌȌȺ!ƵȁɈȲȌȺ
ƮƵ ɈƵȁƪƣȌ §ȺǞƧȌȺȺȌƧǞƊǶ ‫§!ـ‬²‫ ف‬Ƶ ƮƊȺ ƵȱɐǞȯƵȺ ǿɐǶɈǞȯȲȌ˛ȺȺǞȌȁƊǞȺ
ƵȺȯƵƧǞƊǶǞɹƊƮƊȺƵǿ²ƊɑƮƵwƵȁɈƊǶƶƮƵȺɐǿƊǞǿȯȌȲɈƓȁƧǞƊ‫خ‬

TRANSTORNO
AFETIVO BIPOLAR
Descrição: 1ɐǿɈȲƊȁȺɈȌȲȁȌƮȌǘɐǿȌȲƮƵǶȌȁǐƊƮɐȲƊƪƣȌ‫ة‬ƵȯǞȺȍƮǞƧȌ‫ة‬ȯȌɈƵȁƧǞƊǶǿƵȁɈƵǐȲƊɨƵ
Ƶ ȱɐƵ ƊǶǐɐǿƊȺ ɨƵɹƵȺ ȯȌƮƵ ƧɐȲȺƊȲ ƧȌǿ ȺǞȁɈȌǿƊȺ ȯȺǞƧȍɈǞƧȌȺ‫! خ‬ƊȲƊƧɈƵȲǞɹƊƮȌ ȯȲǞȁƧǞȯƊǶǿƵȁɈƵ ȯƵǶƊ
ȌȺƧǞǶƊƪƣȌƮƵǘɐǿȌȲ‫ة‬ȱɐƵɨƊȲǞƊǿƮƵȯƵȲǠȌƮȌȺƮƵƧȌǿȯȌȲɈƊǿƵȁɈȌƵɮɈȲƵǿƊǿƵȁɈƵٗƊȺƧƵȁƮƵȁɈƵȺ٘‫ة‬
ƵɮƊǶɈƊƮȌ Ƶ ƵȁƵȲǐǞɹƊƮȌ ‫ـ‬ƧȌȁǘƵƧǞƮȌ ƧȌǿȌ ƵȯǞȺȍƮǞȌȺ ǿƊȁǠƊƧȌȺ Ȍɐ ǘǞȯȌǿƊȁǠƊƧȌȺ‫ ة‬ȱɐƵ ƮɐȲƊǿ ȁȌ
ǿǠȁǞǿȌ‫ׇ‬ƮǞƊȺȌɐǿƵȁȌȺȺƵǘȌɐɨƵȲǐȲƊɨǞƮƊƮƵȺɐ˛ƧǞƵȁɈƵȯƊȲƊǞȁɈƵȲȁƊƪƣȌ‫ف‬ƊȯƵȲǠȌƮȌȺǿɐǞɈȌɈȲǞȺɈƵȺ‫ة‬
ٗƦƊǞɮȌȺ٘ȌɐȺƵǿƵȺȯƵȲƊȁƪƊ‫ـ‬ƧȌȁǘƵƧǞƮȌȺƧȌǿȌƵȯǞȺȍƮǞȌȺƮƵȯȲƵȺȺǞɨȌȺ‫ة‬ȱɐƵƮɐȲƊǿȯƵǶȌǿƵȁȌȺׁׄ
ƮǞƊȺ‫خف‬1ɐǿƊƧȌȁƮǞƪƣȌǿƶƮǞƧƊƧȌȁɈǠȁɐƊȯƊȲƊƊɨǞƮƊɈȌƮƊ‫ة‬ƧȌǿƵȯǞȺȍƮǞȌȺȲƵƧȌȲȲƵȁɈƵȺȱɐƵɈȲƊɹƵǿ
ǐȲƊȁƮƵǞǿȯƊƧɈȌȁƊɨǞƮƊƮȌȯƊƧǞƵȁɈƵȲƵƮɐɹǞȁƮȌȺƵɐǏɐȁƧǞȌȁƊǿƵȁɈȌƵȺɐƊȱɐƊǶǞƮƊƮƵƮƵɨǞƮƊ‫خ‬
Causas:
9
ƧƊɐȺƊƵɮƊɈƊƶƮƵȺƧȌȁǘƵƧǞƮƊ‫ة‬ȯȌȲƶǿƊǘƵȲƵƮǞɈƊȲǞƵƮƊƮƵɈƵǿȯƊȯƵǶȺǞǐȁǞ˛ƧƊɈǞɨȌ‫س‬
9
RƋƵɨǞƮƺȁƧǞƊȺƮƵƮƵȺȲƵǐɐǶƊƪƣȌƮƵȺƵȲȌɈȌȁǞȁƊƵȁȌȲƊƮȲƵȁƊǶǞȁƊ‫س‬
9
IƊɈȌȲƵȺȯȺǞƧȌȺȺȌƧǞƊǞȺɈƊǿƦƶǿȯȌƮƵǿƵȺɈƊȲƵȁɨȌǶɨǞƮȌȺȁƊƵƧǶȌȺƣȌȌɐɨǞȲƊƮƊƮƵǏƊȺƵ‫س‬
9
0ɨƵȁɈȌȺ ƮƵ ɨǞƮƊ ƵȺɈȲƵȺȺƊȁɈƵȺ ƵȺɈƣȌ ǿɐǞɈƊȺ ɨƵɹƵȺ ƊȺȺȌƧǞƊƮȌȺ ƊȌ ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ
ǞȁǞƧǞƊǶƮȌȺȺǞȁɈȌǿƊȺƵƵɮƊƧƵȲƦƊƪȪƵȺȯȌȺɈƵȲǞȌȲƵȺ‫ة‬ƊǞȁƮƊȱɐƵƧƊɐȺƊƵƵǏƵǞɈȌȁƣȌɈƵȁǘƊǿ
ȺǞƮȌƵȺɈƊƦƵǶƵƧǞƮȌȺ‫خ‬
Sinais e sintomas:
9
Episódio maníaco:
9
ɐɈȌƵȺɈǞǿƊǞȁ˜ƊƮƊȌɐǐȲƊȁƮǞȌȺǞƮƊƮƵ‫س‬
9
ªƵƮɐƪƣȌ ƮƊ ȁƵƧƵȺȺǞƮƊƮƵ ƮƵ ȺȌȁȌ ‫ـ‬ȺƵȁɈƵٌȺƵ ƮƵȺƧƊȁȺƊƮȌ ƧȌǿ ƊȯƵȁƊȺ ɈȲƺȺ
ǘȌȲƊȺƮƵȺȌȁȌ‫سف‬
9
wƊǞȺǏƊǶƊƮȌȲȱɐƵȌǘƊƦǞɈɐƊǶȌɐȯȲƵȺȺƣȌȯƊȲƊƧȌȁɈǞȁɐƊȲǏƊǶƊȁƮȌ‫س‬
9
IɐǐƊ ƮƵ ǞƮƵǞƊȺ Ȍɐ ƵɮȯƵȲǞƺȁƧǞƊ ȺɐƦǯƵɈǞɨƊ ƮƵ ȱɐƵ ȌȺ ȯƵȁȺƊǿƵȁɈȌȺ ƵȺɈƣȌ
ƊƧƵǶƵȲƊƮȌȺ‫س‬
9
(ǞȺɈȲƊɈǞƦǞǶǞƮƊƮƵ ‫ـ‬Ɗ ƊɈƵȁƪƣȌ ƶ ƮƵȺɨǞƊƮƊ ǿɐǞɈȌ ǏƊƧǞǶǿƵȁɈƵ ȯȌȲ ƵȺɈǠǿɐǶȌȺ
ƵɮɈƵȲȁȌȺǞȁȺǞǐȁǞ˛ƧƊȁɈƵȺȌɐǞȲȲƵǶƵɨƊȁɈƵȺ‫ةف‬ƧȌȁǏȌȲǿƵȲƵǶƊɈƊƮȌȌɐȌƦȺƵȲɨƊƮȌ‫س‬
9
ɐǿƵȁɈȌƮƊƊɈǞɨǞƮƊƮƵƮǞȲǞǐǞƮƊƊȌƦǯƵɈǞɨȌȺ‫ـ‬ȺƵǯƊȺȌƧǞƊǶǿƵȁɈƵ‫ة‬ȁȌɈȲƊƦƊǶǘȌȌɐ
ƵȺƧȌǶƊ‫ة‬ȺƵǯƊȺƵɮɐƊǶǿƵȁɈƵ‫ف‬ȌɐƊǐǞɈƊƪƣȌȯȺǞƧȌǿȌɈȌȲƊ‫ـ‬ƊɈǞɨǞƮƊƮƵȺƵǿȯȲȌȯȍȺǞɈȌ
ȁƣȌƮǞȲǞǐǞƮƊƊȌƦǯƵɈǞɨȌȺ‫سف‬
9
0ȁɨȌǶɨǞǿƵȁɈȌ ƵɮƧƵȺȺǞɨȌ Ƶǿ ƊɈǞɨǞƮƊƮƵȺ ƧȌǿ ƵǶƵɨƊƮȌ ȯȌɈƵȁƧǞƊǶ ȯƊȲƊ
ƧȌȁȺƵȱɐƺȁƧǞƊȺƮȌǶȌȲȌȺƊȺ‫ـ‬ƵȁɨȌǶɨǞǿƵȁɈȌƵǿȺɐȲɈȌȺƮƵȺƵȁǏȲƵƊƮȌȺƮƵƧȌǿȯȲƊȺ‫ة‬
ǞȁƮǞȺƧȲǞƪȪƵȺȺƵɮɐƊǞȺȌɐǞȁɨƵȺɈǞǿƵȁɈȌȺ˛ȁƊȁƧƵǞȲȌȺǞȁȺƵȁȺƊɈȌȺ‫سف‬

9
ȯƵȲɈɐȲƦƊƪƣȌƮȌǘɐǿȌȲƶȺɐ˛ƧǞƵȁɈƵǿƵȁɈƵǐȲƊɨƵƊȯȌȁɈȌƮƵƧƊɐȺƊȲȯȲƵǯɐǠɹȌ
ƊƧƵȁɈɐƊƮȌ ȁȌ ǏɐȁƧǞȌȁƊǿƵȁɈȌ ȺȌƧǞƊǶ Ȍɐ ȯȲȌ˛ȺȺǞȌȁƊǶ Ȍɐ ȯƊȲƊ ȁƵƧƵȺȺǞɈƊȲ ƮƵ
ǘȌȺȯǞɈƊǶǞɹƊƪƣȌ Ɗ ˛ǿ ƮƵ ȯȲƵɨƵȁǞȲ ƮƊȁȌ Ɗ ȺǞ ǿƵȺǿȌ Ȍɐ Ɗ ȌɐɈȲƊȺ ȯƵȺȺȌƊȺ‫ ة‬Ȍɐ
ƵɮǞȺɈƵǿƧƊȲƊƧɈƵȲǠȺɈǞƧƊȺȯȺǞƧȍɈǞƧƊȺ‫س‬
9
ƵȯǞȺȍƮǞȌȁƣȌƶƊɈȲǞƦɐǠɨƵǶƊȌȺƵǏƵǞɈȌȺ˛ȺǞȌǶȍǐǞƧȌȺƮƵɐǿƊȺɐƦȺɈƓȁƧǞƊ‫ـ‬ƮȲȌǐƊ
ƮƵƊƦɐȺȌ‫ة‬ǿƵƮǞƧƊǿƵȁɈȌ‫ة‬ȌɐɈȲȌɈȲƊɈƊǿƵȁɈȌ‫ف‬ȌɐƊȌɐɈȲƊƧȌȁƮǞƪƣȌǿƶƮǞƧƊ‫س‬
9
yȌɈƊ‫ ب‬Çǿ ƵȯǞȺȍƮǞȌ ǿƊȁǠƊƧȌ ƧȌǿȯǶƵɈȌ ȱɐƵ ȺɐȲǐƵ ƮɐȲƊȁɈƵ ɈȲƊɈƊǿƵȁɈȌ
ƊȁɈǞƮƵȯȲƵȺȺǞɨȌ ‫ـ‬ǿƵƮǞƧƊǿƵȁɈȌ‫ ة‬ƵǶƵɈȲȌƧȌȁɨɐǶȺȌɈƵȲƊȯǞƊ‫ ةف‬ǿƊȺ ȱɐƵ ȯƵȲȺǞȺɈƵ Ƶǿ
ɐǿ ȁǠɨƵǶ ƮƵ ȺǞȁƊǞȺ Ƶ ȺǞȁɈȌǿƊȺ ƊǶƶǿ ƮȌ ƵǏƵǞɈȌ ˛ȺǞȌǶȍǐǞƧȌ ƮƵȺȺƵ ɈȲƊɈƊǿƵȁɈȌ‫ة‬
ƶ ƵɨǞƮƺȁƧǞƊ Ⱥɐ˛ƧǞƵȁɈƵ ȯƊȲƊ ɐǿ ƵȯǞȺȍƮǞȌ ǿƊȁǠƊƧȌ Ƶ‫ ة‬ȯȌȲɈƊȁɈȌ‫ ة‬ȯƊȲƊ ɐǿ
ƮǞƊǐȁȍȺɈǞƧȌƮƵɈȲƊȁȺɈȌȲȁȌƦǞȯȌǶƊȲɈǞȯȌX‫خ‬
9
Episódio hipomaníaco:
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ÇǿȯƵȲǠȌƮȌƮǞȺɈǞȁɈȌƮƵǘɐǿȌȲƊȁȌȲǿƊǶƵȯƵȲȺǞȺɈƵȁɈƵǿƵȁɈƵƵǶƵɨƊƮȌ‫ة‬ƵɮȯƊȁȺǞɨȌ
Ȍɐ ǞȲȲǞɈƋɨƵǶ Ƶ ƊɐǿƵȁɈȌ ƊȁȌȲǿƊǶ Ƶ ȯƵȲȺǞȺɈƵȁɈƵ ƮƊ ƊɈǞɨǞƮƊƮƵ Ȍɐ ƵȁƵȲǐǞƊ‫ ة‬ƧȌǿ
ƮɐȲƊƪƣȌǿǠȁǞǿƊƮƵȱɐƊɈȲȌƮǞƊȺƧȌȁȺƵƧɐɈǞɨȌȺƵȯȲƵȺƵȁɈƵȁƊǿƊǞȌȲȯƊȲɈƵƮȌ
ƮǞƊ‫ة‬ȱɐƊȺƵɈȌƮȌȺȌȺƮǞƊȺ‫س‬
9
ƵȯǞȺȍƮǞȌƵȺɈƋƊȺȺȌƧǞƊƮȌƊɐǿƊǿɐƮƊȁƪƊƧǶƊȲƊȁȌǏɐȁƧǞȌȁƊǿƵȁɈȌȱɐƵȁƣȌ
ƶƧƊȲƊƧɈƵȲǠȺɈǞƧƊƮȌǞȁƮǞɨǠƮɐȌȱɐƊȁƮȌƊȺȺǞȁɈȌǿƋɈǞƧȌ‫س‬
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ȯƵȲɈɐȲƦƊƪƣȌ ƮȌ ǘɐǿȌȲ Ƶ Ɗ ǿɐƮƊȁƪƊ ȁȌ ǏɐȁƧǞȌȁƊǿƵȁɈȌ ȺƣȌ ȌƦȺƵȲɨƋɨƵǞȺ
ȯȌȲȌɐɈȲƊȺȯƵȺȺȌƊȺ‫س‬
9
ƵȯǞȺȍƮǞȌȁƣȌƶȺɐ˛ƧǞƵȁɈƵǿƵȁɈƵǐȲƊɨƵƊȯȌȁɈȌƮƵƧƊɐȺƊȲȯȲƵǯɐǠɹȌƊƧƵȁɈɐƊƮȌ
ȁȌǏɐȁƧǞȌȁƊǿƵȁɈȌȺȌƧǞƊǶȌɐȯȲȌ˛ȺȺǞȌȁƊǶȌɐȯƊȲƊȁƵƧƵȺȺǞɈƊȲƮƵǘȌȺȯǞɈƊǶǞɹƊƪƣȌ‫خ‬
0ɮǞȺɈǞȁƮȌƧƊȲƊƧɈƵȲǠȺɈǞƧƊȺȯȺǞƧȍɈǞƧƊȺ‫ة‬ȯȌȲƮƵ˛ȁǞƪƣȌ‫ة‬ȌƵȯǞȺȍƮǞȌƶǿƊȁǠƊƧȌ‫س‬
9
ƵȯǞȺȍƮǞȌȁƣȌƶƊɈȲǞƦɐǠɨƵǶƊȌȺƵǏƵǞɈȌȺ˛ȺǞȌǶȍǐǞƧȌȺƮƵɐǿƊȺɐƦȺɈƓȁƧǞƊ‫ـ‬ƮȲȌǐƊ
ƮƵƊƦɐȺȌ‫ة‬ǿƵƮǞƧƊǿƵȁɈȌ‫ة‬ȌɐɈȲȌɈȲƊɈƊǿƵȁɈȌ‫سف‬
9
Nota: Çǿ ƵȯǞȺȍƮǞȌ ǘǞȯȌǿƊȁǠƊƧȌ ƧȌǿȯǶƵɈȌ ȱɐƵ ȺɐȲǐƵ ƮɐȲƊȁɈƵ ɈȲƊɈƊǿƵȁɈȌ
ƊȁɈǞƮƵȯȲƵȺȺǞɨȌ‫ـ‬ǿƵƮǞƧƊǿƵȁɈȌ‫ة‬ƵǶƵɈȲȌƧȌȁɨɐǶȺȌɈƵȲƊȯǞƊ‫ةف‬ǿƊȺȱɐƵȯƵȲȺǞȺɈƵƵǿɐǿȁǠɨƵǶ
ƮƵȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺƊǶƶǿƮȌƵǏƵǞɈȌ˛ȺǞȌǶȍǐǞƧȌƮƵȺȺƵɈȲƊɈƊǿƵȁɈȌ‫ة‬ƶƵɨǞƮƺȁƧǞƊȺɐ˛ƧǞƵȁɈƵ
ȯƊȲƊ ɐǿ ƮǞƊǐȁȍȺɈǞƧȌ ƮƵ ƵȯǞȺȍƮǞȌ ǘǞȯȌǿƊȁǠƊƧȌ‫ خ‬ªƵƧȌǿƵȁƮƊٌȺƵ‫ ة‬ȯȌȲƶǿ‫ ة‬ƧƊɐɈƵǶƊ
ȯƊȲƊ ȱɐƵ ׁ Ȍɐ ׂ ȺǞȁɈȌǿƊȺ ‫ـ‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵ ƊɐǿƵȁɈȌ ƮƊ ǞȲȲǞɈƊƦǞǶǞƮƊƮƵ‫ ة‬ȁƵȲɨȌȺǞȺǿȌ
Ȍɐ ƊǐǞɈƊƪƣȌ ƊȯȍȺ ɐȺȌ ƮƵ ƊȁɈǞƮƵȯȲƵȺȺǞɨȌ‫ ف‬ȁƣȌ ȺƵǯƊǿ ƧȌȁȺǞƮƵȲƊƮȌȺ Ⱥɐ˛ƧǞƵȁɈƵȺ ȯƊȲƊ
Ȍ ƮǞƊǐȁȍȺɈǞƧȌ ƮƵ ƵȯǞȺȍƮǞȌ ǘǞȯȌǿƊȁǠƊƧȌ ȁƵǿ ȁƵƧƵȺȺƊȲǞƊǿƵȁɈƵ ǞȁƮǞƧƊɈǞɨȌȺ ƮƵ ɐǿƊ
ƮǞƋɈƵȺƵƦǞȯȌǶƊȲ‫خ‬
9
9
§ȲȌɨƊȺƮƊǏɐȁƪƣȌɈǞȲƵȌǞƮǞƊȁƊ‫ة‬ȲƵȁƊǶ‫ة‬ǘƵȯƋɈǞƧƊ‫س‬
9
ÀƵȺɈƵƮƵǐȲƊɨǞƮƵɹ‫س‬
9
(ȌȺƊǐƵȁȺȺƶȲǞƧƊȺƮƵǿƵƮǞƧƊǿƵȁɈȌȺ‫ـ‬ƋƧǞƮȌɨȌǶȯȲȌǞƧȌ‫ة‬ǶǠɈǞȌ‫ة‬ƧƊȲƦƊǿƊɹƵȯǞȁƊ‫سف‬
9
9
0ǶƵɈȲȌƵȁƧƵǏƊǶȌǐȲƊǿƊ‫خ‬

Diagnóstico:
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ɨƊǶǞƊȲƦƵǿɈȌƮȌȺȌȺȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺ‫س‬
9
ȺȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺƮƵɨƵǿȯƵȲȺǞȺɈǞȲȯȌȲȯƵǶȌǿƵȁȌȺׁ‫ـ‬ɐǿƊ‫ف‬ȺƵǿƊȁƊȯƊȲƊƵȯǞȺȍƮǞȌ
ǿƊȁǠƊƧȌƵƮɐƊȺȺƵǿƊȁƊȺȯƊȲƊƵȯǞȺȍƮǞȌǘǞȯȌǿƊȁǠƊƧȌ‫س‬
9
§ƵǶȌ ǿƵȁȌȺ ɐǿ ƵȯǞȺȍƮǞȌ ǿƊȁǠƊƧȌ ȁƊ ɨǞƮƊ ƶ ȁƵƧƵȺȺƋȲǞȌ ȯƊȲƊ Ȍ ƮǞƊǐȁȍȺɈǞƧȌ ƮƵ
ɈȲƊȁȺɈȌȲȁȌƦǞȯȌǶƊȲ‫خ‬
Tratamento:
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9
9
9
yƊ ǞƮƵȁɈǞ˛ƧƊƪƣȌ ƮȌ ȱɐƊƮȲȌ ƊǐɐƮȌ‫ ة‬ƧȌȁɈƵȁƪƣȌ ǞǿƵƮǞƊɈƊ ƮȌȺ ȺǞȁɈȌǿƊȺ ƊɈȲƊɨƶȺ ƮȌȺ
ǏƋȲǿƊƧȌȺƵƊɨƊǶǞƊȲȁƵƧƵȺȺǞƮƊƮƵƮƵǞȁɈƵȲȁƊƪƣȌǘȌȺȯǞɈƊǶƊȲȯƊȲƊȯȲȌɈƵƪƣȌƮȌȯƊƧǞƵȁɈƵ‫ة‬
ƮƵɈƵȲƧƵǞȲȌȺȌɐƮƵȯƊɈȲǞǿȏȁǞȌ‫س‬
9
9
ªƵƊɨƊǶǞƊȲƊȯȍȺ‫ـׁ׀‬ɐǿƊ‫ف‬ȺƵǿƊȁƊ‫خ‬
9
0ȺȱɐǞɹȌǏȲƵȁǞƊ‫س‬
9
©ɐƊƮȲȌȺƮƵǿƵȁƧǞƊǞȺ‫س‬
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(ƵȯȲƵȺȺƣȌ‫س‬
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ÇȺȌƮƵƮȲȌǐƊȺ‫ـ‬ƊȁǏƵɈƊǿǞȁƊȺ‫ة‬ƧȌƧƊǠȁƊ‫ة‬ǿƊƧȌȁǘƊ‫ة‬ƧȲƊƧǲ‫سفخخخ‬
9
RǞȯƵȲɈǞȲƵȌǞƮǞȺǿȌ‫خ‬

ESQUIZOFRENIA
Descrição‫ب‬1ɐǿɈȲƊȁȺɈȌȲȁȌǿƵȁɈƊǶƧƊȲƊƧɈƵȲǞɹƊƮȌȯƵǶƊȯƵȲƮƊƮƵƧȌȁɈƊɈȌƧȌǿƊȲƵƊǶǞƮƊƮƵ
‫ـ‬ȯȺǞƧȌȺƵ‫ ةف‬ƊǶɐƧǞȁƊƪȪƵȺ ‫ـ‬ƶ ƧȌǿɐǿ ȌɐɨǞȲ ɨȌɹƵȺ‫ ةف‬ǏƊǶȺƊȺ ƧȌȁɨǞƧƪȪƵȺ ‫ـ‬ƮƵǶǠȲǞȌȺ‫ ةف‬ȯƵȁȺƊǿƵȁɈȌ Ƶ
ƧȌǿȯȌȲɈƊǿƵȁɈȌ ƊɈǠȯǞƧȌ‫ ة‬ȲƵƮɐƪƣȌ ƮƊȺ ƮƵǿȌȁȺɈȲƊƪȪƵȺ ƮƵ ƵǿȌƪȪƵȺ‫ ة‬ƮǞǿǞȁɐǞƪƣȌ ƮƊ ǿȌɈǞɨƊƪƣȌ‫ة‬
ɐǿƊȯǞȌȲƊƮƊǏɐȁƪƣȌǿƵȁɈƊǶ‫ـ‬ƧȌǐȁǞƪƣȌ‫ف‬ƵȯȲȌƦǶƵǿƊȺȁȌƮƵȺƵǿȯƵȁǘȌƮǞƋȲǞȌ‫ة‬ǞȁƧǶɐǞȁƮȌȁȌƓǿƦǞɈȌ
ȯȲȌ˛ȺȺǞȌȁƊǶ‫ة‬ȺȌƧǞƊǶ‫ة‬ȲƵǶƊƧǞȌȁƊǿƵȁɈȌȺƵƊɐɈȌƧɐǞƮƊƮȌ‫خ‬
Causas:
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²ƣȌ ƊǞȁƮƊ ƮƵȺƧȌȁǘƵƧǞƮƊȺ‫ ة‬ȯȌȲƶǿ ǘƋ ƧȌȁȺƵȁȺȌ Ƶǿ ƊɈȲǞƦɐǞȲ Ɗ ƮƵȺȌȲǐƊȁǞɹƊƪƣȌ ƮƊ
ȯƵȲȺȌȁƊǶǞƮƊƮƵ Ɯ ǞȁɈƵȲƊƪƣȌ ƮƵ ɨƊȲǞƋɨƵǞȺ ƧɐǶɈɐȲƊǞȺ‫ ة‬ȯȺǞƧȌǶȍǐǞƧƊȺ Ƶ ƦǞȌǶȍǐǞƧƊȺ‫ ة‬ƵȁɈȲƵ ƊȺ
ȱɐƊǞȺƮƵȺɈƊƧƊǿٌȺƵƊȺƮƵȁƊɈɐȲƵɹƊǐƵȁƶɈǞƧƊ‫خ‬
Sinais e sintomas:
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ȺȯȲǞǿƵǞȲȌȺȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺƊȯƊȲƵƧƵǿǿƊǞȺƧȌǿɐǿƵȁɈƵƮɐȲƊȁɈƵƊƊƮȌǶƵȺƧƺȁƧǞƊ
ȌɐǞȁǠƧǞȌƮƊǞƮƊƮƵƊƮɐǶɈƊ‫خ‬ȯƵȺƊȲƮƵȯȌƮƵȲȺɐȲǐǞȲƮƵǏȌȲǿƊƊƦȲɐȯɈƊ‫ة‬ȌȱɐƊƮȲȌǿƊǞȺ
ǏȲƵȱɐƵȁɈƵȺƵǞȁǞƧǞƊƮƵǿƊȁƵǞȲƊǞȁȺǞƮǞȌȺƊ‫س‬
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IƊǶɈƊƮƵƊɐɈȌƧȲǠɈǞƧƊ‫ـ‬ǞȁȺǞǐǘɈ‫سف‬
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²ǞȁƊǞȺȯȲƶٌƮƵǶǞȲƊȁɈƵȺ‫ـ‬ǞƮƵǞƊȺƮƵƊɐɈȌȲȲƵǏƵȲƺȁƧǞƊ‫ة‬ȯƵȲȯǶƵɮǞƮƊƮƵ‫سف‬
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(ƵǶǠȲǞȌȺ‫ـ‬ȯƵȲȺƵǐɐǞƪƣȌ‫ة‬Ǟȁ˜ɐƺȁƧǞƊƵɈƧ‫سفخ‬
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ǶɐƧǞȁƊƪȪƵȺƊɐƮǞɈǞɨƊȺ‫ـ‬ƧȌǿƊȁƮȌ‫ة‬ƧȌǿƵȁɈƋȲǞȌȺƵǿɈƵȲƧƵǞȲƊȯƵȺȺȌƊƵɈƧ‫سفخ‬
9
ǶɐƧǞȁƊƪȪƵȺȺȌǿƋɈǞƧƊȺ‫س‬
9
(ƶ˛ƧǞɈƮƊƧȲǠɈǞƧƊ‫س‬
9
ǏƵɈȌƵǿƦȌɈƊƮȌ‫س‬
9
ǿƦǞɨƊǶƺȁƧǞƊ‫س‬
9ǶȌȱɐƵǞȌȌɐǞȲȲƊƮǞƊƪƣȌƮȌȯƵȁȺƊǿƵȁɈȌ‫س‬
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yƵǐƊɈǞɨǞȺǿȌ‫س‬
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0ɮȯƵȲǞƺȁƧǞƊȺƮƵƧȌȁɈȲȌǶƵƵɮɈƵȲȁȌ‫ـ‬ȺȌȁȌȲǞɹƊƪƣȌƮȌȯƵȁȺƊǿƵȁɈȌ‫سف‬
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ǶɈƵȲƊƪȪƵȺȯȺǞƧȌǿȌɈȌȲƊȺ‫ـ‬ǘǞȯȌȌɐǘǞȯƵȲƊɈǞɨǞƮƊƮƵ‫خف‬

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Esquizofrenia simples:ǞȺȌǶƊǿƵȁɈȌȺȌƧǞƊǶ‫س‬ȺɐȯƵȲ˛ƧǞƊǶǞƮƊƮƵƮƊȺȲƵȺȯȌȺɈƊȺƵǿȌƧǞȌȁƊǞȺ‫س‬
ƮǞȺɈƊȁƧǞƊǿƵȁɈȌƊǏƵɈǞɨȌ‫س‬ȯƵȲƮƊƮƵǞȁɈƵȲƵȺȺƵƵǞȁǞƧǞƊɈǞɨƊ‫س‬
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Esquizofrenia catatônica: ȱɐƊƮȲȌƊȺȺȌƧǞƊƮȌƮƵȺǞȁɈȌǿƊȺȯȺǞƧȌǿȌɈȌȲƵȺ‫س‬
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Esquizofrenia hebefrênica: ǞǿȯȌȲɈƊȁɈƵ ƮƵȺƊǐȲƵǐƊƪƣȌ ƮȌ ȯƵȁȺƊǿƵȁɈȌ‫ س‬ƊǐǞɈƊƪƣȌ
ȯȺǞƧȌǿȌɈȌȲƊ‫س‬ȲǞȺȌȺǞǿȌɈǞɨƊƮȌȺ‫س‬ƊɐȺƺȁƧǞƊƮƵƧȲǠɈǞƧƊ‫س‬
9
Esquizofrenia paranoide:ƊǶɐƧǞȁƊƪȪƵȺ‫ة‬ƮƵǶǠȲǞȌȺȯƵȲȺƵƧɐɈȍȲǞȌȺ‫خ‬
9
9
9
9
ÀƵȺɈƵȺƮƵǐȲƊɨǞƮƵɹ‫س‬
9
ÀƵȺɈƵȯƊȲƊRXß‫ة‬ȺǠ˛ǶǞȺ‫ة‬ǘƵȯƊɈǞɈƵȺɨǞȲƊǞȺ‫س‬
9
!§j‫ـ‬ȁƊȺɐȺȯƵǞɈƊƮƵ²ǠȁƮȲȌǿƵyƵɐȲȌǶƶȯɈǞƧƊwƊǶǞǐȁƊ‫سف‬
9
0!J‫س‬
9
00J‫س‬
9
À!ƮƵƧȲƓȁǞȌ‫خ‬
Diagnóstico:
9
ɨƊǶǞƊƪƣȌƧǶǠȁǞƧƊ‫ب‬ƧȌǿƦǞȁƊƪƣȌƮƵǘǞȺɈȍȲǞƊ‫ة‬ȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺ‫س‬
9
§ȲƵȺƵȁƪƊ ƮƵ ׂ ȺǞȁɈȌǿƊȺ ƧƊȲƊƧɈƵȲǠȺɈǞƧȌȺ ‫ـ‬ƮƵǶǠȲǞȌȺ‫ ة‬ƊǶɐƧǞȁƊƪȪƵȺ‫ ة‬ǏƊǶƊ ƮƵȺȌȲǐƊȁǞɹƊƮƊ‫ة‬
ƧȌǿȯȌȲɈƊǿƵȁɈȌƮƵȺȌȲǐƊȁǞɹƊƮȌ‫ة‬ȺǞȁɈȌǿƊȺȁƵǐƊɈǞɨȌȺ‫ف‬ȯȌȲɐǿȯȌȲƪƣȌȺǞǐȁǞ˛ƧƊɈǞɨƊƮƵ
ɐǿȯƵȲǠȌƮȌƮƵ‫׆‬ǿƵȺƵȺ‫ـ‬ȌȺȺǞȁɈȌǿƊȺƮƵɨƵǿǞȁƧǶɐǞȲȯƵǶȌǿƵȁȌȺɐǿƮȌȺ‫׃‬ȯȲǞǿƵǞȲȌȺ‫سف‬
9
²ǞȁƊǞȺȯȲȌƮȲȏǿǞƧȌȺȌɐƊɈƵȁɐƊƮȌȺƮƊƵȁǏƵȲǿǞƮƊƮƵƧȌǿȯȲƵǯɐǠɹȌȺȺȌƧǞƊǞȺ‫ة‬ȌƧɐȯƊƧǞȌȁƊǞȺ
ȌɐƮƵƧɐǞƮƊƮȌȺȯƵȺȺȌƊǞȺƮƵɨƵǿ˛ƧƊȲƵɨǞƮƵȁɈƵȺȯȌȲȯƵȲǠȌƮȌƮƵ‫׆‬ǿƵȺƵȺ‫ة‬ǞȁƧǶɐǞȁƮȌׁ
ǿƺȺƮƵȺǞȁɈȌǿƊȺƊɈǞɨȌȺ‫خ‬
Tratamento:
9
9
9
9

PSICOSE
PUERPERAL
ȯȺǞƧȌȺƵ ȯɐƵȲȯƵȲƊǶ ƶ ɐǿ ɈȲƊȁȺɈȌȲȁȌ ǿƵȁɈƊǶ ǐȲƊɨƵ ƊȺȺȌƧǞƊƮȌ ƊȌ ȯɐƵȲȯƶȲǞȌ‫ ة‬ƵȁɨȌǶɨƵȁƮȌ
ȺǞȁɈȌǿƊȺ ƊǏƵɈǞɨȌȺ Ƶ ȯȺǞƧȍɈǞƧȌȺ‫ ة‬ɐȺɐƊǶǿƵȁɈƵ Ɉƺǿ ǞȁǠƧǞȌ ȁƊȺ ȯȲǞǿƵǞȲƊȺ ȺƵǿƊȁƊȺ ƊȯȍȺ Ȍ ȯƊȲɈȌ‫خ‬
0ȁȱɐƊȁɈȌ ȁƊ ƮƵȯȲƵȺȺƣȌ ȯȍȺٌȯƊȲɈȌ Ɗ ǿɐǶǘƵȲ ȯȌƮƵ ƊȯȲƵȺƵȁɈƊȲ ȺƵȁɈǞǿƵȁɈȌȺ ƮƵ ƧɐǶȯƊ‫ ة‬ɈȲǞȺɈƵɹƊ
ƵɮƧƵȺȺǞɨƊ‫ة‬ƮǞ˛ƧɐǶƮƊƮƵȺƵǿƵɮƵƧɐɈƊȲƊȺɈƊȲƵǏƊȺƮǞƋȲǞƊȺƵƵǿƧȲǞƊȲɨǠȁƧɐǶȌƧȌǿȌƦƵƦƺ‫ة‬ȁƊȯȺǞƧȌȺƵ
ȯɐƵȲȯƵȲƊǶƊǿɐǶǘƵȲȯȌƮƵƊȯȲƵȺƵȁɈƊȲȺƵȁɈǞǿƵȁɈȌȺƮǞȺɈȌȲƧǞƮȌȺƵǿȲƵǶƊƪƣȌƜȲƵƊǶǞƮƊƮƵƵƊȌƦƵƦƺ‫خ‬
1 ƧȌȁȺǞƮƵȲƊƮƊ ȲƊȲƊ‫ ة‬ƊǏƵɈƊȁƮȌ ƮƵ ‫ ڭׁة׀‬Ɗ ‫ ڭׂة׀‬ƮƊȺ ȯɐƶȲȯƵȲƊȺ‫ ة‬Ƶ ƶ ƧȌȁȺǞƮƵȲƊƮƊ ɐǿƊ ƵǿƵȲǐƺȁƧǞƊ
ǿƶƮǞƧƊ‫ة‬ȯȌǞȺǘƋȲǞȺƧȌȯƊȲƊȺɐǞƧǠƮǞȌƵǞȁǏƊȁɈǞƧǠƮǞȌƵǐƵȲƊǶǿƵȁɈƵȲƵȱɐƵȲǞȁɈƵȲȁƊƪƣȌǘȌȺȯǞɈƊǶƊȲȯƊȲƊ
ƧȌȁɈƵȁƪƣȌƮȌȺȺǞȁɈȌǿƊȺ‫خ‬
Causas:
ȯȍȺٌȯƊȲɈȌ ƶ Ȍ ȯƵȲǠȌƮȌ ƮƵ ǿƊǞȌȲ ɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵ ȯƊȲƊ Ɗ ǿɐǶǘƵȲ ȯƊȲƊ Ȍ ƊȯƊȲƵƧǞǿƵȁɈȌ

ƮƵ ɈȲƊȁȺɈȌȲȁȌȺ ȯȺǞȱɐǞƋɈȲǞƧȌȺ‫ خ‬ÇǿƊ ȯȌȺȺǠɨƵǶ ƧƊɐȺƊ ƶ Ɗ ȺƵȁȺǞƦǞǶǞƮƊƮƵ ƜȺ ƊǶɈƵȲƊƪȪƵȺ ƵȁƮȍƧȲǞȁƊȺ
Ƶ ǘƵȲƵƮǞɈƊȲǞƵƮƊƮƵ‫ خ‬0ȁɈȲƵ ȌȺ ǏƊɈȌȲƵȺ ƮƵ ȲǞȺƧȌ ȯƊȲƊ ȯȺǞƧȌȺƵ ȯɐƵȲȯƵȲƊǶ ƵȺɈƣȌ Ɗ ȯȲǞǿǞȯƊȲǞƮƊƮƵ‫ة‬
ƧȌǿȯǶǞƧƊƪȪƵȺȌƦȺɈƶɈȲǞƧƊȺ‫ة‬ɨǞȌǶƺȁƧǞƊȌƦȺɈƶɈȲǞƧƊ‫ة‬ƊȁɈƵƧƵƮƵȁɈƵȺȯƵȺȺȌƊǞȺȌɐǏƊǿǞǶǞƊȲƵȺƮƵɈȲƊȁȺɈȌȲȁȌȺ
ȯȺǞȱɐǞƋɈȲǞƧȌȺ ‫ـ‬ɈȲƊȁȺɈȌȲȁȌ ƊǏƵɈǞɨȌٌƦǞȯȌǶƊȲ‫ ة‬ƮƵȯȲƵȺȺƣȌ Ƶ ȌɐɈȲȌȺ ɈȲƊȁȺɈȌȲȁȌȺ ȯȺǞƧȍɈǞƧȌȺ‫ ةف‬ƧȌȁ˜ǞɈȌȺ
ƊɈɐƊǞȺƵǐƵȺɈƊƪƣȌȁƣȌƮƵȺƵǯƊƮƊ‫خ‬
Sinais e sintomas:
9
0ȺɈƊƮȌ ƧȌȁǏɐȺǞȌȁƊǶ ȯȌǶǞǿȍȲ˛ƧȌ ƧȌǿ ǞȁǠƧǞȌ ƊƦȲɐȯɈȌ‫ ة‬ȁƊ ƊɐȺƺȁƧǞƊ ƮƵ ȺǠȁƮȲȌǿƵ
ǞȁǏƵƧƧǞȌȺƊ‫س‬
9
ȺȱɐƵǞɮƊȺǞȁǞƧǞƊǞȺǿƊǞȺƧȌǿɐȁȺƵȁɨȌǶɨƵǿɐǿƊǞȁƧƊȯƊƧǞƮƊƮƵƮƵǿȌɨƵȲٌȺƵ‫˛ة‬ƧƊȲƵǿ
ȯƶȌɐƧƊǿǞȁǘƊȲ‫س‬
9
ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌȯȺǞƧȍɈǞƧȌƶƊǐɐƮȌƵȲƋȯǞƮȌ‫س‬
9
!ȌǿǏȲƵȱɐƺȁƧǞƊ‫ة‬ȌƮƵǶǠȲǞȌȁƵǐƊȌȁƊȺƧǞǿƵȁɈȌƵƊ˛ǶǞƊƪƣȌ‫خ‬yɐǿƵɮɈȲƵǿȌ‫ة‬ȯȌƮƵȌƧȌȲȲƵȲ
ȌƊȺȺƊȺȺǞȁƊɈȌǞǿȯɐǶȺǞɨȌ‫س‬
9
IƊƮǞǐƊ‫س‬
9
XȁȱɐǞƵɈƊƪƣȌ‫س‬
9
ǐǞɈƊƪƣȌ‫س‬
9
0ɮƧǞɈƊƪƣȌ‫س‬
9
0ȯǞȺȍƮǞȌȺƮƵƧǘȌȲȌ‫س‬
9
XȁȺɈƊƦǞǶǞƮƊƮƵƵǿȌƧǞȌȁƊǶ‫س‬
9
(ƵȺƧȌȁ˛ƊȁƪƊȺ‫س‬
9
!ȌȁǏɐȺȪƵȺ‫س‬
9
XȁƧȌƵȲƺȁƧǞƊ‫ ة‬Ɗ˛ȲǿƊƪȪƵȺ ǞȲȲƊƧǞȌȁƊǞȺ Ƶ ȯȲƵȌƧɐȯƊƪȪƵȺ ȌƦȺƵȺȺǞɨƊȺ ƊƧƵȲƧƊ ƮƊ ȺƊɑƮƵ Ƶ
ƦƵǿٌƵȺɈƊȲ ƮȌ ƦƵƦƺ‫ ة‬ȺƵȁɈǞǿƵȁɈȌ ƮƵ ȱɐƵ ȁƣȌ Ȍ ƊǿƊ Ƶ‫ ة‬Ƶǿ ƊǶǐɐȁȺ ƧƊȺȌȺ ǿƊǞȺ ȲƊȲȌȺ‫ة‬
ƮƵȺƵǯȌƮƵǏƵȲǞٌǶȌȌɐƮƵǏƵȲǞȲƊȺǞǿƵȺǿƊȌɐƊƊǿƦȌȺ‫س‬

