Jak se dívat na psychosomatiku

MUDr. Radkin Honzák, CSc.

Psychiatr. praxi. 2015;16(3)  

Optimising treatment in Alzheimer’s disease

MUDr.Vanda Franková

Psychiatr. praxi. 2015;16(3):79-82  

The first step in Alzheimer’s disease treatment is an accurate diagnosis and recognition of all symptoms of the disorder. Management should start as soon as possible, optimally in the initial stage of the disease. The approach has to be complex, person-centred and conclude not only the patient but also his family/caregivers. Careful assessment for any comorbidities, their treatment and programming meaningful activities is necessary. Management of problem behaviors begins with a careful search for triggers and causative factors, where possible should be non-pharmacological. Cholinesterase inhibitors and memantine are recommended for Alzheimer’s...

Rare adverse drug reactions in psychiatry: Serotonin syndrome and arrhythmia torsade de pointes

MUDr.Michal Prokeš, PharmDr.Josef Suchopár

Psychiatr. praxi. 2015;16(3):84-88  

Arrhytmias associated to QT interval prolongation and serotonine syndrome, which are usually caused by pharmacodynamic interactions, both represent emerging thread. Long QT interval is associated with increased risk of torsade de pointes (TdP), which is a polymorphic ventricular tachycardia which can cause sudden death of the patient. TdP emerges at patients with congenital QT prolongation, or TdP appears when QT prolongation is acquired, which is caused by extrinsic factors, which are usually supported by some inborn dispositions. This paper summarizes current knowledge of the QT interval prolongation that is caused by drugs and suggests appropriate...

Suicidality in personality disorders

Mgr.Zuzana Sedláčková, PhDr., Marie Ocisková, Ph.D., prof.MUDr.Ján Praško Pavlov, CSc., doc.MUDr.Klára Látalová, Ph.D., MUDr.Dana Kamarádová, Ph.D., MUDr.Aleš Grambal, Ph.D.

Psychiatr. praxi. 2015;16(3):91-95  

Personality disorder has a significant effect on internal experience and behavior of an individual. Its presence may increase the risk of suicidal behavior, because this disorder is associated with impaired ability to cope with stressful situations. Specific events may not only induce suicidal thoughts, however can also lead to suicidal attempt in individuals with personality disorder. Triggers of suicidality may be specific depending on the particular type of personality disorder. The risk of suicide is increased especially in antisocial, histrionic, borderline and narcissistic personality disorder. Comorbid psychiatric disorder, particularly...

Treatment of generalized anxiety disorder by using of pregabaline

MUDr.Miroslav Hajda, MUDr.Dana Kamarádová, Ph.D., prof.MUDr.Ján Praško Pavlov, CSc.

Psychiatr. praxi. 2015;16(3):101-104  

Generalized anxiety disorder is a quite common psychiatric disorder, affecting approximately 8 % of the population. The disorder is often under diagnosed, due to its lower detection as the difficulties are often mistaken for a normal fears and worries, or it is misdiagnosed - most often as a mixed anxiety and depressive disorder or an adaptation disorder. As the correct diagnosis is often omitted, the treatment is often incorrect as well. Patients tend to seek help of other physicians rather than psychiatrists, therefore they are undiagnosed and do not receive an adequate treatment. This specific group of patients not infrequently chooses a...

Tourette syndrome and obssessive - compulsive disorder

doc.MUDr.Eva Malá, CSc.

Psychiatr. praxi. 2015;16(3):105-107  

Tourette syndrome and obsessive-compulsive disorder (cases reports). Tourette syndrome description, the most common comorbidities- „the triad“ of obsessive-compulsive disorder, attention deficit/hyperaktivity disorder and Tourette syndrom, treatment. Described cases reports association with Tourette syndrom and obsessive compulsive symptoms (OCS) and uncommon compulsive symptom.

A disorder or anything else?

MUDr.David Skorunka, Ph.D.

Psychiatr. praxi. 2015;16(3):96-100  

Psychosomatic approach in outpatient psychiatry The article presents psychosomatic and psychotherapeutic approach in outpatient psychiatry. It points out psychosocial context of an individual who suffers from so called mental disorder. Bio-psycho-social model in understanding mental health and illness is mentioned. An experienced-based example of interdisciplinary collaboration reflecting a bio-psycho-social model in outpatient clinical practice is discussed. Apart from clinical experience, some ideas from current critical psychiatry are introduced. psychiatry.

Freedom and psychotherapy

Mgr.et Mgr.Jana Vyskočilová, prof.MUDr.Ján Praško Pavlov, CSc., MUDr.Aleš Grambal, MUDr.Daniela Jelenová, MUDr.Andrea Cinculová

Psychiatr. praxi. 2015;16(3):108-114  

The problems of the client, who comes to the therapy, may be related to his/her freedom of choice. Lack of freedom may contribute to onset and maintenance of the problems. Psychotherapy can be understood as a process of client management to actively increasing the independence, mainly from destructive habits, self-limiting attitudes, compulsive acts and other symptoms. In CBT terms, the freedom is always relative. The idea of absolute freedom is caused by cognitive distortion – black and white vision. CBT does not discuss the general freedom, but decision-making in particular situations in client’s life. The therapist helps the...