Úvaha nad postavením pacientů s duševní poruchou

JUDr. MUDr. Lubomír Vondráček

Psychiatr. pro Praxi, 2009; 10(5): 203  

Symptomatic treatment in Huntington’s disease

doc. MUDr. Jan Roth CSc, MUDr. Jiří Klempíř, Ph.D, MUDr. Tereza Uhrová

Psychiatr. pro Praxi, 2009; 10(5): 205-208  

Huntington´s disease (HD) is an autosomal dominantly inherited fatal neurodegenerative disease. HD symptoms comprise a variety of movements disorders, behavioral and other neuropsychiatric changes including severe dementia. The onset of HD is usually in the 4th decade. The diagnosis is confirmed by the genetical testing. The therapy of HD is purely symptomatic. Choreatic dyskinesias can be ameliorated by antipsychotics (tiapride, risperidone etc), GABAergics (clonazepame) or depletors of dopamine (tetrabenazine). Dystonic posturing could be improved by amantadine. In rare juvenile cases with dominant rigidity and akinesia levodopa could be effective. Irritability,...

Mixed episode in bipolar affective disorder and its treatment

MUDr. Klára Látalová Ph.D, doc. MUDr. Ján Praško CSc, MUDr. Radim Kubínek, MUDr. Erik Herman, MUDr. Pavel Doubek

Psychiatr. pro Praxi, 2009; 10(5): 209-215  

Mixed epizodes are characterized by the mixture of depressive and manic symptoms. This state experience almost half of bipolar patiens. Manic symptoms in mixed states usually are dysphoric, with irritability, anxiety, or unpleasant activation. Such states can be difficult to distinguish from ultradian cycling, in which moods change so rapidly that they seem to blend into each other. Mixed states of bipolarity represent a generally more difficult phase of the illness to treat with any medication. Lithium has long been considered as less than ideal in the management of mixed states in bipolar disorder. Valproate and carbamazepine have strong evidence...

Treatment guidelines for Alzheimer‘s disease and other dementias

MUDr. Kateřina Sheardová, doc. MUDr. Vladimír Hort CSc, MUDr. Robert Rusina, MUDr. Aleš Bartoš Ph.D, MUDr. Vladimír Línek, MUDr. Pavel Ressner, Ph.D, doc. MUDr. Irena Rektorová, Ph.D

Psychiatr. pro Praxi, 2009; 10(5): 216-219  

These guidelines have been developed to assist practical neurologists, geriatricians, psychiatrists, and other specialists involved in the care of patients with dementia. The paper is grounded on scientifically based treatment procedures that are mainly based on double-blind, placebo-controlled studies and meta-analyses. We present the guidelines for the treatment of Alzheimer‘s disease, vascular dementia, Parkinson‘s disease with dementia, and dementia with Lewy bodies. These guidelines should result in rational and effective treatment procedures in the most common types of dementia.

Therapy of agitation in psychiatric disorders caused by psychoactive drugs

MUDr. Martin Hýža, MUDr. Libor Chvíla CSc

Psychiatr. pro Praxi, 2009; 10(5): 220-222  

The article deals with a few selected topics from the range of the addictive disorders, in which the symptom of acute agitation occurs in any phase of abuse. We emphasize the typical characteristics of the states and we describe the basic algorithms of the treatment in reference to both the guidelines and our own experience. The most frequent psychiatric and somatic complications are mentioned.

EEG biofeedback in clinical praxis

MUDr. Miroslav Novotný, PhDr. Miloš Slepecký, CSc, Mgr. Jan Haase

Psychiatr. pro Praxi, 2009; 10(5): 223-225  

The authors would like to refer to the significance of EEG biofeedback (neurofeedback) therapy in treating ADHD as the most frequent and best validated indication. Although the medical treatment of ADHD disorders was historically the only effective intervention in reducing the main symptoms, there are about 25 % of no responders. Therefore the need has arisen to offer these children other biological appro aches in the treatment of this serious disorder, since the disorder is not manageable only by pedagogical – psychological interventions.

Social rehabilitation of mentally ill persons in contemporary conditions

MUDr. Petr Hejzlar

Psychiatr. pro Praxi, 2009; 10(5): 226-230  

The article concerns with social rehabilitation of mentally ill persons in Czech Republic. This text emphasises the comprehensive approach to rehabilitation as an assumption for integration of medical and social interventions. The examples of good practice are submitted both in psychiatric hospitals, day-care centers and social services. The indication for rehabilitation programs are discussed. The evaluation of contemporary level of co-operation between medical and social services is proposed as well as the presentation of the providers´ collaboration.

Dependence on zolpidem

MUDr. Josef Chval

Psychiatr. pro Praxi, 2009; 10(5): 239-240  

In this case report I am presenting a case of zolpidem dependent patient who was repeatedly hospitalised in psychiatric hospital. As such, there is an increase in number of zolpidem dependent patients. We have limited experience with the treatment of withdrawal syndrome and with the long term treatment of such patients. Therefore in my article I would like to draw attention towards the risk of zolpidem dependence and raise the interest upon this problem.

Treatment strategy for bipolar affective disorder

MUDr. Jiří Janatka, MUDr. Stanislav Morávek, MUDr. Vlastimil Tichý

Psychiatr. pro Praxi, 2009; 10(5): 241-242  

The aim of our work was to determine current practices in pharmacotherapeutic procedures when treating bipolar affective disorders in our ambulatory practice and to assess their suitability and efficacy. We also focused on decision-making processes when determining treatment, mainly in relation to prescribing antipsychotics.

Gestalt therapy approach towards anxiety

MUDr. Martin Černý, Mgr. Miroslav Hajduk

Psychiatr. pro Praxi, 2009; 10(5): 231-233  

Gestalt psychotherapy is one of the most widespread therapeutic approaches, which rises from a wide theoretical background and develops specific theoretic models. We try to introduce gestalt therapy approach towards anxiety and anxious conditions.

Crisis intervention: an overview twenty years after

MUDr. Petr Klimpl CSc

Psychiatr. pro Praxi, 2009; 10(5): 234-238  

Crisis intervention is a therapeutic approach on the border between short term psychotherapy, emergency psychiatry, and social counselling. This review describes historical roots of crisis intervention, crisis theory and crisis principles. Some troubles and complications are described, in conclusion.

Autodidaktický test 5/09

Psychiatr. pro Praxi, 2009; 10(5): 243