9
§ȌƮƵȺƵƊȺȺȌƧǞƊȲȌɐƵɨȌǶɐǞȲȯȌȲǏƊȺƵȺƧȌǿƊȺȯƵƧɈȌȺƧƊɈƊɈȏȁǞƧȌȺ‫ة‬ƊȁȺǞȌȺȌȺ‫ة‬ƮƵȯȲƵȺȺǞɨȌȺ
ȌɐǿƊȁǠƊƧȌȺ‫س‬
9
1ǞǿȯȌȲɈƊȁɈƵǞȁɨƵȺɈǞǐƊȲƊȯȲƵȺƵȁƪƊƮƵƧȌǿȯȌȲɈƊǿƵȁɈȌȁƵǐǶǞǐƵȁɈƵȁȌȺƧɐǞƮƊƮȌȲƵȺ
ƧȌǿ Ȍ ƦƵƦƺ Ƶ Ɗ ȯȲƵȺƵȁƪƊ ƮƵ ǞƮƵǞƊȺ ȺɐǞƧǞƮƊȺ Ȍɐ ǞȁǏƊȁɈǞƧǞƮƊȺ‫ خ‬ǞȁǏƊȁɈǞƧǠƮǞȌ
ǐƵȲƊǶǿƵȁɈƵ ȌƧȌȲȲƵ ȱɐƊȁƮȌ ƊȺ ǞƮƵǞƊȺ ƮƵǶǞȲƊȁɈƵȺ ƵȁɨȌǶɨƵǿ Ȍ ƦƵƦƺ ‫ـ‬ȯȌȲ ƵɮƵǿȯǶȌ‫ب‬
ȱɐƵȌƦƵƦƺƵȺɈƋƮƵǏƵǞɈɐȌȺȌȌɐǿȌȲȲƵȁƮȌ‫ة‬ȱɐƵƵǶƵɈƵǿȯȌƮƵȲƵȺƵȺȯƵƧǞƊǞȺ‫ة‬ȌɐȱɐƵ
ƶɐǿ(ƵɐȺȌɐɐǿƮƵǿȏȁǞȌ‫خف‬
9
9
9
9
00J‫س‬
9
0!J‫خ‬
Diagnóstico:
9
ɨƊǶǞƊƪƣȌƧǶǠȁǞƧƊ‫ب‬ƧȌǿƦǞȁƊƪƣȌƮƵ
ǘǞȺɈȍȲǞƊ‫ة‬ȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺ‫خ‬
Tratamento
9
9
9
9
9
IȌȲɈƊǶƵƧǞǿƵȁɈȌƮƊȲƵƮƵƮƵ
ƊȯȌǞȌ‫ـ‬ǏƊǿǞǶǞƊȲ‫ة‬ƊǿǞɹƊƮƵȺƵ
ƧȌǿɐȁǞɈƋȲǞƊ‫خف‬

DEMÊNCIA
Descrição: 1 ƮƵ˛ȁǞƮƊ ƧȌǿȌ ɐǿƊ ȺǠȁƮȲȌǿƵ ƧȌȁȺƵȱɐƵȁɈƵ Ɗ ɐǿƊ ƮȌƵȁƪƊ ƧƵȲƵƦȲƊǶ‫ة‬
ɐȺɐƊǶǿƵȁɈƵ ƮƵ ȁƊɈɐȲƵɹƊ ƧȲȏȁǞƧƊ Ȍɐ ȯȲȌǐȲƵȺȺǞɨƊ‫ ة‬Ƶǿ ȱɐƵ ǘƋ ƧȌǿȯȲȌǿƵɈǞǿƵȁɈȌ ƮƵ ȁɐǿƵȲȌȺƊȺ
ǏɐȁƪȪƵȺƧȌȲɈǞƧƊǞȺȺɐȯƵȲǞȌȲƵȺ‫ة‬ɈƊǞȺƧȌǿȌƊǿƵǿȍȲǞƊ‫ة‬ȌȯƵȁȺƊǿƵȁɈȌ‫ة‬ƊȌȲǞƵȁɈƊƪƣȌ‫ة‬ƊƧȌǿȯȲƵƵȁȺƣȌ‫ة‬
Ȍ ƧƋǶƧɐǶȌ‫ ة‬Ɗ ƧƊȯƊƧǞƮƊƮƵ ƮƵ ƊȯȲƵȁƮǞɹƊǐƵǿ‫ ة‬Ɗ ǶǞȁǐɐƊǐƵǿ Ƶ Ȍ ǯɐǶǐƊǿƵȁɈȌ‫ خ‬ȺǠȁƮȲȌǿƵ ȁƣȌ ƵȺɈƋ
ƊȺȺȌƧǞƊƮƊ Ɯ ȌƦȁɐƦǞǶƊƪƣȌ ƮƊ ƧȌȁȺƧǞƺȁƧǞƊ‫ خ‬ƧȌǿȯȲȌǿƵɈǞǿƵȁɈȌ ƮƊȺ ǏɐȁƪȪƵȺ ƧȌǐȁǞɈǞɨƊȺ ȺƵ
ƊƧȌǿȯƊȁǘƊǘƊƦǞɈɐƊǶǿƵȁɈƵƵƶȯȌȲɨƵɹƵȺȯȲƵƧƵƮǞƮȌȯȌȲɐǿƊƮƵɈƵȲǞȌȲƊƪƣȌƮȌƧȌȁɈȲȌǶƵƵǿȌƧǞȌȁƊǶ‫ة‬
ƮȌƧȌǿȯȌȲɈƊǿƵȁɈȌȺȌƧǞƊǶƵƮƊǿȌɈǞɨƊƪƣȌ‫ـ‬ƮƵƊƧȌȲƮȌƧȌǿƊ!X(ׁٌ‫ة׀‬ƮƊw²‫خف‬
Causas:
²ƣȌȯȌȺȺǠɨƵǞȺƧƊɐȺƊȺɈȲƊɈƋɨƵǞȺ‫ب‬Ʈƶ˛ƧǞɈɨǞɈƊǿǠȁǞƧȌ‫ةׁׂ ةׁ ـ‬ƋƧǞƮȌǏȍǶǞƧȌ‫ةف‬ǞȁǏƵƧƪȪƵȺ‫ـ‬ƵȁƧƵǏƊǶǞɈƵȺ‫ة‬

ȁƵɐȲȌȺǠ˛ǶǞȺ‫ةف‬ǞȁɈȌɮǞƧƊƪƣȌ‫خ‬ɐɈȲƊȺƧƊɐȺƊȺȺƣȌƊ(ȌƵȁƪƊƮƵǶɹǘƵǞǿƵȲ‫(ة‬ƵǿƺȁƧǞƊßƊȺƧɐǶƊȲ‫(ة‬ȌƵȁƪƊ
ȯȌȲƧȌȲȯȌȺƮƵmƵɩǞ‫ة‬RǞƮȲȌƧƵǏƊǶǞƊƮƵ§ȲƵȺȺƣȌȁȌȲǿƊǶ‫خ‬
Sinais e sintomas:
9
ªƵƮɐƪƣȌ ƊƮȱɐǞȲǞƮƊ‫ ة‬ȯȲȌǐȲƵȺȺǞɨƊ Ƶ ǞȲȲƵɨƵȲȺǠɨƵǶ ƮȌȺ ȁǠɨƵǞȺ ȯȲƵɨǞƊǿƵȁɈƵ ƊɈǞȁǐǞƮȌȺ ƮƵ
ƧȌǐȁǞƪƣȌ‫ة‬ǿƵǿȍȲǞƊƵǏɐȁƧǞȌȁƊǿƵȁɈȌƵǿȌƧǞȌȁƊǶ‫ة‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵƧƊȲƊƧɈƵȲǞɹƊƮȌȺȯȌȲ
ƊǶɈƵȲƊƪƣȌƮȌƧȌǿȯȌȲɈƊǿƵȁɈȌ‫ة‬ƵǿȯȌƦȲƵƧǞǿƵȁɈȌƮȌȯƵȁȺƊǿƵȁɈȌƵƮȌƮǞȺƧɐȲȺȌ‫س‬
9
§ǞȌȲƊƮȌǘɐǿȌȲ‫س‬
9
§ǞȌȲƊƮƊǿƵǿȍȲǞƊ‫س‬
ǶɈƵȲƊƪƣȌƮȌƧȌǿȯȌȲɈƊǿƵȁɈȌ‫ى‬ȯȌƮƵ˛ƧƊȲǿƊǞȺƊǐǞɈƊƮȌ‫ة‬ƊǐȲƵȺȺǞɨȌ‫ة‬ǘǞȯƵȲȺƵɮɐƊǶǞɹƊƮȌ.
9
9
0ɮƊǿƵȺǶƊƦȌȲƊɈȌȲǞƊǞȺƵȺȯƵƧǠ˛ƧȌȺȯƊȲƊȌȺȯȌȺȺǠɨƵǞȺƊǐƵȁɈƵȺƵɈǞȌǶȍǐǞƧȌȺ‫س‬
9
ªƵƊƪȪƵȺȺȌȲȌǶȍǐǞƧƊȺ‫س‬
9
IɐȁƪƣȌƵȁƮȍƧȲǞȁƊ‫س‬
9
IɐȁƪƣȌǿƵɈƊƦȍǶǞƧƊ‫س‬
9
0!J‫س‬
9
m!ª‫س‬
À!ƮƵƧȲƓȁǞȌ.
9
Diagnóstico:
9
ɨƊǶǞƊƪƣȌƧǶǠȁǞƧƊ‫ب‬ƧȌǿƦǞȁƊƪƣȌƮƵǘǞȺɈȍȲǞƊ‫ة‬ȺǞȁƊǞȺƵȺǞȁɈȌǿƊȺ‫س‬
Tratamento:
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9
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9

TRANSTORNOS
ASSOCIADOS AO USO
DE ÁLCOOL E OUTRAS
DROGAS
!ƊȲƊƧɈƵȲǞɹƊǿȌƊƦɐȺȌƵƊƮƵȯƵȁƮƺȁƧǞƊƮƵȺɐƦȺɈƓȁƧǞƊȺȯȺǞƧȌƊɈǞɨƊȺ
ȱɐƵ‫ ة‬ȱɐƊȁƮȌ ɐɈǞǶǞɹƊƮƊȺ‫ ة‬ƊǶɈƵȲƊǿ Ȍ ǏɐȁƧǞȌȁƊǿƵȁɈȌ ƧƵȲƵƦȲƊǶ ƧƊɐȺƊȁƮȌ
ǿȌƮǞ˛ƧƊƪȪƵȺȁȌƵȺɈƊƮȌǿƵȁɈƊǶƵȯȺǠȱɐǞƧȌǿƵȺǿȌƮɐȲƊȁɈƵȌȺȱɐƊƮȲȌȺ
ƮƵƊƦȺɈǞȁƺȁƧǞƊ‫ة‬ƵȺɈƊȁƮȌȲƵǶƊƧǞȌȁƊƮȌƊǏƊɈȌȲƵȺƮƵȲǞȺƧȌȺȌƧǞƊǶ‫ة‬ƦǞȌǶȍǐǞƧȌȺ
ƵȯȺǞƧȌǶȍǐǞƧȌȺȱɐƵƊɐǿƵȁɈƊǿƊɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵƮȌȺǞȁƮǞɨǠƮɐȌȺ‫خ‬0ȁɈȲƵ
ƵǶƵȺ ȯȌƮƵǿȌȺ ƧǞɈƊȲ ȌȺ ƮƵȯȲƵȺȺȌȲƵȺ ƮȌ ȺǞȺɈƵǿƊ ȁƵȲɨȌȺȌ ƧƵȁɈȲƊǶ ‫ـ‬²y!‫بف‬
ƋǶƧȌȌǶ‫ ة‬ƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ‫ ة‬ȌȯǞƋƧƵȌȺ Ƶ ǞȁƊǶƊȁɈƵȺ‫ س‬ȯȺǞƧȌƵȺɈǞǿɐǶƊȁɈƵȺ‫ب‬
ƊȁǏƵɈƊǿǞȁƊȺƵƧȌƧƊǠȁƊ‫ش‬ƧȲƊƧǲ‫س‬ȁǞƧȌɈǞȁƊƵƊǶɐƧǞȁȍǐƵȁȌȺ‫ب‬ǿƊƧȌȁǘƊ‫ة‬m²(‫ة‬
ƺɮɈƊȺƵ‫خ‬
(ƵɨƵǿȌȺ ƧȌȁȺǞƮƵȲƊȲ Ɗ ǞƮƵȁɈǞ˛ƧƊƪƣȌ ƮȌ ȯƊƮȲƣȌ ƮƵ ƧȌȁȺɐǿȌ

ƮƊ ƦƵƦǞƮƊ ƊǶƧȌȍǶǞƧƊ Ƶ ȌɐɈȲƊȺ ƮȲȌǐƊȺ‫ ة‬Ɗ ƮƵɈƵƧƪƣȌ ȯȲƵƧȌƧƵ ƮƵ ȲǞȺƧȌȺ Ƶ
ȌȺ ȯȲȌƦǶƵǿƊȺ ȲƵǶƊƧǞȌȁƊƮȌȺ‫ ة‬ƮƵǿȌȁȺɈȲƊȲ ƊȺ ƧȌȁȺƵȱɐƺȁƧǞƊȺ ƧǶǠȁǞƧƊȺ‫ة‬
ȯȺǞƧȌǶȍǐǞƧƊȺ Ƶ ȺȌƧǞƊǞȺ ƊȺȺȌƧǞƊƮƊȺ‫ خ‬0ǿ ɨǞȲɈɐƮƵ ƮƊ ƊƧƵǞɈƊƪƣȌ ȺȌƧǞƊǶ ƮƵ
ƊǶǐɐǿƊȺ ȺɐƦȺɈƓȁƧǞƊȺ ɐɈǞǶǞɹƊƮƊȺ ȯƵǶƊ ȯȌȯɐǶƊƪƣȌ‫ ة‬ǏƊɹٌȺƵ ȁƵƧƵȺȺƋȲǞƊ Ɗ
ƦɐȺƧƊƊɈǞɨƊƮƵȺȺƵɐȺȌ‫خ‬²ɐǐƵȲǞǿȌȺȱɐƵȺɈǞȌȁƊȲɈȌƮȌȺȌȺȯƊƧǞƵȁɈƵȺȺȌƦȲƵ
Ȍ ɐȺȌ ƮƵ ƦƵƦǞƮƊ ƊǶƧȌȍǶǞƧƊ‫ ة‬ƧǞǐƊȲȲȌ Ƶ ȯƵȲǐɐȁɈƊȲ ƮǞȲƵɈƊǿƵȁɈƵ ȺȌƦȲƵ Ɗ
ƵɮȯƵȲǞǿƵȁɈƊƪƣȌƮƵȌɐɈȲƊȺɐƦȺɈƓȁƧǞƊ‫ة‬ƧȌǿȌǏȌȲǿƊƮƵƊƦȌȲƮƊȲȌȯƊƮȲƣȌ
ƮƵ ƧȌȁȺɐǿȌ ƮƵ ǿƊȁƵǞȲƊ ǿƊǞȺ ȁƊɈɐȲƊǶ Ƶ ȺƵǿ ǯɐǶǐƊǿƵȁɈȌ‫! خ‬Ȍǿ ǿɐǞɈƊ
ǏȲƵȱɐƺȁƧǞƊȌɐȺȌƮƵȺɐƦȺɈƓȁƧǞƊȺȯȌƮƵƮƵȺƵȁƧƊƮƵƊȲƊƮȌƵƧǞǿƵȁɈȌ‫ة‬ƊȺȺǞǿ
ƧȌǿȌƊǐȲƊɨƊȲȺɐƊȺǿƊȁǞǏƵȺɈƊƪȪƵȺǏǠȺǞƧƊȺƵǿƵȁɈƊǞȺ‫§خ‬ȌȲɈƊȁɈȌ‫ة‬ȯƵȲǐɐȁɈƵ
Ƶ ȺɐǐǞȲƊ Ɗ ǞȁɈƵȲȲɐȯƪƣȌ ƮȌ ɐȺȌ ǿȌȺɈȲƊȁƮȌ ƊȺ ɨƊȁɈƊǐƵȁȺ ƮƵ ɐǿƊ ɨǞƮƊ
ȺƵǿɨǠƧǞȌȺ‫خ‬

SÍNDROME DE
DEPENDÊNCIA DO
ÁLCOOL
Descrição: w² ƵȺɈƊƦƵǶƵƧƵɐ ȌȺ ƵǶƵǿƵȁɈȌȺ ȯƊȲƊ Ɗ ƧƊȲƊƧɈƵȲǞɹƊƪƣȌ ƮƵȺɈƵ ɈȲƊȁȺɈȌȲȁȌ‫ ة‬Ɗ
ȺƊƦƵȲ‫ب‬
9
0ȺɈȲƵǞɈƊǿƵȁɈȌ ƮȌ ȲƵȯƵȲɈȍȲǞȌ‫ ب‬ȁȌ ƧȌǿƵƪȌ‫ ة‬ǘƋ ɨƊȲǞƊƦǞǶǞƮƊƮƵ ȱɐƊȁɈȌ ƊȌȺ ǘȌȲƋȲǞȌȺ‫ة‬
ȱɐƊȁɈǞƮƊƮƵȺ Ƶ ɈǞȯȌȺ ƮƵ ƦƵƦǞƮƊȺ‫ س‬ȁƊ ǿƵƮǞƮƊ Ƶǿ ȱɐƵ Ȍ ɐȺɐƋȲǞȌ ȺƵ ɈȌȲȁƊ ǿƊǞȺ
ƮƵȯƵȁƮƵȁɈƵ‫ ة‬Ȍ ƧȌȁȺɐǿȌ ȯƊȺȺƊ Ɗ ȺƵȲ ƮǞƋȲǞȌ Ƶ Ƶǿ ȱɐƊȁɈǞƮƊƮƵȺ ƧȲƵȺƧƵȁɈƵȺ‫ ة‬ȁƣȌ ȺƵ
ǞǿȯȌȲɈƊȁƮȌƧȌǿƊǞȁƊƮƵȱɐƊƪƣȌƮƊȺȺǞɈɐƊƪȪƵȺ‫س‬
9
²ƊǶǞƺȁƧǞƊ ƮȌ ƧȌǿȯȌȲɈƊǿƵȁɈȌ ƮƵ ƦɐȺƧƊ ƮȌ ƋǶƧȌȌǶ‫ ب‬ǘƋ ȯȲǞȌȲǞɹƊƪƣȌ ƮȌ ƊɈȌ ƮƵ ƦƵƦƵȲ‫ة‬
ǞȁƧǶɐȺǞɨƵƵǿȺǞɈɐƊƪȪƵȺƧȌǿȌǶȌƧƊǶƮƵɈȲƊƦƊǶǘȌ‫ة‬ȁƊƮǞȲƵƪƣȌƮƵɨƵǠƧɐǶȌȺƵɈƧ‫سخ‬
9
ɐǿƵȁɈȌƮƊɈȌǶƵȲƓȁƧǞƊƊȌƋǶƧȌȌǶ‫ب‬ȁƵƧƵȺȺǞƮƊƮƵƮƵƮȌȺƵȺƧȲƵȺƧƵȁɈƵȺƮƵƋǶƧȌȌǶȯƊȲƊȺƵ
ȌƦɈƵȲȌǿƵȺǿȌƵǏƵǞɈȌȱɐƵƵȲƊƧȌȁȺƵǐɐǞƮȌƧȌǿƮȌȺƵȺǿƵȁȌȲƵȺ‫س‬
9
²ǞȁɈȌǿƊȺȲƵȯƵɈǞƮȌȺƮƵƊƦȺɈǞȁƺȁƧǞƊ‫ب‬ȌȺȺǞȁɈȌǿƊȺƮƵɈȲƵǿȌȲǞȁɈƵȁȺȌƵƮƵƊǶɐƧǞȁƊƪȪƵȺ
ȌƧȌȲȲƵǿȁƊȺǏƊȺƵȺǿƊǞȺȺƵɨƵȲƊȺƮƊƮƵȯƵȁƮƺȁƧǞƊ‫س‬ȁȌǞȁǠƧǞȌƮƊȺǠȁƮȲȌǿƵ‫ة‬ȌȺȺǞȁɈȌǿƊȺ
ȺƣȌ ǶƵɨƵȺ Ƶ ȁƣȌ ƧƊɐȺƊǿ ǿƊǞȌȲ ǞȁƧƊȯƊƧǞɈƊƪƣȌ‫ خ‬²ƣȌ ǞƮƵȁɈǞ˛ƧƊƮȌȺ ɈȲƺȺ ǐȲɐȯȌȺ ƮƵ
ȺǞȁɈȌǿƊȺ‫ب‬
9
IǠȺǞƧȌȺ‫ب‬ɈȲƵǿȌȲƵȺ‫ة‬ȁƋɐȺƵƊȺƵɨȏǿǞɈȌȺ‫ة‬ȺɐƮȌȲƵȺƵ‫ة‬ƧƵǏƊǶƵǞƊ‫ة‬ƧƓǞǿƦȲƊȺ‫ة‬ɈȌȁɈɐȲƊȺ‫س‬
9
ǏƵɈǞɨȌȺ‫ب‬ǞȲȲǞɈƊƦǞǶǞƮƊƮƵ‫ة‬ǏȲƊȱɐƵɹƊ‫ة‬ƊȁȺǞƵƮƊƮƵ‫ة‬ƮƵȯȲƵȺȺƣȌ‫ة‬ǞȁȱɐǞƵɈɐƮƵ‫س‬
9
²ƵȁȺȌȯƵȲƧƵȯɈǞɨȌȺ‫ب‬ȯƵȺƊƮƵǶȌȺ‫ة‬ƮƵǶǠȲǞȌȺ‫ة‬ƊǶɐƧǞȁƊƪȪƵȺɨǞȺɐƊǞȺ‫ة‬ƊɐƮǞɈǞɨƊȺ‫س‬
9
²ƵȁȺƊƪƣȌȺɐƦǯƵɈǞɨƊƮƊȁƵƧƵȺȺǞƮƊƮƵƮƵƦƵƦƵȲ‫ب‬ǘƋȯȲƵȺȺƣȌȯȺǞƧȌǶȍǐǞƧƊȯƊȲƊƦƵƦƵȲ‫ة‬ȁƊ
ƦɐȺƧƊƮƵƊǶǠɨǞȌƮȌȺȺǞȁɈȌǿƊȺƮƵƊƦȺɈǞȁƺȁƧǞƊ‫س‬
9
ǶǠɨǞȌȌɐƵɨǞɈƊƪƣȌƮȌȺȺǞȁɈȌǿƊȺƮƵƊƦȺɈǞȁƺȁƧǞƊȯƵǶȌƦƵƦƵȲ‫ب‬ƊƮǿǞȺȺƣȌȯƵǶȌɐȺɐƋȲǞȌƮƵ
ȱɐƵȌƊɈȌƮƵƦƵƦƵȲȯƵǶƊǿƊȁǘƣȌǏƊɹȺƵȁɈǞȲٌȺƵǿƵǶǘȌȲ‫ى‬ȺǞȁɈȌǿƊǿɐǞɈȌȯȲƵȺƵȁɈƵȁƊȺ
ǏƊȺƵȺǿƊǞȺǐȲƊɨƵȺƮƊƮƵȯƵȁƮƺȁƧǞƊ‫س‬
9
ªƵǞȁȺɈƊǶƊƪƣȌƊȯȍȺƊƦȺɈǞȁƺȁƧǞƊ‫ب‬ƊȯȍȺǶȌȁǐȌȯƵȲǠȌƮȌƮƵƊƦȺɈǞȁƺȁƧǞƊ‫ة‬ƊȺȺǞǿȱɐƵȌƊɈȌ
ƮƵƦƵƦƵȲƶȲƵɈȌǿƊƮȌ‫ة‬ȲƵƊȺȺɐǿƵٌȺƵȌǿƵȺǿȌȯƊƮȲƣȌƊȁɈƵȲǞȌȲƮƵƮƵȯƵȁƮƺȁƧǞƊ‫خ‬
Tratamento:
9
9
9
9

SÍNDROME DE
ABSTINÊNCIA AO
ÁLCOOL (SAA)
Descrição: ÀȲƊɈƊٌȺƵ ƮƵ ƧȌȁƮǞƪƣȌ ƊȺȺȌƧǞƊƮƊ Ɯ ȲƵƮɐƪƣȌ Ȍɐ ȺɐȺȯƵȁȺƣȌ ƮȌ ƊɈȌ ƮƵ ƦƵƦƵȲ
ȁƊȱɐƵǶƊȺ ȯƵȺȺȌƊȺ Ƶǿ ȱɐƵ Ɗ ǞȁǐƵȺɈƣȌ ƮƵ ƋǶƧȌȌǶ ƵȲƊ ƵɮƧƵȺȺǞɨƊ‫ خ‬1 Ǟȁ˜ɐƵȁƧǞƊƮƊ ȯȌȲ ɐǿƊ ȺƶȲǞƵ ƮƵ
ǏƊɈȌȲƵȺ‫ة‬ƧȌǿȌɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵǐƵȁƶɈǞƧƊ‫ة‬ǐƺȁƵȲȌƵȯƊƮȲƣȌƮƵƧȌȁȺɐǿȌ‫ة‬ƧƊȲƊƧɈƵȲǠȺɈǞƧƊȺƦǞȌǶȍǐǞƧƊȺ
ǞȁƮǞɨǞƮɐƊǞȺ Ƶ ǏƊɈȌȲƵȺ ȺȌƧǞȌƧɐǶɈɐȲƊǞȺ‫ ة‬ƵȁɈȲƵ ȌɐɈȲȌȺ‫ خ‬Ⱥ ƧȌǿȯǶǞƧƊƪȪƵȺ ǿƊǞȺ ǐȲƊɨƵȺ ȺƣȌ ƧȌȁɨɐǶȺȪƵȺ‫ة‬
ƊǶɐƧǞȁȌȺƵƊǶƧȌȍǶǞƧƊƵƮƵǶǞȲǞɐǿɈȲƵǿƵȁȺ‫خ‬
Sinais e sintomas:
9
Nível I: ÀȲƊɈƊٌȺƵƮƊ²ǶƵɨƵƵǿȌƮƵȲƊƮƊ‫خ‬0ǶƊƊȯƊȲƵƧƵȁƊȺȯȲǞǿƵǞȲƊȺׂׄǘȌȲƊȺƊȯȍȺ
Ɗ ɑǶɈǞǿƊ ƮȌȺƵ‫ خ‬XȁȺɈƊǶƊٌȺƵ Ƶǿ ‫ ڭ׀׉‬ƮȌȺ ɐȺɐƋȲǞȌȺ Ƶ ƧɐȲȺƊ ƧȌǿ ƊǐǞɈƊƪƣȌ‫ ة‬ƊȁȺǞƵƮƊƮƵ‫ة‬
ɈȲƵǿȌȲƵȺ˛ȁȌȺƮƵƵɮɈȲƵǿǞƮƊƮƵȺ‫ة‬ƊǶɈƵȲƊƪƣȌƮȌȺȌȁȌ‫ة‬ƮƊȺƵȁȺȌȯƵȲƧƵȯƪƣȌ‫ة‬ƮȌǘɐǿȌȲ‫ة‬ƮȌ
ȲƵǶƊƧǞȌȁƊǿƵȁɈȌǞȁɈƵȲȯƵȺȺȌƊǶ‫ة‬ƮȌƊȯƵɈǞɈƵ‫ة‬ȺɐƮȌȲƵȺƵƵǿȺɐȲɈȌȺ‫ة‬ƊɐǿƵȁɈȌƮƊǏȲƵȱɐƺȁƧǞƊ
ƧƊȲƮǠƊƧƊ‫ة‬ȯɐǶȺȌ‫ة‬ɈƵǿȯƵȲƊɈɐȲƊƵȯȲƵȺȺƣȌƊȲɈƵȲǞƊǶ‫خ‬ǶɐƧǞȁƊƪȪƵȺȺƣȌȲƊȲƊȺ‫خ‬
9
Nível II:1Ɗ²ǐȲƊɨƵ‫!خ‬ƵȲƧƊƮƵ‫ڭׅ‬ƮȌȺɐȺɐƋȲǞȌȺƵɨȌǶɐƵǿƮȌȁǠɨƵǶXȯƊȲƊȌXX‫خ‬XȺȺȌȺƵ
ƮƋƧƵȲƧƊƮƵׄ‫׈‬ǘȌȲƊȺƮƵȯȌǞȺƮƊɑǶɈǞǿƊƮȌȺƵƮƵƋǶƧȌȌǶǞȁǐƵȲǞƮƊ‫خ‬ȺȺǞȁƊǞȺƊɐɈȌȁȏǿǞƧȌȺ
ȺƣȌ ǿƊǞȺ ǞȁɈƵȁȺȌȺ‫ ة‬ȌȺ ɈȲƵǿȌȲƵȺ ǐƵȁƵȲƊǶǞɹƊƮȌȺ‫ ة‬ƊȯȲƵȺƵȁɈƊǿ ƊǶɐƧǞȁƊƪȪƵȺ ƊɐƮǞɈǞɨƊȺ Ƶ
ɨǞȺɐƊǞȺ Ƶ ƮƵȺȌȲǞƵȁɈƊƪƣȌ ɈƺǿȯȌȲȌٌƵȺȯƊƧǞƊǶ‫ خ‬0ǿ ɐǿ ƵȺɈƋǐǞȌ ƊǞȁƮƊ ǿƊǞȺ ǐȲƊɨƵ‫ ة‬ƧƵȲƧƊ
ƮƵ‫ڭ׃‬ƮȌȺɐȺɐƋȲǞȌȺƮȌȁǠɨƵǶXXƧǘƵǐƊǿƊȌƮƵǶǞȲǞɐǿɈȲƵǿƵȁȺƊȯȍȺ‫ׇׂ‬ǘȌȲƊȺƮƊɑǶɈǞǿƊ
ƮȌȺƵ‫خ‬ƮƵǶǞȲǞɐǿɈȲƵǿƵȁȺȯǞȌȲƊƊȌƵȁɈƊȲƮƵƧƵȲ‫خ‬RƋȲǞȺƧȌȺƧȌǿȺƵȱɐƵǶƊȺƵǿȌȲɈƵƵȁɈȲƵ
ƊȱɐƵǶƵȺ ȱɐƵ ȁƣȌ ȲƵƧƵƦƵǿ ɈȲƊɈƊǿƵȁɈȌ‫§ خ‬ȌȲ ɨȌǶɈƊ ƮƵ ׁ‫ ڭ׀‬Ɗ ׁ‫ ڭׅ‬ƮƵȺȺƵȺ ƊȯȲƵȺƵȁɈƊǿ
ƧȌȁɨɐǶȺȪƵȺƮȌɈǞȯȌǐȲƊȁƮƵǿƊǶ‫خ‬0ȺɈƊȯȺǞƧȌȺƵȌȲǐƓȁǞƧƊƶȲƵɨƵȲȺǠɨƵǶ‫ة‬ƮɐȲƊƮƵׂƊׁ‫׀‬ƮǞƊȺ‫ة‬
ƧɐȲȺƊ ƧȌǿ ƮƵȺȯƵȲȺȌȁƊǶǞɹƊƪƣȌ‫ ة‬ƊǶɐƧǞȁƊƪȪƵȺ ɨǞȺɐƊǞȺ‫ ة‬ǘɐǿȌȲ ǞȁɈƵȁȺƊǿƵȁɈƵ ƮǞȺǏȍȲǞƧȌ‫ة‬
ƊǶɈƵȲȁƊȁƮȌ ƮƊ ƊȯƊɈǞƊ ƊɈƶ Ɗ ƊǐȲƵȺȺǞɨǞƮƊƮƵ‫( خ‬ƵɨƵٌȺƵ ǏƊɹƵȲ ƮǞƊǐȁȍȺɈǞƧȌ ƮǞǏƵȲƵȁƧǞƊǶ
ƧȌǿ ɈȲƊɐǿƊɈǞȺǿȌ ƧȲƊȁǞƊȁȌ‫ ة‬ß!‫ ة‬ǞȁǏƵƧƪȪƵȺ ȁƵɐȲȌǶȍǐǞƧƊȺ‫ ة‬ƮȌƵȁƪƊȺ ƵȯǞǶƵȯɈǞǏȌȲǿƵȺ‫ة‬
ȯȁƵɐǿȌȁǞƊƵǞȁǏƵƧƪƣȌƮȌɈȲƊɈȌɐȲǞȁƋȲǞȌƵǿǞƮȌȺȌȺ‫خ‬
9
RƵǿȌǐȲƊǿƊ‫ـ‬ß!w‫سف‬
9
9
!ȌǶƵȺɈƵȲȌǶ‫س‬
9
JǶǞƧȌȺƵ‫س‬
9
0ǶƵɈȲȍǶǞɈȌȺ‫ـ‬ǿƊǐȁƶȺǞȌƧȌȺɈɐǿƊƵȺɈƊȲƦƊǞɮȌ‫سف‬
9
(ȌȺƊǐƵǿƮƵßǞɈƊǿǞȁƊ ׁׂ‫س‬
0ɮƊǿƵȺƮƵǞǿƊǐƵm.
9

Diagnóstico:
9
ȁƊǿȁƵȺƵ‫ب‬ǘǞȺɈȍȲǞƊȺȌƦȲƵȌɐȺȌƮȌƋǶƧȌȌǶ‫س‬
9
©ɐƊƮȲȌƧǶǠȁǞƧȌǞȁȺɈƊǶƊٌȺƵ‫׆‬ǘȌȲƊȺƊȯȍȺƊƮǞǿǞȁɐǞƪƣȌȌɐƊǞȁɈƵȲȲɐȯƪƣȌƮȌɐȺȌƮȌƋǶƧȌȌǶ‫س‬
9
0ɮƊǿƵȺƧȌǿȯǶƵǿƵȁɈƊȲƵȺ‫خ‬
Tratamento:
9
9
9
§ȺǞƧȌǏƋȲǿƊƧȌȺ‫خ‬

TRANSTORNOS
RELACIONADOS
AO USO DE
SUBSTÂNCIAS
PSICOATIVAS
Descrição: 0ȺɈƊƮȌȯȺǠȱɐǞƧȌƵƊǶǐɐǿƊȺɨƵɹƵȺǏǠȺǞƧȌȲƵȺɐǶɈƊȁɈƵƮƊ
ǞȁɈƵȲƊƪƣȌƵȁɈȲƵɐǿȌȲǐƊȁǞȺǿȌɨǞɨȌƵɐǿƊȺɐƦȺɈƓȁƧǞƊ‫ة‬ƧƊȲƊƧɈƵȲǞɹƊƮȌȯȌȲ
ǿȌƮǞ˛ƧƊƪȪƵȺƮƵƧȌǿȯȌȲɈƊǿƵȁɈȌƵȌɐɈȲƊȺȲƵƊƪȪƵȺȱɐƵȺƵǿȯȲƵǞȁƧǶɐƵǿ
ɐǿǞǿȯɐǶȺȌƊɐɈǞǶǞɹƊȲɐǿƊȺɐƦȺɈƓȁƧǞƊƮƵǿȌƮȌƧȌȁɈǠȁɐȌȌɐȯƵȲǞȍƮǞƧȌ‫ة‬
ƧȌǿƊ˛ȁƊǶǞƮƊƮƵƮƵƵɮȯƵȲǞǿƵȁɈƊȲȺƵɐȺƵǏƵǞɈȌȺȯȺǠȱɐǞƧȌȺƵ‫ة‬ƊǶǐɐǿƊȺɨƵɹƵȺ‫ة‬
ƵɨǞɈƊȲ Ȍ ƮƵȺƧȌȁǏȌȲɈȌ ƮƊ ȯȲǞɨƊƪƣȌ‫ خ‬ɈȌǶƵȲƓȁƧǞƊ ‫ـ‬ƵȺɈƊƮȌ ƮƵ ƊƮƊȯɈƊƪƣȌ ƮƵ
ɐǿȌȲǐƊȁǞȺǿȌƊɐǿƊȺɐƦȺɈƓȁƧǞƊ‫ف‬ȯȌƮƵƵȺɈƊȲȯȲƵȺƵȁɈƵȌɐȁƣȌ‫ة‬ƧȌȁǏȌȲǿƵ
ƮƵ˛ȁǞƪƣȌƮƵƮƵȯƵȁƮƺȁƧǞƊƮƊw²‫خ‬
Diagnóstico:
9
0ɮƊǿƵƧǶǠȁǞƧȌ‫س‬
9
0ɮƊǿƵȁƵɐȲȌǶȍǐǞƧȌ‫س‬
9
0ɮƊǿƵȯȺǞȱɐǞƋɈȲǞƧȌ‫خ‬
!ƊƮƊ ƧǶƊȺȺƵ ƮƵ ƮȲȌǐƊȺ ɈƵǿ ȲǞȺƧȌȺ ȯȌɈƵȁƧǞƊǞȺ ƵȺȯƵƧǠ˛ƧȌȺ ȯƊȲƊ

ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌƮƵǶƵȺȪƵȺȌȲǐƓȁǞƧƊȺ‫ة‬ǿƊǞȌȲȺɐȺƧƵɈǞƦǞǶǞƮƊƮƵƊȯƊɈȌǶȌǐǞƊȺ
ǞȁǏƵƧƧǞȌȺƊȺ‫ة‬ǿƵɈƊƦȍǶǞƧƊȺ‫ة‬ƧƊȲƮǞȌɨƊȺƧɐǶƊȲƵȺƵǘƵȯƋɈǞƧƊȺƮƵɨǞƮƊȺɈƊǿƦƶǿ
ƊȌǿȌƮȌƮƵɨǞƮƊ‫خ‬
9
Exames laboratoriais básicos: ƦǞȌȱɐǠǿǞƧƊ ȺƊȁǐɐǠȁƵƊ
‫ـ‬ƵǶƵɈȲȍǶǞɈȌ‫ ة‬ǐǶǞƧȌȺƵ‫ ة‬ȯȲȌɨƊȺ ƮƵ ǏɐȁƪƣȌ ǘƵȯƋɈǞƧƊ‫ ة‬ȯȲȌɨƊȺ ƮƵ
ǏɐȁƪƣȌȲƵȁƊǶ‫ة‬ǘƵǿȌǐȲƊǿƊ‫ة‬ƧȌǶƵȺɈƵȲȌǶ‫ة‬JƊǿƊJÀ‫خف‬
Tratamento:
9
9
9

