The article is devoted to the analysis of the features of the need-emotional sphere of patients with neurotic disorders with addictions in their structure. The relevance (level of satisfaction) of the basic needs of the patients' personality and the structural features of their need-emotional space are analyzed: the intensity of needs, their emotional content and correlation with specific situations, in particular with the situation of use and illness. It has been determined that neurotic illness and addictive behavior realize different needs: in anxiety-phobic disorders, the basis of the neurotic state is the tension of the needs for security and rest, and addictive behavior is the need for communication and positive impressions; in dissociative disorders, a neurotic illness actualizes the need for communication and impressions, and the basis of addictive behavior is the need for rest and safety; in case of neurasthenia, neurotic illness and addictive behavior are options for getting out of the state of psycho-emotional distress, but due to the realization of different needs: a neurotic state — needs for rest, addictive behavior — needs for communication.