Psychiatry for Practice, 2010, issue 1

Editorial

Scientologie a psychiatrie

MUDr. Richard Barteček

Psychiatr. pro Praxi, 2010; 11(1): 3

Review articles

Bipolar II disorder - epidemiology, diagnosis and treatment

MUDr.Tomáš Novák

Psychiatr. pro Praxi, 2010; 11(1): 7-10

Bipolar II disorder (BD II) is defined as mood disorder with recurrent episodes of depression and hypomania. BD II is officially recognized as a mental disorder in DSM-IV bud not i ICD-10. Previous studies indicate that BD II is a relatively common disorder with a chronic recurrent course and strong predominance of depressive episodes. BD II from unipolar disorder (recurrent depressive disorder) differs by the presence of spontaneous episodes of hypomania, which are often unrecognized in clinical practice. Other distinguishing characteristics of BD II compared with unipolar disorder are lower age of onset, more bipolar family history, higher...

What really works in anxiety disorders: we’ll add an exercise to the therapeutic combinations

MUDr.Jiřina Kosová

Psychiatr. pro Praxi, 2010; 11(1): 11-14

Anxiety disorders are very common and burdensome conditions with lifetime prevalence about 30 %. Experimental evidence supports both psychotherapy as well as pharmacotherapy as effective treatment. There might be some evidence for superiority of combination therapy under some condition, e.g. in the acute and maintenance phase of treatment of panic disorder, social phobia, or obsessive compulsive disorder. Third important part of the treatment combinations should be a physical activity. Physical activity (mainly aerobic exercise) is associated with range of health benefits; its absence can have harmful effects on health (increasing the risk...

The combination of antipsychotics in the treatment of schizophrenia

doc.MUDr.Radovan Přikryl, Ph.D., PhDr.Hana Přikrylová-Kučerová, Ph.D.

Psychiatr. pro Praxi, 2010; 11(1): 15-17

Use of combined antipsychotics for patients with treatment resistant schizophrenia is common practice in psychiatry. For patients who have not responded to non-clozapine monotherapy, and are unable to use or unresponsive to clozapine, combination therapy with other antipsychotics is another alternative.

Drug scene in the Czech Republic

MUDr.Jakub Minařík, Mgr.Vlastimil Nečas

Psychiatr. pro Praxi, 2010; 11(1): 18-21

The following text is divided into four parts. The first two describe the current situation at the drug scene in the Czech Republic, namely the numbers of users and health consequences of illicit drug use. Part three of the text deals with the system of care of drug users, and, in conclusion, the available pharmacotherapeutic options and practical care of illicit drug users are presented. The character and extent of the paper does not allow for a more detailed analysis of the situation; thus, the basic features of the drug issues and the main principles of care of drug users will only be addressed.

News in electroconvulsive therapy

doc.MUDr.Ladislav Hosák, Ph.D.

Psychiatr. pro Praxi, 2010; 11(1): 22-24

Electroconvulsive therapy (ECT) has already been used in the treatment of mental disorders for seven decades. ECT has not even lost its efficacy and topicality in this period of time. The newest knowledge on electroconvulsive treatment published in reputable international professional journals in 2009 is summed up in this review. ECT is suitable to treat pharmacoresistant schizophrenia, where it can even reinduce previously lost treatment response to psychotropic drugs. ECT is also efficient in comorbid obsessive-compulsive symptoms. There is no sense to be afraid of applying ECT even in a depression with serious physical comorbidity in a geriatric...

The treatment of tics with respect to the clinical picture of the disorder and current offer of medication

prof.MUDr.Ivana Drtílková, CSc.

Psychiatr. pro Praxi, 2010; 11(1): 25-28

There is no cure for Tourette‘s and no medication which works universally for all individuals. The decision to use medication should take into account a variety of factors in addition to tic severity such as the child’s age, medical history, and past history of response to medication. For individuals with moderate to severe tics, the newer atypical neuroleptics such as risperidone or older traditional neuroleptics such a haloperidole indicated. Olanzapine, ziprasidone, and quetiapine have shown promise in small studies. More recently, aripiprazole, described as a stabilizer of the dopamine/serotonin system, and showing D2 receptor...

At a glance

Pharmacotherapy in sexology

doc.MUDr.Jaroslav Zvěřina, CSc.

Psychiatr. pro Praxi, 2010; 11(1): 33-35

Overview of medicaments used for therapy of sexual dysfunctions and other sexuological disturbances. Medicaments are divided up three basic groups: 1. aphrodisiacs, 2. sexual regulators, and 3. sexual hormones.

Psychotherapy

Music therapy in clinical practice

PhDr.Marina Stejskalová

Psychiatr. pro Praxi, 2010; 11(1): 30-32

Music therapy is a modern psychotherapy method. Currently, it is actively used in England, Germany, Austria, Italy, France, Canada, and the United States. In the last decade, there has been a growing interest in music therapy in the Czech Republic, particularly in the field of medicine. Music therapy is a very effective method in treating various psychosomatic complaints, communication problems, or sleep disorders. As dance movement therapy, music therapy is capable of improving the physical condition and may contribute to enhancing self-confidence. As sound therapy and musical imagination, it supports positive thinking and changes the view...

Information

Antipsychiatry movement

doc.MUDr.Radovan Přikryl, Ph.D.

Psychiatr. pro Praxi, 2010; 11(1): 40-41

The origin of the antipsychiatry movement dates back to the 1960s. Its representatives of those days, coming primarily from the ranks of psychiatrists and psychologists, criticized the then position of psychiatry. Thomas Szasz, professor of psychiatry, is considered to be the principal ideologist of the movement. The antipsychiatry refused to recognize the existence of mental diseases as symptoms of the disease; on the contrary, it regarded them as a natural response of an individual to the psychosocial stress. However, the original ideas of the antipsychiatry movement were not preserved for long. Actually, it was the trend which demonstrated...