ALTERAÇÕES NA
SAÚDE MENTAL QUE
SE MANIFESTAM NA
INFÂNCIA E/OU NA
ADOLESCÊNCIA
JȲɐȯȌǘƵɈƵȲȌǐƺȁƵȌƮƵɈȲƊȁȺɈȌȲȁȌȺ‫ة‬ȌƧȌȲȲƵȁƮȌƮɐȲƊȁɈƵƊǞȁǏƓȁƧǞƊ
Ƶ‫ش‬Ȍɐ ƊƮȌǶƵȺƧƺȁƧǞƊ‫ خ‬ǶǐɐǿƊȺ ƮƵȺȺƊȺ ƊǏƵƧƪȪƵȺ ƧȌȁȺɈǞɈɐƵǿ ȺǠȁƮȲȌǿƵȺ
ƦƵǿƮƵ˛ȁǞƮƊȺ‫ة‬ƵȁȱɐƊȁɈȌȌɐɈȲƊȺȺƣȌȺǞǿȯǶƵȺƊȺȺȌƧǞƊƪȪƵȺƮƵȺǞȁɈȌǿƊȺ
ƧȌǿƊǶɈƵȲƊƪƣȌƮȌǏɐȁƧǞȌȁƊǿƵȁɈȌȯȺǞƧȌȺȺȌƧǞƊǶ‫خ‬
yƵȺɈƵǐȲɐȯȌ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵɈƵȲƵǿǿƵȁɈƵǞȁɈƵȲɨƵȁƪȪƵȺƦƋȺǞƧƊȺ
ȱɐƵ ȯȲȌǿȌɨƊǿ Ȍ ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ ǏǠȺǞƧȌ Ƶ ȯȺǞƧȌǶȍǐǞƧȌ ȺƊɐƮƋɨƵǶ ƮƊ
ƧȲǞƊȁƪƊ Ƶ ƮȌ ƊƮȌǶƵȺƧƵȁɈƵ‫ خ‬²ɐǐƵȲƵǿٌȺƵ ƵȺɈȲƊɈƶǐǞƊȺ ƮƵ ȯȲƵɨƵȁƪƣȌ ȱɐƵ
ƵȁǐǶȌƦƵǿ Ȍ ƊȯȌǞȌ ƊȌ ƊǶƵǞɈƊǿƵȁɈȌ ǿƊɈƵȲȁȌ Ƶ ƊȌȺ ƧɐǞƮƊƮȌȺ ǿƊɈƵȲȁȌȺ
ȯȲǞǿƋȲǞȌȺ ȯƊȲƊ Ȍ ȲƵǏȌȲƪȌ Ƶ ƵȺɈƊƦƵǶƵƧǞǿƵȁɈȌȺ ƮȌȺ ɨǠȁƧɐǶȌȺ ǏƊǿǞǶǞƊȲƵȺ‫ة‬
ƵȺƧȌǶƊȲƵȺƵƧȌǿɐȁǞɈƋȲǞȌȺ‫خ‬1ǞǿȯȌȲɈƊȁɈƵɈƊǿƦƶǿȌƮǞƊǐȁȍȺɈǞƧȌȯȲƵƧȌƧƵ
ƮƵ ɐɈǞȺǿȌ‫ ة‬ƮȌ ÀȲƊȁȺɈȌȲȁȌ ƮȌ (ƶ˛ƧǞɈ ƮƵ ɈƵȁƪƣȌ‫ش‬RǞȯƵȲƊɈǞɨǞƮƊƮƵ‫ ة‬ƮƊ
(ƵȯȲƵȺȺƣȌƵȁȺǞƵƮƊƮƵ‫ة‬ƊǶƶǿƮƊǞƮƵȁɈǞ˛ƧƊƪƣȌƮȌȺȲǞȺƧȌȺȯƊȲƊƧȌȁɈƊɈȌ
ȯȲƵƧȌƧƵ ƧȌǿ ȺɐƦȺɈƓȁƧǞƊȺ ȱɐǠǿǞƧƊȺ Ƶ ƋǶƧȌȌǶ Ƶ ȺɐƊȺ ƧȌǿȯǶǞƧƊƪȪƵȺ‫ة‬
ȯȲƵɨƵȁƪƣȌƮƊȺƮȌƵȁƪƊȺȺƵɮɐƊǶǿƵȁɈƵɈȲƊȁȺǿǞȺȺǠɨƵǞȺƵǐȲƊɨǞƮƵɹȯȲƵƧȌƧƵ‫ة‬
ƵƵȺɈǠǿɐǶȌƜȯȲƋɈǞƧƊƮƵƊɈǞɨǞƮƊƮƵǏǠȺǞƧƊƵƊǶǞǿƵȁɈƊƪƣȌȺƊɐƮƋɨƵǶ‫خ‬

TRANSTORNO
DO DÉFICIT DE ATENÇÃO/
HIPERATIVIDADE
Descrição: ÀȲƊȁȺɈȌȲȁȌƮȌ(ƶ˛ƧǞɈƮƵɈƵȁƪƣȌƧȌǿRǞȯƵȲƊɈǞɨǞƮƊƮƵ‫ـ‬À(R‫ف‬ƶɐǿɈȲƊȁȺɈȌȲȁȌ
ȁƵɐȲȌƦǞȌǶȍǐǞƧȌ‫ ة‬ƮƵ ƧƊɐȺƊȺ ǐƵȁƶɈǞƧƊȺ‫ ة‬ȱɐƵ ƊȯƊȲƵƧƵ ȁƊ ǞȁǏƓȁƧǞƊ Ƶ ǏȲƵȱɐƵȁɈƵǿƵȁɈƵ ƊƧȌǿȯƊȁǘƊ
Ȍ ǞȁƮǞɨǠƮɐȌ ȯȌȲ ɈȌƮƊ Ɗ ȺɐƊ ɨǞƮƊ‫ خ‬0ȺȺƵ ȱɐƊƮȲȌ ƶ ǿƊȲƧƊƮȌ ȯƵǶƊ ȯȲƵȺƵȁƪƊ ƮƊ ɈȲǠƊƮƵ ȺǞȁɈȌǿƋɈǞƧƊ‫ب‬
ƮƵȺƊɈƵȁƪƣȌ‫ة‬ǘǞȯƵȲƊɈǞɨǞƮƊƮƵƵǞǿȯɐǶȺǞɨǞƮƊƮƵ‫خ‬XȁǠƧǞȌƊȁɈƵȺƮȌȺ‫ׇ‬ƊȁȌȺƮƵǞƮƊƮƵ‫خ‬
Causas
9
RƵȲƵƮǞɈƋȲǞƊȺ‫س‬
9
²ɐƦȺɈƓȁƧǞƊȺǞȁǐƵȲǞƮƊȺȁƊǐȲƊɨǞƮƵɹ‫س‬
9
²ȌǏȲǞǿƵȁɈȌǏƵɈƊǶ‫س‬
9
0ɮȯȌȺǞƪƣȌƊȌƧǘɐǿƦȌ‫خ‬
!ǶƊȺȺǞ˛ƧƊƪƣȌ‫ب‬
9
À(RƧȌǿȯȲƵƮȌǿǠȁǞȌƮƵȺǞȁɈȌǿƊȺƮƵƮƵȺƊɈƵȁƪƣȌ‫س‬
9
À(RƧȌǿȯȲƵƮȌǿǠȁǞȌƮƵȺǞȁɈȌǿƊȺƮƵǘǞȯƵȲƊɈǞɨǞƮƊƮƵ‫ش‬ǞǿȯɐǶȺǞɨǞƮƊƮƵ‫س‬
9
À(RƧȌǿƦǞȁƊƮȌ‫خ‬
Sinais e sintomas:
9
Relacionados à desatenção: ƮǞ˛ƧɐǶƮƊƮƵȺ ȯƊȲƊ ƧȌȁƧƵȁɈȲƊƪƣȌ‫ س‬ȁƣȌ ƵȺɈƊȲ ƊɈƵȁɈȌ ƊȌ
ȱɐƵƶƮǞɈȌ‫س‬ƮǞ˛ƧɐǶƮƊƮƵȺƵǿȺƵǐɐǞȲȁȌȲǿƊȺƵǞȁȺɈȲɐƪȪƵȺ‫س‬ƊɈƵȁƪƣȌƮƵȺɨǞƊƮƊȯȌȲȌɐɈȲƊȺ
ƊɈǞɨǞƮƊƮƵȺ‫ س‬ƮƵȺȌȲǐƊȁǞɹƊƪƣȌ‫ س‬ȁƣȌ ƵȁƧƵȲȲƊȲ Ȍ ȱɐƵ ƧȌǿƵƪƊ‫ س‬ƮǞ˛ƧɐǶƮƊƮƵȺ Ƶǿ ǿƊȁɈƵȲ
ƊɈƵȁƪƣȌƵǿɈƊȲƵǏƊȺȌɐƊɈǞɨǞƮƊƮƵȺǶɑƮǞƧƊȺ‫س‬ƵȺȱɐƵƧƵȲƵȯƵȲƮƵȲǿƊɈƵȲǞƊǞȺȁƊƵȺƧȌǶƊƵɈƧ‫خ‬
9
Relacionados à hiperatividade:ȲƵǿƵɮƵȲǿƣȌȺƵ‫ش‬ȌɐȯƶȺȱɐƊȁƮȌȺƵȁɈƊƮȌ‫س‬ǞȁȱɐǞƵɈɐƮƵ‫س‬
ǏƊǶƊ Ƶǿ ƮƵǿƊȺǞƊ‫ س‬ƊǐǞɈƊƪƣȌ‫ س‬ǏȲƵȱɐƵȁɈƵǿƵȁɈƵ ȺƵ ǞȁɈȲȌǿƵɈƵ Ƶǿ ƊȺȺɐȁɈȌȺ ƮƵ ȌɐɈȲƊȺ
ȯƵȺȺȌƊȺƵɈƧ‫خ‬
9
!ƵȲƧƊƮƵ‫ڭ׀ׅ‬ƮƊȺƧȲǞƊȁƪƊȺȯƵȲȺǞȺɈƵǿƧȌǿȺǞȁɈȌǿƊȺƊɈƶƊǏƊȺƵƊƮɐǶɈƊƵƶǞǿȯȌȲɈƊȁɈƵ
ƮƵȺɈƊƧƊȲȱɐƵȁȌȲǿƊǶǿƵȁɈƵȁƣȌȺƵȌƦȺƵȲɨƊǿƊǶɈƵȲƊƪȪƵȺƮƵǘɐǿȌȲ‫خ‬
Diagnóstico:
©ɐƊƮȲȌƧǶǠȁǞƧȌ‫ݏخ‬
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Critérios de alta do serviço de atenção secundária para UAP

Ⱥ ɐȺɐƋȲǞȌȺ ȱɐƵ ƵȺɈǞɨƵȲƵǿ ƧȌǿ ȱɐƊƮȲȌ ƧǶǠȁǞƧȌ ƵȺɈƊƦǞǶǞɹƊƮȌ Ƶ Ƶǿ ƊɈƵȁƮǞǿƵȁɈȌ ǿƶƮǞƧȌ
ƧȌǿǞȁɈƵȲɨƊǶȌȲƵǐɐǶƊȲ‫ة‬ƧȌǿȺɐȯȌȲɈƵƮƵȯȺǞƧȌɈƵȲƊȯǞƊ‫ة‬ƮƵƊƧȌȲƮȌƧȌǿƊȁƵƧƵȺȺǞƮƊƮƵǞȁƮǞɨǞƮɐƊǶ‫ة‬Ƶ
ɈƵȲƊȯǞƊƮȌǐȲɐȯȌǏƊǿǞǶǞƊȲ‫خ‬
Tratamento
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TRANSTORNOS GLOBAIS
DO DESENVOLVIMENTO

Descrição: ²ƣȌ ƧȌȁƮǞƪȪƵȺ ƧǶǠȁǞƧƊȺ ƮƵ ǞȁǠƧǞȌ ȁƊ ȯȲǞǿƵǞȲƊ ǞȁǏƓȁƧǞƊ Ƶ ƧȌǿ ƧɐȲȺȌ ƧȲȏȁǞƧȌ‫خ‬
Ⱥ ɈȲƊȁȺɈȌȲȁȌȺ ǐǶȌƦƊǞȺ ƮȌ ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ‫ ة‬Ȍɐ ɈȲƊȁȺɈȌȲȁȌȺ ǞȁɨƊȺǞɨȌȺ ƮȌ ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ‫ ة‬ȱɐƵ
ƧȌȲȲƵȺȯȌȁƮƵǿ Ɯ ƮƵȁȌǿǞȁƊƪƣȌ ƊɈɐƊǶ ƮƵ ÀȲƊȁȺɈȌȲȁȌ ƮȌ 0ȺȯƵƧɈȲȌ ƮȌ ɐɈǞȺǿȌ ‫ـ‬À0‫ ةف‬ƵɮǞǐƵǿ
ƮƵȺƧȲǞƪȪƵȺǿɑǶɈǞȯǶƊȺƵƵȁɨȌǶɨƵǿƊǶɈƵȲƊƪȪƵȺȱɐƊǶǞɈƊɈǞɨƊȺƮƊƵɮȯƵȲǞƺȁƧǞƊȺɐƦǯƵɈǞɨƊ‫ة‬ƮȌȺȯȲȌƧƵȺȺȌȺ
ƧȌǐȁǞɈǞɨȌȺ‫ ة‬ƮƊ ƧȌǿɐȁǞƧƊƪƣȌ ‫ـ‬ǶǞȁǐɐƊǐƵǿ‫ ف‬Ƶ ƮȌ ƧȌǿȯȌȲɈƊǿƵȁɈȌ‫ خ‬²ƵǐɐȁƮȌ Ɗ !X(ׁٌ‫ ة׀‬ƵȺȺƵ ǐȲɐȯȌ
ƮƵ ɈȲƊȁȺɈȌȲȁȌȺ ȺƵ ƧƊȲƊƧɈƵȲǞɹƊ ȯȌȲ ƊǶɈƵȲƊƪȪƵȺ ȱɐƊǶǞɈƊɈǞɨƊȺ ƮƊȺ ǞȁɈƵȲƊƪȪƵȺ ȺȌƧǞƊǞȺ ȲƵƧǠȯȲȌƧƊȺ
Ƶ ǿȌƮƊǶǞƮƊƮƵȺ ƮƵ ƧȌǿɐȁǞƧƊƪƣȌ Ƶ ȯȌȲ ɐǿ ȲƵȯƵȲɈȍȲǞȌ ƮƵ ǞȁɈƵȲƵȺȺƵȺ Ƶ ƊɈǞɨǞƮƊƮƵȺ ȲƵȺɈȲǞɈȌȺ‫ة‬
ƵȺɈƵȲƵȌɈǞȯƊƮȌƵȲƵȯƵɈǞɈǞɨȌ‫خ‬0ȺȺƊȺƊǶɈƵȲƊƪȪƵȺȱɐƊǶǞɈƊɈǞɨƊȺƧȌȁȺɈǞɈɐƵǿɐǿƊƧƊȲƊƧɈƵȲǠȺɈǞƧƊǐǶȌƦƊǶƮȌ
ǏɐȁƧǞȌȁƊǿƵȁɈȌƮȌȺɐǯƵǞɈȌ‫ة‬ƵǿɈȌƮƊȺƊȺȌƧƊȺǞȪƵȺ‫خ‬
!ǶƊȺȺǞ˛ƧƊƪƣȌ‫ـ‬ȺƵǐɐȁƮȌƊ!X(ׁٌ‫ف׀‬
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ɐɈǞȺǿȌǞȁǏƊȁɈǞǶ‫س‬
9
ɐɈǞȺǿȌƊɈǠȯǞƧȌ‫س‬
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²ǠȁƮȲȌǿƵƮƵªƵɈɈ‫س‬
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ɐɈȲȌɈȲƊȁȺɈȌȲȁȌƮƵȺǞȁɈƵǐȲƊɈǞɨȌƮƊǞȁǏƓȁƧǞƊ‫س‬
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ÀȲƊȁȺɈȌȲȁȌƧȌǿǘǞȯƵȲƧǞȁƵȺǞƊƊȺȺȌƧǞƊƮƊƊȲƵɈƊȲƮȌǿƵȁɈƊǶƵƊǿȌɨǞǿƵȁɈȌȺ
ƵȺɈƵȲƵȌɈǞȯƊƮȌȺ‫س‬
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²ǠȁƮȲȌǿƵƮƵȺȯƵȲǐƵȲ‫س‬
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ɐɈȲȌȺɈȲƊȁȺɈȌȲȁȌȺǐǶȌƦƊǞȺƮȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ‫س‬
ÀȲƊȁȺɈȌȲȁȌȺǐǶȌƦƊǞȺȁƣȌƵȺȯƵƧǞ˛ƧƊƮȌȺƮȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ.
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Comorbidades:
EpilepsǞƊƵȌɐɈȲȌȺȱɐƊƮȲȌȺȁƵɐȲȌǶȍǐǞƧȌȺ‫س‬
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(ƵȯȲƵȺȺƣȌƵƊȁȺǞƵƮƊƮƵ‫س‬
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ªƵɈƊȲƮȌǿƵȁɈƊǶ‫خ‬
Diagnósticos diferenciais:
RetarƮȌǿƵȁɈƊǶ‫ـ‬ƮƵ˛ƧǞƺȁƧǞƊǞȁɈƵǶƵƧɈɐƊǶ‫سف‬
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9
(ǞȺɈɑȲƦǞȌȺƵȺȯƵƧǠ˛ƧȌȺƮƵǶǞȁǐɐƊǐƵǿ‫(ـ‬0m‫سف‬
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wɐɈǞȺǿȌȺƵǶƵɈǞɨȌ‫س‬
(ƵȯȲƵssão;
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9
ÀȲƊȁȺɈȌȲȁȌȲƵƊɈǞɨȌƮƵɨǞȁƧɐǶƊƪƣȌ‫س‬
²ɐȲdez.
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Sinais e sintomas:
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!ȌǿȯȲȌǿƵɈǞǿƵȁɈȌ ƮƊȺ ǞȁɈƵȲƊƪȪƵȺ ȺȌƧǞƊǞȺ ȲƵƧǠȯȲȌƧƊȺ ‫ـ‬ǏƊǶɈƊ ƮƵ ȲƵȺȯȌȺɈƊ ȯƊȲƊ ƊȺ
ƵǿȌƪȪƵȺƮƵȌɐɈȲƊȺȯƵȺȺȌƊȺƵ‫ش‬ȌɐǏƊǶɈƊƮƵǿȌƮɐǶƊƪƣȌƮȌƧȌǿȯȌȲɈƊǿƵȁɈȌȁȌƧȌȁɈƵɮɈȌ
ȺȌƧǞƊǶ‫سف‬

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!ȌǿȯȲȌǿƵɈǞǿƵȁɈȌ ȱɐƊǶǞɈƊɈǞɨȌ ȁƊ ƧȌǿɐȁǞƧƊƪƣȌ ‫ـ‬ȁƊȺ ǘƊƦǞǶǞƮƊƮƵȺ Ƶ ƵɮȯȲƵȺȺȪƵȺ ƮƵ
ǶǞȁǐɐƊǐƵǿ‫ة‬ȁƊƧȌȁɨƵȲȺƊƪƣȌǞȁɈƵȲȯƵȺȺȌƊǶ‫ة‬ƊɐȺƺȁƧǞƊƮƵƧȲǞƊɈǞɨǞƮƊƮƵȁȌȺȯȲȌƧƵȺȺȌȺƮƵ
ȯƵȁȺƊǿƵȁɈȌ‫ة‬ȯȌƦȲƵȲƵȺȯȌȺɈƊɨƵȲƦƊǶƊȌƧȌȁɈƊɈȌƮƵȌɐɈȲƊȺȯƵȺȺȌƊȺ‫سف‬
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!ȌǿȯȌȲɈƊǿƵȁɈȌȲƵȺɈȲǞɈȌ‫ة‬ƵȺɈƵȲƵȌɈǞȯƊƮȌƵȲƵȯƵɈǞɈǞɨȌ‫ة‬ɨǞȁƧɐǶƊƪƣȌƊȌƦǯƵɈȌȺɈǞȯǞƧƊǿƵȁɈƵ
ٗȁƣȌ ǿƊƧǞȌȺ٘‫ ة‬ȲƵȺǞȺɈƺȁƧǞƊ Ɗ ǿɐƮƊȁƪƊȺ ȁƊ ȲȌɈǞȁƊ Ȍɐ ƮƵ ƮƵɈƊǶǘƵȺ ƮȌ ǿƵǞȌ ƊǿƦǞƵȁɈƵ
ƧȌǿȌǿȍɨƵǞȺ‫س‬ǞȁɈȌǶƵȲƓȁƧǞƊƊȺȌȁȺƊǶɈȌȺȌɐƦƊȲɐǶǘȌȺ‫خ‬
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wƵƮȌȺ‫ش‬ǏȌƦǞƊȺ‫ ة‬ȯƵȲɈɐȲƦƊƪȪƵȺ ƮƵ ȺȌȁȌ Ƶ ƊǶǞǿƵȁɈƊƪƣȌ‫ ة‬ƊɈƊȱɐƵȺ ƮƵ ƦǞȲȲƊ Ƶ ƊǐȲƵȺȺƣȌ‫ة‬
ƊɐɈȌǶƵȺƣȌ‫ـ‬ȯȌȲƵɮƵǿȯǶȌ‫ب‬ǿȌȲƮƵȲȌȯɐȁǘȌ‫سف‬
ªƵɈƊȲƮȌǿƵȁɈƊǶƵǿ‫ׄش׃‬ƮȌȺƧƊȺȌs.
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Diagnóstico:
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ȁƊǿȁƵȺƵƵǘǞȺɈȍȲǞƊƧǶǠȁǞƧƊȲƵƊǶǞɹƊƮƊȯȌȲƵȱɐǞȯƵǿɐǶɈǞȯȲȌ˛ȺȺǞȌȁƊǶ‫س‬
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0ǿƦȌȲƊȌƮǞƊǐȁȍȺɈǞƧȌƮƵ˛ȁǞɈǞɨȌƮȌȺɈȲƊȁȺɈȌȲȁȌȺƮȌƵȺȯƵƧɈȲȌƮȌƊɐɈǞȺǿȌȺȍȯȌȺȺƊǿ
ȺƵȲ˛ȲǿƊƮȌȺƊȯȍȺȌȺɈȲƺȺƊȁȌȺƮƵǞƮƊƮƵ‫ة‬ƊǞƮƵȁɈǞ˛ƧƊƪƣȌƮƵȲǞȺƧȌȯƊȲƊȌȺÀ0ȯȌƮƵƵ
ƮƵɨƵȺƵȲǏƵǞɈƊȯȲƵƧȌƧƵǿƵȁɈƵ‫خ‬
Tratamento:
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9
9
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ȁƋǶǞȺƵƮȌ!ȌǿȯȌȲɈƊǿƵȁɈȌȯǶǞƧƊƮƊ‫ـ‬ȯȯǶǞƵƮ ƵǘƊɨǞȌȲƊǶȁƊǶɯȺǞȺ‫سف ى‬
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!ȌǿɐȁǞƧƊƪƣȌ²ɐȯǶƵǿƵȁɈƊȲƵǶɈƵȲȁƊɈǞɨƊ‫!ـ‬²‫سف‬
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À0!!R ‫ ى‬ÀȲƊɈƊǿƵȁɈȌ Ƶ 0ƮɐƧƊƪƣȌ ȯƊȲƊ ƧȲǞƊȁƪƊȺ ƧȌǿ ÀȲƊȁȺɈȌȲȁȌȺ ƮȌ 0ȺȯƵƧɈȲȌ ƮȌ
ɐɈǞȺǿȌ‫خ‬

TRANSTORNOS
ALIMENTARES
ANOREXIA
NERVOSA
Descrição: !ƊȲƊƧɈƵȲǞɹƊƮƊȯȌȲȯƵȲƮƊƮƵȯƵȺȌǞȁɈƵȁƧǞȌȁƊǶ‫ة‬ǞȁƮɐɹǞƮƊƵǿƊȁɈǞƮƊȯƵǶȌɐȺɐƋȲǞȌ‫ة‬
ƵȺɈƊȁƮȌƊȺȺȌƧǞƊƮƊƊɐǿƊȯȺǞƧȌȯƊɈȌǶȌǐǞƊƵȺȯƵƧǠ˛ƧƊ‫ة‬ƧȌǿȯȲƵƵȁƮƵȁƮȌɐǿƊǞȁɈȲɐȺƣȌȯƵȲȺǞȺɈƵȁɈƵ
ƮƵɐǿƊǞƮƵǞƊȺɐȯƵȲɨƊǶȌȲǞɹƊƮƊ‫ـ‬ƮƵƊƧȌȲƮȌƧȌǿƊ!X(ׁٌ‫ة׀‬ƮƊw²‫بف‬ȌǿƵƮȌƮƵƵȁǐȌȲƮƊȲƵƮƵɈƵȲ
ɐǿƊȺǞǶǘɐƵɈƊƊȲȲƵƮȌȁƮƊƮƊ‫خ‬
ǶɈƊƧȌǿȌȲƦǞƮƊƮƵƧȌǿƮƵȯȲƵȺȺƣȌ‫!خ‬ǶƊȺȺǞ˛ƧƊƮƊƵǿׂ‫ـ‬ƮȌǞȺ‫ف‬ɈǞȯȌȺ‫ب‬
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Anorexia nervosa restritiva: ɐȺɐƋȲǞȌȺ ȯȲȌǿȌɨƵǿ ȲƵȺɈȲǞƪƣȌ ƊǶǞǿƵȁɈƊȲ ƊȺȺȌƧǞƊƮƊ Ɗ
ƵɮƧƵȺȺȌƮƵƵɮƵȲƧǠƧǞȌȺǏǠȺǞƧȌȺ‫س‬
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Anorexia nervosa compulsão periódica/purgativa: ɐȺɐƋȲǞȌȺ ȱɐƵ ƊƮȌɈƊǿ
ƧȌǿȯȌȲɈƊǿƵȁɈȌȺȱɐƊǶǞ˛ƧƊƮȌȺƧȌǿȌȯɐȲǐƊɈǞɨȌȺ‫ة‬ƊȺƊƦƵȲ‫ة‬ɨȏǿǞɈȌȺƊɐɈȌǞȁƮɐɹǞƮȌȺ‫ة‬ɐȺȌ
ƊƦɐȺǞɨȌƮƵǶƊɮƊȁɈƵȺȌɐƮƵƵȁƵǿƊȺȯƊȲƊȯȲȌǿȌƪƣȌƮƵƮǞƊȲȲƵǞƊ‫ة‬ƮƵƮǞɐȲƶɈǞƧȌȺƵɈƧ‫خ‬
ÇȺɐƋȲǞȌȺƮƵǿȌȁȺɈȲƊǿƧȌǿȯȌȲɈƊǿƵȁɈȌȺǘȌȺɈǞȺȱɐƊȁƮȌȱɐƵȺɈǞȌȁƊƮȌȺȺȌƦȲƵȺƵɐȺǘƋƦǞɈȌȺ
ƊǶǞǿƵȁɈƊȲƵȺ‫س‬ƮƵǿȌȁȺɈȲƊǿǿƵƮȌǞȁɈƵȁȺȌƮƵȺƵɈȌȲȁƊȲƵǿȌƦƵȺȌȺ‫ة‬ƧȌǿȲƵƧɐȺƊƊǶǞǿƵȁɈƊȲǶƵɨƊȁƮȌ
Ɯ ƧƊȱɐƵɮǞƊ‫ ة‬ȁƵǐƊɈǞɨƊ Ƶǿ ǿƊȁɈƵȲ Ȍ ȯƵȺȌ ƊƧǞǿƊ ƮȌ ǿǠȁǞǿȌ ƧȌȁȺǞƮƵȲƊƮȌ ȁȌȲǿƊǶ ȯƊȲƊ Ɗ ǞƮƊƮƵ Ƶ
ƵȺɈƊɈɐȲƊ‫ـ‬ƧȲǞɈƶȲǞȌƮƵȯƵȺȌȺɐǐƵȲǞƮȌȯƵǶƊw²ȯƊȲƊƧȲǞɈƶȲǞȌƮƵƊȁȌȲƵɮǞƊȁƵȲɨȌȺƊ‫ب‬ȯƵȺȌƧȌȲȯȍȲƵȌ‫ڜ‬
‫ڭׅ׈‬ȱɐƵȌȯƵȺȌƵȺȯƵȲƊƮȌȌɐXw!‫ׅخׇׁڜ‬ǲǐ‫ش‬ǿׂ‫ةف‬ǏȲƵȱɐƵȁɈƵƮǞȺɈȌȲƪƣȌƮƊǞǿƊǐƵǿƧȌȲȯȌȲƊǶ‫(خ‬ƵȁɈȲƵ
ȌȺǏƊɈȌȲƵȺȱɐƵƧȌȁɈȲǞƦɐƵǿȯƊȲƊȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌƮȌɈȲƊȁȺɈȌȲȁȌƵȺɈƣȌƊȺȯȲƵȺȺȪƵȺƧɐǶɈɐȲƊǞȺȁƊȺ
ȺȌƧǞƵƮƊƮƵȺǞȁƮɐȺɈȲǞƊǶǞɹƊƮƊȺ‫˛ـ‬ǐɐȲƊǏƵǿǞȁǞȁƊƵȺƦƵǶɈƊ‫ة‬ȯȲƶٌȯɑƦƵȲƵ‫خف‬
ƧȌȲȲƵǿƮǞȺǏɐȁƪȪƵȺƵȁƮȍƧȲǞȁƊȺ‫ـ‬ƵǿǿɐǶǘƵȲƵȺ‫ة‬ƊǿƵȁȌȲȲƵǞƊ‫س‬ƵǿǘȌǿƵȁȺ‫ة‬ȯƵȲƮƊƮƊǶǞƦǞƮȌ‫خف‬
Exames complementares recomendados:

ǞƧƊȲƦȌȁƊɈȌ‫ ة‬ƧǶȌȲȌ Ƶ ȯȌɈƋȺȺǞȌ ‫ـ‬ƵɮƧƵȺȺȌ ƮƵ ɨȏǿǞɈȌȺ ȯȌƮƵ ƧƊɐȺƊȲ ƊǶƧƊǶȌȺƵ ǿƵɈƊƦȍǶǞƧƊ‫سف‬
ɐȲƵǞƊ ‫ـ‬ƮƵȺǞƮȲƊɈƊƪƣȌ‫ سف‬I²R‫ س‬mR‫ س‬ȯƵȺȱɐǞȺƊ ƮƵ ȺƊȁǐɐƵ ȌƧɐǶɈȌ ȁƊȺ ǏƵɹƵȺ ‫ـ‬ƊƦɐȺȌ ƮƵ ǶƊɮƊȁɈƵȺ‫ سف‬0!J
‫ـ‬ȯȲȌǶȌȁǐƊǿƵȁɈȌ ƮȌ ǞȁɈƵȲɨƊǶȌ ©À‫ س‬ɈƊȱɐǞƊȲȲǞɈǿǞƊȺ‫ سف‬ƵƧȌƧƊȲƮǞȌǐȲƊǿƊ ‫ـ‬ȲƵƮɐƪƣȌ ƮȌ (!‫ ة‬ƮƊ ǿƊȺȺƊ
ǿɐȺƧɐǶƊȲƵƮƊȺƮǞǿƵȁȺȪƵȺƧƊȲƮǠƊƧƊȺ‫خف‬
Tratamento:
9
ȲǞƵȁɈƊƪȪƵȺ ƮǞƵɈƶɈǞƧƊȺ‫ ب‬ȲƵȯȌȺǞƪƣȌ ǐȲƊƮɐƊǶ ƮƵ ȯƵȺȌ‫ س‬ɐȺȌ ƮƵ ɨǞƊȺ ƮƵ ƊǶǞǿƵȁɈƊƪƣȌ
ƵȁɈƵȲƊǶƵȯƊȲƵȁɈƵȲƊǶƵȺɈƣȌȲƵȺƵȲɨƊƮƊȺȯƊȲƊȺǞɈɐƊƪȪƵȺƮƵǿƊǞȌȲǐȲƊɨǞƮƊƮƵƵȌȁƮƵȁƣȌ
ǘƋƧȌǶƊƦȌȲƊƪƣȌƮȌɐȺɐƋȲǞȌ‫س‬
9
9
ȲǞƵȁɈƊƪƣȌƊȌȺǏƊǿǞǶǞƊȲƵȺ‫س‬
ÀƵȲƊȯǞƊǿedicamentosa.
9

BULIMIA
NERVOSA
²ǠȁƮȲȌǿƵƧƊȲƊƧɈƵȲǞɹƊƮƊȯȌȲƊƧƵȺȺȌȺȲƵȯƵɈǞƮȌȺƮƵǘǞȯƵȲǏƊǐǞƊƵɐǿƊȯȲƵȌƧɐȯƊƪƣȌƵɮƧƵȺȺǞɨƊ
ƧȌǿ ȲƵǶƊƪƣȌ ƊȌ ƧȌȁɈȲȌǶƵ ƮȌ ȯƵȺȌ ƧȌȲȯȌȲƊǶ‫ ة‬ƧȌȁƮɐɹǞȁƮȌ Ɗ ɐǿƊ ƊǶɈƵȲȁƓȁƧǞƊ ƵȁɈȲƵ ǘǞȯƵȲǏƊǐǞƊ Ƶ
ɨȏǿǞɈȌȺȌɐɐȺȌƮƵȯɐȲǐƊɈǞɨȌȺ‫ـ‬ƮƵƊƧȌȲƮȌƧȌǿƊ!X(ׁٌ‫ة׀‬ƮƊw²‫!خف‬ȌǶƊƦȌȲƊǿȁƊƵɈǞȌǶȌǐǞƊȯȲƵȺȺȪƵȺ
ƧɐǶɈɐȲƊǞȺȁƊȺȺȌƧǞƵƮƊƮƵȺǞȁƮɐȺɈȲǞƊǶǞɹƊƮƊȺƵƮƵ˛ƧǞƺȁƧǞƊƮƵȺƵȲȌɈȌȁǞȁƊ‫خ‬ƦɐȺȌǏǠȺǞƧȌȌɐȺƵɮɐƊǶȯȌƮƵ
ȺƵȲɐǿǏƊɈȌȲƮƵȲǞȺƧȌ‫خ‬
0ȯǞȺȍƮǞȌȺȲƵƧȌȲȲƵȁɈƵȺƮƵƧȌǿƵȲƧȌǿȯɐǶȺǞɨȌ‫ـ‬ƦǞȁǐƵƵƊɈǞȁǐ‫ةف‬ȺƵȁɈǞǿƵȁɈȌƮƵǏƊǶɈƊƮƵƧȌȁɈȲȌǶƵ
ȺȌƦȲƵȌƧȌǿȯȌȲɈƊǿƵȁɈȌƮɐȲƊȁɈƵȌƵȯǞȺȍƮǞȌ‫ة‬ƧȌǿƧȌǿȯȌȲɈƊǿƵȁɈȌƧȌǿȯƵȁȺƊɈȍȲǞȌǞȁƊƮƵȱɐƊƮȌƵ
ȲƵƧȌȲȲƵȁɈƵȯƊȲƊƵɨǞɈƊȲȌǐƊȁǘȌƮƵȯƵȺȌ‫ـ‬ɐȺȌƮƵǶƊɮƊȁɈƵȺ‫ة‬ƮǞɐȲƶɈǞƧȌȺ‫ة‬ǞȁƮɐƪƣȌƮƵɨȏǿǞɈȌ‫ة‬ǯƵǯɐȁȺƵ
ƵɮƵȲƧǠƧǞȌȺǏǠȺǞƧȌȺ‫خف‬
§ȲƵȌƧɐȯƊƪƣȌȯƵȲȺǞȺɈƵȁɈƵƵƵɮƊǐƵȲƊƮƊƧȌǿǏȌȲǿƊǏǠȺǞƧƊƵȯƵȺȌ‫خ‬
Sinais físicos:
FaƧƵƮƵƵȺȱɐǞǶȌ‫ـ‬ȯȌȲǘǞȯƵȲɈȲȌ˛ƊƮƊȺǐǶƓȁƮɐǶƊȺȺƊǶǞɨƊȲƵȺ‫سف‬
9
9
²ǞȁƊǶƮƵªɐȺȺƵǶ‫ـ‬ƊƦȲƊȺȪƵȺ‫ة‬ƧƊǶȌȺȌɐƧǞƧƊɈȲǞɹƵȺȁƊȺƧȌȺɈƊȺƮƊǿƣȌɐȺƊƮƊȯƊȲƊǞȁƮɐɹǞȲ
ɨômitos).
Exames complementares recomendados:

ǞƧƊȲƦȌȁƊɈȌ‫ ة‬ƧǶȌȲȌ Ƶ ȯȌɈƋȺȺǞȌ ‫ـ‬ƵɮƧƵȺȺȌ ƮƵ ɨȏǿǞɈȌȺ ȯȌƮƵ ƧƊɐȺƊȲ ƊǶƧƊǶȌȺƵ ǿƵɈƊƦȍǶǞƧƊ‫سف‬
ȯƵȺȱɐǞȺƊƮƵȺƊȁǐɐƵȌƧɐǶɈȌȁƊȺǏƵɹƵȺ‫ـ‬ƊƦɐȺȌƮƵǶƊɮƊȁɈƵȺ‫خف‬
Tratamento:
9
9
9
9
ȲǞƵȁɈƊƪȪƵȺƮǞƵɈƶɈǞƧƊȺ‫خ‬

TRATAMENTO
FARMACOLÓGICO
E TRATAMENTO
NÃO FARMACOLÓGICO

3-Atividades
2-Psicoeducação
Físicas
1-Reduzir o
estresse e 4-Tratamento
fortalecer o psicológico
apoio social
6-Tratamento
farmacológico e 5-Intervenção
não farmacológico farmacológica

