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Abstract The study of psychopathological features of anxiety-depressive disorders, their clinical and dynamic characteristics will help to identify early diagnostic criteria and optimize medical and social measures for this category of patients. We examined 40 patients (26 women, 14 men) by a clinical method aged 60 to 70 years with a diagnosis of F4 according to ICD-10 to study the clinical and psychopathological features of anxiety disorders in old age, the dynamics of their development. For this purpose, a clinical method was used using psychometric scales: the Hamilton scale for assessing the severity of anxiety (HARS) and depression (HRDS). As a result of the work, four main syndromes were identified in elderly patients, each of which is based on an obligate symptom - anxiety, which prevails at the beginning of the development of the disease. Their clinical and psychopathological structure was determined. It was found that the addition of other psychopathological symptoms to anxiety, such as depression, hypochondria, phobia, contributes to the aggravation and the formation of a more complex syndrome in structure, and increases the duration of the disease.