Když se řekne doktor

Emil Hakl

Psychiatr. praxi 2019; 20(3)  

News in gerontopsychiatry

MUDr. Martina Zvěřová, Ph.D.

Psychiatr. praxi 2019; 20(3): 108-110 | DOI: 10.36290/psy.2019.024  

There is an intensive research and development of therapeutic procedures and new drugs in all medical fields, also in gerontopsychiatry,thanks to the new and more accessible technologies as well. A basic overview of the news in gerontopsychiatry is presented.

Family psychoeducation for severe mental illness

prof. MUDr. Lucie Bankovská Motlová, Ph.D.

Psychiatr. praxi 2019; 20(3): 111-113 | DOI: 10.36290/psy.2019.025  

Family psychoeducation is complex intervention for patients and their families. Psychoeducational programs for severe mentalillness provide systematic, relevant, broad and up-to-date information about the illness, emotional support and problem solvingskills training. There is evidence that psychoeducation for schizophrenia, bipolar disorder and depression improves the outcomesof both patients and their relatives. The goal of this review is to describe practical aspects of psychoeducation, including arrangementof programs, topics and availability in the Czech Republic.

Excessive sleepiness in the context of neurological and mental disorders

Mgr. et Bc. Roman Adamczyk, Ph.D.

Psychiatr. praxi 2019; 20(3): 114-119 | DOI: 10.36290/psy.2019.026  

Excessive sleepiness (hypersomnolence) is a relatively common occurrence following sleep deprivation and, similarly, a prevalent symptom accompanying a number of neurological, psychiatric and other medical disorders, infections and traumas. The presence of excessive sleepiness in neurodegenerative diseases, vascular cerebral accidents, as well as CNS injuries, tumours and infections, and the existence of central disorders of hypersomnolence represent a significant clinical challenge in neurology. Increased prevalence of hypersomnolence has also been observed in mental disorders. Considering the impact of hypersomnolence on social functioning and the...

Treatment of depressive disorders in pain syndromes

MUDr. Martin Hýža

Psychiatr. praxi 2019; 20(3): 120-124  

Comorbidity of depressive disorder and chronic pain is very common in clinical practice. It is connected to worse prognosis andmore severe symptoms of both of them. A recognition of depressive disorder is the most important as it is often manifested withsomatic symptoms only. Common neurobiological mechanisms clarify the effectivity of antidepressants and psychotherapy intreatment of pain. Both noradrenergic and serotonergic effect is needed for analgesic effect, so the older tricyclic antidepressantsand newer dual antidepressants SNRI are used.

Treatment of Tourette’s syndrome with tetrabenazine

MUDr. Nikol Přibilová, MUDr. Fabienne Kosová

Psychiatr. praxi 2019; 20(3): 136-138 | DOI: 10.36290/psy.2019.031  

Case report on a 14-year-old boy with Tourette‘s syndrome, and Case report on 11-year-old girl with Tourette‘s syndrome + other co-morbidities , Tetmodis therapy (tetrabenazine), after another unsuccessful treatment with other drugs.

Alzheimer’s disease, appeal to public health

doc. MUDr. Jana Janoutová, Ph.D., Mgr. Martina Kovalová, Ph.D., Mgr. Petr Ambroz, Ph.D., Mgr. Ondřej Machaczka, Ph.D., Mgr. Anna Zatloukalová, Ph.D., Mgr. Kateřina Němček, Ph.D., MUDr. Eva Mrázková, Ph.D., MUDr. Oto Košta, Ph.D., prof. MUDr. Vladimír Janout, CSc.

Psychiatr. praxi 2019; 20(3): 139-141 | DOI: 10.36290/psy.2019.032  

Alzheimer´s disease (AD) is very important appeal to public health now. It is very serious disease, prevalence will be increased with population ageing. There are many risk factors, which increase possibility of AD. Department of Epidemiology and Public Health, Faculty of Medicine University of Ostrava and Department of Biochemistry, Faculty of Science, Masaryk university collaborate on the case control study which identifies the most significant risk factors of AD. In a pilot study significant difference in gender, education, occupation and ischemic heart disease were found. In smoking and drinking inverse association was observed. Knowledge of the...

Trazodone once‑daily in depression

MUDr. Jan Hubeňák, Ph.D.

Psychiatr. praxi 2019; 20(3): 133-135 | DOI: 10.36290/psy.2019.030  

A new extended release formula of trazodone oral tablets is available in the Czech Republic since 2015. It is intended for the treatment of depression of various etiology. It has beneficial effect in cases with comorbid anxiety and insomnia. The maximum potential of the full trazodone dose can be employed in such group of patients. Those could be treated by trazodone monotherapy without the necessity of using additional anxiolytic and hypnotic medication. Here presented case report depicts the full trazodone dose utilization as a first line treatment of depressive disorder. Application of the prolonged release trazodone form led to a fast anxiety and...

Psychomotor agitation therapy –- creating guidelines for standard hospital ward

MUDr. Matěj Kasal

Psychiatr. praxi 2019; 20(3): 126-129 | DOI: 10.36290/psy.2019.028  

Psychomotor agitation is one of the most common manifestations of psychological problems encountered by doctors regardless of specialization. In departments outside psychiatry, the procedures used in its therapy are often inconsistent, based on outdated knowledge. Patients are often damaged by basic errors in medication selection, dosing, incomplete examination of the condition. Adequate therapy can significantly affect patient safety, disease prognosis and reduce treatment time. As part of the revision of the methodological guidelines for the treatment of a restless patient, we have created graphical formulations for the most common patient groups,...

Účinná úprava terapie deprese ve světle současných poznatků

Psychiatr. praxi 2019; 20(3): 142-148  

Život není jen sen

Psychiatr. praxi 2019; 20(3): 149-154  

Family therapy in psychiatric care

MUDr. Mgr. Lucie Holíková Návratová

Psychiatr. praxi 2019; 20(3): 130-132 | DOI: 10.36290/psy.2019.029  

Family therapy continues to become more and more accepted method to cure menthal illnesses. The casuistry describes psychotherapeuticwork with a patient (11 years) with a principal obsessive compulsive disorder illness. The intervention is based onsystematic family therapy with a special focus to the family context. Throughout the psychotherapeutic process, the whole familywas gradually involved by means of therapy tasks, externalization, scaling, questions on wonders, questions on exceptions, timeaxis. Family therapy substantially contributed to life quality of the family.