Ambulantní psychiatrie – základ psychiatrické péče

MUDr. Simona Papežová ve spolupráci se Sekcí ambulantní péče Psychiatrické společnosti ČLS JEP

Psychiatr. praxi. 2025;26(3):139-140

The diagnosis and pharmacotherapy of adult ADHD - part 2

MUDr. Michal Vodička

Psychiatr. praxi. 2025;26(3):143-150 | DOI: 10.36290/psy.2025.024

The second part of the review article on ADHD focuses on the common comorbid disorders that co-occur with ADHD, their differential diagnosis and current pharmacotherapeutic approaches targeting ADHD and individual comorbidities. Furthermore, it addresses the issue of self-injurious and suicidal behaviours in patients with ADHD, along with pharmacological interventions for these conditions.

Pharmacokinetic aspects of the second generation long acting injectable antipsychotics

MUDr. Martin Hýža, Ph.D., MUDr. Tomáš Skřont

Psychiatr. praxi. 2025;26(3):151-155 | DOI: 10.36290/psy.2025.025

Second generation long acting injectable antipsychotics supply gradually the portfolio of the agents available for the treatment of schizophrenia. The first preparation (risperidon microspheres) has been approved by FDA already in 2003, the last one (aripiprazol monohydrate once in two months) even in the last year. Compared to the first generation their great advantage is in better tolerability and the potential to improve affective symptoms among others. Recently new preparations with longer interval (2 or 3 months) have been introduced. Second generation LAI antipsychotics are characterized with more precisely defined pharmacokinetic profiles and...

The phenomenon of nonsuicidal self-injury - how can we help effectively? - Part 2: Guiding and accompanying our patients towards recovery

MUDr. Michaela Chmelíková

Psychiatr. praxi. 2025;26(3):156-163 | DOI: 10.36290/psy.2025.026

This section of the text is dedicated to the principles of effective approaches to individuals who self-harm and to the available treatment options (psychotherapy, pharmacotherapy), as recently recommended in the professional literature and as they have proven effective in psychiatric and psychotherapeutic practice. It places particular emphasis on the practical applicability of the presented knowledge in everyday outpatient psychiatric settings. Therefore, it focuses especially on interventions or educational resources that can be directly offered or recommended to patients, their families, or close ones within time-limited conditions. As an example...

Transgender identity and mental health

MUDr. Daniela Kestlerová

Psychiatr. praxi. 2025;26(3):164-166 | DOI: 10.36290/psy.2025.027

This review article aims to provide an overview of the current state of knowledge in the field of transgender identity and mental health, identify major challenges, and suggest directions for future research and interventions. In the following sections of the article, we will focus on analyzing the literature on the mental health of transgender individuals, paying particular attention to factors that contribute to both mental well-being and distress. Next, we will look at strategies and interventions that can support the mental health of this population, with an emphasis on an informed approach in health and community services.

The increasing rate of suicidal behavior in preadolescent children after COVID-19 pandemic. The profile of suicidal children hospitalized in department of children psychiatry

MUDr. Katarína Jaššová, Ph.D., MUDr. Markéta Holá, MUDr. Tereza Podhorná

Psychiatr. praxi. 2025;26(3):168-171 | DOI: 10.36290/psy.2025.028

The rate of suicidality in children has been rising rapidly in recent years. While the issue of suicidal behavior in adolescents is explored relatively well, suicidality in preadolescents remains slightly underreported. The team of authors examined the increasing rate of suicidal behavior among children as an indication for hospitalization in the Department of Child Psychiatry of the FTN. Compared to 2019, in 2022 we recorded an almost 3-times growth in hospitalized children for suicidal behavior and a 5-times growth in hospitalizations for suicide attempts. The most common risk factor for suicidal children is premorbid psychiatric comorbidity and...

Integrating music therapy into schema therapy for hospitalized patients with mental disorders: Clinical reflections and case examples

Mgr. et Mgr. Zdeněk Maté, prof. MUDr. Ján Praško, CSc., Mgr. Draga Čermáková, PhDr. Marie Ocisková, Ph.D.

