A group of experts created by the Public Defender publishes a report on the results of monitoring the medical condition of Mikheil Saakashvili

A group of specialists / experts created by the Public Defender publishes a report on the results of monitoring the medical condition of Mikheil Saakashvili.

A general assessment of the patient's condition states that the condition is noteworthy. The following main problems are expressed at this stage: neurological symptoms, in particular eye paresis, imbalance, general weakness, clinical signs of post-traumatic stress disorder and moderate / severely depressive disorder, anemia.

According to the statement, the need for a more optimal prescription has been identified with a number of medications, including psychotropic medications.

In addition, the report states that despite post-traumatic stress disorder and moderate / severe depression, the patient is still not receiving psychotherapy.

As for the recommendations, the expert group believes that it is necessary to treat post-traumatic stress disorder and moderate / severe depression with appropriate psychotherapeutic intervention, as well as to conduct relevant additional studies in this direction, including with the help of psychotrauma specialists.

Experts also consider it necessary to physically rehabilitate the patient.

We offer the conclusion unchanged:

"On December 12, 2021, a group of experts / specialists set up by the Public Defender paid a fourth visit to patient (accused / convicted) Mikheil Saakashvili. The patient has been placed in the Giorgi Abramishvili Military Hospital of the Ministry of Defense since November 19, 2021.

The following experts took part in the visit: Aida Gozalova, Tengiz Tsuladze, Giorgi Kacharava, Nino Zavrashvili, Grigoli Khurtsidze, Giorgi Papiashvili, Giorgi Grigolia and Marine Kuratashvili. The experts visited Mikheil Saakashvili, assessed his medical condition on the spot, talked to the doctors and got acquainted with the data on the patient's health condition. The willingness of full-fledged cooperation of the hospital medical staff is emphasized.

After the visit, the group of experts held an online discussion, in which expert Mamuka Machaidze also took part.

General assessment of the patient's condition:

The patient's condition is noteworthy.

The main issues to be addressed at this stage are the following key issues:

Neurological symptoms, in particular eye paresis, imbalance, general weakness;

Clinical signs of post-traumatic stress disorder and moderate / severely depressive disorder;

Anemia;

With a number of medications, including psychotropic medications, the need for a more optimal prescription was identified;

Despite post-traumatic stress disorder and moderate / severe depression, the patient is still not receiving psychotherapy;

From a somatic point of view, the patient's condition is more or less satisfactory in the light of the course of treatment. However, the expert group will provide additional recommendations, which will be discussed in detail in the appendix.

It is noteworthy that the recommendation to conduct psychotherapy was made by a group of experts on November 25, which has not been implemented so far. The group of experts in the field of pharmacological treatment in this area also has some kind of remarks, which will also be presented in the appendix.

Physical rehabilitation is underway with insufficient capacity. A group of experts believes that this ring of treatment may be facilitated by the timely initiation of psychotherapy.

Recommendations:

For the treatment and full rehabilitation of the patient, the group of experts considers it necessary:

Appropriate psychotherapeutic intervention for the treatment of post-traumatic stress disorder and moderate / severe depression;

To determine the scope and methods of psychotherapeutic interventions, to conduct relevant additional studies with the involvement of professionals in this field (including psychotrauma specialists);

Physical rehabilitation;

Correction of pharmacological treatment in accordance with the detailed recommendations given in the appendix," the statement reads.

The members of the group of specialists / experts are: Giorgi Grigolia; Grigoli Khurtsidze; Giorgi Kacharava; George Papiashvili; Aida Gozalova, Tengiz Tsuladze; Nino Zavrashvili; Marine Kuratashvili; Mamuka Machaidze.