Psychiatry for Practice, 2008, issue 6

Editorial

Jak dlouho ještě…?

MUDr. Jaroslav Matýs

Psychiatr. pro Praxi, 2008; 9(6): 251

Review articles

THE USE OF DUAL ANTIDEPRESSANTS IN THE TREATMENT OF DEPRESSIVE DISORDER

MUDr. Sylva Racková, MUDr. Luboš Janů Ph.D

Psychiatr. pro Praxi, 2008; 9(6): 257-261

Depressive disorder is a very often and major psychiatric disease. Depression is possible in most patients succesfully treated using a right type of treatment. The main role in the treatment of depression play antidepressants. Dual antidepressants are in some cases more effective in comparison with other antidepressants in the acute and prophylactic phaze of treatment of depression, in the treatment of resistance depression. Dual AD have comparable tollerability. Efficacy and tolerability improve compliance which is important in the treatment of depressive disorders.

Early and late cognitive dysfunction after General anaesthesia

doc. MUDr. Beata Sániová PhD, prof. MUDr. Michal Drobný DrSc

Psychiatr. pro Praxi, 2008; 9(6): 262-265

General anaesthesia is sometimes called a „controlled coma“, as indexed by four features: (1) the lack of motor response to instructions; (2) suppression of autonomic and skeletal responses to intra operative stimuli such as incisions; (3) absence of retrospective awareness of pain; and (4) postoperative amnesia for surgical procedures such as conversations among the medical staff. The anaesthetized patients generally are insensitive to stimuli of any kind, do not dream, have no sense of the passage of time, and generally awake with their consciousness completely unaffected with no memory of events during the surgical procedure. The...

PSYCHOTHERAPY IN CARE OF SEXUOLOGICAL PATIENTS

MUDr. Petra Sejbalová, Mgr. Jana Míchalová

Psychiatr. pro Praxi, 2008; 9(6): 266-268

The article deals with the psychotherapy of sexuological patients in an outpatients practice. We deal with trauma of sexual abuse and violence, its psychological aspects and possibilities of psychotherapeutic treatment. Then we present care of adolescent clients with problems concerning sexual identity or orientation. In the last part we outline possibilities of psychotherapy in the care of patients with sexual identification disorders (transsexualism) and preference (deviation).

SCHIZOPHRENIA AND SUBSTANCE USE DISORDERS

MUDr. Michal Maršálek CSc

Psychiatr. pro Praxi, 2008; 9(6): 269-272

Epidemiological studies found that patients with schizophrenia are 3 times more likely to have substance use disorders than persons without mental illness. Substance abuse in schizophrenia increased positive symptoms, agressivity, suicidality, number of relapses and rehospitalisations, and poorer treatment compliance. In particular, cannabis, amphetamine, cocaine and alcohol has been reported to be with psychotogenic effect in schizophrenia. To date, the efficacy of the first generation antipsychotics in the treatment of substance abuse have been mixed. On the contrary, certain second generation antipsychotics seem to be particularly promising.

STIMULANT DEPENDENCE

MUDr. Karel Nešpor CSc

Psychiatr. pro Praxi, 2008; 9(6): 273-275

Stimulant abuse is common both globally and in the Czech Republic. Methamphetamine abuse represents great risk for physical and mental health. We mention differential diagnostics and treatment of acute conditions such as intoxications and psychoses. We also describe long-term treatment of stimulant dependence. It includes nonaddictive medication, counseling, cognitive-behavioral therapy, contingency management, family therapy and long-term treatment at therapeutic communities.

DISOCIATIVE DISORDERS IN PRACTICE

MUDr. Erik Herman, doc. MUDr. Jiří Hovorka CSc, doc. MUDr. Ján Praško CSc, MUDr. Tomáš Nežádal, MUDr. Michal Bajaček, MUDr. Pavel Doubek

Psychiatr. pro Praxi, 2008; 9(6): 277-282

Disociative disorders are represented by different highly expressive symptoms, which are developped by the hypothetical mechanism of dissociation. Unbearable emotions, memories and thoughts are dissociated from the conscious part of psyche and represent the origin for different psychic and somatic symptoms. Most of the dissociative disorders are triggered by the psychic trauma in childhood or adulthood. The most serious course and ooutcome have pacients with psychogenic non-epileptic seizures, which are frequently by mistake treated for epilepsy. Causal treatment is not known, psychoterapy should enhance the general psychic stability, eventually to...

Case report

Stabilizace pacientky dosažená po téměř 3 letech

MUDr. Simona Papežová

Psychiatr. pro Praxi, 2008; 9(6): 283-284

Metylfenidát v léčbě ADHD - 10 let ambulantních zkušeností s léčbou

doc. MUDr. Libuše Stárková CSc

Psychiatr. pro Praxi, 2008; 9(6): 285-289

Kazuistika pacientky s obsedantně-kompulzivní poruchou a komorbidní depresivní poruchou léčených pomocí repetitivní transkraniální magnetické stimulace