Andělský rozhovor

Mgr. Jan Pomykacz

Psychiatr. praxi. 2013;14(3):99  

Psychiatrists attitude to antipsychotic depot treatment

prof.MUDr.Eva Češková, CSc.

Psychiatr. praxi. 2013;14(3):102-104  

At first history and current use of treatment with depot antipsychotics (AP) is summarized. Nowadays also the 2nd generation APs in depot formulation are available. With long-term treatment the depot APs are better in the relapse prevention in comparison with oral APs. Because psychiatrists diagnose and choose the treatment, their attitudes to different formulations of treatment are important. Psychiatrists seem to use depots in a conservative way and mostly introduce them after several episodes and for reasons of nonadherence. Patients should be informed about different forms of treatment during early stages of the illness and they should...

Pharmacotherapy of child and adolescent psychiatry

doc.MUDr.Eva Malá, CSc.

Psychiatr. praxi. 2013;14(3):106-110  

When you deploy pharmacotherapy in children you need to consider the following aspects: development, maturity, society and communication. The article discussed only pharmacotherapy medications although of course a treatment would include a combination of psychotherapy, pharmacotherapy and sociotherapy. Marginally there are mentioned findings in well-defined diagnostic units by imaging methods and practices supportive of some therapeutic procedures „off-label“.

Risks of polypharmacy in psychiatry

MUDr.Hana Drástová, MUDr.Richard Krombholz

Psychiatr. praxi. 2013;14(3):112-115  

The pharmacological treatment in old age has its specifics and the polypharmacy belongs among the most common problematic situations in gerontopsychiatric patients. A number of older patients are experiencing the chaining of the multiple somatic and psychological disorders which creates a need of greater use of pharmacotherapy. Moreover, in old age, adverse drug effects and drug interactions are more frequent than in the younger population, the most endangered group are just the polymorbid old patients. Moreover, there is known a number of drugs that have the ability to induce the secondary psychiatric symptomatology within their side effects....

Nightmares and the possibilities of their treatment

MUDr.Dana Kamarádová, Ph.D., prof.MUDr.Ján Praško, CSc., MUDr.Daniela Jelenová, MUDr.Aleš Grambal, doc.MUDr.Klára Látalová, Ph.D.

Psychiatr. praxi. 2013;14(3):116-122  

Abstract: Nightmares are dreamlike experiences filled with fear and anxiety. They accompany mankind from everlasting. The first mention of nightmares is already in the Bible. Nightmares may occur both in persons with mental illness as well as may be accompanied by a mental disorder. They are often associated with posttraumatic stress dissorder (PTSD). Themes of nightmares may be related to past events, when during nightmares reoccur memories on traumatic, unresolved or inadequately mastered event, or may be related to the future. After waking from nightmare is an individual fastly awake and able to react. Pacient remembers his dream both immediately...

Safety monitoring of the treatment with risperidone in children and adolescents.

prof.MUDr.Ivana Drtílková, CSc.

Psychiatr. praxi. 2013;14(3):123-126  

Risperidone is an atypic antipsychotic frequently used in children. Risperidone was found to be beneficial and safe in low doses in the treatment of conduct disorders in children and adolescents. Studies in children report significant weight gain and increase in BMI, extrapyramidal side effects and variable elevation in prolactin levels, especially in long term risperidone use. Guidelines of Canadian Alliance for Monitoring Effectiveness and Safety of Antipsychotics in Children (CAMESA) are specifically focused on metabolic and neurological side effects, and how they should be monitored. Key word: risperidone, metabolic, neurological, extrapyramidal...

Chronic pain and art therapy

PhDr.Ing.Marie Lhotová

Psychiatr. praxi. 2013;14(3):130-132  

A psychotherapeutic treatment focalised on a multimodal approach of using imaginative methods of visual art and verbal input into the content and form of created files has been apply within a treatment of a patient suffering from spinal pain and headachesince his childhood. We worked through expression and reception. The following case study introduced causal analytical work using symbolic form and symbolic confrontation with pain.

Depression in patients with dementia

MUDr.Vanda Franková

Psychiatr. praxi. 2013;14(3):127-129  

Depressive disorders occur in about 40% of patients with dementia. They worsen cognitive dysfunction and the level of functioning, leading to behavioral disorders. They reduce the quality of life of patients and their carers and increase the risk of institutionalization. They often remain undiagnosed or are treated wrongly. Thus, targeted screening and timely and correct treatment of these diseases are necessary.

Psychobreak-up, CBT and a case study

Mgr.Roman Pešek

Psychiatr. praxi. 2013;14(3):133-135  

The article focuses on the symptoms and on controlling mental problems associated with a break-up. Common phases of so called psychobreak-up and their manifestations in emotional, cognitive, physical and behavioral dimension are descripted. Mostly cognitive behavioral methods for coping with related problems are recommended. In the end of the article a case study describing complicated progress of psychobreak-up and corresponding psychotherapy is presented.

Legal conditions for comprehensive treatment of patients with mental disorder in outpatient practice

Ing.Josef Závišek

Psychiatr. praxi. 2013;14(3):136-138  

When providing health services to individuals with a mental disorder in the outpatient practice, it is necessary to proceed not only in accordance with the Health Services Act No. 372/2011 Coll., but also with the Social Services Act No. 108/2006 Coll., while respecting the conditions of the Public Health Insurance Act No. 48/1997 Coll. Only a comprehensive service provided in this manner can serve its purpose, i.e. to affect further treatment and course of disease. person and their supervision, Social Services Act, Health Services Act.