Jak klikatá je cesta psychiatrického pacienta k psychiatrovi?

MUDr. Vlasta Hanušková

Psychiatr. praxi. 2012;13(3):95  

Stigmatization and panic disorder

prof.MUDr.Ján Praško, CSc., PhDr.Tomáš Diveky, MUDr.Dana Kamarádová, MUDr.Daniela Jelenová, MUDr.Aleš Grambal, MUDr.Barbora Mainerová, doc.MUDr.Klára Látalová, Ph.D., MUDr.Zuzana Sigmundová, MUDr.Petr Šilhán

Psychiatr. praxi. 2012;13(3):100-103  

The stigma attached to mental illness and psychiatry results in the discrimination of people with mental disorders which is the major obstacle to early and successful treatment. Many people which might have benefit from mental health services will not seek help or fail to fully participate. Patients with panic disorder are rather forced to concentrate on somatic aspects of anxiety. A lot of prejudicial beliefs, emotions, and behaviours cause the discrimination against people labelled as mentally ill. Unfortunately, public prejudice and self-stigma may provide equally large barriers to achieving and enjoying life opportunities. Families worrying...

Gender identity disorders

prof.PhDr.Petr Weiss, Ph.D.

Psychiatr. praxi. 2012;13(3):104-106  

Author describes the concepts of sex on the chromosomal, gonadal, and psychological level. He defines sexual identity and its external expression – the gender role. He provides the basic diagnostical criteria for the diagnosis gender identity disorder and the possible forms of this diagnosis, especially transsexualism.

New advancements in biological psychiatry

prof.MUDr.Eva Češková, CSc., prof.MUDr.Ladislav Hosák, Ph.D., doc.MUDr.Roman Jirák, CSc., doc.MUDr.Tomáš Kašpárek, Ph.D., MUDr.Michal Maršálek, CSc., doc.MUDr.Radovan Přikryl, Ph.D.

Psychiatr. praxi. 2012;13(3):108-110  

In the genetics of mental disorders, the main effort of the scientists is recently aimed at genome-wide association studies and the detection of DNA microdeletions/microduplications. They seem to be important as one of the substantial parts of the genetic background of schizophrenia. Brain neuroimaging seeks to define biomarkers, useful in the diagnostics and treatment of mental disorders. Based on the new knowledge, modern treatments in dementia in Alzheimer´s disease are developed, e.g. anti-amyloid therapy or modulators of mitochondrial metabolism. Catatonia is still looking for its proper place in the new concepts of classification of mental...

Psychogenic gait disorders

MUDr.Hana Brožová, Ph.D.

Psychiatr. praxi. 2012;13(3):112-115  

Psychogenic gait disorders are functional mental disturbances causing difficulties of movement without any detection of structural lesion. Heterogeneity of clinical symptoms, diagnostic difficulties and insufficient responses to therapy lead to frustration of both physicians and patients. The article reports clinical symptoms, specifity of examination and diagnostic standards, which have to be fulfilled to make a diagnosis. Successful therapy depends on prompt diagnosis, patients´ motivation and good cooperation between the neurologist, psychotherapists, psychiatrist and physiotherapists.

Autism spectrum disorders in adulthood

PhDr.Kateřina Thorová, Ph.D., Mgr.Veronika Šporclová

Psychiatr. praxi. 2012;13(3):116-120  

Autism spectrum disorders are among the disorders of mental development that have a major impact on a person‘s personality formation, development, and level of some skills. A lifetime deficit in social communicative skills significantly affects the capacity of an individual for social functioning and, thus, his general adaptability to everyday life situations. There has been a significant increase in the rate of diagnosing this condition worldwide. Rather than being a fashionable diagnosis, autism is considered to be a serious issue requiring special measures in health, academic, and social domains. Manifestations of autism in adulthood,...

Effect of a combined psychotherapeutic and psychopharmacologic treatment on a long-term glycemic control

MUDr.Jana Komorousová, MUDr.Zdeněk Jankovec, Ph.D., MUDr.Jiří Podlipný, Ph.D.

Psychiatr. praxi. 2012;13(3):120-124  

in diabetes mellitus type 1 and 2. A retrospective study Some mental disorders, especially depression, are more prevalent in patients with diabetes mellitus. Comorbid mental disorders deteriorate prognosis of diabetes mellitus and alternatively, diabetes mellitus deteriorates the course of mental diseases. Results of existing research suggest that diabetic patients need a psychiatric intervention in addition to a standard care, nonetheless, the study results are unequivocal regarding effectiveness of the intervention in glycemic control improvement. The retrospective observation in the presented study concerns 72 diabetic patients, who were...

„Mummy, excuse me, that I was ashamed for you“- case story

MUDr.Dana Kamarádová, prof.MUDr.Ján Praško, CSc., Mgr.Vratislav Bareš

Psychiatr. praxi. 2012;13(3):125-129  

Scientists have been concentrated on influence of traumatic memories on next course of patient´s life since World War II. It seems that early stressful memories play important role in the further development of human. Traumatic memories are sensoric-motor state. These memories can be recalled in the situation that is similar to one, that created it. One possibility to process the traumatic memory is up to CBT theory so called transcription in imagination – a transcript of its inner meaning and emotional processing.

Obligation to notify the local authorities of unfitness to drive a motor vehicle. Practical recommendations

MUDr.Jiří Švarc, Ph.D.

Psychiatr. praxi. 2012;13(3):136-137  

An amendment to the Act No. 361/2000 Coll., on Road Traffic, effective as of 1 January 2012, imposes on all physicians an obligation to notify the local authorities of medical unfitness to drive a motor vehicle. The article presents more detailed information on this as well as some practical recommendations, particularly in terms of not having common psychiatric patients lose their driving licence (and physicians lose their patients). It should be borne in mind that the purpose of the amendment is to allow physicians to report truly serious cases endangering road safety, which has not been possible without the patient's consent so far. in...

Sociotherapy of affective disorders

Mgr.Eliška Hrbková

Psychiatr. praxi. 2012;13(3):130-132  

This article summarizes basic definitions of the sociotherapy. It presents methods of sociotherapy in the treatment of affective disorders by means of sociotherapeutic scheme on specialized department for treatment of affective disorders in Psychiatric Hospital Bohnice.

Canistherapy in seniors with dementia

Mgr.Lenka Maťhová

Psychiatr. praxi. 2012;13(3):133-135  

Author deals with canistherapy practicing in seniors with dementia. An arcticle is focused on methods of canistherapy AAA (Animal Assisted Activities) and AAT (Animal Assisted Therapy). Benefits of canistherapy in seniors with syndrome dementia are discussed separately.

120. výročí úmrtí prof. MUDr. Jacoba Fischela

MUDr. Libor Macák, MUDr. Antonín Doněk, MUDr. Emanuel Doněk, MUDr. Jana Doňková

Psychiatr. praxi. 2012;13(3):138  

Autodidaktický test 3/2012

Psychiatr. praxi. 2012;13(3):139