Média a psychiatrie

MUDr. Lucie Nawková

Psychiatr. pro Praxi, 2009; 10(2): 59  

Trends in pharmacotherapy of insomnia

doc. MUDr. Petr Smolík CSc

Psychiatr. pro Praxi, 2009; 10(2): 63-66  

The treatment of sleep disorders has always been a complex process that includes behavioral, neurophysiologic, psychological, chronobiological and, not in the least, pharmacological factors (1). Negative influence of different pharmaceuticals use to be very often neglected or underrated. In reverse, an extent of positive treatment possibilities of pharmacotherapy has been perceived inconsistently very often at present. The simple classification of pharmaceuticals for insomnia into sedatives/hypnotics and stimulants respectively, can’t stand up in the context of nowadays knowledge about neurophysiology and chronobiology of sleep process.

Multiple sclerosis - psychoneuroimmunological disease of the central nervous system

MUDr. Eva Krasulová

Psychiatr. pro Praxi, 2009; 10(2): 67-71  

Multiple sclerosis (MS) presents the most frequent demyelinating disease of the central nervous system (CNS) with autoimmune ethiology. Immune system plays a key role in MS pathogenesis and any CNS area can be affected by its inflammatory activity with various neurological and psychiatric symptoms. MS is a typical example of psychoneuroimmunological disease, which often requires multispecialty cooperation in terms of both diagnostics and treatment (symptomatic therapy, psychiatric adverse events of MS treatment). Precise diagnosis and early treatment is the only prevention of permanent disability in MS, the disease afflicting mainly young persons (2nd–4th...

Antidepressants in the treatment of bipolar depression

MUDr. Tomáš Novák, MUDr. Martin Bareš

Psychiatr. pro Praxi, 2009; 10(2): 72-75  

The use of antidepressants in the treatment of bipolar disorder remains controversial. Despite the frequent use in clinical practice, the fundamental questions regarding the efficacy and safety of antidepressants in both acute and long-term treatment of bipolar disorder have not yet been satisfactorily answered. The article offers a current view of the place of antidepressants in the treatment of bipolar depression, including general recommendations for clinical practice.

Psychotherapy in psychoses

MUDr. Ondřej Peč

Psychiatr. pro Praxi, 2009; 10(2): 76-78  

An article deals with a development of psychotherapy in psychoses, with the most important areas of problems that the psychotherapy in psychoses targets (symptoms resistant to drugs, cognitive deficits, a failure in social roles or social skills, problems in relationships) and with an effectiveness of psychotherapy. Individual, group psychotherapy, family therapy, cognitive rehabilitation and psychoeducation are discussed separately.

Detoxification of children and adolescents addicted to non-alcoholic addictive substances

MUDr. Jitka Svobodová Ph.D

Psychiatr. pro Praxi, 2009; 10(2): 79-82  

Although in 2006 positive tendencies appeared in the area of using illegal drugs in the Czech Republic, there is still a group of children and adolescents, in whom the need for detoxification occurs. The problematic drugs are most often volatile substances and cannabis drugs in children, pervitin and heroin in the adolescent period. Motivation and family therapies are an important part of detoxification which is mostly done during hospitalization. The views of developmental psychology must not be neglected while choosing a therapeutic approach. The bases of detoxification methods and treatment in the most often used drugs are mentioned in the article.

Sexuality on the Internet

MUDr. Jana Spilková

Psychiatr. pro Praxi, 2009; 10(2): 83-84  

Historical and theoretical connections to better understanding of sexuality on the Internet. Effectivity, disunion and disintegration of personality. New methods of sexual communication and information. It could be alienating and insulating. The Internet has own position in evolutional continuum of technological development, sexuality is evolving with all of human interaction as well.

Psychotic symptoms in methamphetamine dependent subjects

doc. MUDr. Ladislav Hosák Ph.D, Radka Maixnerová, Dagmar Valešová

Psychiatr. pro Praxi, 2009; 10(2): 85-88  

This is a review article on methamphetamine-induced psychosis. About 20 000 subjects in the Czech Republic abuse methamphetamine (MAMP). The prevalence of psychotic states in this subpopulation is eleven times more frequent as compared to general population. Genetic factors, premorbid personality and methamphetamine itself with its neurotoxic and neuropathophysiological effects are important in etiopathogenesis of MAMP psychosis. The clinical picture with paranoid-hallucinatory symptoms resembles an acute episode of schizophrenia, negative or affective signs may also be present. Most of the MAMP-induced psychotic states subsides within one week, however...

The Power of Psychiatry, or Disappearance of Symptoms Does Not Guarantee Quality Life

MUDr. Michaela Paličková

Psychiatr. pro Praxi, 2009; 10(2): 89-91  

A case report is presented of a 23-year-old woman who presented to my psychiatric practice with depressive mood in 2007. She then had a boyfriend and was working in a garden centre. In a short time interval, she underwent repeated inpatient treatment during which a wide number of psychiatric drugs were administered. Following the use of antidepressants, she had a shift to hypomania and, during her institutional stay, bipolar affective disorder was reclassified to acute psychotic disorder (which was debatable in my view). Following the stabilization of the patient‘s mental status, I reduced the number of psychiatric drugs at her request on...

Crisis intervention in patients with psychosis

MUDr. Zuzana Foitová, MUDr. Jan Lorenc

Psychiatr. pro Praxi, 2009; 10(2): 92-95  

In the second part of the article we discuss the possibilities and problems connected with crisis states in psychotic patients, we describe existing services in Prague and mention two case stories.

Application of psychological diagnostic on males in IVF couples

PhDr. Radko Obereignerů, Ph.D, Mgr. Jan Šmahaj, MUDr. PhDr. Lenka Hansmanová, Ph.D, doc. MUDr. Ivana Oborná Ph.D

Psychiatr. pro Praxi, 2009; 10(2): 96-98  

Sexual life of couples undergoing the psychologically demanding IVF process is a highly sensitive issue that is in many medical centers providing this treatment with respect to males insufficiently addressed. We present well-arranged results of the Male Sexual Function questionnaire administered to a sample of 75 males in the Assisted Reproduction Center (CAR) at the Department of Obstetrics and Gynecology, University Hospital, Olomouc. The findings are statistically compared to a control group. In the preliminary stage, before the first IVF cycle, we did not find any change in the sexual life of the individuals in our sample with the median of...

Ukládání zabezpečovací detence od 1. 1. 2009 a od 1. 1. 2010 a změny legislativy o ochranném léčení

MUDr. Jiří Švarc Ph.D

Psychiatr. pro Praxi, 2009; 10(2): 99-101  

Autodidaktický test 2/2009

Psychiatr. pro Praxi, 2009; 10(2): 102