Proč neberu léky?

Mgr. Jitka Styblíková

Psychiatr. pro Praxi, 2010; 11(4): 139  

A new advancements in the biological therapy of dementias

doc.MUDr.Roman Jirák, CSc.

Psychiatr. pro Praxi, 2010; 11(4): 143-144  

The basic survey of some biological methods of dementia therapy, first of all Alzheimer´s disease clinically tested in present time is described in this article.

Diabetic patients in psychiatric out-patient care

MUDr.Jana Komorousová

Psychiatr. pro Praxi, 2010; 11(4): 145-148  

Diabetes mellitus is a chronic disease that yields many restrictions. It is associated with a higher incidence of some psychiatric disorders, which consequently have a considerable influence on the course of the basic disease. It is thus important to pay special attention to treatment of psychiatric disorders in diabetics; specifically depression, anxiety, eating disorders and cognitive disorders. Diabetic patients come to a psychiatric office mainly on recommendation from a diabetologist based on deterioration of their basic disease. Less frequently, they come from their own will due to subjective psychiatric problems. In order to be able...

Epilepsy in adults: classification and treatment

MUDr.Tomáš Procházka

Psychiatr. pro Praxi, 2010; 11(4): 149-151  

In this review the author summarizes basic principles of epilepsy management. Classification of epileptic seizure and syndrome is essential for effective pharmacological treatment. Current antiepileptic drugs (AED) lead to satisfactory control of seizures in 70 % patients. Modern AED are as efficacious as the older medications, but have several advantages and can be used as drugs of first choice in selected patients. In patients with refractory epilepsy surgical treatment can be helpful.

Synaesthesia: the current state of affairs

MUDr.Radkin Honzák, CSc.

Psychiatr. pro Praxi, 2010; 11(4): 152-155  

Synaesthesia is an experience in which stimulation in one sensory or cognitive stream leads to associated experiences in a second unstimulated stream. People with color-graphemic synaesthesia experience vivid, reliable color upon viewing achromatic alphanumeric characters. Recent evidence indicates that synaesthetic color experiences are as perceptually real as actual colors are for non-synaestetic observers, even in internally generated stimuli. It has been also suggested that individuals with synaesthesia may show hightened creativity as a result of being able to form meaningful association between these disparate stimuli. The present paper...

Psychiatric and psychological aspects of bariatric surgery

doc.MUDr.Libuše Stárková, CSc.

Psychiatr. pro Praxi, 2010; 11(4): 156-159  

Bariatric surgery is a quite new branch of medicine using special surgical procedures in the treatment of morbid obesity. The aim of the article is to inform about this quickly developing treatment method and to discuss the questions related to psychiatric and psychological connections – eating disorders inclusive.

Bright light therapy - a strange alternative method or neglected evidence-based treatment?

MUDr.Luboš Janů, Ph.D., Mgr.Petra Váchová, MUDr.Sylva Racková

Psychiatr. pro Praxi, 2010; 11(4): 160-163  

Disorders of the circadial rhythm are well known for years. They occurs in mental and sleep disorders and in many somatic disorders. The concern, about light therapy increased, it’s the first choice indication in winter depression. It has been demonstrated that the effect size in depression is the same as with antidepressants, but occurs sooner. The contraindications are rare and adverse events mild. It can be used in other different pathologies such as major depression, and many other disorders of the circadian rhythm, whether they are of primary or secondary origin. In this article we summarize the bright light mode of action and data...

Hospital hopper - factitious disorder and malingering in psychiatric care

MUDr.Bc.Aleš Grambal, MUDr.Zuzana Grambalová, doc.MUDr.Ján Praško, CSc.

Psychiatr. pro Praxi, 2010; 11(4): 164-166  

Some patients treated on psychiatric departments are diagnosed as factitive disorders or malingering. These patients are often in burdensome life situation, and they are not able to solve it and they become to escape to illness. The factitious disorders and malingering are coupled with the counter transference, and they are not popular between the health workers. The factitious disorders and malingering are dangerous if they are not detected and paradoxically if the diagnose is correct too. It is difficult to determine the diagnosis, there is a lack of the adequate therapy, the treatment is not favorite between the health workers and the prognosis...

Civil law and forensic psychiatry

doc.MUDr.Pavel Pavlovský, CSc.

Psychiatr. pro Praxi, 2010; 11(4): 173-174  

Civil law and forensic psychiatry share extensive common ground wherein the expert psychiatrist particularly addresses the issues of legal competence. This needs to be assessed mainly in cases where there is doubt concerning the mental condition of the person who committed a legal act by drawing up a will or making a contract of purchase or of donation. An expert report is based on a clinical psychiatric examination; if this is not possible in case the person in question is no longer alive, it is based on a thorough study of legal and health documentation. Regardless of which party of the dispute requested it, the expert report must be completely...

Method of self-depreciating and self-supportive letter within cognitive behavioral therapy

Mgr.Roman Pešek

Psychiatr. pro Praxi, 2010; 11(4): 167-169  

The paper focuses on the psychotherapeutic method of Self-depreciating and Self-supportive Letter. The method has been developed by the author of the paper and its development has been inspired by methods of cognitive and emotional restructuring standardly used within cognitive behavioral approach in psychotherapy. The method is based on a complex of automatic negative thoughts concerning various life aspects of the client. The complex of these thoughts is written by the client in form of a self-depreciating letter; after that and by way of systematic process using e.g. rational questions, the self-depreciating letter is transformed into a...

Types of variables

MUDr.Tomáš Novák, MUDr.Miloslav Kopeček, Ph.D.

Psychiatr. pro Praxi, 2010; 11(4): 176-177  

Data may take many different forms. It is important to know what forms every variable takes before we can make a decision regarding the most appropriate statistical methods to use. One possible division distinguishes continuous, discrete, ordinal and nominal data.

Pharmacological profile of agomelatin

doc.MUDr.Ján Pečeňák, CSc.

Psychiatr. pro Praxi, 2010; 11(4): 170-172  

Agomelatine is newly registered antidepressant with different mechanism of action in comparison with older drugs. Its structure is similar to melatonin. Agomelatine has agonistic properties to melatonin MT1 and MT2 receptors and antagonistic effect on 5-HT2C receptors. It modulates circadian rhythms and has influence on turnover of dopamine a noradrenalin in prefrontal cortex. Agomelatine is rapidly absorbed; absorption is independent on food intake. Biological availability is low because of high first-pass effect. Hepatic isoenzyme CYP 1A2 is the main way of metabolism. Inhibitors of CYP1A2 increase plasmatic level of agomelatine. The starting...

Autodidaktický test 4/2010

Psychiatr. pro Praxi, 2010; 11(4): 178