1. Manejo
do estresse
ȲƵǶƊɮƊǿƵȁɈȌ Ƶ Ɗ ɨǞȺɐƊǶǞɹƊƪƣȌ ȺƣȌ ɈƶƧȁǞƧƊȺ ȁƊ §ȺǞƧȌǶȌǐǞƊ ƮƊ ²ƊɑƮƵ ȱɐƵ
ɨǞȺƊǿƊǯɐƮƊȲȌȺȯƊƧǞƵȁɈƵȺȁȌǿƊȁƵǯȌƮȌƵȺɈȲƵȺȺƵƊɈȲƊɨƶȺƮƵȲƵƵƮɐƧƊƪƣȌ‫ة‬ǿɐƮƊȁƪƊ
ƮƵƊɈǞɈɐƮƵƵȲƵȯȲȌǐȲƊǿƊƪƣȌǿƵȁɈƊǶ‫ة‬ɨǞȺƊȁƮȌƊȲƵƮɐƪƣȌƮƵƵȺɈȲƵȺȺƵ‫ـ‬yɐȁƵȺ‫خفׅ׀׀ׂة‬
ǿƵȁɈƵ‫ة‬ƊɈȲƊɨƶȺƮȌȺȯƵȁȺƊǿƵȁɈȌȺ‫ة‬ǞǿƊǐƵȁȺ‫ة‬ƧȲƵȁƪƊȺ‫ة‬ǿƵǿȍȲǞƊȺƵƵǿȌƪȪƵȺ‫ة‬ȯȌƮƵ
ƊǶɈƵȲƊȲƊƵȺɈȲɐɈɐȲƊƦǞȌȱɐǠǿǞƧƊƵȌȺǞȺɈƵǿƊȁƵȲɨȌȺȌ‫ة‬ȺƵȁƮȌƵȺɈƊǞȁɈƵȲƊƪƣȌƧȌȁȺɈƊȁɈƵ
ƵǞȁɨȌǶɐȁɈƋȲǞƊ‫خ‬
ƵȺɈȲƵȺȺƵ‫ة‬ƊǶƶǿƮƵƊǏƵɈƊȲƊǿƵȁɈƵ‫ة‬ȯȌƮƵɈƊǿƦƶǿȯȲȌɨȌƧƊȲɈƵȁȺƣȌǿɐȺƧɐǶƊȲ‫ة‬
ȱɐƵƮƊƮƵƧƊƦƵǶȌ‫ة‬ɈȌȁɈɐȲƊƵƮȌȲƮƵƧƊƦƵƪƊǏȲƵȱɐƵȁɈƵ‫ة‬ȯȌƮƵȁƮȌȺƵǿƊȁǞǏƵȺɈƊȲƵǿ
ȯƵȺȺȌƊȺ ƮƵ ɈȌƮƊȺ ƊȺ ǞƮƊƮƵȺ‫ ة‬ȺƵȁƮȌ ȯȌȲ ǞȺȺȌ ǿɐǞɈȌ ǞǿȯȌȲɈƊȁɈƵ ȺƵǐɐǞȲ ƊǶǐɐǿƊȺ
ɈƶƧȁǞƧƊȺƮƵȲƵǶƊɮƊǿƵȁɈȌ‫ة‬ƮƵǏȌȲǿƊƊȯȲƵɨƵȁǞȲƵȺɈƵȺȺǞȁɈȌǿƊȺȌɐȌƊǐȲƊɨƊǿƵȁɈȌƮƵ
ƮȌƵȁƪƊȺǯƋƵɮǞȺɈƵȁɈƵȺ‫خ‬
0ɮǞȺɈƵǿɨƋȲǞȌȺɈǞȯȌȺƮƵǿƵƮǞɈƊƪƣȌ‫ب‬
9
Meditação guiada:‫ٶ‬ƧȌǿƵȺɈƵǿƶɈȌƮȌƮƵǿƵƮǞɈƊƪƣȌ‫ة‬ƮƵɨƵٌȺƵǏȌȲǿƊȲ
ǞǿƊǐƵȁȺ ǿƵȁɈƊǞȺ ƮƵ ǶɐǐƊȲƵȺ Ȍɐ ȺǞɈɐƊƪȪƵȺ ȱɐƵ ȺƵ ƧȌȁȺǞƮƵȲƵǿ
ȲƵǶƊɮƊȁɈƵȺ‫§خ‬ƊȲƊǞȺȺȌ‫ة‬ƮƵɨƵǿٌȺƵɐȺƊȲȌȺȺƵȁɈǞƮȌȺƊɈȲƊɨƶȺƮƵƧǘƵǞȲȌȺ‫ة‬ȺȌȁȺ‫ة‬
ǞǿƊǐƵȁȺƵɈƵɮɈɐȲƊȺ‫ة‬ȯȌƮƵȁƮȌȺƵȲȌɐȁƣȌǐɐǞƊƮƊȯȌȲɐǿȯȲȌ˛ȺȺǞȌȁƊǶ‫س‬
9
Mantra:‫ ڑ‬ȁƵȺɈƵ ǿƶɈȌƮȌ ƮƵ ǿƵƮǞɈƊƪƣȌ‫ ة‬ȲƵȯƵɈƵٌȺƵ ǶƵȁɈƊǿƵȁɈƵ ɐǿƊ
ȯƊǶƊɨȲƊ‫ة‬ǏȲƊȺƵȌɐȯƵȁȺƊǿƵȁɈȌȱɐƵƊǯɐƮƵƊƊƧƊǶǿƊȲ‫ة‬ƮƵǏȌȲǿƊƊƵɨǞɈƊȲ
ƮǞȺɈȲƊƪȪƵȺ‫س‬
9
Mindfulness:‫ ڑ‬ƵȺɈƵ ɈǞȯȌ ƮƵ ǿƵƮǞɈƊƪƣȌ ƦƊȺƵǞƊٌȺƵ Ƶǿ ɈƵȲ ɐǿƊ ǿƊǞȌȲ
ƧȌȁȺƧǞƺȁƧǞƊƵƊƧƵǞɈƊƪƣȌƮƵɨǞɨƵȲȁȌǿȌǿƵȁɈȌȯȲƵȺƵȁɈƵ‫(خ‬ƵɨƵȺƵȲǏƵǞɈȌ
ȁɐǿƊ ȯȌȺǞƪƣȌ ƧȌȁǏȌȲɈƋɨƵǶ‫ ة‬ɨǞɨƵȁƮȌ ƊȯƵȁƊȺ Ȍ ǿȌǿƵȁɈȌ ȯȲƵȺƵȁɈƵ‫ة‬
Ƶ ƧƊȺȌ ȺɐȲǯƊ ƊǶǐɐǿ ȺƵȁɈǞǿƵȁɈȌ Ȍɐ ȯȲƵȌƧɐȯƊƪƣȌ‫ ة‬ƮƵǞɮƊȲ ȯƊȺȺƊȲ ȺƵǿ
ǏȌƧƊȲȁƵǶƵ‫ة‬ǯɐǶǐƊȲȌɐǏƊɹƵȲȯǶƊȁȌȺ‫خ‬
9
QI gong:‫ٶ‬ƵȺɈƊɈƶƧȁǞƧƊȁȌȲǿƊǶǿƵȁɈƵƧȌǿƦǞȁƊǿƵƮǞɈƊƪƣȌ‫ة‬ȲƵǶƊɮƊǿƵȁɈȌ‫ة‬
ǿȌɨǞǿƵȁɈȌǏǠȺǞƧȌƵƵɮƵȲƧǠƧǞȌȺƮƵȲƵȺȯǞȲƊƪƣȌȯƊȲƊȲƵȺɈƊɐȲƊȲƵǿƊȁɈƵȲȌ
ƵȱɐǞǶǠƦȲǞȌ‫س‬
9
Tai chi:‫ٶ‬ƵȺɈƵƶɐǿɈǞȯȌƮƵǿƵƮǞɈƊƪƣȌƧȌǿƊȲɈƵȺǿƊȲƧǞƊǞȺƧǘǞȁƵȺƊȺƵǿ
ȱɐƵ ȺƵ ȲƵƊǶǞɹƊǿ ǶƵȁɈƊǿƵȁɈƵ ƮƵɈƵȲǿǞȁƊƮƊȺ ȯȌȺɈɐȲƊȺ Ƶ ǿȌɨǞǿƵȁɈȌȺ‫ة‬
ƵȁȱɐƊȁɈȌȺƵȲƵȺȯǞȲƊȯȲȌǏɐȁƮƊǿƵȁɈƵ‫س‬
9
Yoga:‫ڑ‬ȺƣȌȲƵƊǶǞɹƊƮƊȺȯȌȺɈɐȲƊȺƵƵɮƵȲƧǠƧǞȌȺƮƵȲƵȺȯǞȲƊƪƣȌƧȌǿǿɑȺǞƧƊ
ȲƵǶƊɮƊȁɈƵȯƊȲƊȯȲȌǿȌɨƵȲɐǿƧȌȲȯȌǿƊǞȺ˜ƵɮǠɨƵǶƵɐǿƊǿƵȁɈƵƧƊǶǿƊ‫خ‬
ǿƵƮǞƮƊȱɐƵƊȯƵȺȺȌƊȺƵǿȌɨƵƊɈȲƊɨƶȺƮƵȯȌȺƵȺȱɐƵƵɮǞǐƵǿƵȱɐǞǶǠƦȲǞȌ
Ƶ ƧȌȁƧƵȁɈȲƊƪƣȌ‫ ة‬ƧȌȁƧƵȁɈȲƊٌȺƵ ǿƵȁȌȺ Ƶǿ ȺƵɐ ƮǞƊ ƊǐǞɈƊƮȌ Ƶ ǿƊǞȺ ȁȌ
ǿȌǿƵȁɈȌ‫خ‬
XƮƵƊǶǿƵȁɈƵ‫ ة‬ȯƊȲƊ ȯȲƊɈǞƧƊȲ ƵȺɈƊȺ ɈƶƧȁǞƧƊȺ ƮƵɨƵٌȺƵ ƵȺƧȌǶǘƵȲ ɐǿ ǶȌƧƊǶ

ȺȌȺȺƵǐƊƮȌ‫ة‬ȯȌȺǞƪȪƵȺƧȌȁǏȌȲɈƋɨƵǞȺƵȺȌƦȲƵɈɐƮȌɈƵȲɐǿƊƊɈǞɈɐƮƵȯȌȺǞɈǞɨƊ‫خ‬

2.Psicoeducação
1 ɐǿƊ ǞȁɈƵȲɨƵȁƪƣȌ ȯȺǞƧȌɈƵȲƊȯƺɐɈǞƧƊ ȱɐƵ ƵȁǐǶȌƦƊ Ȍ ƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌ
ȺȌƧǞƊǶ‫ ة‬ƵǿȌƧǞȌȁƊǶ Ƶ ƧȌǿȯȌȲɈƊǿƵȁɈƊǶ ƮȌ ȺɐǯƵǞɈȌ‫ ة‬ȺƵȁƮȌ ȱɐƵ Ȍ ȯȲȌ˛ȺȺǞȌȁƊǶ ƊɈɐƊ
ƧȌǿȌ ƊǐƵȁɈƵ ƮƵ ǿɐƮƊȁƪƊȺ‫ ة‬ǏȌȲȁƵƧƵȁƮȌ ƊȺȺǞȺɈƺȁƧǞƊ ƜȺ ǘƊƦǞǶǞƮƊƮƵȺ ƊƮȱɐǞȲǞƮƊȺ Ƶ
ȯȲȌȯǞƧǞƊȁƮȌƊȌǞȁƮǞɨǠƮɐȌƮƵȺƵȁɨȌǶɨƵȲȯƵȁȺƊǿƵȁɈȌȺ‫ة‬ǞƮƵǞƊȺƵȲƵ˜ƵɮȪƵȺȺȌƦȲƵȺǞƵȌȺ
ƮǞɨƵȲȺȌȺǏƊɈȌȲƵȺȱɐƵƵȁɨȌǶɨƵǿȺƵɐɈȲƊȁȺɈȌȲȁȌ‫ة‬ȯƵȲǿǞɈǞȁƮȌȱɐƵƵǶƵȺƵǯƊȺɐǯƵǞɈȌƮƵ
ȺɐƊȯȲȍȯȲǞƊǘǞȺɈȍȲǞƊ‫خ‬
1 ǞǿȯȌȲɈƊȁɈƵ ƮƵȺɈƊƧƊȲ ȱɐƵ Ȍ ɐȺȌ ƮƊ ȯȺǞƧȌƵƮɐƧƊƪƣȌ ȁȌ ƓǿƦǞɈȌ ƮƊ ȺƊɑƮƵ
ƵȁǐǶȌƦƊ ȁƣȌ ȺȌǿƵȁɈƵ Ɗ §ȺǞƧȌǶȌǐǞƊ‫ ة‬ǿƊȺ ɈƊǿƦƶǿ ƵȁɨȌǶɨƵ ȌɐɈȲȌȺ ƵȁǏȌȱɐƵȺ
ƮǞȺƧǞȯǶǞȁƊȲƵȺ‫ة‬ɨǞȺɈȌȱɐƵƊȺƊɑƮƵɈƊǿƦƶǿȯƵȲǿƵǞƊȌȺƊȺȯƵƧɈȌȺƧȌǿȯȌȲɈƊǿƵȁɈƊǞȺ‫ة‬
ƵǿȌƧǞȌȁƊǞȺƵȺȌƧǞƊǞȺ‫خ‬yƵȺȺƵȺƵȁɈǞƮȌ‫ة‬ƊȯȺǞƧȌƵƮɐƧƊƪƣȌȺƵǏƊɹȯȌȲɐǿǿȌƮƵǶȌƧɐǯƊ
ǞȁɈƵȲƮǞȺƧǞȯǶǞȁƊȲǞƮƊƮƵ ƶ ɐǿƊ ǏƵȲȲƊǿƵȁɈƊ ȁƵƧƵȺȺƋȲǞƊ ȯƊȲƊ Ɗ ǞȁɈƵȲɨƵȁƪƣȌ‫ ة‬ǞȁƧǶɐȺǞɨƵ‫ة‬
ƧɐǿȯȲǞȁƮȌƧȌǿȌȯȲǞȁƧǠȯǞȌƮƊǞȁɈƵǐȲƊǶǞƮƊƮƵƮȌ²ǞȺɈƵǿƊÈȁǞƧȌƮƵ²ƊɑƮƵ‫ـ‬²Ç²‫خف‬
ǞȁɈƵȲɨƵȁƪƣȌȯȺǞƧȌƵƮɐƧƊƧǞȌȁƊǶƶǞǿȯȌȲɈƊȁɈƵȯƊȲƊƮƊȲȺɐȯȌȲɈƵƵƊȯȌǞȌƊȌ
ƧɐǞƮƊƮȌȲ‫خ‬ȱɐƵȺƵȯȌƮƵƮƵȺɈƊƧƊȲƶȱɐƵȌȺƵȺɈɐƮȌȺƵȁǏȌƧƊǿȌȺƧɐǞƮƊƮȌȲƵȺƧȌǿȌ
ȺƵȁƮȌ‫ة‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵ‫ة‬ǏƊǿǞǶǞƊȲƵȺƮȌȯƊƧǞƵȁɈƵ‫ة‬ɨǞȺɈȌȱɐƵƵȺɈƵȺɈƊǿƦƶǿȯȌƮƵȲǞƊǿ
ȺƵƦƵȁƵ˛ƧǞƊȲƧȌǿƊȯȺǞƧȌƵƮɐƧƊƪƣȌ‫خ‬
ßȌƧƺ ȺƊƦǞƊ ȱɐƵ ƊȺ ƊɈǞɨǞƮƊƮƵȺ Ƶ ǘƋƦǞɈȌȺ ƮǞƋȲǞȌȺ‫ ة‬ƵȺȯƵƧǞƊǶǿƵȁɈƵ ƊȁɈƵȺ ƮȌ
ǿȌǿƵȁɈȌƮƵƮȌȲǿǞȲ‫ة‬ȯȌƮƵǿɈƵȲǐȲƊȁƮƵǞǿȯƊƧɈȌȁƊȱɐƊǶǞƮƊƮƵƮȌȺȌȁȌ‫ة‬ȯȌƮƵȁƮȌ
ƊǯɐƮƊȲƊȯȲȌȯȌȲƧǞȌȁƊȲɐǿȺȌȁȌȺƊɐƮƋɨƵǶȌɐƧȌȁɈȲǞƦɐǞȲȯƊȲƊƵȯǞȺȍƮǞȌȺƮƵǞȁȺȏȁǞƊ‫د‬
9
E o que vem a ser o termo “Higiene do sono”?
ªƵǏƵȲƵٌȺƵƊƮǞɨƵȲȺƊȺȯȲƋɈǞƧƊȺƵǘƋƦǞɈȌȺȱɐƵƊǯɐƮƊǿƊǿƵǶǘȌȲƊȲƊȱɐƊǶǞƮƊƮƵ
ƮȌȺȌȁȌ‫ة‬ƊȺȺǞǿƧȌǿȌȯȌƮƵǿƧȌǶƊƦȌȲƊȲȯƊȲƊȌƊƮȌȲǿƵƧǞǿƵȁɈȌ‫خ‬
(ƵƊƧȌȲƮȌƧȌǿƊȺȺȌƧǞƊƪƣȌ ȲƊȺǞǶƵǞȲƊƮȌ²ȌȁȌ‫ة‬ƊȯȺǞƧȌƵƮɐƧƊƪƣȌƶɐȺƊƮƊ
ȯƊȲƊ ȌȲǞƵȁɈƊȲ Ȍ ǞȁƮǞɨǠƮɐȌ ȯȌȲɈƊƮȌȲ ƮƵ ǞȁȺȏȁǞƊ ȺȌƦȲƵ ȺƵɐȺ ǘƋƦǞɈȌȺ ƮƵ ɨǞƮƊ Ƶ ƮȌ
ƊǿƦǞƵȁɈƵȱɐƵȌƧƵȲƧƊ‫ة‬Ǟȁ˜ɐƵȁƧǞƊȁƮȌȺȌƦȲƵƊȺƧȌȁƮǞƪȪƵȺȱɐƵǶƵɨƊǿƜǞȁȺȏȁǞƊȯȌȲ
ǞȁɈƵȲǏƵȲǞȲȁƊȱɐƊǶǞƮƊƮƵƮƵȺȌȁȌ‫خ‬ȯȺǞƧȌƵƮɐƧƊƪƣȌɈƵǿȯȌȲȌƦǯƵɈǞɨȌ‫ة‬ƮǞȺȯȌȁǞƦǞǶǞɹƊȲ
ǏƵȲȲƊǿƵȁɈƊȺ ȯƊȲƊ ȱɐƵ Ȍ ȯƊƧǞƵȁɈƵ ȯȌȺȺƊ ɈƵȲ ƧȌȁɈȲȌǶƵ ȺȌƦȲƵ ƊȺ ȺǞɈɐƊƪȪƵȺ ȱɐƵ
ƊɈȲƊȯƊǶǘƊǿȺƵɐȺȌȁȌ‫ة‬ȺƵȁƮȌƊɐɈȌȺȺɐ˛ƧǞƵȁɈƵ‫ة‬ȱɐƵƵǶƵȯȌȺȺƊɨȌǶɈƊȲƊƮȌȲǿǞȲȱɐƊȁƮȌ
ȌƧȌȲȲƵȲƊǞȁȺȏȁǞƊ‫خ‬ÀƊǿƦƶǿƵȁǐǶȌƦƊ‫ب‬ǏƊƧǞǶǞɈƊȲƊƧȌǿȯȲƵƵȁȺƣȌƮƊȯƊɈȌǶȌǐǞƊƵȺɐƊȺ
ƧȌȁȺƵȱɐƺȁƧǞƊȺ‫ ة‬ǏƊɨȌȲƵƧƵȲ Ɗ ƊƧƵǞɈƊƪƣȌ‫ ة‬ȲƵƮɐɹǞȲ Ȍ ȺɈȲƵȺȺ‫ ة‬ǿƵǶǘȌȲƊȲ Ɗ ȱɐƊǶǞƮƊƮƵ ƮƵ
ɨǞƮƊ‫ـ‬m0 y‫خفׇ׉׉ׁة‬
ȯȺǞƧȌƵƮɐƧƊƪƣȌƶƵǿȯȲƵǐƊƮƊƧȌǿȌȲǞƵȁɈƊƪȪƵȺƊȌǞȁƮǞɨǠƮɐȌƊȲƵȺȯƵǞɈȌƮƵ
ƧȌǿȌǏɐȁƧǞȌȁƊƊǘǞǐǞƵȁƵƮȌȺȌȁȌ‫ة‬ȱɐƵȺƣȌƊȺȲȌɈǞȁƊȺƮƵɨǞƮƊƵȌȺǏƊɈȌȲƵȺƊǿƦǞƵȁɈƊǞȺ
ȱɐƵȯȌƮƵǿǞȁɈƵȲɨǞȲƮƵƧƊȲƋɈƵȲȯȲƋɈǞƧȌȌɐȁƵǐƊɈǞɨƊǿƵȁɈƵȁƊǞȁȺȏȁǞƊ‫خ‬
ȺȺǞǿ ȺƵȁƮȌ‫ ة‬ƧȌǿȯȲƵƵȁƮƵٌȺƵ ȱɐƵ Ɗ ȯȺǞƧȌƵƮɐƧƊƪƣȌ ȌƦǯƵɈǞɨƊ ƊƦȲƊȁǐƵȲ Ƶ

ǶǞƮƊȲƧȌǿƊȺƧȌȁȺƵȱɐƺȁƧǞƊȺƮƊƮȌƵȁƪƊ‫ة‬ȌȱɐƵǏɐȁƮƊǿƵȁɈƊǶǿƵȁɈƵƧȌȁȺɈǞɈɐǞɈƵȁɈƊȲ
ȯƵȲƧƵƦƵȲ Ɗ ȲƵǶƊƪƣȌ ƵȁɈȲƵ ȺǞȁɈȌǿƊȺ‫ ة‬ɈȲƊƪȌȺ ɈǠȯǞƧȌȺ‫ ة‬ƧǶǞǿƊ ǞȁɈƵȲȯƵȺȺȌƊǶ‫ ة‬ȲƵȺɐǶɈƊƮȌȺ
ƧȌǶƊɈƵȲƊǞȺ ƮȌȺ ƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ Ƶ ȯƵȲǿǞɈǞȲ ȱɐƵ Ȍ ȯȺǞƧȌƵƮɐƧƊƮȌȲ ƧȌȌȯƵȲƵ
ƊɈǞɨƊǿƵȁɈƵƧȌǿȌǿƶƮǞƧȌƵǿƮƵɈƵȲǿǞȁƊƮȌȺƊȺȯƵƧɈȌȺɈƵȲƊȯƺɐɈǞƧȌȺ‫خ‬

3. Atividades Físicas
ƊɈǞɨǞƮƊƮƵǏǠȺǞƧƊɈƵǿɐǿȯƊȯƵǶǿɐǞɈȌǞǿȯȌȲɈƊȁɈƵȁƊȲƵǐɐǶƊƪƣȌƮȌ
ǘɐǿȌȲ‫(خ‬ƵɹƵȁƊȺƮƵȯƵȺȱɐǞȺƊȺǿȌȺɈȲƊǿȱɐƵƵȺȺƵǘƋƦǞɈȌƶǏɐȁƮƊǿƵȁɈƊǶ
ȯƊȲƊȯȲȌǿȌɨƵȲƊ²ƊɑƮƵwƵȁɈƊǶ‫ٶخ‬
©ɐƊȁƮȌȯȲƊɈǞƧƊǿȌȺƵȺȯȌȲɈƵȺ‫ة‬ȁȌȺȺȌƧȌȲȯȌǶǞƦƵȲƊɐǿƊȺɐƦȺɈƓȁƧǞƊ
ƧǘƊǿƊƮƊƵȁƮȌȲ˛ȁƊ‫ة‬ɐǿǘȌȲǿȏȁǞȌȱɐƵȯȲȌɨȌƧƊƊȺƵȁȺƊƪƣȌƮƵȯȲƊɹƵȲƵ
ƦƵǿٌƵȺɈƊȲ‫ خ‬ɐɈȲȌȺ ȁƵɐȲȌɈȲƊȁȺǿǞȺȺȌȲƵȺ ƧȌǿ ƊƪƣȌ ȺƵǿƵǶǘƊȁɈƵ ɈƊǿƦƶǿ
ȺƣȌȯȲȌƮɐɹǞƮȌȺƊȌȁȌȺǿȌɨǞǿƵȁɈƊȲǿȌȺ‫خ‬
ȲƵȺɐǶɈƊƮȌƊȯƊȲƵƧƵȁƊȲƵƮɐƪƣȌƮȌȺǠȁƮǞƧƵȺƮƵƮƵȯȲƵȺȺƣȌ‫خ‬ßƋȲǞȌȺ
ƵȺɈɐƮȌȺƧȌǿȯȲȌɨƊǿȱɐƵȱɐƊȁƮȌƊȯƵȺȺȌƊȯȲƊɈǞƧƊׁ‫ׅ‬ǿǞȁɐɈȌȺƮƵƵɮƵȲƧǠƧǞȌȺ
ǿȌƮƵȲƊƮȌȺ ȯȌȲ ȺƵǿƊȁƊ ‫ و‬ȲƵƧȌǿƵȁƮƊƪƣȌ ƮƊ ȲǐƊȁǞɹƊƪƣȌ wɐȁƮǞƊǶ ƮƊ
²ƊɑƮƵ‫ـ‬w²‫وف‬ȺɐƊȺƧǘƊȁƧƵȺƮƵȲƵƮɐɹǞȲƊƮƵȯȲƵȺȺƣȌƧƊƵǿ‫خڭׂ׃‬
(Ƶ ǏȌȲǿƊ ƧȌȁɈȲƋȲǞƊ‫ ة‬Ȍ ȺƵƮƵȁɈƊȲǞȺǿȌ ƵȺɈƋ ƦƊȺɈƊȁɈƵ ȲƵǶƊƧǞȌȁƊƮȌ Ɯ

ɈȲǞȺɈƵɹƊ‫خ‬ÇǿƊȯƵȺȱɐǞȺƊȱɐƵƊƧȌǿȯƊȁǘȌɐǿƊǞȺƮƵ‫ׄ׃‬ǿǞǶƊƮɐǶɈȌȺƮɐȲƊȁɈƵ
ׁׁ ƊȁȌȺ ƮƵǿȌȁȺɈȲȌɐ ɐǿ ƮƊƮȌ ǞǿȯȌȲɈƊȁɈƵ‫ ب‬ȯƵȺȺȌƊȺ ȱɐƵ ȁƣȌ ȯȲƊɈǞƧƊǿ
ƵɮƵȲƧǠƧǞȌȺɈƺǿɐǿ‫ٶ‬ȲǞȺƧȌׄׄ‫ڭ‬ǿƊǞȌȲƮƵƊȯȲƵȺƵȁɈƊȲƮƵȯȲƵȺȺƣȌ‫خ‬
Os benefícios da
atividade física para
o cérebro
9
wƵǶǘȌȲƊƊ
ƊȯȲƵȁƮǞɹƊǐƵǿƵ
ƮƵȺƵǿȯƵȁǘȌǿƵȁɈƊǶ‫س‬
9
Reduz o
ƧȌǿȯȲȌǿƵɈǞǿƵȁɈȌ
ƮƊȺƧƶǶɐǶƊȺ
ƧƵȲƵƦȲƊǞȺƵȯƵȲƮƊ
ƮƵƧȌȌƮƵȁƊƪƣȌ
ȲƵǶƊƧǞȌȁƊƮƊƧȌǿƊ
ƮȌƵȁƪƊƮƵ§ƊȲǲǞȁȺȌȁ‫س‬
9
Reduz a
sensibilidade ao
ƵȺɈȲƵȺȺƵ‫ة‬ƮƵȯȲƵȺȺƣȌƵ
ƊȁȺǞƵƮƊƮƵ‫س‬
9
0ȺɈǞǿɐǶƊƊǘǞȯȍ˛ȺƵƊ
ǶǞƦƵȲƊȲƵȁƮȌȲ˛ȁƊ‫س‬
9
ǯɐƮƊƊȯȲƵɨƵȁǞȲƵ
ɈȲƊɈƊȲƊƮƵǿƺȁƧǞƊ‫ة‬
ǶɹǘƵǞǿƵȲƵ
ƵȁɨƵǶǘƵƧǞǿƵȁɈȌ
ƧƵȲƵƦȲƊǶ‫خ‬

4.Tratamento Psicológico
Terapia de Resolução de Problemas
IȲƵȱɐƵȁɈƵǿƵȁɈƵ‫ ة‬ƊȺ ȯƵȺȺȌƊȺ ƧǘƵǐƊǿ ȁƊȲȲƊȁƮȌ ɨƋȲǞƊȺ ƮǞ˛ƧɐǶƮƊƮƵȺ ȁȌȺ ƊɈƵȁƮǞǿƵȁɈȌȺ‫ة‬
ɐǿƧȌȁǯɐȁɈȌƮƵȺǞɈɐƊƪȪƵȺƮƵƊȁǐɑȺɈǞƊƧȌǿƊȺȱɐƊǞȺȺƵȺƵȁɈƵǿǞǿȯȌɈƵȁɈƵȺ‫خ‬1ɐǿƮƵȺƊ˛ȌȯƊȲƊȌ
ȯȲȌ˛ȺȺǞȌȁƊǶȱɐƵƊƧȌǶǘƵƊȯƵȺȺȌƊƵǿȺȌǏȲǞǿƵȁɈȌƊǯɐƮƋٌǶƊƊȌȲǐƊȁǞɹƊȲȺƵɐȺȯƵȁȺƊǿƵȁɈȌȺƵȯƵȁȺƊȲ
ƵǿƵȺɈȲƊɈƶǐǞƊȺȯȲƋɈǞƧƊȺȯƊȲƊȌƵȁǏȲƵȁɈƊǿƵȁɈȌƮƵȺƵɐȺȯȲȌƦǶƵǿƊȺ‫خ‬
ÀƵȲƊȯǞƊƮƵªƵȺȌǶɐƪƣȌƮƵ§ȲȌƦǶƵǿƊȺƶɐǿƊǞȁɈƵȲɨƵȁƪƣȌƮƵȺƵȁɨȌǶɨǞƮƊƵȺȯƵƧǞ˛ƧƊǿƵȁɈƵ
ȯƊȲƊȌƧƵȁƋȲǞȌƮƊɈƵȁƪƣȌ§ȲǞǿƋȲǞƊ‫ة‬Ɗ˛ǿƮƵȲƵƮɐɹǞȲȺǞȁɈȌǿƊȺƮƵȯȲƵȺȺǞɨȌȺƵƊȁȺǞȌȺȌȺ‫ة‬ƊɐɮǞǶǞƊȁƮȌ
ȯȲȌ˛ȺȺǞȌȁƊǞȺƊƊȯȌǞƊȲȯƵȺȺȌƊȺȁȌƵȁǏȲƵȁɈƊǿƵȁɈȌƮƵȺǞɈɐƊƪȪƵȺƮƵƵȺɈȲƵȺȺƵ‫خ‬²ƣȌȲƵƧȌǿƵȁƮƊƮȌȺƮƵ
ȱɐƊɈȲȌƊȺƵǞȺƵȁƧȌȁɈȲȌȺƧȌǿƮɐȲƊƪƣȌƮƵƊȯȲȌɮǞǿƊƮƊǿƵȁɈƵ‫׀׃‬ǿǞȁɐɈȌȺ‫خ‬
0ȺȺƊɈƶƧȁǞƧƊƶǞȁƮǞƧƊƮƊȱɐƊȁƮȌȌȯȲȌƦǶƵǿƊƮȌȯƊƧǞƵȁɈƵȯȌƮƵȺƵȲƮƵɈƵȲǿǞȁƊƮȌƮƵǿȌƮȌ
ȯȲƵƧǞȺȌƵȯȌƮƵǿȺƵȲƵǶƊƦȌȲƊƮƊȺǿƵɈƊȺȌƦǯƵɈǞɨƊȺƵȲƵƊǶǞȺɈƊȺȯƊȲƊȺȌǶɐƧǞȌȁƊȲƊȱɐƵȺɈƣȌ‫§خ‬ƊȲƊɐȺɐƋȲǞȌȺ
ƧȌǿ ɈȲƊȁȺɈȌȲȁȌȺ ƮƵ ȯƵȲȺȌȁƊǶǞƮƊƮƵ Ƶ ɈȲƊȁȺɈȌȲȁȌȺ ǿƵȁɈƊǞȺ ǐȲƊɨƵȺ ƵȺȺƊ ǞȁɈƵȲɨƵȁƪƣȌ ɈƵȲƊȯƺɐɈǞƧƊ
ɈƵȁƮƵƊȺƵȲȯȌɐƧȌƵ˛ƧƊɹ‫خ‬
ANTES DE INICIAR: 9
0ɮȯǶǞƧƊȲȌǿƶɈȌƮȌ‫س‬
9
!ȌȁɨƵȲȺƊȲ ȺȌƦȲƵ Ɗ ȲȌɈǞȁƊ ƮƵ ƊɈƵȁƮǞǿƵȁɈȌȺ‫ ة‬ǏȲƵȱɐƺȁƧǞƊ Ƶ
ƮɐȲƊƪƣȌƮƊȺȺƵȺȺȪƵȺ‫س‬
9
0ȺɈƊƦƵǶƵƧƵȲȌƧȌȁɈȲƊɈȌɈƵȲƊȯƺɐɈǞƧȌ‫خ‬
Primeiro Passo: 0ȺɈǞǿɐǶƊƮȌȯƵǶȌȯȲȌ˛ȺȺǞȌȁƊǶ‫ة‬ƵɮȯǶȌȲƊȲȌǿȌǿƵȁɈȌȱɐƵƊȯƵȺȺȌƊƵȁǏȲƵȁɈƊ‫ة‬
ȲƵ˜ƵɈǞȁƮȌȺȌƦȲƵȱɐƵƮǞ˛ƧɐǶƮƊƮƵȺƵȁǏȲƵȁɈƊ‫خ‬ȯƵȺȺȌƊƵȁɈƣȌƵǶƊƦȌȲƊɐǿƊ
(Ƶ˛ȁǞȁƮȌȌ ǶǞȺɈƊƮƵȯȲȌƦǶƵǿƊȺȱɐƵȌǞȁƧȌǿȌƮƊǿ‫ة‬ƮƵǏȌȲǿƊƧǶƊȲƊƵƧȌȁƧȲƵɈƊ‫ب‬ȌȁƮƵƵ
ȯȲȌƦǶƵǿƊ ȱɐƊȁƮȌȌƧȌȲȲƵ‫ة‬ȱɐƵǿƵȺɈƋƵȁɨȌǶɨǞƮȌȁƵȺȺƵȯȲȌƦǶƵǿƊ‫خ‬²ƵɐǿȯȲȌƦǶƵǿƊ
ƵȺƧȌǶǘǞƮȌǏȌȲƧȌǿȯǶƵɮȌ‫ة‬ƮƵɨƵǿȺƵȲƮǞɨǞƮǞƮȌȺƵǿȯȲȌƦǶƵǿƊȺǿƵȁȌȲƵȺ‫خ‬
0ǿȺƵǐɐǞƮƊ‫ة‬ȌȯƊƧǞƵȁɈƵƮƵɨƵƵȺƧȌǶǘƵȲɐǿƮȌȺȯȲȌƦǶƵǿƊȺȯƊȲƊȺȌǶɐƧǞȌȁƊȲ‫خ‬
Segundo Passo: 1 ǞǿȯȌȲɈƊȁɈƵ ȱɐƵ Ɗ ǿƵɈƊ ȁƣȌ ȺƵǯƊ ǞǿȯȌȺɈƊ ȯƵǶȌ ȯȲȌ˛ȺȺǞȌȁƊǶ‫ ة‬ǿƊȺ ȱɐƵ
ƵȺɈƵƵȺɈǞǿɐǶƵȌȯƊƧǞƵȁɈƵƊƧȌȁȺɈȲɐǞȲɐǿƊǿƵɈƊȱɐƵȺƵǯƊȯȌȺȺǠɨƵǶƮƵȺƵȲ
0ȺɈƊƦƵǶƵƧƵȁƮȌ ǞǿȯǶƵǿƵȁɈƊƮƊ‫ة‬ȱɐƵȺɈǞȌȁƊȁƮȌȯǶƊȁȌȺƧȌȁȺǞƮƵȲƊƮȌȺǞȁƊǶƧƊȁƪƋɨƵǞȺ‫خ‬
ǿƵɈƊȺȲƵƊǶǞȺɈƊȺ
ȯƊȲƊƊȲƵȺȌǶɐƪƣȌƮȌ 0ȺɈƊƦƵǶƵƧƵȲɐǿƊǿƵɈƊȌƦǯƵɈǞɨƊ‫ة‬ƧǶƊȲƊƵȯȌȺȺǠɨƵǶƮƵȺƵȲƊǶƧƊȁƪƊƮƊ‫خ‬
ȯȲȌƦǶƵǿƊ
wƵɈƊȺǞȲȲƵƊǞȺȯȲȌƮɐɹƵǿǏȲɐȺɈȲƊƪƣȌ‫خ‬
Terceiro Passo: 0ȺɈǞǿɐǶƊȲȱɐƵȌɐȺɐƋȲǞȌȯƵȁȺƵƵǿɨƋȲǞȌȺɈǞȯȌȺƮƵȺȌǶɐƪȪƵȺȯƊȲƊȌȯȲȌƦǶƵǿƊ‫ة‬
ȺƵǿ ǯɐǶǐƊǿƵȁɈȌȺ‫ ة‬ǿƵȺǿȌ ȱɐƵ ȯƊȲƵƪƊǿ ƊƦȺɐȲƮȌȺ Ȍɐ ǞǿȯȌȺȺǠɨƵǞȺ‫ خ‬1
JƵȲƊȁƮȌɨƋȲǞƊȺ ǞǿȯȌȲɈƊȁɈƵȱɐƵƊȺȺȌǶɐƪȪƵȺȯƊȲɈƊǿƮƊȯƵȺȺȌƊ‫خ‬
ȺȌǶɐƪȪƵȺƵ
ƊǶɈƵȲȁƊɈǞɨƊȺȯƊȲƊȌ ɈƵȁƮƺȁƧǞƊƶ‫ب‬ǿƊǞȺȺȌǶɐƪȪƵȺ‫ة‬ǿƊǞȺɨƊȲǞƵƮƊƮƵƵǿƊǞȺȱɐƊǶǞƮƊƮƵƮƵǞƮƵǞƊȺ
ȯȲȌƦǶƵǿƊ ȺɐȲǐǞȲƣȌ‫خ‬
²ƵǿȯȲƵ ǞȁƧǶɐǞȲ ƊȺ ȯȌȺȺǞƦǞǶǞƮƊƮƵȺ ǿƊǞȺ ƵɮɈȲƵǿƊƮƊȺ ƮƵ ȺȌǶɐƪƣȌ ƮƵȁɈȲƵ

ƊȺ ƊǶɈƵȲȁƊɈǞɨƊȺ ȯƊȲƊ ȯƵȲǿǞɈǞȲ ɐǿƊ ɨǞȺɐƊǶǞɹƊƪƣȌ Ƶ ƵȁɈƵȁƮǞǿƵȁɈȌ ǿƊǞȺ
ƧȌǿȯǶƵɈȌȺƮƊȺɨƋȲǞƊȺȺȌǶɐƪȪƵȺȯȌȺȺǠɨƵǞȺ‫خ‬

Quarto Passo: §ƵȺƊȲȌȺȯȲȍȺƵƧȌȁɈȲƊȺƮƵƧƊƮƊȺȌǶɐƪƣȌ‫خ‬
XǿȯǶƵǿƵȁɈƊȁƮȌ !ȌȁȺǞƮƵȲƊȲƊɨǞƊƦǞǶǞƮƊƮƵ‫ة‬ƊƧƊȯƊƧǞƮƊƮƵƮƵȲƵȺȌǶɐƪƣȌƮȌƧȌȁ˜ǞɈȌ‫ة‬ȌǐȲƊɐƮƵ
ƮǞȲƵɈȲǞɹƵȺȯƊȲƊ ȺƊɈǞȺǏƊƪƣȌȱɐƵɈȲƊȲƋƵƊȲƵǶƊƪƣȌ ƧɐȺɈȌٌƦƵȁƵǏǠƧǞȌ‫خ‬
ƊɈȌǿƊƮƊƮƵ
ƮƵƧǞȺƣȌ
Quinto Passo: Ⱥ ȺȌǶɐƪȪƵȺ ƧȌȁȺɈȲɐǠƮƊȺ ȺƣȌ ȲƵǶƵɨƊȁɈƵȺ Ƶ ǏƊȲƣȌ Ɗ ȯƵȺȺȌƊ ƊɈǞȁǐǞȲ ȺƵɐ
ȌƦǯƵɈǞɨȌ‫د‬
0ȺƧȌǶǘƵȁƮȌƵ
ǞǿȯǶƵǿƵȁɈƊȁƮȌ ²ƣȌɨǞƋɨƵǞȺ‫د‬ǞȁƮǞɨǠƮɐȌƧȌȁȺƵǐɐǞȲƋɈȲǞǶǘƊȲȌȺȯƊȺȺȌȺȯƊȲƊƵǏƵɈɐƊȲƊȺƊƪȪƵȺ
Ɗ‫ـ‬Ⱥ‫ف‬ȺȌǶɐƪƣȌ‫ـ‬ȪƵȺ‫خف‬ ȯƵȁȺƊƮƊȺ‫د‬
(ǞɨǞƮǞȲƊƊƪƣȌƵǿȯƵȱɐƵȁƊȺɈƊȲƵǏƊȺȲƵƊǶǞȺɈƊȺƊǯɐƮƊ‫خ‬0ȺƧȲƵɨƵȲƵȺȺƊȺɈƊȲƵǏƊȺ
ƵƵȺɈƊƦƵǶƵƧƵȲȯȲƊɹȌȺɈƊǿƦƶǿ‫خ‬
Sexto Passo: ɨƊǶǞƊȲ ƧɐǞƮƊƮȌȺƊǿƵȁɈƵ ƊȺ ɈƊȲƵǏƊȺ ȱɐƵ ǏȌȲƊǿ ƧȌǿƦǞȁƊƮƊȺ‫ خ‬ȱɐƵ ƮƵɐ
ƧƵȲɈȌ‫د‬ȱɐƵȁƣȌƮƵɐƧƵȲɈȌ‫د‬
ɨƊǶǞƊȁƮȌȌ
ȲƵȺɐǶɈƊƮȌ ßƊǶȌȲǞɹƊȲȌȺȯȲȌǐȲƵȺȺȌȺƵǐƊȁǘȌȺ‫خ‬
²ƵǘȌɐɨƵȲƮǞ˸ƧɐǶƮƊƮƵ‫ل‬ɨƵȲǞ˸ƧƊȲ‫ك‬
9
ÀƊȲƵǏƊȯȌɐƧȌƮƵ˛ȁǞƮƊ‫د‬
9
²ƣȌǿƵɈƊȺȯȌɐƧȌȲƵƊǶǞȺɈƊȺ‫د‬
9
²ɐȲǐǞȲƊǿȁȌɨȌȺȌƦȺɈƋƧɐǶȌȺ‫د‬
9
ȯƊƧǞƵȁɈƵȁƣȌƧɐǿȯȲǞɐȺɐƊȺɈƊȲƵǏƊȺ‫د‬
ªƵɈȌȲȁƊȲ ȯƊȲƊ ɐǿ ȯƊȺȺȌ ƊȁɈƵȲǞȌȲ‫ ة‬ȺƵ ȁƵƧƵȺȺƋȲǞȌ‫ ة‬Ȍɐ ƵȁƧƵȲȲƊȲ Ȍ ȯȲȌƧƵȺȺȌ‫ة‬
ƧƊȺȌɈƵȁǘƊȺǞƮȌƊɈǞȁǐǞƮȌȌȌƦǯƵɈǞɨȌ‫خ‬

