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22 by deep emotions, excitement, and even fear for their fate. In the figurative expres- sion of psychiatrists – «every patient suffers from his own disease plus fear». Meeting a doctor and a patient is one of the most important moments of medi- cal deontology. The interaction between the doctor and the patient begins from the moment of the first contact, when not a word has yet been uttered. Every patient, one way or another, looks closely at the doctor’s facial expression, gestures, facial expressions, and even clothing (the doctor must always be neat and clean). The patient’s trust in the doctor depends on how the doctor listens to the pa- tient’s complaints, collects anamnesis, and conducts an examination, which, of course, plays a significant role in the treatment process. If the doctor is indifferent and impatient, if he shows all his appearance of dis- interest, then it is clear that there will be no faith in such a doctor, and there will be no success in treatment. It is difficult to overestimate the importance of what and how the doctor will tell the patient about his disease. Even in ancient times, doctors said: «the doctor has three tools – a word, a plant, and a knife». So the word comes first, because the word can cure, the word can kill. The conversation between the doctor and the patient should be structured so that every word, every utterance is directed only in one direction – in the direc- tion of a beneficial effect on the patient, and first of all on his psyche, on raising his mood. However, the doctor should always understand that the word can have a nega- tive effect on the sick person. In a word, you can injure, cripple the patient’s psyche, worsen the course of the disease. The negative impact of the doctor on the patient is called iatrogenia (from the Greek iatros – doctor). In most cases, iatrogenies do not occur due to malicious intent of the doctor, but due to carelessness, negligence, tactlessness, inattention. Iatrogenies can occur if the doctor tells the patient: «you have a bad heart», «you have an enlarged heart», «you have a stomach in the shape of a hook». Currently, the term is used more widely, iatrogenia is understood as any undesir- able or adverse consequences of preventive, diagnostic and therapeutic interventions or procedures that lead to violations of body functions, restriction of habitual activi- ties, disability or death; complications of medical measures that have developed as a result of both erroneous and correct actions of the doctor. In other words, iatrogeny in modern usage of this term is understood as» the marriage of medical work». Based on this, iatrogenies should be divided into 5 groups: • psychogenic, • medicinal, • traumatic, • infectious • mixed.