Předsevzetí

PhDr. Mgr. Jeroným Klimeš, Ph.D.

Psychiatr. praxi. 2012;13(1):3  

Alcohol abuse and dependance in psychiatric patients: brief intervention and other options

MUDr.Karel Nešpor, CSc.

Psychiatr. praxi. 2012;13(1):7-9  

Most patients treated by psychiatrists are at higher risk of alcohol abuse compared to the general population. Alcohol abuse complicates their treatment because of the interactions between alcohol and drugs, lack of compliance and otherwise. Psychotropic drugs which do not interact with alcohol should be used in these patients. Psychiatrists are advised to apply brief intervention and/or arrange for concurrent treatment of alcohol dependence.

Chronic insomnia and mental disorders

MUDr.Juraj Piško

Psychiatr. praxi. 2012;13(1):10-12  

Long-term reduction of sleep leads to severe mental and somatic disturbances and profoundly exacerbates symptoms of patients with psychiatric conditions. It is well known that insomnia occurs with high prevalence almost in every mental disorder, and it is often difficult to distinguish whether insomnia precedes or arises from mental disorder. However, in most cases, sleep disorder and psychiatric condition co-exist in complex and reciprocally interacting manner, so they form a vicious circle that facilitates progression to chronic course. This review aims to introduce several types of insomnia associated with mental disturbances and mainly...

Some actualities in a therapy for sexual dysfunctions

doc.MUDr.Jaroslav Zvěřina, CSc.

Psychiatr. praxi. 2012;13(1):13-14  

Recent advances in pharmacotherapy in erectile dysfunctions have profoundly influenced our clinical praxis. Efficiency of these medicaments seems to be excellent. But it remains very important not to put out of mind substantial importance of psychotherapy and sexotherapy by men and women with sexual dysfunction. In the pharmacotherapy of sexual dysfunction by men is possible to anticipate other molecules with inhibitory effects on PDE5. Some dopaminergic medicaments (bromocriptin, cabergolin) demonstrate stimulative effects on sexual activity of both women and men. In the treatment of ejaculatio praecox some progress is connected with dapoxetine...

Contemporary displays of aggression

PhDr.Pavel Harsa, Ph.D., MUDr.Dana Kertészová, PhDr.Marek Macák, PhDr.Ilona Voldřichová, doc.MUDr.Ilja Žukov, CSc.

Psychiatr. praxi. 2012;13(1):15-18  

The article Current displays of aggression talks about manifestations of aggression that are usual in contemporary society. The authors summarize and describe various displays of violence, in the form of bullying, domestic violence, aggression expressed via modern communication technologies (mobile and internet communication: SMS, video, photography, Facebook, ICQ, Twitter, Skype, YouTube, etc.). The authors stress dangers of such behavior and their growing incidence, which is documented by several research findings. In conclusion, the authors recommend several preventive measures against these manifestations. grooming).

Is dementia diagnosed and treated correctly and timely? Results of a survey in the light of new recommendations

MUDr.Martin Vyhnálek, doc.MUDr.Aleš Bartoš, Ph.D., MUDr.Václav Dostál, MUDr.Vanda Franková1, doc.MUDr.Iva Holmerová, Ph.D., MUDr.Jan Laczó, Ph.D., MUDr.Vladimír Línek, doc.MUDr.Irena Rektorová, Ph.D., MUDr.Pavel Ressner, Ph.D., MUDr.Robert Rusina, MUDr.Kateřina Sheardová, MUDr.Martin Vališ, Ph.D., doc.MUDr.Jakub Hort, Ph.D.

Psychiatr. praxi. 2012;13(1):19-24  

A survey among 150 outpatient neurologists, psychiatrists and geriatricians aimed to ascertain the current practices in diagnosing and treating cognitive disorders in the Czech Republic. More than half of the patients with a cognitive disorder were diagnosed in moderately advanced and late stages. The results reveal insufficient use of imaging modalities for diagnosis. Most patients with the diagnosis of Alzheimer's disease are treated with cognitive enhancers. A widespread use of inefficient nootropics has been shown.

Case interpretation of the suicidal patient

MUDr.Ilona Divácká, MBA

Psychiatr. praxi. 2012;13(1):25-26  

73 % of suicide patiens visited a physician during the month before death. Mostly they complained about unspecified or somatic concerns. Our patient visited a psychiatrist once. Later she was in contact with several physicians. Hospitalized as well. Suicide ideations or tendencies were not explore at any stage of contact.

Psychogenic in movement disorders

MUDr.Petra Bártová, Ph.D., MUDr.Pavel Ressner, Ph.D., MUDr.David Školoudík

Psychiatr. praxi. 2012;13(1):27-29  

Our three cases presents variable manifestation of psychogenic movement disorders. To improve the diagnosis of these disorders could be difficult. Treatment depends on a team approach between neurologist, psychiatrist and physiotherapist. Appropriate pharmacotherapy on time is necessary for improving of this movement disorders.

Effective treatment of psychotic disease in acute stage

MUDr.Lucie Kališová, Ph.D.

Psychiatr. praxi. 2012;13(1):30-31  

The paper presents a case report of a positive effect of paliperidone with prolonged action (9-hydroxyrisperidone) on acute symptoms of psychotic disease. It also deals with the occurrence of adverse effects of the drug. Possible reasons for using paliperidone in clinical practice are discussed.

Sexual function in the treatment of depressive disorder with agomelatine

prof.MUDr.Alexandra Žourková, CSc., MUDr.Marta Holanová, MUDr.Jana Novotná

Psychiatr. praxi. 2012;13(1):32-34  

Agomelatin, a novel antidepressant, has favorable effects on sexual function. 20 patients with depressive disorder were treated with agomelatin and sexual functions were monitored according to Changes in Sexual Functions Questionnaire. After 6 weeks of treatment statistical signicantly improvement of sexual functions were observed.

Using the therapeutic letters to emotional processing of traumatic emotions from childhood

prof.MUDr.Ján Praško, CSc., Aneta Sandoval, MUDr.Daniela Jelenová, MUDr.Dana Kamarádová, PhDr.Tomáš Divéky, doc.MUDr.Klára Látalová, Ph.D., MUDr.Zuzana Sigmundová, MUDr.Kristýna Vrbová

Psychiatr. praxi. 2012;13(1):38-41  

The letter writing is a psychoterapeutic strategy, which can help to the patients to cope with the relationship to the significant people from their childhood. The social and the interpersonal experience from the childhood significantly affect behavior of the individual in the adult age. The purpose of writing letters is to experience and to understand their own feelings, to cope with strong emotional experiences, which are related to the injuries in the childhood. The letter-writing process is carried out in a safe atmosphere of the therapeutic relationship, where the patients can learn to deal with these emotions. The basic types of therapeutic...

Depression in cancer patients

MUDr.Radkin Honzák, CSc.

Psychiatr. praxi. 2012;13(1):35-37  

Depressive disorders have frequently been encountered in cancer patients with prevalence > 20%. During routine oncology daily care, depression screening, assessment and treatment are of paramount importance for the outcome, compliance, and quality of life in patients. The article draws attention to some useful diagnostic tools and newer knowledge in therapy.

Autodidaktický test 1/2012

Psychiatr. praxi. 2012;13(1):43