Intervenção Breve Interpessoal
(ƵȁɈȲƵ ȌȺ ɨƋȲǞȌȺ ǿȌƮƵǶȌȺ ƮƵ ǞȁɈƵȲɨƵȁƪƣȌ ȯȺǞƧȌȺȺȌƧǞƊǶ Ƶǿ ǏȌȲǿƊɈȌ ƦȲƵɨƵ‫ ة‬ƮƵȺɈƊƧƊٌȺƵ Ɗ
XȁɈƵȲɨƵȁƪƣȌXȁɈƵȲȯƵȺȺȌƊǶ‫ـ‬XX§‫ف‬ƧȌǿȌǏƵȲȲƊǿƵȁɈƊƮƵȺɐȯȌȲɈƵƊȯƵȺȺȌƊȺƵǿȺǞɈɐƊƪȪƵȺƮƵȺȌǏȲǞǿƵȁɈȌ
ǿƵȁɈƊǶ ƊǐɐƮȌ‫ ة‬ƧȌǿȌ ȺƣȌ ȌȺ ƧƊȺȌȺ ƮƵ ȲǞȺƧȌ ƮƵ ȺɐǞƧǠƮǞȌ‫ خ‬ǞȁɈƵȲɨƵȁƪƣȌ ƦȲƵɨƵ XȁɈƵȲȯƵȺȺȌƊǶ ɈƵǿ
ƧȌǿȌ ȯȲǞȁƧǞȯƊǶ ȌƦǯƵɈǞɨȌ ȌǏƵȲƵƧƵȲ ƊɈƵȁƪƣȌ ȯƊȲƊ Ɗ ȲƵǿǞȺȺƣȌ ƮȌȺ ȺǞȁɈȌǿƊȺ‫ ة‬ƊɈȲƊɨƶȺ ƮƊ ǿƵǶǘȌȲƊ
ƮȌǏɐȁƧǞȌȁƊǿƵȁɈȌǞȁɈƵȲȯƵȺȺȌƊǶȁƊȺȺɐƊȺȲƵǶƊƪȪƵȺǏƊǿǞǶǞƊȲƵȺƵȌɐɈȲȌȺȺɐȯȌȲɈƵȺȺȌƧǞƊǞȺ‫خ‬1ɐǿƊ
ƵȺɈȲƊɈƶǐǞƊƮƵƧɐǞƮƊƮȌƵȺɈȲɐɈɐȲƊƮƊ‫ة‬ƮƵƧɐȲɈƊƮɐȲƊƪƣȌ‫ة‬ƧȌǿǏȌƧȌȁȌƊȱɐǞƵƊǐȌȲƊƵƧƵȁɈȲƊǶǞɹƊƮƊƵǿ
ɐǿƊȺǞɈɐƊƪƣȌȯȲȌƦǶƵǿƊƵȺȯƵƧǠ˛ƧƊȌɐǏȌƧȌ‫خ‬
ǞȁɈƵȲɨƵȁƪƣȌ ƦȲƵɨƵ ȺƵǐɐƵ ɐǿ ƧǞƧǶȌ ƮƵ ‫ ׃‬ǏƊȺƵȺ ‫ـ‬ǞȁǞƧǞƊǶ‫ ة‬ǞȁɈƵȲǿƵƮǞƋȲǞƊ Ƶ ˛ȁƊǶ‫ ف‬Ƶ ȯȌƮƵ ȺƵȲ
ƧȌȁƧǶɐǠƮƊƵǿ‫׈‬ƊׁׂȺƵȺȺȪƵȺƊɈȲƊɨƶȺƮƊƊƦȌȲƮƊǐƵǿǞȁƮǞɨǞƮɐƊǶ‫خ‬
1º passo da Intervenção Interpessoal
Conhecer o problema, compreendendo a situação de

ȺȌǏȲǞǿƵȁɈȌƮƊȯƵȺȺȌƊ‫ة‬ǞƮƵȁɈǞ˛ƧƊȁƮȌȌȺȺǞȁɈȌǿƊȺ‫خ‬
ǏƵȲƵƧƵȲƊǶǐɐǿƊȺǞȁǏȌȲǿƊƪȪƵȺƊȌɐȺɐƋȲǞȌ‫خ‬
!ȌǿȯȲƵƵȁƮƵȲƧȌǿȌƵȺɈƣȌƊȺȲƵǶƊƪȪƵȺȺȌƧǞƊǞȺƮȌɐȺɐƋȲǞȌ‫ة‬
ou seja, sua família, amigos, vizinhos e todos aqueles que a
ȯƵȺȺȌƊǞƮƵȁɈǞ˛ƧƊƧȌǿȌǏƊɹƵȁƮȌȯƊȲɈƵƮƊȺɐƊȲƵƮƵ‫خ‬
As perguntas devem se voltar ao entendimento do que está

acontecendo com ele agora e para o histórico do seu sof rimento:
Quando você começou a se sentir assim?
No momento em que começou a sentir-se assim, o que

estava acontecendo na sua vida?
Você lembra e gostaria de falar sobre alguma coisa

ƵȺȯƵƧǠ˛ƧƊȱɐƵƊƧȌȁɈƵƧƵɐ‫د‬

§ƊȲƊȱɐƵȺƵƧȲǞƵɐǿƊȲƵǶƊƪƣȌƮƵƧȌȁ˛ƊȁƪƊƧȌǿƊȯƵȺȺȌƊƵǿȺȌǏȲǞǿƵȁɈȌ‫ة‬ƶǿɐǞɈȌǞǿȯȌȲɈƊȁɈƵ
ƊȯȌȺɈɐȲƊƮȌȯȲȌ˛ȺȺǞȌȁƊǶ‫خ‬0ǶƵƮƵɨƵǿȌȺɈȲƊȲƵǿȯƊɈǞƊ‫ة‬ƵȺƧɐɈƊƧȌǿȯȲƵƵȁȺǞɨƊƵȲƵȺȯƵǞɈȌƊȌɐȺɐƋȲǞȌ‫ة‬
ƊǶƶǿƮƵƊȯȲƵȺƵȁɈƊȲȯȌȺɈɐȲƊƊɈǞɨƊȁȌȺƵȁɈǞƮȌƮƵƵȁƧȌȲƊǯƊȲȌȯƊƧǞƵȁɈƵƮɐȲƊȁɈƵɈȌƮȌȌȯȲȌƧƵȺȺȌ‫خ‬
XƮƵȁɈǞ˛ƧƊƪƣȌƮƊȲƵƮƵȺȌƧǞƊǶƮȌȯƊƧǞƵȁɈƵ
Avaliação da qualidade
Perguntas que podem ser feitas: atual dessa relação
ßȌƧƺƧȌȁɨƵȲȺƊƊƦƵȲɈƊǿƵȁɈƵȺȌƦȲƵȺƵɐȺ
ȯȲȌƦǶƵǿƊȺƧȌǿ‫دصصصصصص‬
ßȌƧƺȯƵƮƵƊǯɐƮƊƊ‫صصصصصص‬ȱɐƊȁƮȌȯȲƵƧǞȺƊ‫د‬
ßȌƧƺɈƵǿƧȌȁ˛ƊȁƪƊƵǿ‫دصصصصصص‬
ßȌƧƺȺƵȺƵȁɈƵƧȌǿȯȲƵƵȁƮǞƮȌȯȌȲ‫دصصصصصص‬
ȱɐƵǘƋƮƵȯȌȺǞɈǞɨȌƵȁƵǐƊɈǞɨȌȁƵȺȺƵȺ
ȲƵǶƊƧǞȌȁƊǿƵȁɈȌȺ‫دصصصصصص‬
Mas onde se pretende chegar? Qual seria o objetivo de uma intervenção breve?
Na FASE INTERMEDIÁRIAƵƊȯȍȺƊƧȌǿȯȲƵƵȁȺƣȌƮƊȺǞɈɐƊƪƣȌƊɈɐƊǶȯƵǶƊȱɐƊǶƵȺɈƋȯƊȺȺƊȁƮȌ
ȌɐȺɐƋȲǞȌƵƊƮƵ˛ȁǞƪƣȌƮȌǏȌƧȌƧȌǿȌƮǞȲƵƪƣȌƮƵƧɐǞƮƊƮȌ‫ة‬ȌȯȲȌ˛ȺȺǞȌȁƊǶƮƵ˛ȁƵƧȌǿƊȯƵȺȺȌƊɐǿƊ
ǿƵɈƊƮƵƧɐȲɈȌȯȲƊɹȌ‫ة‬ƊǶǐȌȱɐƵȺƵǯƊȺǞǐȁǞ˛ƧƊɈǞɨȌƵǿɈƵȲǿȌȺƮƊȲƵƧɐȯƵȲƊƪƣȌƮƵȺɐƊǏɐȁƧǞȌȁƊǶǞƮƊƮƵ
ǞȁɈƵȲȯƵȺȺȌƊǶ Ƶ‫ ة‬ƊȌ ǿƵȺǿȌ ɈƵǿȯȌ‫ ة‬ƊǶǐȌ ƧȌȁƧȲƵɈȌ Ƶ ȯȌȺȺǠɨƵǶ ƮƵ ȺƵȲ ƊǶƧƊȁƪƊƮȌ ȁȌ ɈȲƊȁȺƧɐȲȺȌ ƮƵ
ɈƵǿȯȌƊɈƶƊǞȁɈƵȲɨƵȁƪƣȌ‫خ‬ǿƵɈƊȯȌƮƵȲȺƵȲ‫ة‬ȯȌȲƵɮƵǿȯǶȌ‫ة‬ƧȌȁȺƵǐɐǞȲȺƊǞȲƮƵƧƊȺƊ‫ـ‬ȯƊȲƊɐǿƧƊȺȌƮƵ
ǞȺȌǶƊǿƵȁɈȌǐȲƊɨƵ‫ةف‬ƧȌȁȺƵǐɐǞȲƵɨǞɈƊȲȺǞɈɐƊƪȪƵȺƮƵƧȌȁ˜ǞɈȌȺ‫ـ‬ƧɐǯȌǏȌƧȌƶƊƮǞȺȯɐɈƊǞȁɈƵȲȯƵȺȺȌƊǶ‫ةف‬Ȍɐ
ȲƵɈȌǿƊȲȯƵȱɐƵȁƊȺƊɈǞɨǞƮƊƮƵȺ‫خ‬
©ɐƊȁƮȌƊƧȌǿȯƊȁǘƊǿȌȺƧƊȺȌȺƮƵȯƵȺȺȌƊȺƵǿȺǞɈɐƊƪȪƵȺƮƵǞȁɈƵȁȺȌȺȌǏȲǞǿƵȁɈȌ‫ة‬ȺƊƦƵǿȌȺ
ȱɐƵ‫ة‬ȯȌȲɨƵɹƵȺ‫ة‬ȲƵƊǶǞɹƊȲƧȌǞȺƊȺȺǞǿȯǶƵȺƮƵǿƊȁƮƊɐǿƵȺǏȌȲƪȌƵȁȌȲǿƵ‫ة‬ȯȌȲǞȺȺȌƊȺǿƵɈƊȺƮƵɨƵǿ
ȺƵȲǿȌƮƵȺɈƊȺ‫ة‬ƮƵǿȌƮȌƊȁƣȌƧȌȲȲƵȲǿȌȺȌȲǞȺƧȌƮƵȯȲȌƮɐɹǞȲȺƵȁȺƊƪȪƵȺƮƵǞǿȯȌɈƺȁƧǞƊ‫ة‬ƧƊȺȌƵǶƊȺ
ȁƣȌȺƵǯƊǿƊǶƧƊȁƪƊƮƊȺ‫خ‬ßƊǶƵƮƵȺɈƊƧƊȲȱɐƵ‫ة‬ƊǿƵɈƊȁƣȌƶȌȌƦǯƵɈǞɨȌƵǿȺǞƮƊǞȁɈƵȲɨƵȁƪƣȌ‫ة‬ǿƊȺɐǿƊ
ƧȌȁȱɐǞȺɈƊǏɐȁƧǞȌȁƊǶǞǿȯȌȲɈƊȁɈƵȁȌȯƵȲƧɐȲȺȌƮƵȺɐƊǿƵǶǘȌȲƊ‫خ‬

Estrutura da Intervenção Interpessoal breve (IIP)
9
Modelo de 12 encontros
Com base nos Focos FASE INICIAL

‫ׁـ‬ѥƊ‫׃‬ѥƵȁƧȌȁɈȲȌ‫ف‬
9
ƧȌǿȯƊȁǘƊȁƮȌȌȯȲȌǐȲƵȺȺȌƮȌ
ɐȺɐƋȲǞȌƊȯȌǞƊȁƮȌƵǿƮǞȲƵƪƣȌƜ
ǿƵɈƊƵȺɈƊƦƵǶƵƧǞƮƊ‫خ‬
9
!ȌȁǘƵƧƵȁƮȌƊȺǞɈɐƊƪƣȌƮƵ FASE INTERMEDIÁRIA
ȺȌǏȲǞǿƵȁɈȌƮȌɐȺɐƋȲǞȌ‫س‬
‫ׄـ‬ѥƊ‫׈‬ѥƵȁƧȌȁɈȲȌ‫ف‬
9
XƮƵȁɈǞ˛ƧƊȁƮȌȺǞȁɈȌǿƊȺ‫س‬
9
XƮƵȁɈǞ˛ƧƊȲȌǏȌƧȌ‫ـ‬ƋȲƵƊٌȯȲȌƦǶƵǿƊ‫خف‬
9
ɨƊǶǞƊƪƣȌƵȲƵƧȌȁǘƵƧǞǿƵȁɈȌƮȌȺ
ȯȲȌǐȲƵȺȺȌȺ‫س‬ FASE FINAL
9
ȯƪȪƵȺƮƵɈƶȲǿǞȁȌ‫ب‬ȌɐɈȲȌȺ ‫׈ـ‬ѥƊׁׂѥƵȁƧȌȁɈȲȌ‫ف‬
ƵȁƧƊǿǞȁǘƊǿƵȁɈȌȺƵƊɈǞɨǞƮƊƮƵȺ
ƮƊ!ǶǠȁǞƧƊƮƊIƊǿǠǶǞƊ‫خ‬
IȌȁɈƵ‫ب‬ƮƊȯɈƊƮȌƮƵ§ªß0‫خׁׂ׀ׂة‬
Na FASE FINALƮƊǞȁɈƵȲɨƵȁƪƣȌȲƵƊǶǞɹƊٌȺƵƊƊɨƊǶǞƊƪƣȌƮȌȯȲȌƧƵȺȺȌ‫ة‬ƵǿȲƵǶƊƪƣȌƊȌƊȁɈƵȺƵ
ƮƵȯȌǞȺ‫ة‬ȯƵȲǐɐȁɈƊȁƮȌƜȯƵȺȺȌƊƧȌǿȌƵǶƊȺƵɨǞɐȁȌȯȲȌƧƵȺȺȌ‫ة‬ƵɈƊǿƦƶǿǶƵǿƦȲƊȁƮȌƧȌǿȌȺƵƮƵɐȌ
ǿȌǿƵȁɈȌǞȁǞƧǞƊǶƵȺɐƊƵɨȌǶɐƪƣȌƊɈƶȌ˛ȁƊǶ‫خ‬ǿƵɈƊƵȺɈƊƦƵǶƵƧǞƮƊƮƵɨƵȺƵȲȲƵɨǞȺǞɈƊƮƊ‫ة‬ƮƵǿȌƮȌȱɐƵ
ȌȺƊɨƊȁƪȌȺƧȌȁȱɐǞȺɈƊƮȌȺȺƵǯƊǿȲƵƧɐȲȺȌȺƮȌɐȺɐƋȲǞȌȯƊȲƊȺƵǐɐǞȲȁƊȺɐƊƧƊǿǞȁǘƊƮƊ‫س‬ƵƊƊɈƵȁƪƣȌ
ȯȌƮƵƧȌȁɈǞȁɐƊȲƵǿȌɐɈȲȌȺȺƵȲɨǞƪȌȺƮƊɐȁǞƮƊƮƵȌɐƧȌǿȌɐɈȲȌȺƵȁƧƊǿǞȁǘƊǿƵȁɈȌȺ‫خ‬1ȁȌȲǿƊǶȁƊȺ
ǞȁɈƵȲɨƵȁƪȪƵȺƦȲƵɨƵȺȱɐƵƊȯƵȺȺȌƊǶƊǿƵȁɈƵȱɐƵȌƧǞƧǶȌȺƵǏƵƧǘƵ‫ة‬ƮǞɹƵȁƮȌȱɐƵȺƵȁɈǞȲƋǏƊǶɈƊƵɈƧ‫ةخ‬ǿƊȺ
ƵȺȺƵƧǞƧǶȌƵȺȯƵƧǠ˛ƧȌƮƵɨƵȺƵȲƮƵǏƊɈȌƵȁƧƵȲȲƊƮȌ‫خ‬yƊɈƵȁƪƣȌ§ȲǞǿƋȲǞƊ‫ة‬ȌƵȁƧƵȲȲƊǿƵȁɈȌƮȌƧǞƧǶȌ
ƦȲƵɨƵƮƊǞȁɈƵȲɨƵȁƪƣȌȁƣȌȺǞǐȁǞ˛ƧƊȌ˛ǿƮȌƊƧȌǿȯƊȁǘƊǿƵȁɈȌ‫ة‬ȯȌǞȺƊȯƵȺȺȌƊƧȌȁɈǞȁɐƊȲƋƊȺƵȲɐǿ
ɐȺɐƋȲǞȌȁȌȺƵȲɨǞƪȌ‫ة‬ȁƣȌƶɨƵȲƮƊƮƵ‫دث‬

5.Intervenções Farmacológicas
Ⱥ ȯȺǞƧȌǏƋȲǿƊƧȌȺ ȺƣȌ ɐǿ ȲƵƧɐȲȺȌ ƵȁɈȲƵ ȌɐɈȲȌȺ ȯƊȲƊ Ȍ ɈȲƊɈƊǿƵȁɈȌ Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ‫ة‬
ƵȁɈȲƵɈƊȁɈȌ‫ ة‬Ȍ ȺƵɐ ɐȺȌ Ⱥȍ ǏƊɹ ȺƵȁɈǞƮȌ ȱɐƊȁƮȌ ƮƵȁɈȲȌ ƮƵ ɐǿ ƧȌȁɈƵɮɈȌ ƮƵ ɨǠȁƧɐǶȌ Ƶ ƮƵ ƵȺƧɐɈƊ‫خ‬
1 Ɗ ȯƊȲɈǞȲ ƮȌ ǿȌǿƵȁɈȌ Ƶǿ ȱɐƵ Ȍ ɐȺɐƋȲǞȌ ƧȌǿȯȲƵƵȁƮƵ Ƶ ȺƵ ƧȌȲȲƵȺȯȌȁȺƊƦǞǶǞɹƊ ȯƵǶȌ ɐȺȌ ƮƊ
ǿƵƮǞƧƊƪƣȌȱɐƵȯƊȺȺƊȲƋƊȁƣȌȺȌǿƵȁɈƵƮƵǿƊȁƮƊȲٗɈȲȌƧƊƮƵȲƵƧƵǞɈƊȺ٘‫ة‬ǿƊȺȯȌƮƵȲƋȺƵǞǿȯǶǞƧƊȲ
ɐǿȯȌɐƧȌƮǞƊȁɈƵƮƊȺȱɐƵǞɮƊȺȱɐƵɈȲƊɹ‫§خ‬ƊȲƊȌȯȲȌ˛ȺȺǞȌȁƊǶ‫ة‬ƮǞƊȁɈƵƮƵƊǶǐɐƶǿƵǿȺȌǏȲǞǿƵȁɈȌ‫ة‬
ƶ ǞǿȯȌȲɈƊȁɈƵ ƧȌȁȺǞƮƵȲƊȲ Ɗ ȯƵȲǞǐȌȺƊ ǞƮƵǞƊ ƮƵ ȱɐƵ Ȍ ȲƵǿƶƮǞȌ ȯȌȺȺƊ ȲƵȯȲƵȺƵȁɈƊȲ ɐǿƊ ȺȌǶɐƪƣȌ
ȲƋȯǞƮƊ‫ ة‬ɐǿƊ ȲƵȺȯȌȺɈƊ ȯƊȲƊ ɐǿƊ ƊȁǐɑȺɈǞƊ ȱɐƵ ȺƵȁɈƵ ƮǞƊȁɈƵ ƮƊ ǞǿȯȌɈƺȁƧǞƊ Ƶ ƮƊ ɨȌȁɈƊƮƵ ƮƵ
ƵɮɈǞȲȯƊȲȌȯȲȌƦǶƵǿƊ‫ٗخ‬wɐǞɈƊƧƊǶǿƊȁƵȺȺƊǘȌȲƊ٘‫خ‬ÇǿƊƵȺƧɐɈƊƊɈƵȁɈƊƵǿƵȺǿȌƊƮǞƊȲƊȯȲƵȺƧȲǞƪƣȌ
ȯƊȲƊȌȯȲȍɮǞǿȌƵȁƧȌȁɈȲȌȯȌƮƵǿȺƵȲȯƵƪƊȺǏɐȁƮƊǿƵȁɈƊǞȺȁȌɨǠȁƧɐǶȌȱɐƵɨƊǞȺɐȺɈƵȁɈƊȲƊǐƵȺɈƣȌ
ƧȌǿȯƊȲɈǞǶǘƊƮƊ ƮȌ ɐȺȌ ƮƊȱɐƵǶƊ ǿƵƮǞƧƊƪƣȌ‫ خ‬ÇǿƊ ȯƊȲƧƵȲǞƊ ȱɐƵ‫ ة‬ƮƵȺȺƵ ǿȌƮȌ‫ ة‬ǯƋ ȁƊȺƧƵȲƋ ƧȌǿ
ƧȌȁȺǞȺɈƺȁƧǞƊ‫خ‬ßƊǶƵƊȯƵȁƊƮƵȺǿǞȺɈǞ˛ƧƊȲȌȁȌǿƵƮƵٗǿƵƮǞƧƊǿƵȁɈȌȺȯȺǞȱɐǞƋɈȲǞƧȌȺ٘‫ة‬ȌȱɐƵȺɐǐƵȲƵ
ȱɐƵȺȌǿƵȁɈƵȌȺȯȺǞȱɐǞƊɈȲƊȺȺƊƦƵǿȯȲƵȺƧȲƵɨƺٌǶȌȺ‫خ‬IƊǶƊȲƵǿȌȺƊȱɐǞƮƵǿƵƮǞƧƊǿƵȁɈȌȺȱɐƵƊǐƵǿ
ȺȌƦȲƵ Ȍ ȺǞȺɈƵǿƊ ȁƵȲɨȌȺȌ ƧƵȁɈȲƊǶ Ƶ ȱɐƵ ȯȌƮƵǿ ȺƵȲ ɐɈǞǶǞɹƊƮȌȺ ȱɐƊȁƮȌ ƊȺȯƵƧɈȌȺ ȲƵǶƊƧǞȌȁƊƮȌȺ Ɗ
ƮǞǿƵȁȺȪƵȺƮȌƧȌǿȯȌȲɈƊǿƵȁɈȌ‫ة‬ƮȌȯƵȁȺƊǿƵȁɈȌ‫ة‬ƮȌȺȌȁȌ‫ة‬ƮƊɨȌȁɈƊƮƵ‫ة‬ƮƵɨƋȲǞƊȺƮǞǿƵȁȺȪƵȺƮƊ
ɨǞƮƊƮƵɐǿƊȯƵȺȺȌƊ‫ى‬ƊȱɐƵǶƊȺȱɐƵƮǞȺƧɐɈǞǿȌȺƊȁɈƵȲǞȌȲǿƵȁɈƵƵǿٗȌȱɐƵƶɐǿƊȯƵȺȺȌƊ٘‫ى‬ȺƣȌ
ɈȲƊɹǞƮƊȺƧȌǿȌȯȲǞȁƧǞȯƊǶȯȲȌƦǶƵǿƊƮɐȲƊȁɈƵɐǿƧȌȁɈƊɈȌƧȌǿɐǿɐȺɐƋȲǞȌ‫خ‬
!ȌȁǘƵƧƵȲ ɐǿ ȯȌɐƧȌ ǿƊǞȺ ȺȌƦȲƵ ƵȺȺƵȺ ǿƵƮǞƧƊǿƵȁɈȌȺ ƶ ǏɐȁƮƊǿƵȁɈƊǶ ȯƊȲƊ ƮƵȺǏƊɹƵȲ
ǿǞɈȌȺ Ƶ ɈƊƦɐȺ‫ ة‬ƊȺȺɐǿǞȲ ȲƵȺȯȌȁȺƊƦǞǶǞƮƊƮƵ ȺȌƦȲƵ Ȍ ƧɐǞƮƊƮȌ ǶȌȁǐǞɈɐƮǞȁƊǶ Ƶ ƵɨǞɈƊȲ ȲƵǏƵȲƺȁƧǞƊȺ Ƶ
ƧȌȁɈȲƊȲȲƵǏƵȲƺȁƧǞƊȺ ƮƵȺȁƵƧƵȺȺƋȲǞƊȺ‫ خ‬ÇǿƊ ǶƵǞɈɐȲƊ ƊɈƵȁɈƊ ɈƊǿƦƶǿ ȺƵȲƋ ƦƊȺɈƊȁɈƵ ɨƊǶǞȌȺƊ Ƶǿ ɐǿ
ǿȌǿƵȁɈȌƮƵǞȁɈƵȲƊƪƣȌƧȌǿƊǶǐɐǿȯȲȌ˛ȺȺǞȌȁƊǶƮƊ²ƊɑƮƵwƵȁɈƊǶ‫خ‬1ǞǿȯȌȲɈƊȁɈƵȱɐƵƊȺƵȱɐǞȯƵȺƮƊ
ɈƵȁƪƣȌ ƋȺǞƧƊȯȌȺȺƊǿɈƵȲɐǿƊƵɮȯƵƧɈƊɈǞɨƊȲƵƊǶǞȺɈƊƮƵȱɐƵɈǞȯȌƮƵȯȲȌƦǶƵǿƊƮƵ²ƊɑƮƵwƵȁɈƊǶ
ȯȌƮƵȌɐȁƣȌȲƵȺȯȌȁƮƵȲƊɐǿƊƮƵɈƵȲǿǞȁƊƮƊǿƵƮǞƧƊƪƣȌ‫خ‬1ȯȲƵƧǞȺȌȁƵǿɈȲƊȁȺǏȌȲǿƋٌǶƊƵǿȯƊȁƊƧƵǞƊ‫ة‬
ȁƵǿ ƮƵȺƊƧȲƵƮǞɈƋٌǶƊ ɈȌɈƊǶǿƵȁɈƵ‫ خ‬²ǞȁɈȌǿƊȺ ȯȺǞƧȍɈǞƧȌȺ ‫ـ‬ƊǶɐƧǞȁƊƪȪƵȺ ƊɐƮǞɈǞɨƊȺ‫ ة‬ɨȌɹƵȺ ƮƵ ƧȌǿƊȁƮȌ‫ة‬
ƮƵǶǠȲǞȌȺ ƮƵ ȯƵȲȺƵǐɐǞƪƣȌ‫ ةف‬ǞȁȺȏȁǞƊ‫ ة‬ƊǐǞɈƊƪƣȌ ƮɐȲƊƮȌɐȲƊ ‫ـ‬ȁƣȌ ȺȌǿƵȁɈƵ ȲƵƊɈǞɨƊ Ɗ ɐǿƊ ǏȲɐȺɈȲƊƪƣȌ
Ȍɐ ȺǞɈɐƊƪƣȌ ƵȺȯƵƧǠ˛ƧƊ‫ ةف‬ȺǞȁɈȌǿƊȺ ȯȲȌǶȌȁǐƊƮȌȺ ƮƵ ɈȲǞȺɈƵɹƊ Ƶ ƮƵȺɨƊǶǞƊ‫ ة‬ƊȁȺǞƵƮƊƮƵ ǞȁƧƊȯƊƧǞɈƊȁɈƵ
ƧȌȺɈɐǿƊǿ ƊȯȲƵȺƵȁɈƊȲ ȲƵȺȯȌȺɈƊȺ ȺƊɈǞȺǏƊɈȍȲǞƊȺ‫§ خ‬ȌȲ ȌɐɈȲȌ ǶƊƮȌ‫ ة‬Ƶǿ ȺǞɈɐƊƪȪƵȺ ȌȁƮƵ Ȍ ƧȌȁɈƵɮɈȌ
ǏƊǿǞǶǞƊȲ‫ة‬ǶƊƦȌȲƊǶȌɐǞȁɈƵȲȯƵȺȺȌƊǶƶɐǿƧȌǿȯȌȁƵȁɈƵǞǿȯȌȲɈƊȁɈƵƮȌȺǏƊɈȌȲƵȺƮƵȺƵȁƧƊƮƵƊȁɈƵȺ‫ة‬ȯȌƮƵ
ȺƵȲǞȁɑɈǞǶƮƵȯȌȺǞɈƊȲǐȲƊȁƮƵȺƵɮȯƵƧɈƊɈǞɨƊȺƵǿɈȌȲȁȌƮƵɐǿƊȌɐȌɐɈȲƊǿƵƮǞƧƊƪƣȌ‫خ‬
ȺȺǞǿ‫ ة‬ƶ ǞǿȯȌȲɈƊȁɈƵ ƧȌȁȺǞƮƵȲƊȲ ƊǿƦƊȺ ƊȺ ƮǞǿƵȁȺȪƵȺ‫ ب‬ƮƵ˛ȁǞȲ ɐǿ Ȍɐ ƊǶǐɐȁȺ ȯȲȌƦǶƵǿƊȺٌ
ƊǶɨȌȯƊȲƊƊǿƵƮǞƧƊƪƣȌƵɈƊǿƦƶǿǏƊɹƵȲƧƊƦƵȲƊȯȲƵȺƧȲǞƪƣȌƮƵȁɈȲȌƮƵɐǿȯȲȌǯƵɈȌɈƵȲƊȯƺɐɈǞƧȌȱɐƵ
ƧȌȁɈƵǿȯǶƵȌɐɈȲƊȺǞȁɈƵȲɨƵȁƪȪƵȺ‫!خ‬ȌǿȌȌƧȌȲȲƵƧȌǿȱɐƊǶȱɐƵȲȌɐɈȲƊȯȲƵȺƧȲǞƪƣȌ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵȱɐƵ
Ȍ ȯȲȌ˛ȺȺǞȌȁƊǶ ɈƵȁɈƵ ɐȺƊȲ ȺƵǿȯȲƵ ƊȺ ƮȌȺƵȺ ǿǠȁǞǿƊȺ ȁƵƧƵȺȺƋȲǞƊȺ‫ خ‬mƵǿƦȲƵٌȺƵ ƮƵ ȺƵǿȯȲƵ ȯȲȌȯȌȲ
ȲƵƮɐƪȪƵȺǐȲƊƮɐƊǞȺƵȯƊȲƊǞȺȺȌ‫ة‬ȯƵȺȱɐǞȺƵȺƵƊȱɐƵǶƵǿƵƮǞƧƊǿƵȁɈȌɈƵǿǏȌȲǿɐǶƊƪȪƵȺƵǿǐȌɈƊȺȌɐ
ɮƊȲȌȯƵȱɐƵȯȌƮƵǿȺƵȲƦƊȺɈƊȁɈƵɑɈƵǞȺȁƊǘȌȲƊƮƵɈǞɈɐǶƊȲƊƮȌȺƵ‫§خ‬ȲȌƧɐȲƵ‫ة‬ȱɐƊȁƮȌȯȌȺȺǠɨƵǶ‫ة‬ɐɈǞǶǞɹƊȲ
ɐǿƊ ǏȌǶǘƊ ƮȌ ȲƵƧƵǞɈɐƋȲǞȌ ȺǞǿȯǶƵȺ ȯƊȲƊ Ɗ ȌȲǞƵȁɈƊƪƣȌ ƮȌ ɐȺȌ ƮȌȺ ǿƵƮǞƧƊǿƵȁɈȌȺ‫ ب‬ȁȌǿƵ‫ ة‬ƊȺȯƵƧɈȌ
‫ـ‬ƧȌȲ Ƶ ɈƊǿƊȁǘȌ ƮȌ ƧȌǿȯȲǞǿǞƮȌ‫ ةف‬ȱɐƊȁɈǞƮƊƮƵ Ƶ ǘȌȲƊ‫ش‬ɈɐȲȁȌ ƮƵ ɈȌǿƊȲ‫ ة‬Ƶǿ ǶƵɈȲƊȺ ƮƵ ǏȌȲǿƊ Ƶ ƮƵ
ɨǞȺɐƊǶǞɹƊƪƣȌȺǞǿȯǶƵȺ‫خ‬ßƊǶƵƊȯƵȁƊɈƊǿƦƶǿƧǘƵƧƊȲȺƵȱɐƵǿɨƊǞɈȌǿƊȲȌȲƵǿƶƮǞȌƧȌǿȯȲƵƵȁƮƵɐ
ǿǞȁǞǿƊǿƵȁɈƵƧȌǿȌȺƵȲƋȺɐƊɐɈǞǶǞɹƊƪƣȌ‫خ‬ȺǿƵƮǞƧƊƪȪƵȺɐɈǞǶǞɹƊƮƊȺƵǿ²ƊɑƮƵwƵȁɈƊǶƊȯȲƵȺƵȁɈƊǿ
ƧƵȲɈƊȺȯƵƧɐǶǞƊȲǞƮƊƮƵȺȱɐƊȁƮȌɐɈǞǶǞɹƊƮƊȺƵǿƧȲǞƊȁƪƊȺƵǞƮȌȺȌȺ‫خ‬yȌȯȲǞǿƵǞȲȌǐȲɐȯȌ‫ة‬ƶǏɐȁƮƊǿƵȁɈƊǶ
ȯȲȌƦǶƵǿƊɈǞɹƊȲƊǞȁƮǞƧƊƪƣȌ‫©خ‬ɐƊȁƮȌƦƵǿǞȁƮǞƧƊƮƊȺ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵȺƊƦƵȲȱɐƵƊȺƧȲǞƊȁƪƊȺƧȌȺɈɐǿƊǿ
ɈƵȲɐǿƊǿƵɈƊƦȌǶǞɹƊƪƣȌǘƵȯƋɈǞƧƊǿƊǞȺƵ˛ƧǞƵȁɈƵ‫ة‬ȌȱɐƵȺɐǐƵȲƵǏȲƊǐǿƵȁɈƊƪƣȌƮƊȺƮȌȺƵȺƊȌǶȌȁǐȌ
ƮȌƮǞƊ‫ة‬ƊǶƶǿƮƊȁƵƧƵȺȺǞƮƊƮƵƮƵƧǘƵƧƊȲƊƮȌȺƵȯȌȲȱɐǞǶȌƮƵȯƵȺȌ‫ـ‬ȱɐƵȯȌƮƵȺƵȲƊɈƶǿƊǞȌȲȱɐƵƮƵ
ƊƮɐǶɈȌȺ‫خف‬yȌȺǞƮȌȺȌȺ‫ة‬ƶȲƵƧȌǿƵȁƮƋɨƵǶɐɈǞǶǞɹƊȲƮȌȺƵȺǿƊǞȺƦƊǞɮƊȺȱɐƵƊȺƮƵƊƮɐǶɈȌ‫ة‬ƧȌȁȺǞƮƵȲƊȁƮȌ
ǿƵɈƊƦȌǶǞɹƊƪƣȌ ǿƊǞȺ ǶƵȁɈƊ Ƶ ǿƊǞȌȲ ȺƵȁȺǞƦǞǶǞƮƊƮƵ ƊȌȺ ƵǏƵǞɈȌȺ ȺƵƮƊɈǞɨȌȺ‫ ة‬Ȍ ȱɐƵ ȯȌƮƵ ƵǶƵɨƊȲ
ƧȌȁȺǞƮƵȲƊɨƵǶǿƵȁɈƵȌȲǞȺƧȌƮƵȱɐƵƮƊȺƵȺɐƊȺƧȌȁȺƵȱɐƺȁƧǞƊȺ‫خ‬0ȺȺƵȺǐȲɐȯȌȺƵɈƋȲǞȌȺɈƊǿƦƶǿƵȺɈƣȌ
ȯƊȲɈǞƧɐǶƊȲǿƵȁɈƵȯȲȌȯƵȁȺȌȺƊȲƵȺȯȌȺɈƊȺȯƊȲƊƮȌɮƊǞȺ‫خ‬

Qual Antidepressivo
Escolher?
ƊȁɈǞƮƵȯȲƵȺȺǞɨȌ Ɗ ȺƵȲ ƵȺƧȌǶǘǞƮȌ ƮƵɨƵ ȺƵȲ ƮƵ ƊƧȌȲƮȌ ƧȌǿ Ȍ ȯƵȲ˛Ƕ ƮȌ ȯƊƧǞƵȁɈƵ Ƶ ƧȌǿ ȌȺ
ȺƵǐɐǞȁɈƵȺƊȺȯƵƧɈȌȺ‫ب‬
9
!ȌȁȺǞƮƵȲƊȁƮȌƵ˛ƧƋƧǞƊ‫س‬
9
ÀȌǶƵȲƊƦǞǶǞƮƊƮƵ‫س‬
9
²ƵǐɐȲƊȁƪƊ‫س‬
9
!ɐȺɈȌ‫س‬
9
IƊƧǞǶǞƮƊƮƵƮƵƊƮǿǞȁǞȺɈȲƊƪƣȌ‫س‬
9
(ǞȺȯȌȁǞƦǞǶǞƮƊƮƵȁƊȲƵƮƵȯɑƦǶǞƧƊ‫س‬
9
RǞȺɈȍȲǞƊȯƵȺȺȌƊǶƵǏƊǿǞǶǞƊȲƮƵɈȲƊɈƊǿƵȁɈȌ‫س‬
9
wȌȲƦǞƮƊƮƵȺ‫س‬
9
ÀƵǿȯȌ ƮƵ ƧƊƮƊ ǿƵƮǞƧƊƪƣȌ‫ ب‬ƊǶǐɐǿƊȺ ȺǞɈɐƊƪȪƵȺ ƮƵǿƊȁƮƊǿ ٗƊȯƊǐƊȲ ǞȁƧƺȁƮǞȌ٘ Ƶ Ȍ
ƵǏƵǞɈȌƵǿƧɐȲɈȌȯȲƊɹȌƶȌǿƊǞȺƵȺȯƵȲƊƮȌ‫س‬ƵǿȌɐɈȲƊȺȺǞɈɐƊƪȪƵȺȌȺƵǏƵǞɈȌȺȺƣȌɈƊȲƮǞȌȺ
‫ـ‬ǶƵɨƊǿƊǶǐɐȁȺƮǞƊȺȌɐȺƵǿƊȁƊȺȯƊȲƊǞȁǞƧǞƊȲȌƵǏƵǞɈȌȁȌȌȲǐƊȁǞȺǿȌ‫خف‬
Insônia
ȺƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺƮǞǏƵȲƵǿƦƊȺǞƧƊǿƵȁɈƵƵǿɈƵȲǿȌȺƮƵǿƵǞƊɨǞƮƊ‫ة‬ɈƵǿȯȌƮƵƊƦȺȌȲƪƣȌ
ƵɨǞƊƮƵƵǶǞǿǞȁƊƪƣȌ‫خ‬
9
ªƋȯǞƮȌǞȁǠƧǞȌƮƵƊƪƣȌƵɈƵǿȯȌƮƵƊƪƣȌǿƊǞȺƧɐȲɈƊȯƊȲƊinsônia inicial‫ـ‬ȯƵȲ˛ǶǞȁƮɐɈȌȲ
ƮȌȺȌȁȌ‫سف‬
9
ÀƵǿȯȌ ƮƵ ƊƪƣȌ ǞȁɈƵȲǿƵƮǞƋȲǞȌ ȯƊȲƊ ȯƵȺȺȌƊȺ ȱɐƵ ƮȌȲǿƵǿ ƦƵǿ‫ ة‬ǿƊȺ acordam no
ǿƵǞȌȌɐȁȌ˛ȁƊǶƮƊȁȌǞɈƵ‫س‬
9
(ɐȲƊƪƣȌƮȌƵǏƵǞɈȌȯȲȌǶȌȁǐƊƮƊȯƊȲƊƊɐɮǠǶǞȌȁȌɈȲƊɈƊǿƵȁɈȌƮƵȱɐƊƮȲȌȺƊȁȺǞȌȺȌȺ‫ـ‬ȯƵȲ˛Ƕ
ansiolítico).
²ǞȁɈȌǿƊٌƊǶɨȌ ȯȲǞȁƧǞȯƊǶ ƶ Ɗ ƊȁȺǞƵƮƊƮƵ‫ ة‬ȺƵǯƊ ȯȌȲ ȲƵƊƪƣȌ ƊǐɐƮƊ ƊȌ ƵȺɈȲƵȺȺƵ‫ ة‬Ƶǿ ƧȲǞȺƵȺ
ȯȺǞƧȍɈǞƧƊȺ Ȍɐ Ƶǿ ȱɐƊƮȲȌȺ ٗȯȲǞǿƋȲǞȌȺ٘ ƮƵ ɈȲƊȁȺɈȌȲȁȌ ƮƵ ƊȁȺǞƵƮƊƮƵ‫§ خ‬ȌȲ ȺƵɐ ƵǏƵǞɈȌ ȺƵƮƊɈǞɨȌ Ƶ
ȲƵǶƊɮƊȁɈƵ‫ة‬ɈƊǿƦƶǿȺƣȌǿɐǞɈȌɐɈǞǶǞɹƊƮȌȺȯƊȲƊǞȁȺȏȁǞƊ‫خ‬ÀƊǿƦƶǿȯȌƮƵǿȺƵȲɑɈƵǞȺȁƊȺǠȁƮȲȌǿƵƮƵ
ƊƦȺɈǞȁƺȁƧǞƊɈƊȁɈȌƮƵƋǶƧȌȌǶȱɐƊȁɈȌƮƵƧȌƧƊǠȁƊȌɐƧȲƊƧǲ‫خ‬ȺȲǞȺƧȌȺƮȌȺƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ‫ة‬ƊǶƶǿ
ƮƊƮƵȯƵȁƮƺȁƧǞƊ‫ة‬ƵȺɈƣȌȲƵǶƊƧǞȌȁƊƮȌȺƜȺƵƮƊƪƣȌȺƵƧɐȁƮƋȲǞƊ‫ـ‬ƊƧǞƮƵȁɈƵȺ‫ف‬ƵƜƮƵȯȲƵȺȺƣȌȲƵȺȯǞȲƊɈȍȲǞƊ
ȱɐƊȁƮȌɐɈǞǶǞɹƊƮȌȺƵǿƊȺȺȌƧǞƊƪƣȌƧȌǿȌɐɈȲƊȺƮȲȌǐƊȺȺƵƮƊɈǞɨƊȺ‫خ‬