Psychiatr. praxi. 2025;26(3):172-180 | DOI: 10.36290/psy.2025.029

Background: This article explores the integration of music therapy techniques into schema therapy for hospitalized patients with various psychiatric diagnoses. The aim is to examine how music can support experiential work, schema processing, and the activation of healthy modes. Methods: A case-based approach is used to present four hospitalized patients with depression, bipolar disorder, schizophrenia, and social anxiety. Each case includes short conceptualization and description of music therapy interventions within the schema therapy framework. Results: The integration of music therapy facilitated emotional expression and awareness, reduced internal...

The impact of opioids and substitution treatment on cognitive functions

Mgr. Aneta Votavová, Mgr. Lenka Šťastná, Ph.D.

Psychiatr. praxi. 2025;26(3):184-188 | DOI: 10.36290/psy.2025.030

This theoretical article focuses on the relationship between opiates and cognitive functions, which can lead to significant changes ranging from acute effects to long-term deficits. Published studies indicate impaired cognitive functions, with some difficulties persisting even during abstinence. Prenatal opioid exposure is associated with high risks for child development, underscoring the importance of prevention and support for pregnant users. Although substitution treatment reduces the incidence of relapse, it may continue to negatively affect cognitive status. Contradictory research findings stem from various factors, such as differing methodologies,...

The collaboration of music therapy and schema therapy in inpatient psychiatric care of patients with borderline personality disorder: Clinical case studies and practical recommendations

Mgr. et Mgr. Zdeněk Maté, prof. MUDr. Ján Praško, CSc., Mgr. Karolína Richtrová, MUDr. Jan Pasztor, Mgr. Draga Čermáková, Mgr. Marina Jermařová, PhDr. Marie Ocisková, PhD.

Psychiatr. praxi. 2025;26(3):E1-E9 | DOI: 10.36290/psy.2025.034

This article explores the collaboration of music therapy with schema therapy in both group and individual formats. The aim is to examine how music therapy can enhance experiential work in schema therapy, particularly in the context of mode dialogues, managing the Inner Critic, soothing the Vulnerable Child, and developing the Kind Parent. The article focuses on the potential of combining these two approaches and provides practical examples of how music therapy can be incorporated into therapeutic techniques. Reflections from patients with borderline personality disorder (BPD) suggest that this combination can improve emotional access and facilitate...

Emotional disorders in adolescence II - from the perspective of a clinical psychologist

PhDr. Veronika Buchtová

Psychiatr. praxi. 2025;26(3):197-201 | DOI: 10.36290/psy.2025.032

In psychiatric practice behavioral and emotional disorders are relatively often diagnosed in adolescent girls. We present the differential diagnosis of behavioral and emotional disorders in early adolescence in disharmoniously developing patient and treatment plan (based on consideration of personality, social, and up-bringing precursors of difficulties).

Exposure and cue-exposure therapy in addiction treatment - discussion of reservations

MUDr. Milan Beniš, MUDr. Jiří Podlipný, Ph.D.

Psychiatr. praxi. 2025;26(3):202-205 | DOI: 10.36290/psy.2025.033

Techniques using exposure in the treatment of mental disorders are widespread, well-known and usually have well-founded effectiveness. In the treatment of addiction, cue-exposure therapy (CET) based on the principle of exposure is mainly used. However, some therapists and experts from the community of people treating substance dependence criticize the use of exposure treatments. Their reservations have the character of ethical considerations, principled contradictions and doubts. These reservations are most often heard in discussions and have the character of an expert opinion. It is also true that reservations cannot be found in publications, or it...

The patient from the perspective of selected criminal law and criminological issues

JUDr. Petr Jambor

Psychiatr. praxi. 2025;26(3):189-196 | DOI: 10.36290/psy.2025.031

Healthcare providers may come into contact with people who are victims and sometimes perpetrators of crime as part of their professional activities. This article deals with the powers and duties of healthcare providers towards patients who are victims or perpetrators of crime. It also looks at how healthcare professionals can protect themselves from threats from patients. Early detection and identification of patient victimization is a difficult task, especially when the victim is particularly vulnerable, the victim of a very hurtful (sensitive) crime. In this context, we therefore also refer to the issue of domestic violence, the CAN syndrome, and...

Hypomagnezemie jako nejčastější nediagnostikovaná iontová nerovnováha v klinické praxi a jak ji řešit

MUDr. Jiří Havel, MSc.

Psychiatr. praxi. 2025;26(3):206-210