
In earlier times the condition was called hypochondria or black melancholia; today it is known as the Asthenic Syndrome. The film follows Nikolai, a teacher whose class is made up of remarkably indifferent pupils, as he himself falls ill with the syndrome, confronting a pervasive sense of dread and emptiness that offers little solace.
Does The Asthenic Syndrome have end credit scenes?
No!
The Asthenic Syndrome does not have end credit scenes. You can leave when the credits roll.
Explore the complete cast of The Asthenic Syndrome, including both lead and supporting actors. Learn who plays each character, discover their past roles and achievements, and find out what makes this ensemble cast stand out in the world of film and television.

Galina Stakhanova

Sergei Popov
Nikolai

Iryna Tokarchuk

Tatyana Komarova

Olga Antonova
Natasha

Yuri Nevgamonny

Natalya Buzko
Masha (Brunette)

Leonid Kushnir

Anatoli Paduka

Natalya Kovalyova
медсестра психлечебницы

Oleksandra Svenska
Teacher

Albina Skarga

Vladimir Zharikov

Nikolai Semyonov
doctor

Oleh Shkolnyk

Natalya Ralleva
Mother

Aleksandr Chernykh

Sofiya Belska

Serhiy Havryshkiv

Vadym Poplavskyi

Aleksandra Roslavtseva

Nadiya Hrinchenko

Larisa Korshunova

Galina Zakhurdaeva
Masha

Pavel Polishchuk
Iunikov

Nadezhda Popova
The woman on the train

Galina Kasperovich
Anna, Nikolai's wife
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Which actress portrays the character Natasha?
Read the complete plot summary of The Asthenic Syndrome, including all major events, twists, and the full ending explained in detail. Explore key characters, themes, hidden meanings, and everything you need to understand the story from beginning to end.
The film unfolds in two distinct halves, each with a starkly different visual mood: the first part is shot in black-and-white, while the second shifts to color, signaling a new perspective and a shift in storytelling pace.
In the opening, Natasha, Olga Antonova shines as the central figure as she attends her husband’s funeral. A sudden eruption of rage and despair overtakes her, and she steps away from the mourners, choosing provocative and volatile actions over expected decorum. After leaving the hospital where she works as a doctor, Natasha seeks connection in a reckless way, pursuing intimate contact with two strangers. The first encounter leaves her confused and angry, while the second crescendos into a impulsive fling that she immediately regrets. The encounter crescendos into a moment of panic when the stranger leans in for a kiss, and Natasha struggles to regain her composure. Yet the sequence ends on a note of fragile relief, as she accepts a rare act of kindness from a stranger, a rare thread of humanity amid her turmoil.
As the curtain lifts on the second part, the audience learns that the first portion was itself a film being screened in a theater. The color-tinted continuation centers on Nikolai, a tired and disillusioned school teacher who happens to fall asleep during the screening of the black-and-white film. The crowd around him disperses in a noisy rush, ignoring the screener’s plea to stay for a post-screening Q&A with the actress in the film—an ironic nod to the director’s own public persona. Sergei Popov plays Nikolai, a man worn down by life and work, who finds himself waking only to drift back into sleep.
Nikolai’s wandering interrupts his daily routines: he dozes off in the theater, nods off again on a crowded subway, and even nods off during a school meeting. The story hardens into a portrait of a man whose personal crisis seems to mirror a broader fatigue that grips him at moments when alertness is most required. The film introduces the term “Asthenic Syndrome” to describe his condition—an enduring slowness and weakness that render him unable to stay awake at pivotal moments. The narration makes clear that this is not just a medical label but a reflection of his cracked sense of purpose and vitality.
After a period of tension and introspection, Nikolai is admitted to a hospital for the mentally ill. There, he confronts a broader, unsettling insight: the people around him—those labeled as outliers or “crazy”—are not so different from those who cherish freedom and autonomy in ordinary life. This revelation shades his understanding of sanity, hinting that the boundaries between order and chaos are thinner than they appear. As time passes, he is discharged and attempts to reclaim some normalcy, only to fall asleep once more on the subway, this time carried forward by the passing night into a dark, enclosing tunnel.
Throughout the narrative, there is a quiet, insistent critique of how audiences engage with art and how personal suffering can bleed into everyday routines. The director’s voice—Muratova—appears to mock the public’s sometimes casual relationship with cinema and with the film’s own meta-commentary on fame and reception. The result is a meditation on fatigue, attention, and the thin line between wakefulness and surrender.
Together, the two halves form a complementary meditation on human fragility and resilience. Natasha’s impulsive search for connection contrasts with Nikolai’s weary, recurring battles with sleep and meaning. The film challenges viewers to consider how personal crises surface in moments of vulnerability, and how acts of kindness, even when small, can offer a fragile but vital counterbalance to despair. In its final image, the empty subway car glides toward a dark tunnel, leaving open questions about where sleep ends and life’s urgency resumes, and inviting audiences to reflect on the line between rest and wakefulness in their own lives.

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