Nome do Meia-vida Faixa Dose ƦȺƵȲɨƊƪȪƵȺ
fármaco (h) terapêutica usual
§ƵȲ˛ǶƊȁȺǞȌǶǠɈǞƧȌ‫ش‬ǞȁȺȏȁǞƊ
ɈƵȲǿǞȁƊǶ‫خ‬
DIAZEPAM ‫׀׀ׁى׀׃‬ ׂ‫׀׃ىׅة‬ ׁ‫׀‬ǿǐ 0ǿƧƊȺȌƮƵȯȲƵȺƧȲǞƪƣȌXw‫ة‬Ɗ

ƊƦȺȌȲƪƣȌƶǶƵȁɈƊƵɨƊȲǞƋɨƵǶ‫ة‬
ȯȌȲɈƊȁɈȌȁƣȌȲƵƧȌǿƵȁƮƊƮƊ
ɨǞƊXw‫خ‬
§ƵȲ˛ǶƊȁȺǞȌǶǠɈǞƧȌ‫ش‬ǞȁȺȏȁǞƊ
CLORDIAZEPÓXIDO ‫׀׀ׁى׀׃‬ ‫ׇׅىׅ‬ ׂ‫ׅ‬ǿǐ
ɈƵȲǿǞȁƊǶ‫خ‬
§ƵȲ˛ǶǞȁɈƵȲǿƵƮǞƋȲǞȌ‫خ‬
ÈɈǞǶƵǿȯƊƧǞƵȁɈƵȺƧȌǿǐȲƊɐȺ
LORAZEPAM ‫׀ׂى׆‬ ‫׆ىׅة׀‬ ׂǿǐ ǶƵɨƵȺƮƵǞȁȺɐ˛ƧǞƺȁƧǞƊǘƵȯƋɈǞƧƊ
‫ـ‬ȯȌȲȺƵȲƵǶǞǿǞȁƊƮȌȯȌȲɨǞƊ
ȲƵȁƊǶ‫خف‬
§ƵȲ˛ǶǞȁɈƵȲǿƵƮǞƋȲǞȌ‫خ‬
‫ׂىׅة׀‬
CLONAZEPAM ‫׀׀ׁى׀׃‬ ‫׈ىׅة׀‬
ǿǐ §ȌȲɨƵɹƵȺɐɈǞǶǞɹƊƮȌȁȌ
ɈȲƊɈƊǿƵȁɈȌƮƊƵȯǞǶƵȯȺǞƊ‫خ‬
BROMAZEPAM ‫׉ׁى׈‬ ׁ‫׀ׂىׅة‬ ‫׃‬ǿǐ §ƵȲ˛ǶǞȁƮɐɈȌȲƮƵȺȌȁȌ‫خ‬
§ƵȲ˛ǶǞȁƮɐɈȌȲƮƵȺȌȁȌ‫خ‬
‫ׂىׅة׀‬
ALPRAZOLAM ‫׀ׂى׆‬ ‫׀ةׂىׅة׀‬ ÈɈǞǶƵǿɈȲƊȁȺɈȌȲȁȌȺƊȁȺǞȌȺȌȺ‫ة‬
ǿǐ ȯȲǞȁƧǞȯƊǶǿƵȁɈƵȁȌȺ
ɈȲƊȁȺɈȌȲȁȌȺƮȌȯƓȁǞƧȌ‫خ‬
§ƵȲ˛ǶǞȁƮɐɈȌȲƮƵȺȌȁȌ‫خ‬
MIDAZOLAM ׁ‫ׅى‬ ‫׀׃ىׅةׇ‬ǿǐ ׁ‫ׅ‬ǿǐ ƊǞɮȌƮƵȺƵȁɨȌǶɨǞǿƵȁɈȌƮƵ

ɈȌǶƵȲƓȁƧǞƊ‫§خ‬ȲƵȺƧȲǞƪƣȌXwɑɈǞǶ
ƵǿƊǐǞɈƊƪƣȌ‫خ‬
Ⱥ ƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ ȯȌƮƵǿ ȺƵ ƧȌȁ˛ǐɐȲƊȲ ƧȌǿȌ ǏƵȲȲƊǿƵȁɈƊȺ ɑɈƵǞȺ Ƶ ƧȌȁ˛ƋɨƵǞȺ ƧȌǿȌ
ǞȁƮɐɈȌȲƮƵȺȌȁȌƵǿȺǞɈɐƊƪȪƵȺƮƵƊƮƊȯɈƊƪƣȌƊƵȺɈȲƵȺȺƵ‫ة‬ǿƊȺƶȯȲƵƧǞȺȌɈƵȲȌǿƋɮǞǿȌƧɐǞƮƊƮȌȁƊ
ǘȌȲƊƮƵǞȁǞƧǞƊȲȌɐȺȌƮƵȺȺƊȺǿƵƮǞƧƊƪȪƵȺ‫ة‬ƧȌǶȌƧƊȁƮȌȺƵǿȯȲƵɐǿȯȲƊɹȌǶǞǿǞɈƵƮƵƊǶǐɐǿƊȺȺƵǿƊȁƊȺ‫ة‬
ȁƵǐȌƧǞƊȁƮȌƧȌǿȌɐȺɐƋȲǞȌƊȲƵƮɐƪƣȌǐȲƊƮɐƊǶ‫خ‬ɐɈȲƊƵȺɈȲƊɈƶǐǞƊǿɐǞɈȌǞȁɈƵȲƵȺȺƊȁɈƵƶȌȯɈƊȲȯȌȲ
ǏȌȲǿɐǶƊƪȪƵȺƵǿǐȌɈƊȺ‫ـ‬ȁȌ ȲƊȺǞǶɈƵǿȌȺȌƧǶȌȁƊɹƵȯƊǿƵȌƦȲȌǿƊɹƵȯƊǿ‫ف‬ȱɐƵȯƵȲǿǞɈƵǿɈǞɈɐǶƊƪȪƵȺ
ǶƵȁɈƊȺƵȯȲƊɈǞƧƊǿƵȁɈƵǞǿȯƵȲƧƵȯɈǠɨƵǞȺȁȌȺٗƮƵǐȲƊɐȺ٘‫§خ‬ȌȲƵɮƵǿȯǶȌ‫ة‬ȲƵƮɐɹǞȲɐǿƊǐȌɈƊ‫ـ‬ƵȱɐǞɨƊǶƵȁɈƵ
Ɗ‫ׁׂة׀‬ǿǐƮƵƧǶȌȁƊɹƵȯƊǿ‫ف‬ƊƧƊƮƊƮɐƊȺȌɐǿƊǞȺȺƵǿƊȁƊȺ‫ة‬ȯƊȲƵƧƵƧȌǶȌƧƊȲƊȲƵƮɐƪƣȌƮƊǿƵƮǞƧƊƪƣȌ
ƵǿɐǿȯƊɈƊǿƊȲɨǞƋɨƵǶȯƊȲƊȌɐȺɐƋȲǞȌ‫©خ‬ɐƊȁƮȌȁƣȌǏȌȲȯȌȺȺǠɨƵǶƊȺɐȺȯƵȁȺƣȌɈȌɈƊǶ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵ
ȲƵȯƵȁȺƊȲƊȲƵǶƊƪƣȌƮȌɐȺɐƋȲǞȌƧȌǿȌٗȲƵǿƶƮǞȌ٘‫ة‬ƧȌǿȌǿƶƮǞƧȌȱɐƵȌȯȲƵȺƧȲƵɨƵƵƧȌǿƊƵȱɐǞȯƵ
ƮƵȺƊɑƮƵ‫خ‬1ǏɐȁƮƊǿƵȁɈƊǶƧȌȁȺǞƮƵȲƊȲȲǞȺƧȌƮƵƮƵȯƵȁƮƺȁƧǞƊȁȌǿƊȁƵǯȌƮƵǶȌȁǐȌȯȲƊɹȌȯƊȲƊȱɐƵǞɮƊ‫خ‬
wƵǞƊٌɨǞƮƊǿƊǞȺƧɐȲɈƊƵȺɈƋǿƊǞȺƊȺȺȌƧǞƊƮƊƊȯȌȺȺǞƦǞǶǞƮƊƮƵƮƵɈȌǶƵȲƓȁƧǞƊ‫ة‬ƊƦɐȺȌȌɐƮƵȯƵȁƮƺȁƧǞƊ‫خ‬

Ansiedade
9
²ǞȁɈȌǿƊȺ ƮƵ ƊȁȺǞƵƮƊƮƵ‫ ب‬ȁɐȁƧƊ ƶ ƮƵǿƊǞȺ ȲƵǶƵǿƦȲƊȲ ȱɐƵ Ȍ ɈȲƊɈƊǿƵȁɈȌ ƮƵ ƦƊȺƵ ƮƵ
ȺǞȁɈȌǿƊȺ ƮƵ ƊȁȺǞƵƮƊƮƵ ȱɐƵ ȺƵ ƧȲȌȁǞ˛ƧƊǿ ȺƣȌ ȌȺ ٗƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ٘‫ ة‬Ƶǿ ƮȌȺƵȺ
ƵȱɐǞɨƊǶƵȁɈƵȺ ƜȺ ƮȌȺƵȺ ȯƊȲƊ ƮƵȯȲƵȺȺƣȌ‫ ة‬ƮƵǞɮƊȁƮȌ ȌȺ ƊȁȺǞȌǶǠɈǞƧȌȺ ȯƊȲƊ ɈȲƊɈƊǿƵȁɈȌ
ȺǞȁɈȌǿƋɈǞƧȌ Ƶ ƮƵ ƧɐȲɈȌ ȯȲƊɹȌ‫§ خ‬ȲƵȺƧȲƵɨƵȲ ƊȯƵȁƊȺ ƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ ȯƊȲƊ ȱɐƵǞɮƊȺ
ƧȲȏȁǞƧƊȺƮƵƊȁȺǞƵƮƊƮƵƶǞƊɈȲȌǐƺȁǞƧȌ‫خ‬
DOSE FAIXA
DROGA USUAL TERAPÊUTICA OBSERVAÇÕES
(MG) (MG)
TRICÍCLICOS:
²0w§ª0XyX!XªÀªÀw0yÀ!wׂ‫ׅ‬wJ0Çw0yÀªׂ‫ׅ‬wJ!(ׂ‫(׃ى‬X²À1
ÀXyJXªyZß0mÀ0ª§5ÇÀX!
wƊǞȌȲ ɈƵȁƮƺȁƧǞƊ Ɯ ȺƵƮƊƪƣȌ Ƶ
ƧƊȲƮǞȌɈȌɮǞƧǞƮƊƮƵ‫ خ‬0ɨǞɈƊȲ Ƶǿ ǞƮȌȺȌȺ‫خ‬
AMITRIPTILINA ׁ‫׀׀ׂى׀ׅ‬ ‫׀׀׃ى׀ׅ‬ ßƋȲǞƊȺ ǞȁƮǞƧƊƪȪƵȺ ȁƊ ƧǶǠȁǞƧƊ ǿƶƮǞƧƊ
‫ـ‬ȯȌǶǞȁƵɐȲȌȯƊɈǞƊ ȯƵȲǞǏƶȲǞƧƊ‫ ة‬ƮȌȲ ƧȲȏȁǞƧƊ
ƵɈƧ‫خفخ‬
ȌƊ ǞȁƮǞƧƊƪƣȌ ɈƊǿƦƶǿ ȯƊȲƊ ɈȲƊȁȺɈȌȲȁȌȺ
ƮƵ ƊȁȺǞƵƮƊƮƵ‫ خ‬ÇȺɐƊǶǿƵȁɈƵ ƮȌȺƵȺ
CLOMIPRAMINA ׁ‫׀׀ׂى׀ׅ‬ ‫׀׀׃ى׀ׅ‬ ǿƵȁȌȲƵȺȺƣȌȁƵƧƵȺȺƋȲǞƊȺȁȌɈȲƊȁȺɈȌȲȁȌƮȌ
ȯƓȁǞƧȌƵǿƊǞȌȲƵȺȁȌɈȲƊȁȺɈȌȲȁȌȌƦȺƵȺȺǞɨȌٌ
ƧȌǿȯɐǶȺǞɨȌ‫خ‬
ƦȺƵȲɨƊȲ ǞȁɈƵȲƊƪȪƵȺ ǿƵƮǞƧƊǿƵȁɈȌȺƊȺ‫خ‬
IMIPRAMINA ׁ‫׀׀ׂى׀ׅ‬ ‫׀׀׃ى׀ׅ‬ wɐǞɈȌɐɈǞǶǞɹƊƮȌȯƊȲƊƵȁɐȲƵȺƵȁȌɈɐȲȁƊƵǿ
ƧȲǞƊȁƪƊȺ‫خ‬
INIBIDORES SELETIVOS DA RECAPTAÇÃO DA SEROTONINA
CITALOPRAM 20 ׂ‫׀׆ى׀‬
ESCITALOPRAM 10 ׁ‫׀׃ى׀‬
wƵǞƊٌɨǞƮƊȯȲȌǶȌȁǐƊƮƊ‫س‬ȌƦȺƵȲɨƊȲǞȁɈƵȲƊƪȪƵȺ
FLUOXETINA 20 ‫׀׈ىׅ‬
ǿƵƮǞƧƊǿƵȁɈȌȺƊȺ‫خ‬
PAROXETINA 20 ׁ‫׀ׅى׀‬ ƦȺƵȲɨƊȲȺǠȁƮȲȌǿƵƮƵȲƵɈǞȲƊƮƊ‫خ‬
SERTRALINA ‫׀ׁׅى׀ׅ‬ ‫׀׀ׂى׀ׅ‬

Efeitos indesejados mais comuns: Inibidores Seletivos da
Recaptação da Serotonina (ISRS)
9
ȁȺǞƵƮƊƮƵ‫ة‬ƊǐǞɈƊƪƣȌ‫ة‬ƧƵǏƊǶƵǞƊ‫ة‬ǞȁȺȏȁǞƊ‫ـ‬ǿƊǞȺǏȲƵȱɐƵȁɈƵ‫ف‬ȌɐȺȌȁȌǶƺȁƧǞƊ‫خ‬0ǿƊǶǐɐǿƊȺ
ȯƵȺȺȌƊȺȯȌƮƵȯȲȌɨȌƧƊȲȺǞȁɈȌǿƊȺƮƵǞȲȲǞɈƊƦǞǶǞƮƊƮƵ‫ى‬ƊɈƵȁɈƊȲȯƊȲƊȁƣȌƧȌȁȺǞƮƵȲƊȲƧȌǿȌ
ȲƵȺȯȌȺɈƊȯƊȲƧǞƊǶƵƊɐǿƵȁɈƊȲƊƮȌȺƵƮȌX²ª²‫س‬
9
ȁȌȲƵɮǞƊƶƦƊȺɈƊȁɈƵƧȌǿɐǿ‫س‬
9
²ƵɮɐƊǞȺ‫ب‬ƊȁȌȲǐƊȺǿǞƊ‫ة‬ȲƵɈƊȲƮȌƮƊƵǯƊƧɐǶƊƪƣȌ‫ة‬ɈȌȲȁƊǿȌɐȺȌɐǿǞǿȯȌȲɈƊȁɈƵǞǿȯƊȺȺƵ
ȁƊǿƊȁɐɈƵȁƪƣȌƮƊǿƵƮǞƧƊƪƣȌƵǿǘȌǿƵȁȺ‫س‬
9
XȁǞƦǞƪƣȌƮȌƧǞɈȌƧȲȌǿȌ§ٌׄ‫ة׀ׅ‬ǞȁɈƵȲƊǐǞȁƮȌȁƊǿƵɈƊƦȌǶǞɹƊƪƣȌƮƵȌɐɈȲƊȺƮȲȌǐƊȺ‫س‬
9
ɐɈȲȌȺ‫ب‬ƵȲɐȯƪȪƵȺƧɐɈƓȁƵƊȺ‫ة‬ƊƧȁƵ‫ة‬ƊǶȌȯƶƧǞƊ‫خ‬

Antidepressivo
ȺǞȁǏȌȲǿƊƪȪƵȺǿƊǞȺȯȲƵƧǞȌȺƊȺȁƊƵȺƧȌǶǘƊȺƣȌƊƮȌȺƊǐƵǿƵȌɈƵǿȯȌƵȺȯƵȲƊƮȌȯƊȲƊƵǏƵǞɈȌ‫خ‬
yɐȁƧƊ ƶ ƮƵǿƊǞȺ ǶƵǿƦȲƊȲ ȱɐƵ ȌȺ ƵǏƵǞɈȌȺ ٗƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ٘ ȯȌƮƵǿ ǞȁǞƧǞƊȲ ƊȯȍȺ ׁ‫ ׅ‬ƮǞƊȺ‫ ة‬ȺƵȁƮȌ
ƮƵ ǐȲƊȁƮƵ ǞǿȯȌȲɈƓȁƧǞƊ ȺƵǿȯȲƵ ƧȌǿƦǞȁƊȲ ƵȺȺƵ ɈȲƊɈƊǿƵȁɈȌ ƧȌǿ ɈƵȲƊȯǞƊ psicológica ȯƊȲƊ ɈƵȲ Ȍ
ƵǏƵǞɈȌƮƵȺƵǯƊƮȌȁȌɈȲƊɈƊǿƵȁɈȌ‫خ‬ÀƊǿƦƶǿȺƵƮƵɨƵƧȌȁȺǞƮƵȲƊȲȱɐƵƵȺɈƵǯƊǘƊɨƵȁƮȌȲƵȺȯȌȺɈƊȯƊȲƧǞƊǶ‫ة‬
ȺȌƦȲƵɈɐƮȌȺƵƧȌȁȺǞƮƵȲƊȲǿȌȺƊȺǏȌȲǿɐǶƊƪȪƵȺǿƊȁǞȯɐǶƊƮƊȺƵ‫ش‬ȌɐƮƵƦƊǞɮƊȱɐƊǶǞƮƊƮƵƮǞȺȯȌȁǠɨƵǞȺȁȌ
ǿƵȲƧƊƮȌ‫خ‬yƵȺȺƵȺƧƊȺȌȺ‫ة‬ƶǞǿȯȌȲɈƊȁɈƵƵȺǐȌɈƊȲƊǏƊǞɮƊƮƵƮȌȺƊǐƵǿȺƵǐɐȲƊƊɈƶȱɐƵȺƵƧƵȲɈǞ˛ȱɐƵƮƵ
ȱɐƵȁƣȌǘȌɐɨƵȲƵȺȯȌȺɈƊɈƵȲƊȯƺɐɈǞƧƊ‫خ‬
Para uma resposta adequada é fundamental:
9
ÇɈǞǶǞɹƊȲƮȌȺƊǐƵȁȺƮƵȁɈȲȌƮƊǏƊǞɮƊɈƵȲƊȯƺɐɈǞƧƊƵȲƵȺȯƵǞɈƊȲȌɈƵǿȯȌǿǠȁǞǿȌƮƵɐȺȌ‫خ‬Ⱥ
ƵǏƵǞɈȌȺƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺƮƵȺȺƵȺǏƋȲǿƊƧȌȺȺȍȺƵǞȁǞƧǞƊǿƊȯȍȺƧƵȲƧƊƮƵƮɐƊȺȺƵǿƊȁƊȺ
ƮƵɐȺȌ‫ـ‬ȯƵȲǠȌƮȌƮƵǶƊɈƺȁƧǞƊ‫سف‬
9
0ǿƧƊȺȌƮƵǞȁȺȏȁǞƊ‫ة‬ɐɈǞǶǞɹƊȲɐǿٗƊȁɈǞƮƵȯȲƵȺȺǞɨȌ٘ƧȌǿȯƵȲ˛ǶǿƊǞȺȺƵƮƊɈǞɨȌ‫ة‬ȌɐƊȺȺȌƧǞƊȲ
ǘǞȯȁȍɈǞƧȌȺɈƵǿȯȌȲƊȲǞƊǿƵȁɈƵ‫خ‬
ANTIDEPRESSIVO DOSE INICIAL FAIXA TERAPÊUTICA DOSE MÁXIMA

ISRS
ImÇå0ÀXy ׂ‫׀‬ǿǐ ׂ‫׀ׄى׀‬ǿǐ ‫׀׈‬ǿǐ
²0ªÀªmXy ׂ‫׀ׅىׅ‬ǿǐ ‫׀׀ׁى׀ׅ‬ǿǐ ׂ‫׀׀‬ǿǐ
§ªå0ÀXy ׂ‫׀‬ǿǐ ׂ‫׀ׄى׀‬ǿǐ ‫׀׆‬ǿǐ
ImÇßåwXy ‫׀ׅ‬ǿǐ ׁ‫׀׀ׂى׀׀‬ǿǐ ‫׀׀׃‬ǿǐ
!XÀm§ªw ׂ‫׀‬ǿǐ ׂ‫׀ׄى׀‬ǿǐ ׄ‫׀‬ǿǐ
0²!XÀm§ªw ׁ‫׀‬ǿǐ ׁ‫׀ׂى׀‬ǿǐ ׂ‫׀‬ǿǐ
IRSN
ß0ymIåXy ‫ׇׅ‬ǿǐ ‫ׇׅ׃‬ǿǐ
(0²ß0ymIåXy ‫׀ׅ‬ǿǐ ׂ‫׀׀‬ǿǐ
(Çmå0ÀXy ‫׀׆‬ǿǐ ‫׀ׁׂى׀׆‬ǿǐ ׁׂ‫׀‬ǿǐ
IRND
Ç§ª§Xy ׁ‫׀ׅ‬ǿǐ ׁ‫׀׀׃ى׀ׅ‬ǿǐ ׄ‫׀ׅ‬ǿǐ
(X²y
wXªÀð§Xy ׁ‫׀‬ǿǐ ‫׀׃‬ǿǐ ׄ‫ׅ‬ǿǐ
AIRS
Àªð(y ‫׀ׅ‬ǿǐ ׂ‫׀׀ׄى׀׀‬ǿǐ ‫׀׀׆‬ǿǐ
ÀªX!Z!mX!²
!mwX§ªwXy ׂ‫ׅ‬ǿǐ ‫׀ׂׅىׇׅ‬ǿǐ ‫׀׀׃‬ǿǐ
XwX§ªwXy ׂ‫ׅ‬ǿǐ ‫׀׀׃ىׇׅ‬ǿǐ ‫׀׀׃‬ǿǐ
wXÀªX§ÀXmXy ׂ‫׀ׅىׅ‬ǿǐ ‫׀ׁׅىׇׅ‬ǿǐ ‫׀׀׃‬ǿǐ
yªÀªX§ÀXmXy ׂ‫ׅ‬ǿǐ ‫׀ׁׅى׀ׅ‬ǿǐ ׁ‫׀ׅ‬ǿǐ

JƵȲƊǶǿƵȁɈƵ‫ ة‬X²ª² ȺƣȌ ȯȲǞǿƵǞȲƊ ƵȺƧȌǶǘƊ‫ ة‬ȯȌƮƵȁƮȌٌȺƵ ɈƵȁɈƊȲ ȯƵǶȌ ǿƵȁȌȺ ƮȌǞȺ ƧȌǿȯȌȺɈȌȺ
ƮƵȺȺƊƧǶƊȺȺƵƊȁɈƵȺƮƵƧȌȁȺǞƮƵȲƊȲɈȲȌƧƊȯƊȲƊȌɐɈȲƊƧǶƊȺȺƵǿƵƮǞƧƊǿƵȁɈȌȺƊȌɐȯȌɈƵȁƧǞƊǶǞɹƊƪƣȌ‫خ‬
9
ǶǐɐȁȺ ȯƊƧǞƵȁɈƵȺ ȯȌƮƵǿ ƦƵȁƵ˛ƧǞƊȲٌȺƵ ƮƵ ɐǿƊ ɈƵȲƊȯǞƊ ǞȁǞƧǞƊǶ ƧȌǿ ȌɐɈȲƊ ƧǶƊȺȺƵ ƮƵ
( ȱɐƵ ȁƣȌ ȌȺ X²ª² Ȍɐ ǿƵȺǿȌ ƧȌǿ Ɗ ȱɐƵɈǞƊȯǞȁƊ ‫ـ‬ɈƊǿƦƶǿ ƊȯȲȌɨƊƮƊ ȯƊȲƊ Ȍ ɐȺȌ
Ƶǿ ǿȌȁȌɈƵȲƊȯǞƊ ȯƊȲƊ ƮƵȯȲƵȺȺƣȌ‫ خف‬ƵȺƧȌǶǘƊ ƮƵɨƵ ȺƵȲ ƦƊȺƵƊƮƊ Ƶǿ ȺƵɐȺ ȺǞȁɈȌǿƊȺ
ȯȲƵƮȌǿǞȁƊȁɈƵȺ ‫ـ‬ǞȁȺȏȁǞƊ Ƶ ƮȌȲƵȺ‫ ة‬ȯȌȲ ƵɮƵǿȯǶȌ‫ ةف‬ȲƵȺȺƊǶɈƊȁƮȌ ǿƊǞȺ ɐǿƊ ɨƵɹ Ɗ
ǞǿȯȌȲɈƓȁƧǞƊƮȌɈȲƊɈƊǿƵȁɈȌǞȁƮǞɨǞƮɐƊǶǞɹƊƮȌ‫س‬
9
§ƊȲȌɮƵɈǞȁƊ ƶ Ȍ ȱɐƵ ǿƊǞȺ ƧȌȺɈɐǿƊ ɈƵȲ ǞȁɈƵȲƊƪȪƵȺ ǿƵƮǞƧƊǿƵȁɈȌȺƊȺ ٌ ȯȲƵǏƵȲǞȲ ȌɐɈȲȌȺ
ƵǿȯƊƧǞƵȁɈƵȺȯȌǶǞǿƵƮǞƧƊƮȌȺ‫س‬
9
²ƵȲɈȲƊǶǞȁƊƵȯƊȲȌɮƵɈǞȁƊȺƣȌȌȺǿƊǞȺȯȌɈƵȁɈƵȺǞȁǞƦǞƮȌȲƵȺƮƵȲƵƧƵȯɈƊƪƣȌƮƵȺƵȲȌɈȌȁǞȁƊ‫س‬
9
!ȌȁȺǞƮƵȲƵ Ɗ ȯȌȺȺǞƦǞǶǞƮƊƮƵ ƮƵ ȲƵɈǞȲƊƮƊ ǐȲƊƮƊɈǞɨƊ ƮȌ ǿƵƮǞƧƊǿƵȁɈȌ ‫ ׁׂى׉‬ǿƵȺƵȺ ƊȯȍȺ
Ɗ ȲƵȺȌǶɐƪƣȌ ƮƵ ȺǞȁɈȌǿƊȺ‫ خ‬ªƵƮɐɹƊ Ɗ ƮȌȺƵ ǐȲƊƮɐƊǶǿƵȁɈƵ ƊȌ ǶȌȁǐȌ ƮƵ ɐǿ ȯƵȲǠȌƮȌ
ǿǠȁǞǿȌƮƵׄȺƵǿƊȁƊȺ‫س‬
9
²ɐǐƵȲƵٌȺƵ ȲƵɈǞȲƊƮƊ ǐȲƊƮɐƊǶ Ƶǿ ׁ Ɗ ׂ ȺƵǿƊȁƊȺ ȯȌȲ ȱɐƵƮƊ ƊƦȲɐȯɈƊ ȁȌȺ ȁǠɨƵǞȺ ƮƵ
ȺƵȲȌɈȌȁǞȁƊƵȺǞȁɈȌǿƊȺƮƵǿƊǶٌƵȺɈƊȲ‫س‬
9
GESTAÇÃO E LACTAÇÃO‫ ب‬ImÇå0ÀXy 0 ²0ªÀªmXy ²0JÇª²‫ ة‬²Ç²§0y(0ª
§ªå0ÀXy‫س‬
9
CRIANÇAS:wX²²0JÇª0À0²À(1ImÇå0ÀXy‫خ‬
AMITRIPTILINAª FLUOXETINA
ÀƊƦƵǶƊ(0§ׁ‫ب‬ȁɈǞƮƵȯȲƵȺȺǞɨȌȺ
(um ATCb) (um ISRSc)
ׁ‫׀‬ǿǐɐǿƊɨƵɹƊȌƮǞƊ‫خ‬
(²0XyX!Xm§ª(ÇmÀ² ׂ‫׀ׅىׅ‬ǿǐƊȌƮƵǞɈƊȲ‫خ‬ ɐǿƵȁɈƵȯƊȲƊׂ‫׀‬ǿǐ
ƊȯȍȺׁȺƵǿƊȁƊ‫خ‬
yƣȌƊȯǶǞƧƋɨƵǶ‫ـ‬ȁƣȌ
(²0XyX!Xm§ª
ȯȲƵȺƧȲƵɨƊÀ!ȺȯƊȲƊ ׁ‫׀‬ǿǐɐǿƊɨƵɹƊȌƮǞƊ‫خ‬
(m0²!0yÀ0²
ƊƮȌǶƵȺƧƵȁɈƵȺ‫خف‬
(²0XyX!Xm§ªX(²²0
ׂ‫ׅ‬ǿǐƊȌƮƵǞɈƊȲ‫خ‬ ׁ‫׀‬ǿǐɐǿƊɨƵɹƊȌƮǞƊ‫خ‬
§0²²²!w(0y$w1(X!
²Ƶ ȁƣȌ ǘȌɐɨƵȲ ȲƵȺȯȌȺɈƊ

Çw0yÀ(0(²0§ª ɐǿƵȁɈƵׂ‫׀ׅىׅ‬ǿǐȯȌȲ Ƶǿ‫׆‬ȺƵǿƊȁƊȺ‫ة‬ƊɐǿƵȁɈƵ
(ÇmÀ² ȺƵǿƊȁƊ‫خ‬ ȯƊȲƊ ׄ‫ ׀‬ǿǐ ɐǿƊ ɨƵɹ ƊȌ
ƮǞƊ‫خ‬
(²00I0ÀXßÀZ§X!§ª ׁ‫׀ׁׅى׀׀‬ǿǐ‫ـ‬ƮȌȺƵǿƋɮǞǿƊ ׂ‫׀ׄى׀‬ǿǐ‫ـ‬ƮȌȺƵǿƋɮǞǿƊ

(ÇmÀ² ƮƵ‫׀׀׃‬ǿǐ‫ف‬d‫خ‬ ƮƵ‫׀׈‬ǿǐ‫خف‬
(²00I0ÀXßÀZ§X!§ª ‫ׇׅى׀ׅ‬ǿǐ‫ـ‬ƮȌȺƵǿƋɮǞǿƊ
ׂ‫ ׀‬ǿǐ ‫ـ‬ƮȌȺƵ ǿƋɮǞǿƊ ƮƵ
(m0²!0yÀ0²‫ة‬X(²²0 ƮƵׁ‫׀׀‬ǿǐ‫خف‬yƣȌȯȲƵȺƧȲƵɨƊ
ׄ‫׀‬ǿǐ‫خف‬
§0²²²!w(0y$w1(X! ȯƊȲƊƊƮȌǶƵȺƧƵȁɈƵȺ‫خ‬

ƧƊɈǞȺǞƊȯȲȌǶȌȁǐƊƮƊ‫ؤ‬
ȁȌȲǿƊǶǞƮƊƮƵȺ
ǘƵǿȌȲȲƋǐǞƧƊȺƵǿ
ɐȺɐƋȲǞȌȺƮƵƋƧǞƮȌ
ƊƧƵɈǞǶȺƊǶǞƧǠǶǞƧȌȌɐȌɐɈȲȌȺ
0I0XÀ²!mÀ0ªX²Jªß0²0
ȲȲǞɈǿǞƊƧƊȲƮǠƊƧƊ‫خ‬ ƊȁɈǞٌǞȁ˜ƊǿƊɈȍȲǞȌȺȁƣȌ
ªª²
ƵȺɈƵȲȌǞƮƵȺ‫ؤ‬
XƮƵǞƊȺƮƵƊɐɈȌǶƵȺƣȌ
‫ـ‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵƵǿ
ƊƮȌǶƵȺƧƵȁɈƵȺƵǯȌɨƵȁȺ
ƊƮɐǶɈȌȺ‫خف‬
!ƵǏƊǶƵǞƊ‫ة‬ǞȁȱɐǞƵɈƊƪƣȌ‫ة‬
RǞȯȌɈƵȁȺƣȌȌȲɈȌȺɈƋɈǞƧƊ
ȁƵȲɨȌȺǞȺǿȌ‫ة‬ƮǞȺɈɑȲƦǞȌȺ
‫ـ‬ȲǞȺƧȌƮƵȱɐƵƮƊ‫ةف‬ƦȌƧƊȺƵƧƊ‫ة‬
ǐƊȺɈȲȌǞȁɈƵȺɈǞȁƊǞȺ‫ة‬
ƧȌȁȺɈǞȯƊƪƣȌǞȁɈƵȺɈǞȁƊǶ‫ة‬
0I0XÀ²!mÀ0ªX²!wÇy² ƮǞȺǏɐȁƪƣȌȺƵɮɐƊǶ
ƮǞ˛ƧɐǶƮƊƮƵƮƵǿǞƧƪƣȌ‫ة‬
ȲƵɨƵȲȺǠɨƵǶ‫خ‬
ɨƵȲɈǞǐƵǿ‫ة‬ɨǞȺƣȌƦȌȲȲƊƮƊƵ
ȺƵƮƊƪƣȌ‫خ‬
XȁɈƵȲȲȌǿȯƵȲ XȁɈƵȲȲȌǿȯƵȲ
ǞǿƵƮǞƊɈƊǿƵȁɈƵȺƵƊȯƵȺȺȌƊ ǞǿƵƮǞƊɈƊǿƵȁɈƵȺƵƊ
(ß0ªÀ5y!X
ƊȯȲƵȺƵȁɈƊȲɐǿƵȯǞȺȍƮǞȌ ȯƵȺȺȌƊƊȯȲƵȺƵȁɈƊȲɐǿ
ǿƊȁǠƊƧȌ‫خ‬ ƵȯǞȺȍƮǞȌǿƊȁǠƊƧȌ‫خ‬
a
(ǞȺȯȌȁǠɨƵǶȁȌǲǞɈǿƶƮǞƧȌƮƵƵǿƵȲǐƺȁƧǞƊǞȁɈƵȲƊǐƺȁƧǞƊȺ‫ـ‬w²‫خفׁׁ׀ׂة‬
b
À!‫ب‬ƊȁɈǞƮƵȯȲƵȺȺǞɨȌɈȲǞƧǠƧǶǞƧȌ‫خ‬
Ƨ
X²ª²‫ب‬ǞȁǞƦǞƮȌȲȺƵǶƵɈǞɨȌƮƊȲƵƧƊȯɈƊƪƣȌƮƊȺƵȲȌɈȌȁǞȁƊ‫خ‬
ƧƮ
ƮȌȺƵƵǏƵɈǞɨƊǿǠȁǞǿƊƵǿƊƮɐǶɈȌȺ‫ׇׅب‬ǿǐ‫ـ‬ȯȌƮƵǘƊɨƵȲȺƵƮƊƪƣȌƧȌǿƮȌȺƵȺǿƵȁȌȲƵȺ‫خف‬
9
IDOSOS:XyX!Xªw0À(0(²(²0²§ªw0À mX²wª0(ÇðX(00I0XÀ²
!mÀ0ªX²‫خ‬
!ȌȁȺǞƮƵȲƵ Ɗ ȯȌȺȺǞƦǞǶǞƮƊƮƵ ƮƵ ȲƵɈǞȲƊƮƊ ǐȲƊƮƊɈǞɨƊ ƮȌ ǿƵƮǞƧƊǿƵȁɈȌ ‫ ׁׂى׉‬ǿƵȺƵȺ ƊȯȍȺ

Ɗ ȲƵȺȌǶɐƪƣȌ ƮƵ ȺǞȁɈȌǿƊȺ‫ خ‬ªƵƮɐɹƊ Ɗ ƮȌȺƵ ǐȲƊƮɐƊǶǿƵȁɈƵ ƊȌ ǶȌȁǐȌ ƮƵ ɐǿ ȯƵȲǠȌƮȌ ǿǠȁǞǿȌ ƮƵ ׄ
ȺƵǿƊȁƊȺ‫خ‬

Outros usos clínicos dos antidepressivos
ßƵȁǶƊǏƊɮǞȁƊ
§ƊȲȌɮƵɈǞȁƊ
ÀȲƊȁȺɈȌȲȁȌƮƵȁȺǞƵƮƊƮƵ
²ƵȲɈȲƊǶǞȁƊ
JƵȁƵȲƊǶǞɹƊƮƊ
XǿǞȯȲƊǿǞȁƊ
ǐȌǿƵǶƊɈǞȁƊ
ÀȲƊȁȺɈȌȲȁȌƮȌ§ƓȁǞƧȌ !ǞɈƊǶȌȯȲƊǿ
!ǶȌǿǞȯȲƊǿǞȁƊ
XǿǞȯȲƊǿǞȁƊ
ÀȲƊȁȺɈȌȲȁȌƮƵȁȺǞƵƮƊƮƵ ²ƵȲɈȲƊǶǞȁƊ
²ȌƧǞƊǶ ßƵȁǶƊǏƊɮǞȁƊ
wȌƧǶȌƦƵǿǞȁƊ
ÀȲƊȁȺɈȌȲȁȌƮƵ0ȺɈȲƵȺȺƵ
§ȍȺٌÀȲƊɐǿƋɈǞƧȌ
ǿǞɈȲǞȯɈǞǶǞȁƊ
ÀȲƊȁȺɈȌȲȁȌƦȺƵȺȺǞɨȌ
IǶɐɨȌɮƊǿǞȁƊ
!ȌǿȯɐǶȺǞɨȌ
IǶɐȌɮƵɈǞȁƊ
!ǶȌǿǞȯȲƊǿǞȁƊ
ÀȲǞƧǠƧǶǞƧȌȺ
(ȌȲyƵɐȲȌȯƋɈǞƧƊ0ȁɮƊȱɐƵƧƊ (ɐǶȌɮƵɈǞȁƊ
ßƵȁǶƊǏƊɮǞȁƊ
ǐȌǿƵǶƊɈǞȁƊ
0ȁɐȲƵȺƵȁȌɈɐȲȁƊ ÀȲǞƧǠƧǶǞƧȌȺ
ƦɐȺȌƮƵǶƧȌȌǶ ISRS
ɐȯȲȌȯǞȌȁƊ
!ƵȺȺƊƪƣȌÀƊƦƋǐǞƧƊ
yȌȲɈȲǞȯɈǞǶǞȁƊ
À(R ÀȲǞƧǠƧǶǞƧȌȺ

Transtornos Somatoformes
²ƵȌȯƊƧǞƵȁɈƵƊȯȲƵȺƵȁɈƊȲɈȲƊȁȺɈȌȲȁȌȺȯȺǞȱɐǞƋɈȲǞƧȌȺȌɐƧȌǿȌȲƦǞƮƊƮƵȺ‫ة‬ǿƵƮǞƧƊǿƵȁɈȌȺ‫ب‬
DOSE FAIXA
DROGA USUAL TERAPÊUTICA OBSERVAÇÕES
(MG) (MG)
TRICÍCLICOS:
²0w§ª0XyX!XªÀªÀw0yÀ!wׂ‫ׅ‬wJ0Çw0yÀªׂ‫ׅ‬wJ!(ׂ‫(׃ى‬X²À1
ÀXyJXªyZß0mÀ0ª§5ÇÀX!
wƊǞȌȲɈƵȁƮƺȁƧǞƊƜȺƵƮƊƪƣȌƵ
ƧƊȲƮǞȌɈȌɮǞƧǞƮƊƮƵ‫خ‬0ɨǞɈƊȲƵǿǞƮȌȺȌȺ‫خ‬
AMITRIPTILINA ׁ‫׀׀ׂى׀ׅ‬ ‫׀׀׃ى׀ׅ‬ ßƋȲǞƊȺǞȁƮǞƧƊƪȪƵȺȁƊƧǶǠȁǞƧƊǿƶƮǞƧƊ
‫ـ‬ȯȌǶǞȁƵɐȲȌȯƊɈǞƊȯƵȲǞǏƶȲǞƧƊ‫ة‬ƮȌȲƧȲȏȁǞƧƊ
ƵɈƧ‫خفخ‬
ȌƊǞȁƮǞƧƊƪƣȌɈƊǿƦƶǿȯƊȲƊ
ɈȲƊȁȺɈȌȲȁȌȺƮƵƊȁȺǞƵƮƊƮƵ‫خ‬
ÇȺɐƊǶǿƵȁɈƵƮȌȺƵȺǿƵȁȌȲƵȺȺƣȌ
CLOMIPRAMINA ׁ‫׀׀ׂى׀ׅ‬ ‫׀׀׃ى׀ׅ‬
ȁƵƧƵȺȺƋȲǞƊȺȁȌɈȲƊȁȺɈȌȲȁȌƮȌȯƓȁǞƧȌ
ƵǿƊǞȌȲƵȺȁȌɈȲƊȁȺɈȌȲȁȌȌƦȺƵȺȺǞɨȌٌ
ƧȌǿȯɐǶȺǞɨȌ‫خ‬
ƦȺƵȲɨƊȲǞȁɈƵȲƊƪȪƵȺ
IMIPRAMINA ׁ‫׀׀ׂى׀ׅ‬ ‫׀׀׃ى׀ׅ‬
ǿƵƮǞƧƊǿƵȁɈȌȺƊȺ‫خ‬
INIBIDORES SELETIVOS DA RECAPTAÇÃO DA SEROTONINA
CITALOPRAM 20 ׂ‫׀׆ى׀‬
ESCITALOPRAM 10 ׁ‫׀׃ى׀‬
wƵǞƊٌɨǞƮƊȯȲȌǶȌȁǐƊƮƊ‫س‬ȌƦȺƵȲɨƊȲ
FLUOXETINA 20 ‫׀׈ىׅ‬
ǞȁɈƵȲƊƪȪƵȺǿƵƮǞƧƊǿƵȁɈȌȺƊȺ‫خ‬
PAROXETINA 20 ׁ‫׀ׅى׀‬ ƦȺƵȲɨƊȲȺǠȁƮȲȌǿƵƮƵȲƵɈǞȲƊƮƊ‫خ‬
SERTRALINA
‫׀ׁׅى׀ׅ‬
‫׀׀ׂى׀ׅ‬

Transtorno de Estresse
Pós-Traumático
Medicamentos:
9ƵɈƊƦǶȌȱɐƵƊƮȌȲƵȺȁƊȺȯȲǞǿƵǞȲƊȺׄȺƵǿƊȁƊȺ‫س‬
9
ȁɈǞƮƵȯȲƵȺȺǞɨȌȺɈȲǞƧǠƧǶǞƧȌȺ‫س‬
9
X²ª²‫س‬
9
Xw‫س‬
9ƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ‫خ‬
Transtorno Obsessivo
Compulsivo
ɈȲƊɈƊǿƵȁɈȌ ƶ ȲƵƊǶǞɹƊƮȌ ƧȌǿ ƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ ƮƵ ƊƪƣȌ ȺƵȲȌɈȌȁǞȁƶȲǐǞƧƊ‫ ة‬ǐƵȲƊǶǿƵȁɈƵ Ƶǿ
ƮȌȺƵȺƊǶɈƊȺ‫ة‬ǞȁǞƧǞƊƧȌǿƮȌȺƵƦƊǞɮƊƵƧȌǿƊɐǿƵȁɈȌǐȲƊƮɐƊǶ‫خ‬
FAIXA
ANTIDEPRESSIVO DOSE INICIAL DOSE MÁXIMA
TERAPÊUTICA
ISRS
ImÇå0ÀXy ׂ‫׀‬ǿǐ ‫׀ׅ‬ǿǐ ‫׀׈‬ǿǐ
²0ªÀªmXy ׂ‫׀ٌׅׅ‬ǿǐ ׁ‫׀ׅ‬ǿǐ ׂ‫׀׀‬ǿǐ
§ªå0ÀXy ׂ‫׀‬ǿǐ ‫׀ׅ‬ǿǐ ‫׀׆‬ǿǐ
ImÇßåwXy ‫׀ׅ‬ǿǐ ׂ‫׀׀‬ǿǐ ‫׀׀׃‬ǿǐ
!XÀm§ªw ׂ‫׀‬ǿǐ ‫׀ׅ‬ǿǐ ׄ‫׀‬ǿǐ
0²!XÀm§ªw ׁ‫׀‬ǿǐ ׂ‫׀‬ǿǐ ‫׀׃‬ǿǐ
ÀªX!Z!mX!²
!mwX§ªwXy ׂ‫ׅ‬ǿǐ ׂ‫׀׀‬ǿǐ ‫׀׀׃‬ǿǐ

Transtorno Afetivo Bipolar
XȁǏƵǶǞɹǿƵȁɈƵ‫ ة‬ɨǞɨƵǿȌȺ Ƶǿ ɐǿ ɈƵǿȯȌ ȌȁƮƵ ǘƋ ɐǿƊ ƵɮȯǶȌȺƣȌ ƮƵ ٗƊɐɈȌƮǞƊǐȁȍȺɈǞƧȌȺ٘ ƮƵ
ɈȲƊȁȺɈȌȲȁȌƦǞȯȌǶƊȲ‫خ‬0ȺȺƊɈƵȁƮƺȁƧǞƊƊȌƊƦɐȺȌƮȌƮǞƊǐȁȍȺɈǞƧȌƮƵɈȲƊȁȺɈȌȲȁȌƦǞȯȌǶƊȲǶƵɨƊƜȯȲƵȺƧȲǞƪƣȌ
ɈƊǿƦƶǿ ƊƦɐȺǞɨƊ ƮƵ ƵȺɈƊƦǞǶǞɹƊƮȌȲƵȺ ƮƵ ǘɐǿȌȲ‫ خ‬ȁɈƵȺ ƮƵ ƵȁƧƊǿǞȁǘƊȲ Ȍɐ ƮƵ ȱɐƵȲƵȲ ǏƵƧǘƊȲ Ȍ
ƮǞƊǐȁȍȺɈǞƧȌ ‫ـ‬ƊɈƶ ȯȌȲȱɐƵ ȌȺ ƮǞƊǐȁȍȺɈǞƧȌȺ ȺƵǿȯȲƵ ƮƵɨƵǿ ƵȺɈƊȲ ƊƦƵȲɈȌȺ‫ ةف‬ƮǞȺƧɐɈƊ Ȍ ƧƊȺȌ ƧȌǿ Ɗ
ƵȱɐǞȯƵƮƵ²ƊɑƮƵwƵȁɈƊǶƊɈȲƊɨƶȺƮȌwƊɈȲǞƧǞƊǿƵȁɈȌƮƵ²ƊɑƮƵwƵȁɈƊǶƮƊȺɐƊǿƊƧȲȌƋȲƵƊ‫خ‬
Estabilizadores do humor:
9
ÀƵǿȌȺ Ȍ ƧƊȲƦȌȁƊɈȌ ƮƵ ǶǠɈǞȌ‫ ة‬ƧȌǿ ƧƊȲƊƧɈƵȲǠȺɈǞƧƊȺ ƦƵǿ ȯƵƧɐǶǞƊȲƵȺ‫ ة‬ƊǶǐɐȁȺ
ƊȁɈǞƧȌȁɨɐǶȺǞɨƊȁɈƵȺ Ƶ ƊȁɈǞȯȺǞƧȍɈǞƧȌȺ‫ خ‬ƧƊȲƦȌȁƊɈȌ ƮƵ ǶǠɈǞȌ ȯƵȲǿƊȁƵƧƵ ƧȌǿȌ ƮȲȌǐƊ
ȯƊƮȲƣȌ‫ ة‬ɈȲƊɈƊȁƮȌ ƮƵ ǏȌȲǿƊ Ƶ˛ƧƊɹ ƵȯǞȺȍƮǞȌȺ ƮƵ ǿƊȁǞƊ‫ ة‬ǘǞȯȌǿƊȁǞƊ Ƶ ƮƵȯȲƵȺȺƣȌ Ƶǿ
ȯƊƧǞƵȁɈƵȺƦǞȯȌǶƊȲƵȺ‫س‬
9
²Ƶɐ ɐȺȌ ȁƊȺ ǞȁɈƵȲƧȲǞȺƵȺ ƶ ȲƵƧȌȁǘƵƧǞƮƊǿƵȁɈƵ ƧƊȯƊɹ ƮƵ ȯȲƵɨƵȁǞȲ ȁȌɨȌȺ ƵȯǞȺȍƮǞȌȺ‫ة‬
ȯȲǞȁƧǞȯƊǶǿƵȁɈƵƮƵƵǶƵɨƊƪƣȌƮȌǘɐǿȌȲ‫س‬
9
!ȌȁɈȲȌǶƊǿ ƵȯǞȺȍƮǞȌȺ ǿƊȁǠƊƧȌȺ‫ ة‬ƧȌǿȌ ǶǠɈǞȌ‫ ة‬ƋƧǞƮȌ ɨƊǶȯȲȍǞƧȌ Ȍɐ ƧƊȲƦƊǿƊɹƵȯǞȁƊ‫ خ‬
ƧƊȲƦȌȁƊɈȌ ƮƵ ǶǠɈǞȌ ƶ ǞȁǞƧǞƊƮȌ ƧȌǿ ‫ ׀׀׃‬ǿǐ ß Ƶ ƊɐǿƵȁɈƊƮȌ‫ ة‬ƧȌǿ ƦƊȺƵ ȁȌȺ ȁǠɨƵǞȺ
ȺƊȁǐɐǠȁƵȌȺƮƵƵȱɐǞǶǠƦȲǞȌƵȁƊɈȌǶƵȲƓȁƧǞƊ‫ة‬ƊɈƶȁǠɨƵǞȺƮƵ‫׈ة׀‬Ɗׁ‫ׂة‬ǿ0ȱ‫ش‬m‫خ‬ȺȁǠɨƵǞȺƮƵɨƵǿ
ȺƵȲƮƵɈƵȲǿǞȁƊƮȌȺƊȯȍȺ‫ٶׅ‬ƮǞƊȺƮƵɐǿƊƮȌȺƵƵȺɈƋɨƵǶƵׁׂ‫ٶ‬ǘƊȯȍȺƊɑǶɈǞǿƊƮȌȺƵ‫خ‬
Principais sintomas-alvo:
9
(ȲȌǐƊƮƵǿƊȁɐɈƵȁƪƣȌƵǿǶȌȁǐȌȯȲƊɹȌ‫ب‬ǿƵȺǿȌ‫ـ‬ƵȯȲǞȁƧǞȯƊǶǿƵȁɈƵ‫ف‬ƊȺȺǞȁɈȌǿƋɈǞƧȌ‫س‬
9
0ȯǞȺȍƮǞȌȺǿƊȁǠƊƧȌȺٌƮƵȯȲƵȺȺǞɨȌȺ‫ـ‬ƊȺȺȌƧǞƊƮȌȺȌɐȁƣȌƊȌȺƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ‫سف‬
9
!ȌǿȌȯȌɈƵȁƧǞƊǶǞɹƊƮȌȲƵȺƮƵƵǏƵǞɈȌƮȌȺƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ‫ـ‬ȯƊȲɈǞƧɐǶƊȲǿƵȁɈƵȌǶǠɈǞȌ‫سف‬
9
(Ǟ˛ƧɐǶƮƊƮƵ ƮƵ ƧȌȁɈȲȌǶƵ ƮȌȺ ǞǿȯɐǶȺȌȺ ‫ـ‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵ ȌȺ ƊȁɈǞƧȌȁɨɐǶȺǞɨƊȁɈƵȺ‫ بف‬ȺƣȌ
ǿɐǞɈȌɐɈǞǶǞɹƊƮȌȺȁƵȺȺƊȺȺǞɈɐƊƪȪƵȺ‫ة‬ƵǿƧȲǞƊȁƪƊȺ‫ة‬ƊƮȌǶƵȺƧƵȁɈƵȺƵƊƮɐǶɈȌȺǯȌɨƵȁȺ‫ة‬ȯƊȲƊ
Ɗ ǿƊǞȌȲǞƊ ƮȌȺ ȯȲȌƦǶƵǿƊȺ ƵɮɈƵȲȁƊǶǞɹƊȁɈƵȺ‫ ة‬ȌȁƮƵ ǘƋ ƊǐȲƵȺȺǞɨǞƮƊƮƵ‫ ة‬ƊǐǞɈƊƪƣȌ ƵɈƧ‫ خ‬
ƧƊȲƦƊǿƊɹƵȯǞȁƊɈƊǿƦƶǿȯȌƮƵȺƵȲɐǿƊƵȺƧȌǶǘƊȁƊɈƵȁɈƊɈǞɨƊƮƵƮǞǿǞȁɐǞȲƊ˛ȺȺɐȲƊȯȌȲ
ɐȺȌƮƵƧȲƊƧǲ‫خ‬ƦȺƵȲɨƊȲƊǶɈƊɈƊɮƊƮƵǞȁɈƵȲƊƪƣȌǿƵƮǞƧƊǿƵȁɈȌȺƊƧȌǿƧƊȲƦƊǿƊɹƵȯǞȁƊ‫ة‬
ȯȌƮƵȁƮȌƊȁɐǶƊȲƵǏƵǞɈȌƮƵȌɐɈȲȌȺǏƋȲǿƊƧȌȺ‫خ‬
ƦȺƵȲɨƊƪȪƵȺƧƊȲƦȌȁƊɈȌƮƵǶǠɈǞȌ‫ب‬
9
1ǞȁǞƧǞƊƮȌƧȌǿ‫׀׀׃‬ǿǐßƵƊɐǿƵȁɈƊƮȌ‫ة‬ƧȌǿƦƊȺƵȁȌȺȁǠɨƵǞȺȺƊȁǐɐǠȁƵȌȺƮƵƵȱɐǞǶǠƦȲǞȌ
ƵȁƊɈȌǶƵȲƓȁƧǞƊ‫ة‬ƊɈƶȁǠɨƵǞȺƮƵ‫׈ة׀‬Ɗׁ‫ׂة‬ǿ0ȱ‫ش‬m‫خ‬ȺȁǠɨƵǞȺƮƵɨƵǿȺƵȲƮƵɈƵȲǿǞȁƊƮȌȺƊȯȍȺ
‫ٶׅ‬ƮǞƊȺƮƵɐǿƊƮȌȺƵƵȺɈƋɨƵǶƵׁׂ‫ٶ‬ǘƊȯȍȺƊɑǶɈǞǿƊƮȌȺƵ‫س‬
9
ɨƊǶǞƊƪƣȌƮƵƵɮƊǿƵȺǶƊƦȌȲƊɈȌȲǞƊǞȺ‫ـ‬ȯȲƶٌɈȲƊɈƊǿƵȁɈȌ‫سف‬
9
9
0ǶƵɈȲȍǶǞɈȌȺ‫ة‬ǏɐȁƪƣȌȲƵȁƊǶ‫س‬
9
IɐȁƪƣȌɈǞȲƵȌǞƮǞƊȁƊ‫ـ‬ȲƵƊɨƊǶǞƊȲƊȁɐƊǶǿƵȁɈƵ‫سف‬
9
0!J‫س‬
JǶǞƧȌȺƵ.
9

Efeitos indesejados: Lítio
9
ƧȁƵ‫ة‬ƊɐǿƵȁɈȌƮȌƊȯƵɈǞɈƵ‫ة‬ƵƮƵǿƊ‫ة‬ƮǞƊȲȲƵǞƊ‫ة‬ǐƊȁǘȌƮƵȯƵȺȌ‫ة‬ǐȌȺɈȌǿƵɈƋǶǞƧȌ‫ة‬ȁƋɐȺƵƊ‫ة‬
ȯȌǶǞƮǞȯȺǞƊ‫ة‬ȯȌǶǞɑȲǞƊ‫ة‬ɈȲƵǿȌȲƵȺ˛ȁȌȺ‫ـ‬ȱɐƵȲƵȺȯȌȁƮƵǿƦƵǿƊȯȲȌȯȲƊȁȌǶȌǶ‫سف‬
9
wȌȁǞɈȌȲǞɹƊȲɈȌɮǞƧǞƮƊƮƵȲƵȁƊǶƵɈǞȲƵȌǞƮƵƊȁƊ‫س‬
9
ȱɐƊƮȲȌǿƊǞȺȯȲƵȌƧɐȯƊȁɈƵȁȌɐȺȌƮȌǶǠɈǞȌƶȌƮƊǞȁɈȌɮǞƧƊƪƣȌ‫ة‬ȱɐƊȁƮȌȌȺȁǠɨƵǞȺȺƶȲǞƧȌȺ
ɐǶɈȲƊȯƊȺȺƊǿׁ‫ׅة‬ǿ0ȱ‫ش‬m‫ة‬ȱɐƵȯȌƮƵȺƵȲȯȲƵƧǞȯǞɈƊƮƊȯȌȲƮǞǿǞȁɐǞƪƣȌƮƵƮǞƵɈƊǘǞȯȌȺȺȍƮǞƧƊ‫ة‬
ɐȺȌƮƵƮǞɐȲƶɈǞƧȌȺ‫ة‬ƮƵȺǞƮȲƊɈƊƪƣȌȌɐǿƵȺǿȌƮȌȺƵȺƵɮƧƵȺȺǞɨƊȺ‫خ‬wƊȁǞǏƵȺɈƊƪȪƵȺȯȲƵƧȌƧƵȺ
ȺƣȌƮǞȺƊȲɈȲǞƊ‫ة‬ƊɈƊɮǞƊƵɈȲƵǿȌȲƵȺǐȲȌȺȺƵǞȲȌȺ‫خ‬
Efeitos indesejados: Carbamazepina
9
ɈƊɮǞƊ‫ة‬ƮǞȯǶȌȯǞƊ‫ة‬ƮȌȲƵȯǞǐƋȺɈȲǞƧƊ‫ة‬ȁƋɐȺƵƊ‫ة‬ȯȲɐȲǞƮȌ‫ة‬ȺȌȁȌǶƺȁƧǞƊ‫ة‬ɈȌȁɈɐȲƊ‫س‬
9
wȌȁǞɈȌȲƊǿƵȁɈȌƮƵƊǶɈƵȲƊƪȪƵȺǘƵǿƊɈȌǶȍǐǞƧƊȺƵǘƵȯƋɈǞƧƊȺ‫س‬
9
wɑǶɈǞȯǶƊȺ ǞȁɈƵȲƊƪȪƵȺ ǿƵƮǞƧƊǿƵȁɈȌȺƊȺ‫ ة‬ǞȁɈƵȲǏƵȲǞȁƮȌ ȁȌ ȁǠɨƵǶ ȯǶƊȺǿƋɈǞƧȌ ƮƵ ȌɐɈȲȌȺ
ǿƵƮǞƧƊǿƵȁɈȌȺ‫خ‬
Efeitos indesejados: Ácido Valproico
9
yƋɐȺƵƊȺ‫ ة‬ǐƊȁǘȌ ƮƵ ȯƵȺȌ‫ ة‬ȺƵƮƊƪƣȌ‫ ة‬ɈȲƵǿȌȲƵȺ‫ ة‬ȱɐƵƮƊ ƮƵ ƧƊƦƵǶȌ ‫ـ‬ȲƵɨƵȲȺǠɨƵǶ ƧȌǿ
ƧȌǿȯǶƵǿƵȁɈƊƪƣȌȌȲƊǶƮƵɹǞȁƧȌƵȺƵǶƺȁǞȌ‫سف‬
9
wȌȁǞɈȌȲƊȲƊǶɈƵȲƊƪȪƵȺǘƵǿƊɈȌǶȍǐǞƧƊȺƵǘƵȯƋɈǞƧƊȺ‫س‬
9
XȁɈȌɮǞƧƊƪƣȌ‫ـ‬ƧȌȁƧƵȁɈȲƊƪƣȌȺƶȲǞƧƊ‫ׅخׁڛ‬ǿ0ȱ‫ش‬Ƕ‫بف‬ȺȌȁȌǶƺȁƧǞƊ‫ة‬ǏƊȺƧǞƧɐǶƊƪȪƵȺǿɐȺƧɐǶƊȲƵȺ‫ة‬
ƊɈƊɮǞƊ‫ة‬ǘǞȯȌȲƵ˜ƵɮǞƊ‫ة‬ǏƊǶƊȯƊȺɈȌȺƊ‫ة‬ɨǞȺƣȌɈɐȲɨƊ‫ة‬ƊȲȲǞɈǿǞƊȺ‫ة‬ƧȌȁɨɐǶȺȪƵȺ‫خ‬

DOSES
NOME DO FÁRMACO OBSERVAÇÕES
MÉDIAS
XȁǞƧǞƊȲ ƧȌǿ ‫ ׀׀׃‬ǿǐ‫ ׂ ة‬ɨƵɹƵȺ ƊȌ ƮǞƊ‫ ة‬ȺƵȁƮȌ ȯȌȺȺǠɨƵǶ

ƊɐǿƵȁɈƊȲȁȌƮǞƊȺƵǐɐǞȁɈƵȯƊȲƊ‫׀׀׃‬ǿǐ‫׃ة‬ɨƵɹƵȺƊȌƮǞƊ‫ة‬
ƊɐǿƵȁɈƊȁƮȌǿƊǞȺƧȌȁǏȌȲǿƵȁƵƧƵȺȺǞƮƊƮƵ‫خ‬
ȯȍȺƵȺɈƊƦǞǶǞɹƊƪƣȌƮƵƮȌȺƵȌȲƊǶ‫ة‬ƶȯȌȺȺǠɨƵǶɐɈǞǶǞɹƊȲƮȌȺƵ
!ª yÀ(0
‫׀׀ׁׂى׀׀׉‬ ɈȌɈƊǶƵǿɐǿƊɑȁǞƧƊɈȌǿƊƮƊ‫ة‬ƮƵƊƧȌȲƮȌƧȌǿɈȌǶƵȲƓȁƧǞƊ‫خ‬
mZÀX
(ȌȺƊǐƵǿ ȺƶȲǞƧƊ‫ ׆ة׀ ب‬Ɗ ‫ ׈ة׀‬ǿ0ȱ‫ش‬Ƕ Ƶǿ ǏƊȺƵ ƮƵ
ǿƊȁɐɈƵȁƪƣȌ‫ ׈ة׀ س‬Ɗ ׁ‫ ׂة‬ǿ0ȱ‫ش‬Ƕ Ƶǿ ǏƊȺƵ ƊǐɐƮƊ‫( خ‬ƵɨƵ
ȺƵȲǿƵƮǞƮƊƊȯȍȺ‫ׅ‬ƮǞƊȺƮƵƵȺɈƊƦǞǶǞɹƊƪƣȌƮƊƮȌȺƵȌȲƊǶ‫خ‬
!ȌǶƵɈƊȲȺƊȁǐɐƵׁׂǘȌȲƊȺƊȯȍȺƊɑǶɈǞǿƊɈȌǿƊƮƊ‫خ‬
XȁǞƧǞƊȲƧȌǿׂ‫׀׀‬ǿǐƜȁȌǞɈƵƵƊɐǿƵȁɈƊȲƊƧƊƮƊׂƮǞƊȺ
ȯƊȲƊƵɨǞɈƊȲƵǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺ‫خ‬
(ȌȺƊǐƵǿȺƶȲǞƧƊ‫ګׁׂى׈ب‬ǐ‫ش‬ǿm‫!خ‬ȌǶƵɈƊȲȺƊȁǐɐƵׁׂǘȌȲƊȺ
!ª wð0§Xy ׄ‫׀׀׆ׁى׀׀‬ ƊȯȍȺƊɑǶɈǞǿƊɈȌǿƊƮƊ‫خ‬
XȁƮɐɹ Ȍ ȯȲȍȯȲǞȌ ǿƵɈƊƦȌǶǞȺǿȌ‫ ة‬ƮǞǿǞȁɐǞȁƮȌ ȺɐƊ ǿƵǞƊٌ

ɨǞƮƊ ƧȌǿ ɐȺȌ ƧȲȏȁǞƧȌ‫ خ‬1 ȁƵƧƵȺȺƋȲǞȌ ȲƵɨƵȲ ƮȌȺƊǐƵǿ
ȯƵȲǞȌƮǞƧƊǿƵȁɈƵƵ‫ة‬ȯȌȲɨƵɹƵȺ‫ة‬ƮǞɨǞƮǞȲƮȌȺƵƵǿƊɈƶ‫ٌׄ׃‬ɮ‫ش‬ƮǞƊ‫خ‬
XȁǞƧǞƊȲƧȌǿׂ‫׀ׅ‬ǿǐ‫ش‬ƮǞƊƵƊɐǿƵȁɈƊȲׂ‫׀ׅ‬ǿǐƊƧƊƮƊ‫׃‬Ɗ
ׄƮǞƊȺȯƊȲƊƵɨǞɈƊȲƵǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺ‫ة‬ƮǞɨǞƮǞƮȌȺƵǿׂƊ‫׃‬
ɈȌǿƊƮƊȺƮǞƋȲǞƊȺ‫خ‬
(ȌȺƊǐƵǿȺƶȲǞƧƊ‫ׅׄب‬Ƶׁׂ‫ګׅ‬ǐ‫ش‬ǿǶ‫خ‬
!X(ßm§ªX! ‫׀׀ׁׅى׀ׇׅ‬
0ǿƦȌȲƊ Ɗ ƮȌȺƵ ǿƋɮǞǿƊ ȯȲȌȯȌȺɈƊ ȺƵǯƊ ׁ‫ ׀׀׈خ‬ǿǐ‫ش‬ƮǞƊ‫ة‬
ƊǶǐɐȁȺȯƊƧǞƵȁɈƵȺȯȌƮƵǿȯȲƵƧǞȺƊȲƮƵƊɈƶ‫׃‬ǐ‫ش‬ƮǞƊȯƊȲƊ
ƊɈǞȁǐǞȲȁǠɨƵǞȺȺƶȲǞƧȌȺɈƵȲƊȯƺɐɈǞƧȌȺ‫خ‬yƣȌɐǶɈȲƊȯƊȺȺƊȲ‫׀׆‬
ǿǐ‫ش‬ǲǐ‫ش‬ƮǞƊ‫خ‬

ƦȺƵȲɨƊƪȪƵȺ‫ب‬
Antipsicóticos‫ة‬ƧȌǿȌȌǶƊȁɹƊȯǞȁƊ‫ة‬ȲǞȺȯƵȲǞƮȌȁƊ‫ة‬ȱɐƵɈǞƊȯǞȁƊȌɐƊȲǞȯǞȯȲƊɹȌǶȺƣȌɐȺƊƮȌȺȺƵȌȺȺǞȁɈȌǿƊȺ
ƮƵƮƵȯȲƵȺȺƣȌƵǿƊȁǞƊȯƵȲȺǞȺɈǞȲƵǿ‫خ‬
9
ªǞȺȯƵȲǞƮȌȁƊ‫ـ‬ȁȌȲǿƊǶǿƵȁɈƵׂƊ‫׃‬ǿǐß‫سف‬
9
ǶƊȁɹƊȯǞȁƊ‫ـ‬ȁȌȲǿƊǶǿƵȁɈƵ‫ׅ‬Ɗׁ‫׀‬ǿǐß‫سف‬
9
©ɐƵɈǞƊȯǞȁƊ‫׀׀ׂـ‬Ɗׄ‫׀׀‬ǿǐß‫سف‬
9
ðǞȯȲƊȺǞƮȌȁƊ‫׀ׄـ‬Ɗ‫׀׈‬ǿǐß‫سف‬
9
ȲǞȯǞȯȲƊɹȌǶ‫׀ׁـ‬Ɗ‫׀׃‬ǿǐß‫سف‬
9
ȁɈǞƮƵȯȲƵȺȺǞɨȌȺ‫ ب‬ƊǯɐƮƊǿ‫ ٶ‬Ɗ ƧȌȁɈȲȌǶƊȲ Ɗ ƮƵȯȲƵȺȺƣȌ‫ ة‬ƧȌǿȌ Ɗ ˜ɐȌɮƵɈǞȁƊ‫ ة‬ȱɐƵ ƮƵɨƵ ȺƵȲ
ƊȺȺȌƧǞƊƮƊƊɐǿƊȁɈǞȯȺǞƧȍɈǞƧȌȯƊȲƊƵɨǞɈƊȲƵȯǞȺȍƮǞȌȺƮƵǿƊȁǞƊ‫س‬
9
ȁȺǞȌǶǠɈǞƧȌȺ‫ ٶب‬ƊǯɐƮƊǿ Ɗ ȲƵƮɐɹǞȲ Ɗ ƊȁȺǞƵƮƊƮƵ Ƶ Ɗ ǿƵǶǘȌȲƊȲ Ȍ ȺȌȁȌ‫ ة‬ƧȌǿȌ ȌȺ
ƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌȺ‫خ‬
ÀƊƦƵǶƊ(0§ׂ‫ب‬0ȺɈƊƦǞǶǞɹƊƮȌȲƵȺƮȌǘɐǿȌȲȁȌɈȲƊȁȺɈȌȲȁȌƦǞȯȌǶƊȲ
Carbamazepina Valproato
(ȌȺƵǞȁǞƧǞƊǶ ׂ‫׀׀‬ǿǐ‫ش‬ƮǞƊ ׄ‫׀׀‬ǿǐ‫ش‬ƮǞƊ

ׄ‫׀׀׆ى׀׀‬ǿǐ‫ش‬ƮǞƊ‫ـ‬ƮȌȺƵ ׁ‫ ׀׀׀خׂ ى ׀׀׀خ‬ǿǐ‫ش‬ƮǞƊ ‫ـ‬ƮȌȺƵ ǿƋɮ‫خ‬
(ȌȺƵƵǏƵɈǞɨƊɈǠȯǞƧƊ
ǿƋɮ‫خ‬ƮƵׁ‫׀׀ׄخ‬ǿǐ‫ش‬ƮǞƊ‫ف‬ ƮƵׂ‫׀׀ׅخ‬ǿǐ‫ش‬ƮǞƊ‫ف‬
§ȌȺȌǶȌǐǞƊ (ɐƊȺɨƵɹƵȺƊȌƮǞƊ‫ة‬ɨǞƊȌȲƊǶ (ɐƊȺɨƵɹƵȺƊȌƮǞƊ‫ة‬ɨǞƊȌȲƊǶ
90ȲɐȯƪƣȌƧɐɈƓȁƵƊǐȲƊɨƵ
‫ـ‬ȺǠȁƮȲȌǿƵƮƵ²ɈƵɨƵȁȺٌ
hȌǘȁȺȌȁ‫ةؤ‬ȁƵƧȲȍǶǞȺƵ 9 ²ȌȁȌǶƺȁƧǞƊ‫س‬
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺȲƊȲȌȺ‫ة‬ǿƊȺ
ƵȯǞƮƶȲǿǞƧƊɈȍɮǞƧƊ‫سفؤ‬
ǐȲƊɨƵȺ 9 !ȌȁǏɐȺƣȌ‫خ‬
9(ƵȯȲƵȺȺƣȌƮƊǿƵƮɐǶƊ
ȍȺȺƵƊ‫خ‬
9 mƵɈƊȲǐǞƊ‫س‬
9 ²ƵƮƊƪƣȌ‫س‬
9 ÀȲƵǿȌȲ‫س‬
9²ȌȁȌǶƺȁƧǞƊ‫س‬ 9 yƋɐȺƵƊȺ‫س‬
9(Ǟ˛ƧɐǶƮƊƮƵȯƊȲƊ 9 (ǞƊȲȲƵǞƊ‫س‬
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺƧȌǿɐȁȺ
ƧƊǿǞȁǘƊȲ‫س‬
9 ɐǿƵȁɈȌƮƵȯƵȺȌ‫س‬
9yƋɐȺƵƊȺ‫خ‬
9 ©ɐƵƮƊ ƮƵ ƧƊƦƵǶȌ ɈȲƊȁȺǞɈȍȲǞƊ
‫ـ‬ȁȌȲǿƊǶǿƵȁɈƵɨȌǶɈƊƊƧȲƵȺƧƵȲ
Ƶǿ‫׆‬ǿƵȺƵȺ‫سف‬
9 !ȌǿȯȲȌǿƵɈǞǿƵȁɈȌ ƮƊ
ǏɐȁƪƣȌǘƵȯƋɈǞƧƊ‫خ‬

9
§ȲƵȺƧȲƵɨƊȺȌǿƵȁɈƵɐǿƊȁɈǞȯȺǞƧȍɈǞƧȌƮƵƧƊƮƊɨƵɹ‫ـ‬ȯ‫خ‬Ƶɮ‫ةخ‬ǘƊǶȌȯƵȲǞƮȌǶ‫ڛڛ‬ÀƊƦƵǶƊ§²Xׁ‫سف‬
9
XȁǞƧǞƵƧȌǿɐǿƊƮȌȺƵƦƊǞɮƊƵƊɐǿƵȁɈƵǶƵȁɈƊǿƵȁɈƵ‫ب‬ƧȌǿƵƧƵƧȌǿƊƮȌȺƵɈƵȲƊȯƺɐɈǞƧƊ
ǿǠȁǞǿƊƵƊɐǿƵȁɈƵǐȲƊƮƊɈǞɨƊǿƵȁɈƵȯƊȲƊȌƦɈƵȲȌƵǏƵǞɈȌƮƵȺƵǯƊƮȌƧȌǿƊƮȌȺƵƵǏƵɈǞɨƊ
ǿǠȁǞǿƊ‫س‬
9
0ɮȯƵȲǞǿƵȁɈƵȌǿƵƮǞƧƊǿƵȁɈȌƮɐȲƊȁɈƵɐǿȯƵȲǠȌƮȌȺɐ˛ƧǞƵȁɈƵƵǿƮȌȺƵƵǏƵɈǞɨƊɈǠȯǞƧƊ
ƊȁɈƵȺƮƵƧȌȁȺǞƮƵȲƋٌǶȌǞȁƵǏƵɈǞɨȌ‫ـ‬ȌɐȺƵǯƊ‫ة‬ƮɐȲƊȁɈƵȁȌǿǠȁǞǿȌٌׄ‫׆‬ȺƵǿƊȁƊȺ‫ڛڛـف‬ÀƊƦƵǶƊ
§²Xׁ‫سف‬
9
ÇȺƵƊƮȌȺƵȌȲƊǶƵǏƵɈǞɨƊǿǠȁǞǿƊƵǿǐƵȺɈƊȁɈƵȺƵƵǿǿɐǶǘƵȲƵȺȱɐƵƵȺɈƵǯƊǿȯǶƊȁƵǯƊȁƮȌ
ƵȁǐȲƊɨǞƮƊȲȌɐƵȺɈƵǯƊǿƊǿƊǿƵȁɈƊȁƮȌ‫س‬
9
²Ƶ ȁƣȌ ǏȌȲ ȯȌȺȺǠɨƵǶ ȌƦɈƵȲ Ȍ ƧȌȁɈȲȌǶƵ ȺƊɈǞȺǏƊɈȍȲǞȌ ƮƊ ƊǐǞɈƊƪƣȌ ȺȌǿƵȁɈƵ ƧȌǿ Ȍ
ƊȁɈǞȯȺǞƧȍɈǞƧȌ‫ ة‬ƊƮǿǞȁǞȺɈȲƵ ɐǿƊ ƮȌȺƵ ƮƵ ƦƵȁɹȌƮǞƊɹƵȯǠȁǞƧȌ ‫ـ‬ƮǞƊɹƵȯƊǿ‫ ة‬ƮȌȺƵ ǿƋɮǞǿƊ
ƮƵ‫ׅ‬ǿǐȯȌȲɨǞƊȌȲƊǶ‫ف‬ƵƧȌȁȺɐǶɈƵǞǿƵƮǞƊɈƊǿƵȁɈƵɐǿƵȺȯƵƧǞƊǶǞȺɈƊ‫س‬
9
0ǿǐƵȲƊǶ‫ة‬ǿƊȁɈƵȁǘƊȌƊȁɈǞȯȺǞƧȍɈǞƧȌƮɐȲƊȁɈƵȯƵǶȌǿƵȁȌȺׁׂǿƵȺƵȺƊȯȍȺƊȲƵȺȌǶɐƪƣȌ
ƮȌȺȺǞȁɈȌǿƊȺ‫س‬
9
(ǞǿǞȁɐƊƊƮȌȺƵǐȲƊƮƊɈǞɨƊǿƵȁɈƵƊȌȲƵɈǞȲƊȲȌǿƵƮǞƧƊǿƵȁɈȌƊȌǶȌȁǐȌƮƵɨƋȲǞȌȺǿƵȺƵȺ‫س‬
9
yɐȁƧƊǞȁɈƵȲȲȌǿȯƊȌǿƵƮǞƧƊǿƵȁɈȌƦȲɐȺƧƊǿƵȁɈƵ‫خ‬

ÀƊƦƵǶƊ§²Xׁ‫ب‬wƵƮǞƧƊǿƵȁɈȌȺƊȁɈǞȯȺǞƧȍɈǞƧȌȺ
Medicamento Haloperidolª Clorpromazina Risperidona
(ȌȺƵǞȁǞƧǞƊǶ ׂ‫ׅة‬ǿǐ ‫ׇׅى׀ׅ‬ǿǐ ׂǿǐ

ƮǞƊȲǞƊǿƵȁɈƵ ƮǞƊȲǞƊǿƵȁɈƵ ƮǞƊȲǞƊǿƵȁɈƵ
(ȌȺƵƵǏƵɈǞɨƊɈǠȯǞƧƊ ׄ‫׀ׁى‬ǿǐ‫ش‬ƮǞƊ ‫׀׀׃ىׇׅ‬ǿǐ‫ش‬ƮǞƊb ׄ‫׆ى‬ǿǐ‫ش‬ƮǞƊ
‫ـ‬ƮȌȺƵǿƋɮ‫خ‬ƮƵ ‫ـ‬ƮȌȺƵǿƋɮ‫خ‬ƮƵ ‫ـ‬ƮȌȺƵǿƋɮ‫خ‬
ׂ‫׀‬ǿǐ‫ف‬ ׁ‫׀׀׀خ‬ǿǐ‫ف‬ ƮƵׁ‫׀‬ǿǐ‫ف‬
ßǞƊ ȲƊǶ‫ش‬ ȲƊǶ ȲƊǶ
ǞȁɈȲƊǿɐȺƧɐǶƊȲ
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺȺǞǐȁǞ˛ƧƊɈǞɨȌȺ‫ب‬
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺ ‫ڕڕڕ‬ ‫ڕ‬ ‫ڕ‬
ƵɮɈȲƊȯǞȲƊǿǞƮƊǞȺ‫ؤ‬
²ƵƮƊƪƣȌ ‫ڕ‬ ‫ڕڕڕ‬ ‫ڕ‬
ǞƮȌȺȌȺ‫ف‬
RƵȺǞɈƊƪƣȌɐȲǞȁƋȲǞƊ ‫ڕڕ‬
RǞȯȌɈƵȁȺƣȌ ‫ڕ‬ ‫ڕڕڕ‬ ‫ڕ‬
ȌȲɈȌȺɈƋɈǞƧƊ‫ؤ‬
²ǠȁƮȲȌǿƵ ªƊȲƊƧ ªƊȲƊƧ ªƊȲƊƧ
ƵɐȲȌǶƶȯɈǞƧƊǿƊǶǞǐȁƊ‫ؤ‬
Ѥ(ǞȺȯȌȁǠɨƵǶȁȌǲǞɈǿƶƮǞƧȌƮƵƵǿƵȲǐƺȁƧǞƊǞȁɈƵȲƊǐƺȁƧǞƊȺ‫ـ‬w²‫فׁׁ׀ׂة‬
b
§ȌƮƵȺƵȲȁƵƧƵȺȺƋȲǞȌƊɈƶׁǐƵǿƧƊȺȌȺǐȲƊɨƵȺ
XȁɈƵȲȲȌǿȯƊ Ȍ ǿƵƮǞƧƊǿƵȁɈȌ ƊȁɈǞȯȺǞƧȍɈǞƧȌ ǞǿƵƮǞƊɈƊǿƵȁɈƵ ȺƵ ǘȌɐɨƵȲ ȺɐȺȯƵǞɈƊ ƮƵȺȺƊ ȺǠȁƮȲȌǿƵ‫ة‬

Ƨ
ǿƊȁɈƵȁǘƊƦƊǞɮƊƊɈƵǿȯƵȲƊɈɐȲƊƮƊȯƵȺȺȌƊƵƊƮǿǞȁǞȺɈȲƵǶǠȱɐǞƮȌȺȺɐ˛ƧǞƵȁɈƵȺ‫خ‬
ÀƊƦƵǶƊ§²Xׂ‫ب‬wƵƮǞƧƊǿƵȁɈȌȺƊȁɈǞȁƵɐȲȌǶƶȯɈǞƧȌȺ
Medicamento Biperidenoª Triexifenidil
ׁǿǐƮɐƊȺɨƵɹƵȺƊȌ
(ȌȺƵǞȁǞƧǞƊǶ ׁǿǐƮǞƊȲǞƊǿƵȁɈƵ
dia
‫׆ى׃‬ǿǐ‫ش‬ƮǞƊ‫ـ‬ƮȌȺƵ ‫ׁׅىׅ‬ǿǐƮǞƊȲǞƊǿƵȁɈƵ
(ȌȺƵƵǏƵɈǞɨƊɈǠȯǞƧƊ
ǿƋɮ‫خ‬ƮƵׁׂǿǐ‫ف‬ ‫ـ‬ƮȌȺƵǿƋɮ‫خ‬ƮƵׂ‫׀‬ǿǐ‫ف‬
ßǞƊ ȲƊǶ ȲƊǶ
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺȺǞǐȁǞ˛ƧƊɈǞɨȌȺ‫ب‬
!ȌȁǏɐȺƣȌ‫ة‬ȯȲȌƦǶƵǿƊȺ
ƮƵǿƶǿȌȲǞƊ
‫ڕڕڕ‬ ‫ڕڕڕ‬
²ƵƮƊƪƣȌ
‫ـ‬ȯȲǞȁƧǞȯƊǶǿƵȁɈƵƵǿ ‫ڕ‬ ‫ڕ‬
RƵȺǞɈƊƪƣȌɐȲǞȁƋȲǞƊ ‫ڕڕ‬ ‫ڕڕ‬

Psicose Puerperal
9
XǿȯȌȲɈƊȁɈƵ Ɗ ǿƊȁɐɈƵȁƪƣȌ ƮȌȺ ǿƵƮǞƧƊǿƵȁɈȌȺ ǿƵȺǿȌ ƊȯȍȺ Ɗ ƧƵȺȺƊƪƣȌ ƮȌȺ
ȺǞȁɈȌǿƊȺȯƊȲƊƵɨǞɈƊȲȲƵƧƊǠƮƊȺ‫س‬
9
mƵǿƦȲƊȲȱɐƵƊƧȌȁƧƵȁɈȲƊƪƣȌƮȌȺǿƵƮǞƧƊǿƵȁɈȌȺȁȌǶƵǞɈƵǿƊɈƵȲȁȌƶƮƵƧƵȲƧƊƮƵׁ‫ڭ‬
ƮƊƧȌȁƧƵȁɈȲƊƪƣȌȺƶȲǞƧƊƮƊȯɐƵȲȯƵȲƊǶ‫س‬
9
wƵƮǞƧƊǿƵȁɈȌȺ‫ب‬ƊȁɈǞȯȺǞƧȍɈǞƧȌȺƵƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ‫خ‬
Demência
9
ȁɈǞƮƵȯȲƵȺȺǞɨȌȺɈȲǞƧǠƧǶǞƧȌȺ‫ب‬ȁȌȲɈȲǞȯɈǞǶǞȁƊ‫س‬
9
X²ª²‫ب‬ȺƵȲɈȲƊǶǞȁƊ‫ة‬ȯƊȲȌɮƵɈǞȁƊ‫س‬
9
ȁɈǞȯȺǞƧȍɈǞƧȌȺ‫ب‬ȲǞȺȯƵȲǞƮȌȁƊ‫ة‬ȌǶƊȁɹƊȯǞȁƊ‫ة‬ǘƊǶȌȯƵȲǞƮȌǶ‫س‬
9
ǶȁǞƦǞƮȌȲƵȺƮƊƊƧƵɈǞǶٌƧȌǶǞȁƵȺɈƵȲƊȺƵ‫ب‬ƮȌȁƵȯƵɹǞǶ‫ة‬ȲǞɨƊȺɈǞǐǿǞȁƊ‫ة‬ɈƊƧȲǞȁƊ‫ة‬ǐƊǶƊȁɈƊǿǞȁƊ‫خ‬
DOSE FAIXA DOSE

ANTIDEPRESSIVO
INICIAL TERAPÊUTICA MÁXIMA
ISRS
ImÇå0ÀXy ׂ‫׀‬ǿǐ ‫׀ׅ‬ǿǐ ‫׀׈‬ǿǐ
²0ªÀªmXy ׂ‫׀ٌׅׅ‬ǿǐ ׁ‫׀ׅ‬ǿǐ ׂ‫׀׀‬ǿǐ
§ªå0ÀXy ׂ‫׀‬ǿǐ ‫׀ׅ‬ǿǐ ‫׀׆‬ǿǐ
yÀ§X²X!ÀX!²
ª0²§X(y ׂ‫׀‬ǿǐ ‫׀ׅ‬ǿǐ ׄ‫׀‬ǿǐ
myð§Xy ׁ‫׀‬ǿǐ ׂ‫׀‬ǿǐ ‫׀׃‬ǿǐ
Rm§0ªX(y
ÀªX!Z!mX!²
wXÀªX§ÀXmXy ׂ‫׀ٌׅׅ‬ǿǐ ‫׀ׇׁٌׅׅ‬ǿǐ ‫׀׀׃‬ǿǐ
XyX X(ª0²(!0ÀXmٌ!mXy0²À0ª²0
(y0§0ðXm ‫ׅ‬ǿǐ ׁ‫׀‬ǿǐ ׂ‫׀‬ǿǐ
ªXß²ÀXJwXy ׁ‫ׅة‬ǿǐ ‫׃‬ǿǐ ‫׆‬ǿǐ
JmyÀwXy
‫׃؞‬ǿǐ ‫׆؛‬ǿǐ ׁׂǿǐ
USO PREJUDICIAL DE ÁLCOOL E OUTRAS DROGAS
1 ȲƵƧȌǿƵȁƮƋɨƵǶ ȱɐƵ ȌȺ ɐȺɐƋȲǞȌȺ ȺƵǯƊǿ ȲƵƧƵƦǞƮȌȺ ȯȌȲ ɐǿ ǐȲɐȯȌ ƮƵ ƊƧȌǶǘǞǿƵȁɈȌ
ƧȌǿȯȌȺɈȌ ȯȌȲ ȯȲȌ˛ȺȺǞȌȁƊǞȺ ƮƵ ²ƊɑƮƵ wƵȁɈƊǶ ‫ـ‬ȯȺǞȱɐǞƊɈȲƊȺ‫ ة‬ȯȺǞƧȍǶȌǐȌȺ‫ ة‬ƊȺȺǞȺɈƵȁɈƵȺ ȺȌƧǞƊǞȺ
Ƶ ɈƵȲƊȯƵɐɈƊȺ ȌƧɐȯƊƧǞȌȁƊǞȺ‫ ف‬ȱɐƵ ƊɨƊǶǞƊȲƋ Ɗ ǿȌɈǞɨƊƪƣȌ ƮȌ ɐȺɐƋȲǞȌ ȯƊȲƊ Ȍ ɈȲƊɈƊǿƵȁɈȌ‫ ة‬ƊǶƶǿ
ƮƊ ȁƵƧƵȺȺǞƮƊƮƵ ƮƊ ǞȁɈȲȌƮɐƪƣȌ ƮƵ ȌɐɈȲƊȺ ǿȌƮƊǶǞƮƊƮƵȺ ƮƵ ƊɈƵȁƮǞǿƵȁɈȌ‫ ة‬ƧȌǿȌ ƧȌȁȺɐǶɈƊȺ
ȯȺǞȱɐǞƋɈȲǞƧƊȺ‫ ة‬ȯȺǞƧȌɈƵȲƊȯǞƊ Ƶ ƊɈƵȁƮǞǿƵȁɈȌ ǏƊǿǞǶǞƊȲ‫ ة‬ƊǶƶǿ ƮƵ ƵɨƵȁɈɐƊǶ ƵȁƧƊǿǞȁǘƊǿƵȁɈȌ ȯƊȲƊ
ǞȁɈƵȲȁƊƪƣȌǘȌȺȯǞɈƊǶƊȲ‫خ‬1ȁƵƧƵȺȺƋȲǞȌȱɐƵ‫ب‬
9
wȌȁǞɈȌȲƵƧȌǿǏȲƵȱɐƺȁƧǞƊȌȺȺǞȁɈȌǿƊȺƮƊȺǠȁƮȲȌǿƵƮƵƊƦȺɈǞȁƺȁƧǞƊ‫ـ‬ƊƧƊƮƊ‫ׄى׃‬ǘȌȲƊȺ‫خف‬
wƊȁɈƵȁǘƊȌƮǞƊɹƵȯƊǿƊɈƶȱɐƵƧƵȺȺƵǿȌȺȺǞȁɈȌǿƊȺ‫ـ‬ƵǿǐƵȲƊǶ‫ׄى׃ة‬ƮǞƊȺ‫ة‬ǿƊȺȁƣȌǿƊǞȺ
ƮƵ‫ׇ‬ƮǞƊȺ‫سف‬
9
yȌ ƧƊȺȌ ƮƵ ɐǿƊ ƧȲǞȺƵ ƵȯǞǶƶȯɈǞƧƊ ȯȌȲ ƊƦȺɈǞȁƺȁƧǞƊ‫ ة‬y ɐȺƵ ǿƵƮǞƧƊǿƵȁɈȌȺ
ƊȁɈǞƵȯǞǶƶȯɈǞƧȌȺ‫خ‬wƊȁɈƵȁǘƊȌƮǞƊɹƵȯƊǿ‫س‬
9
ȺȺǞȁɈȌǿƊȺƮƵƮƵǶǠȲǞȌ‫ة‬ƧȌǿȌƧȌȁǏɐȺƣȌ‫ة‬ƊǐǞɈƊƪƣȌȌɐƊǶɐƧǞȁƊƪȪƵȺ‫ة‬ȯȌƮƵǿȯƵȲȺǞȺɈǞȲȯȌȲ
ɨƋȲǞƊȺȺƵǿƊȁƊȺƮƵȯȌǞȺƮƵƧƵȺȺƊȲƵǿȌɐɈȲȌȺȺǞȁɈȌǿƊȺƮƊȺǠȁƮȲȌǿƵƮƵƊƦȺɈǞȁƺȁƧǞƊƮƵ
ƋǶƧȌȌǶ‫خ‬yƵȺȺƵƧƊȺȌ‫ة‬ƧȌȁȺǞƮƵȲƵȌɐȺȌƮƵƊȁɈǞȯȺǞƧȍɈǞƧȌȺ‫ة‬ƧȌǿȌǘƊǶȌȯƵȲǞƮȌǶ‫ة‬ƵǿƮȌȺƵȌȲƊǶ
ƮƵׂ‫ׅىׅة‬ǿǐƊɈƶ‫׃‬ɨƵɹƵȺƊȌƮǞƊƊɈƶƊǿƵǶǘȌȲƊƮƊƧȌȁǏɐȺƣȌ‫ة‬ƊǐǞɈƊƪƣȌȌɐƊǶɐƧǞȁƊƪȪƵȺ‫خ‬0ǿ
ƊǶǐɐȁȺƧƊȺȌȺȯȌƮƵǿȺƵȲȁƵƧƵȺȺƋȲǞƊȺɨƋȲǞƊȺȺƵǿƊȁƊȺƊɈƶȱɐƵƧƵȺȺƵǿƊȺƊǶɐƧǞȁƊƪȪƵȺƵ
ƊƧȌȁǏɐȺƣȌ‫خ‬yƣȌƵɮƊǐƵȲƵȁƊȺƵƮƊƪƣȌ‫س‬
9
²ƵȯȌȺȺǠɨƵǶ‫ة‬ȯȲȌɨǞƮƵȁƧǞƵɐǿƊǿƦǞƵȁɈƵɈȲƊȁȱɐǞǶȌ‫ة‬ȁƣȌƵȺɈǞǿɐǶƊȁɈƵƵƦƵǿǞǶɐǿǞȁƊƮȌ‫خ‬
§ȲȌƧɐȲƵ ǿƊȁɈƵȲ ƊǶǐɐǿƊ ǞǶɐǿǞȁƊƪƣȌ‫ ة‬ƊɈƶ ǿƵȺǿȌ Ɯ ȁȌǞɈƵ‫ ة‬ȯƊȲƊ ƵɨǞɈƊȲ ȱɐƵƮƊȺ ȺƵ Ɗ
ȯƵȺȺȌƊȲƵȺȌǶɨƵȲȺƵǶƵɨƊȁɈƊȲ‫!خ‬ȌȁȺǞƮƵȲƵƊȯȌȺȺǞƦǞǶǞƮƊƮƵƮƵƧȌǶȌƧƊȲƊȯƵȺȺȌƊȺȌƦȲƵɐǿ
ƧȌǶƧǘƣȌȁȌƧǘƣȌȯƊȲƊƵɨǞɈƊȲǶƵȺȪƵȺ‫خ‬²ƵȯȌȺȺǠɨƵǶ‫ة‬ȯƵƪƊȱɐƵɐǿƧɐǞƮƊƮȌȲȯƵȲǿƊȁƵƪƊ
ƧȌǿ ƵǶƊ ȯƊȲƊ ǿȌȁǞɈȌȲƊȲ Ƶ ƵɨǞɈƵ ƧȌȁɈƵȁƪȪƵȺ‫ فׁ خ‬ƦȌȲƮƵ Ɗ ƮƵȺȁɐɈȲǞƪƣȌ‫ فׂ س‬ƮǿǞȁǞȺɈȲƵ
ɨǞɈƊǿǞȁƊ ׁ‫ـ‬ɈǞƊǿǞȁƊ‫ف‬ƵǿƮȌȺƵȌȲƊǶƮƵׁ‫׀׀‬ǿǐ‫ش‬ƮǞƊƮɐȲƊȁɈƵ‫ׅ‬ƮǞƊȺ‫ف׃س‬ɨƊǶǞƵƵƊƦȌȲƮƵƊ
ƮƵȺȁɐɈȲǞƪƣȌ‫فׄس‬wƊȁɈƵȁǘƊƊǘǞƮȲƊɈƊƪƣȌ‫فׅس‬XȁǞƧǞƵǘǞƮȲƊɈƊƪƣȌXßȺƵȯȌȺȺǠɨƵǶ‫فׅس‬XȁƧƵȁɈǞɨƵ
ȌƧȌȁȺɐǿȌȌȲƊǶƮƵǶǠȱɐǞƮȌȺ‫ـ‬ȯƵǶȌǿƵȁȌȺׂ‫׃ى‬ǶǞɈȲȌȺ‫ش‬ƮǞƊ‫خف‬
ÀƊƦƵǶƊ²Ç ׁ‫(ب‬ǞƊɹƵȯƊǿȁƊȺǠȁƮȲȌǿƵƮƵƵǿƵȲǐƺȁƧǞƊƮƵƋǶƧȌȌǶƧȌǿȲǞȺƧȌƮƵɨǞƮƊ
Medicamento Diazepamª
(ȌȺƵǞȁǞƧǞƊǶ ׁ‫׀ׂى׀‬ǿǐׄɨƵɹƵȺ‫ش‬ƮǞƊƮɐȲƊȁɈƵ‫ׇى׃‬ƮǞƊȺ‫خ‬
ªƵƮɐɹƊǐȲƊƮɐƊǶǿƵȁɈƵƊƮȌȺƵƵ‫ش‬ȌɐƊǏȲƵȱɐƺȁƧǞƊ
(ȌȺƵȺɐƦȺƵȱɐƵȁɈƵ
ƊɈƶȱɐƵȌȺȺǞȁɈȌǿƊȺǿƵǶǘȌȲƵǿ‫خ‬
Via Oral
(ƵȯȲƵȺȺƣȌȲƵȺȯǞȲƊɈȍȲǞƊ‫ةؤ‬ƮǞǿǞȁɐǞƪƣȌƊƧƵȁɈɐƊƮƊ
ƮȌȁǠɨƵǶƮƵƧȌȁȺƧǞƺȁƧǞƊ‫خ‬
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺǐȲƊɨƵȺ
‫ـ‬ȲƊȲȌȺ‫ف‬ Precaução:ǿȌȁǞɈȌȲƵƧȌǿǏȲƵȱɐƺȁƧǞƊ‫ة‬ȯȌǞȺ
ƊȺȯƵȺȺȌƊȺɈƺǿƮǞǏƵȲƵȁɈƵȺȲƵȺȯȌȺɈƊȺƊƵȺȺƵ
ǿƵƮǞƧƊǿƵȁɈȌ‫خ‬
²ȌȁȌǶƺȁƧǞƊ‫ة‬ƊǿȁƶȺǞƊ‫ة‬ƊǶɈƵȲƊƪƣȌƮƊƧȌȁȺƧǞƺȁƧǞƊ‫ة‬
ǏȲƊȱɐƵɹƊǿɐȺƧɐǶƊȲ‫خ‬
0ǏƵǞɈȌȺƧȌǶƊɈƵȲƊǞȺƧȌǿɐȁȺ
Precaução:ȁƣȌƊƮǿǞȁǞȺɈȲƵȌɐɈȲƊƮȌȺƵȺƵƊ
ȯƵȺȺȌƊƵȺɈǞɨƵȲȺȌȁȌǶƵȁɈƊ‫خ‬
0ǿȯƵȺȺȌƊȺǞƮȌȺƊȺ‫ة‬ɐȺƵƮƵɐǿȱɐƊȲɈȌƊǿƵɈƊƮƵ
§ȲƵƧƊɐƪȪƵȺƵǿǐȲɐȯȌȺ
ƮƊƮȌȺƵȺɐǐƵȲǞƮƊ‫خ‬yƣȌȯȲƵȺƧȲƵɨƊȯƊȲƊȯƵȺȺȌƊȺ
ƵȺȯƵƧǞƊǞȺ
ƧȌǿȯȲȌƦǶƵǿƊȺȲƵȺȯǞȲƊɈȍȲǞȌȺ‫خ‬
Transtorno de Déficit
de Atenção / Hiperatividade
Tratamento
Medicamentos:
9
wƵɈǞǶǏƵȁǞƮƊɈȌ‫س‬
9
ȁɈǞƮƵȯȲƵȺȺǞɨȌȺ‫ ب‬ƊɈȌǿȌɮƵɈǞȁƊ‫ ة‬ƦɐȯȲȌȯǞȌȁƊ‫ ة‬ȁȌȲɈȲǞȯɈǞǶǞȁƊ‫ ة‬ɨƵȁǶƊǏƊɮǞȁƊ‫ ة‬ǞǿǞȯȲƊǿǞȁƊ
‫ـ‬ƮƵȺƧƊȲɈƊȲƊǶɈƵȲƊƪȪƵȺƮȌ0!JȯȲƵɨǞƊǿƵȁɈƵƜȯȲƵȺƧȲǞƪƣȌƮƵɈȲǞƧǠƧǶǞƧȌȺ‫سف‬
9
0ȺȯƵƧǠ˛ƧȌȺȯƊȲƊƊȺƧȌǿȌȲƦǞƮƊƮƵȺ‫ب‬ȲǞȺȯƵȲǞƮȌȁƊ‫ة‬ƵȺɈƊƦǞǶǞɹƊƮȌȲƵȺƮȌǘɐǿȌȲ‫خ‬
Transtornos Globais do
Desenvolvimento
Tratamento
9
!ɐǞƮƊƮȌ ǞȁɈƵǐȲƊǶ Ƶ ƊȲɈǞƧɐǶƊƪƣȌ ǞȁɈƵȲȺƵɈȌȲǞƊǶ‫ ب‬ȺƊɑƮƵ‫ ة‬ƵƮɐƧƊƪƣȌ ‫ـ‬ƵƮɐƧƊƪƣȌ ƵȺȯƵƧǞƊǶ ‫ش‬
ƵƮɐƧƊƪƣȌǞȁƧǶɐȺǞɨƊ‫ةف‬ƊȺȺǞȺɈƺȁƧǞƊȺȌƧǞƊǶƵɈƧ‫س‬
9
ÀȲƊɈƊǿƵȁɈȌƧǶǠȁǞƧȌƮƵƦƊȺƵȯȺǞƧƊȁƊǶǠɈǞƧƊ‫س‬
9
ȁƋǶǞȺƵƮȌ!ȌǿȯȌȲɈƊǿƵȁɈȌȯǶǞƧƊƮƊ‫ـ‬ȯȯǶǞƵƮ ƵǘƊɨǞȌȲƊǶȁƊǶɯȺǞȺ‫سف ى‬
9
!ȌǿɐȁǞƧƊƪƣȌ²ɐȯǶƵǿƵȁɈƊȲƵǶɈƵȲȁƊɈǞɨƊ‫!ـ‬²‫سف‬
9
À0!!R‫ى‬ÀȲƊɈƊǿƵȁɈȌƵ0ƮɐƧƊƪƣȌȯƊȲƊ!ȲǞƊȁƪƊȺƧȌǿÀȲƊȁȺɈȌȲȁȌƮȌ0ȺȯƵƧɈȲȌ
ɐɈǞȺɈƊ‫س‬
9
wƵƮǞƧƊǿƵȁɈȌȺ ȯƊȲƊ ȺǞȁɈȌǿƊȺ ƊƧƵȺȺȍȲǞȌȺ ȱɐƵ ȯȌƮƵǿ ȺƵȲ ƊɈƵȁɐƊƮȌȺ ƧȌǿ Ȍ ɐȺȌ ƮƵ
ǿƵƮǞƧƊƪƣȌȯȺǞȱɐǞƋɈȲǞƧƊ‫ـ‬ƊȁɈǞȯȺǞƧȍɈǞƧȌȺ‫خف‬

TRANSTORNOS ALIMENTARES
Tratamento
9
ÀƵǿƵ˛ƧƋƧǞƊȯƊȲƧǞƊǶ‫ة‬ȺƵȁƮȌƧȌǿɐȁȺƊȺȲƵƧƊǠƮƊȺ‫س‬
9
!ƵȲƧƊ ƮƵ ‫ ڭ׀ׇ‬ƮȌȺ ɐȺɐƋȲǞȌȺ ȱɐƵ ƧȌǿȯǶƵɈƊǿ Ȍ ɈȲƊɈƊǿƵȁɈȌ ȯȲȌȯȌȺɈȌ ȲƵǶƊɈƊǿ
ȺǞǐȁǞ˛ƧƊɈǞɨƊǿƵǶǘȌȲƊƮȌȺȺǞȁɈȌǿƊȺ‫س‬
9
ÇȺȌƮƵǿƵƮǞƧƊǿƵȁɈȌȺǞȺȌǶƊƮƊǿƵȁɈƵȯȲȌǿȌɨƵǿƵǶǘȌȲƊƵǿƧƵȲƧƊƮƵׁ‫ڭׅ‬Ɗׂ‫ڭ׀‬ƮȌȺ
ɐȺɐƋȲǞȌȺ‫س‬
9
ÀƵȲƊȯǞƊƧȌǐȁǞɈǞɨȌٌƧȌǿȯȌȲɈƊǿƵȁɈƊǶȯƊȲƵƧƵȺƵȲƊǿƵǶǘȌȲƵȺɈȲƊɈƶǐǞƊ‫س‬
9
ȲǞƵȁɈƊƪȪƵȺƮǞƵɈƶɈǞƧƊȺ‫س‬
9
wƵƮǞƧƊǿƵȁɈȌȺ‫ب‬ƊȁɈǞƮƵȯȲƵȺȺǞɨȌȺ‫ـ‬ƊǶǐɐȁȺƵȺɈɐƮȌȺƊȯȌȁɈƊǿƊȺɐȯƵȲǞȌȲǞƮƊƮƵƮƊ
˜ɐȌɮƵɈǞȁƊ‫سف‬
XȁɈƵȲȁƊƪƣȌ‫ب‬ȁƊȺȺǞɈɐƊƪȪƵȺƮƵȺƧȲǞɈƊȺȁƊƊȁȌȲƵɮǞƊȁƵȲɨȌȺƊ.
9
9
yȌƧƊȺȌƮƵǞȁɈȌɮǞƧƊƪƣȌƊǐɐƮƊȯȌȲȯƵȺɈǞƧǞƮƊ‫ة‬ƧȌȁȺɐǶɈƵwƊȁƵǯȌƧǶǠȁǞƧȌƮƊǞȁɈȌɮǞƧƊƪƣȌ
ƊǐɐƮƊȯȌȲȯƵȺɈǞƧǞƮƊȺ‫ـ‬ƮǞȺȯȌȁǠɨƵǶƵǿǞȁǐǶƺȺ‫ـف‬w²‫سف׈׀׀ׂة‬
9
yȌƧƊȺȌƮƵȺɐȯƵȲƮȌȺƊǐƵǿƮƵɐǿǿƵƮǞƧƊǿƵȁɈȌȯȲƵȺƧȲǞɈȌƵǿȱɐƵȌǿƵƮǞƧƊǿƵȁɈȌ
ƊǞȁƮƊ ȺƵǯƊ ȁƵƧƵȺȺƋȲǞȌ‫ ة‬ƵȺƧȌǶǘƊ Ȍ ǿƵƮǞƧƊǿƵȁɈȌ ƊǶɈƵȲȁƊɈǞɨȌ ǿƵȁȌȺ ȯȲƵǯɐƮǞƧǞƊǶ‫ خ‬²Ƶ
ȯȌȺȺǠɨƵǶ‫ ة‬ȯȲƵȺƧȲƵɨƊ Ȍ ȁȌɨȌ ǿƵƮǞƧƊǿƵȁɈȌ Ƶǿ ȱɐƊȁɈǞƮƊƮƵ Ⱥɐ˛ƧǞƵȁɈƵ ƊȯƵȁƊȺ ȯƊȲƊ
ɐǿ ƧɐȲɈȌ ȯƵȲǠȌƮȌ ‫ـ‬ȯ‫ خ‬Ƶɮ‫ ةخ‬ƊǶǐɐȁȺ ƮǞƊȺ Ɗ ׁ ȺƵǿƊȁƊ ƮƵ ƧƊƮƊ ɨƵɹ‫ ف‬ȯƊȲƊ ƵɨǞɈƊȲ ȌɐɈȲƊ
ȺɐȯƵȲƮȌȺƊǐƵǿ‫خ‬

REFERÊNCIAS
BIBLIOGRÁFICAS
ª²Xm‫ة‬ǐƺȁƧǞƊyƊƧǞȌȁƊǶ(Ƶ²ƊɑƮƵ²ɐȯǶƵǿƵȁɈƊȲ‫خ‬Diretrizes assistenciais para a Saúde Mental
na saúde suplementar.ªǞȌƮƵhƊȁƵǞȲȌ‫ب‬y²‫خ׈׀׀ׂة‬
wªyÀ0‫§ة‬ƊɐǶȌ‫س‬my!0ÀÀX‫ة‬ȁɈȏȁǞȌ‫خ‬Saúde Mental e saúde coletiva.Xȁ‫!ب‬w§²‫ة‬JƊȺɈƣȌƵɈƊǶ‫خ‬

ÀȲƊɈƊƮȌƮƵȺƊɑƮƵƧȌǶƵɈǞɨƊ‫خ‬²ƣȌ§ƊɐǶȌ‫ب‬RɐƧǞɈƵƧ‫س‬ªǞȌƮƵhƊȁƵǞȲȌ‫ب‬IǞȌƧȲɐɹ‫خ׉׀׀ׂة‬
ª²Xm‫خ‬Decreto n.º 7.508, de 28 de junho de 2011.
ª²Xm‫ ة‬wǞȁǞȺɈƶȲǞȌ ƮƊ ²ƊɑƮƵ‫ س‬²ƵƧȲƵɈƊȲǞƊ ƮƵ ɈƵȁƪƣȌ Ɯ ²ƊɑƮƵ‫( س‬ƵȯƊȲɈƊǿƵȁɈȌ ƮƵ ƪȪƵȺ
§ȲȌǐȲƊǿƋɈǞƧƊȺ0ȺɈȲƊɈƶǐǞƧƊȺ‫خ‬Linha de cuidado para a atenção às pessoas com Transtornos do
Espectro do Autismo e suas famílias na Rede de Atenção Psicossocial do SUS. ȲƊȺǠǶǞƊ‫ب‬wǞȁǞȺɈƶȲǞȌ
ƮƊ²ƊɑƮƵ‫خ׃ׁ׀ׂة‬
ª²Xm‫ة‬wǞȁǞȺɈƶȲǞȌƮƊ²ƊɑƮƵ‫س‬²ƵƧȲƵɈƊȲǞƊƮƵɈƵȁƪƣȌƜ²ƊɑƮƵ‫(س‬ƵȯƊȲɈƊǿƵȁɈȌƮƵɈƵȁƪƣȌ ƋȺǞƧƊ‫خ‬
Cadernos de Atenção Básica – Saúde Mental, n. 34. ȲƊȺǠǶǞƊ‫ب‬wǞȁǞȺɈƶȲǞȌƮƊ²ƊɑƮƵ‫خ׃ׁ׀ׂة‬
!yÀXmXy‫سخة‬ðw m(X‫خ!ة‬I‫سخ‬²ÇJ0æ‫ة‬0‫سخ خ‬ª0yyhª‫ةخ‬h‫خ‬Transtornos psiquiátricos no pós-

parto.Xȁ‫ب‬ªƵɨǞȺɈƊ§ȺǞȱɐǞƊɈȲǞƊ!ǶǠȁǞƧƊ‫خف׆ـׇ׃ة‬²ƣȌ§ƊɐǶȌ‫خ׀ׁ׀ׂة‬
w²‫ة‬ȲǐƊȁǞɹƊƪƣȌwɐȁƮǞƊǶƮƊ²ƊɑƮƵ‫خ‬CID-10. ÀȲƊƮ‫!خ‬ƵȁɈȲȌ!ȌǶƊƦȌȲƊƮȌȲƮƊw²ȯƊȲƊƊ!ǶƊȺȺǞ˛ƧƊƪƣȌ
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Ƶǿ‫ب‬24 de março de 2022.
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ƮƵ (ǞȲƵǞɈȌȺ RɐǿƊȁȌȺ‫ خ‬Relatório de Violência Homofóbica no Brasil: ano 2013‫( خ‬ǞȺȯȌȁǠɨƵǶ Ƶǿ‫ب‬
ǘɈɈȯȺ‫ششب‬ƮǞȲƵǞɈȌ‫خ‬ǿȯȯȲ‫خ‬ǿȯ‫خ‬ƦȲ‫ش‬ƊȲȱɐǞɨȌȺ‫ش‬IǞǶƵ‫ش‬ªƵǶƊɈȌȲǞȌßǞȌǶƵȁƧǞƊRȌǿȌǏȌƦǞƧƊ ªׂ‫خ׃ׁ׀‬ȯƮǏ‫خ‬ƧƵȺȺȌƵǿ‫ׂׄب‬
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h0²Ç²‫ ة‬hƊƧȱɐƵǶǞȁƵ JȌǿƵȺ ƮƵ‫ خ‬Orientações sobre identidade de gênero: ƧȌȁƧƵǞɈȌȺ Ƶ ɈƵȲǿȌȺ‫خ‬
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ȲɈǘɐȲRƵȁȲǞȱɐƵwƊƧǘƊƮȌ ȲƊȁƮƣȌ Eldon Mendes de Souza

Prefeito do Município de Boa Vista 0ǶǞɹƊƦƵɈǘhȌȺƵ˛ȁƊJɐƊƮƊȲǞȺǿȌ²ƊǶƋȺ

Vice-Prefeito do Município de Boa Vista IƊƦǞƊȁƊwƵȁƮȌȁƪƊƮƊ²ǞǶɨƊ²ƊȁɈȌȺ

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Eldon Mendes de Souza: Biólogo, Psicólogo, Especialista em Educação Ambiental e dependência

(ȲƊ‫ خ‬0ǶǞɹƊƦƵɈǘ hȌȺƵ˛ȁƊ JɐƊƮƊȲǞȺǿȌ ²ƊǶƋȺ‫ ب‬Médica de Família e Comunidade, Psicóloga,

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!ƊɈƊȲǞȁƊwƊǐƊǶǘƣƵȺ(ƊǘǶ‫ب‬Consultora Nacional de Saúde Mental, Organização Pan-Americana

²ƊȁƮȲƊmɑƧǞƊ!ȌȲȲƵǞƊmǞǿƊIȌȲɈƵȺ‫ب‬Psiquiatra, professora associada de Saúde Mental e Psicologia

àǞǶȺȌȁƮƊ²ǞǶɨƊmƵȺȺƊhɐȁǞȌȲ‫ب‬Graduado pela UFMS (Universidade Federal do Mato Grosso do

jƊȺȺǞƊwƵƮƵǞȲȌȺ‫ ب‬Psiquiatra do Centro de Atenção Psicossocial - CAPS lll.

IƊƦǞƊȁƊwƵȁƮȌȁƪƊƮƊ²ǞǶɨƊ²ƊȁɈȌȺ‫ب‬Psicóloga, Cirurgiã-Dentista, Pedagoga, Licenciatura Plena

IƵȲȁƊȁƮȌ§ƵȁƊwǞǐɐƵǶwƊȲɈǞȁƵɹ‫ب‬Psicólogo, Médicos Sem Fronteiras.

XȺƊƦƵǶƊªƊǿȌȺ²ǞǶɨƊ‫ب‬Psicóloga, Médicos Sem Fronteiras.

!ƊȌƦƵmɐƧƊȺªȌƮȲǞǐɐƵȺƮƵ²ȌɐȺƊ‫ب‬Psicólogo, Médicos Sem Fronteiras.

Manual da Rede de Atenção Psicossocial 5

6 SMSA - Secretaria Municipal de Saúde

Manual da Rede de Atenção Psicossocial 7

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Manual da Rede de Atenção Psicossocial 9

Ⱥ ȯƵȺȺȌƊȺ ȱɐƵ ƊȯȲƵȺƵȁɈƊǿ ȺǞȁƊǞȺ‫ش‬ȺǞȁɈȌǿƊȺ ƮƵ ƊƮȌƵƧǞǿƵȁɈȌ

 ƵȺɈǞǐǿƊ Ƶ Ȍ ȯȲȍȯȲǞȌ ȯȲƵǯɐǠɹȌ ƮƵƧȌȲȲƵȁɈƵ ƮȌ ƊƮȌƵƧǞǿƵȁɈȌ

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ªƵƮƵ ƮƵ ɈƵȁƪƣȌ §ȺǞƧȌȺȺȌƧǞƊǶ‫ ة‬ǞȁȺɈǞɈɐǠƮƊ ȯƵǶƊ §ȌȲɈƊȲǞƊ ȁ‫خ‬ѥ

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0ȱɐǞȯƵ²ƊɑƮƵƮƊ 9 JƊȲƊȁɈǞƊƮȌƧɐǞƮƊƮȌƵƮƊ ÀƵȲȲǞɈȍȲǞȌƮƵ

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9 0ƮɐƧƊƪƣȌ ȯƵȲǿƊȁƵȁɈƵ ƮƊ §²‫خ‬

9 ɈƵȁƪƣȌ ƜȺ ǏƊǿǠǶǞƊȺ‫س‬

ȺȺȌƧǞƊƪȪƵȺ‫ ة‬yJȺ‫ة‬ 9 ƧȌǶǘǞǿƵȁɈȌƵ ²ȌƧǞƊǶǞɹƊƪƣȌ‫س‬

!ƵȁɈȲȌƮƵ !ȌȁɨǞɨƺȁƧǞƊ 9 ªƵǞȁȺƵȲƪƣȌȺȌƧǞƊǶ‫س‬ !ȌǿɐȁǞƮƊƮƵ

Manual da Rede de Atenção Psicossocial 15

16 SMSA - Secretaria Municipal de Saúde

9 ɈƵȁƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫س‬

9 ƪȪƵȺ ƮƵ ȯȲƵɨƵȁƪƣȌ de

Manual da Rede de Atenção Psicossocial 17

9 XȁɈƵȲȁƊǿƵȁɈȌ ƮƵ ƧɐȲɈƊ

9 ȲǞƵȁɈƊƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫خ‬

²ªÀ‫ؤ‬ 9 wȌȲƊƮǞƊ‫س‬ !ȌǿɐȁǞƮƊƮƵ

9 ßǞȁƧɐǶƊƮȌ ƊȌ !§²‫خ‬

18 SMSA - Secretaria Municipal de Saúde

SEM SAÚDE MENTAL

SEM SAÚDE MENTAL

Manual da Rede de Atenção Psicossocial 21

ÇǿƊ ɨƵɹ ȱɐƵ Ɗ ƧȌǿɐȁǞƧƊƪƣȌ ǞȁƧǞƮƵ ȺȌƦȲƵ Ɗ ȱɐƊǶǞƮƊƮƵ ƮƊ

ȯȲȌǿȌƪƣȌ ƮƵ ɐǿƊ ƊȺȺǞȺɈƺȁƧǞƊ ǘȌǶǠȺɈǞƧƊ ȱɐƵ ƵȁɨȌǶɨƊ ƊȺ

22 SMSA - Secretaria Municipal de Saúde

§ƊȲƊ ȱɐƵ Ɗ ƊȺȺǞȺɈƺȁƧǞƊ Ƶǿ ²ƊɑƮƵ wƵȁɈƊǶ ȺƵǯƊ Ƶ˛ƧǞƵȁɈƵ Ƶǿ

Manual da Rede de Atenção Psicossocial 23

b) Alimentação: 0ǿ ɐǿƊ ƊǶǞǿƵȁɈƊƪƣȌ ȺƊɐƮƋɨƵǶ ƶ ǞǿȯȌȲɈƊȁɈƵ ɈƵȲ

24 SMSA - Secretaria Municipal de Saúde

Manual da Rede de Atenção Psicossocial 25

Ⱥ ȯȲƋɈǞƧƊȺ ǏȌȲƊǿ ǞȁȺɈǞɈɐƧǞȌȁƊǶǞɹƊƮƊȺ ȯȌȲ ǿƵǞȌ ƮƊ §ȌǶǠɈǞƧƊ

0ȁǿǞǶɯIƵǞɈȌȺƊǶǞɨƵǞȲƊ‫ب‬Enfermeira da Estratégia da Saúde da Família e Comunidade da UBS

ƵȺɈǞǐǿƊ Ƶ Ȍ ȯȲȍȯȲǞȌ ȯȲƵǯɐǠɹȌ ƮƵƧȌȲȲƵȁɈƵ ƮȌ ƊƮȌƵƧǞǿƵȁɈȌ

ǿƊɈȲǞƧǞƊǿƵȁɈȌ ȺƵ ǏƊɹ ǞǿȯȌȲɈƊȁɈƵ ȯȌȲ ǐƵȲƊȲ ǿƊǞȌȲ

ȺȺȌƧǞƊƪȪƵȺ‫ ة‬yJȺ‫ة‬ 9 ƧȌǶǘǞǿƵȁɈȌƵ ²ȌƧǞƊǶǞɹƊƪƣȌ‫س‬

9 ȲǞƵȁɈƊƪƣȌ ƊȌȺ ǏƊǿǞǶǞƊȲƵȺ‫خ‬

ȯȍȺٌȯƊȲɈȌ ƶ Ȍ ȯƵȲǠȌƮȌ ƮƵ ǿƊǞȌȲ ɨɐǶȁƵȲƊƦǞǶǞƮƊƮƵ ȯƊȲƊ Ɗ ǿɐǶǘƵȲ ȯƊȲƊ Ȍ ƊȯƊȲƵƧǞǿƵȁɈȌ