Spiritualita v psychiatrii

MUDr. Karel Nešpor, CSc.

Psychiatr. praxi. 2013;14(2):51  

Acute psychotic disorders

doc.MUDr.Pavel Pavlovský, CSc.

Psychiatr. praxi. 2013;14(2):54-57  

A survey dealing with acute psychotic disorders which present an important part of psychiatric care from the point of diagnostic and therapeutic view; some of them may also lead to aggressive behaviour. Various aetiology includes disorders of organic or toxic origin and schizophrenic, schizophorm or affective types, neither psychogenic disorders might be omitted.

Erectile dysfunction and interdisciplinary aspects of its treatment

doc.MUDr.Jaroslav Zvěřina, CSc.

Psychiatr. praxi. 2013;14(2):58-60  

Overview of contemporary opinions on the treatment of men with erectile dysfunctions is given. Erectile dysfunction is a psychosomatic unit. A synthesis of psychotherapeutical (sexotherapeutical) and biological approaches is therefore essential.

Dissociative disorders and possibilities of psychopharmacotherapy

MUDr.Alena Večeřová-Procházková

Psychiatr. praxi. 2013;14(2):62-65  

The pathological dissociation is manifested primarily in loss of normally integrated functions of memory, identity and consciousness, in situations where the individual psyche is not able to cope with an unacceptable mental content. Amnesia, depersonalization, derealisation and identity disturbances are considered as the core symptoms The wide range of comorbid symptoms include affective symptoms, anxiety, psychotic misperception and impulse-dyscontrol.The therapeutic method of choice is psychotherapy, psychopharmacotherapy is targeted to reduce or eliminate comorbid symptoms. SSRIs and SNRI antidepressants, second -generation antipsychotics,...

Causes of self-mutilation of psychiatric patients in the conditions of imprisonment

Mgr.Lucia Bošiaková

Psychiatr. praxi. 2013;14(2):66-68  

Self-mutilation in prison represent a specific group activities, which can be seen as a symptom of mental illness or as a separate group of impulsive disorder. In the clinical picture of psychiatric disorders, self-mutilation have different pathogenesis, as well as the form and implications. Further describe specific conditions in the prison environment completes the comprehensive view of the self-mutilation by imprisoned persons and also offers an explanation of the higher frequency of occurrence and recidivism of self-mutilation in compared with civil psychiatric facilities. Identify the causes of the self-mutilation may also help to capture...

If i cannot be myself, psychoterapeutic treatment of a female patient with histerionic features

PhDr.Petra Černá Rynešová

Psychiatr. praxi. 2013;14(2):72-76  

The case study brings up the topic of psychoterapy of the patient with the historionic features. It shows in the details various steps of the psychoterapy by which the patient reaches the improvements in the relationship to herself, strengthens her own values, creates the conditions for improving her own life and gains the ability to accept herself. process, taking a position.

Suicidal behavior and liaison psychiatry

MUDr.PhDr.David Vaněk

Psychiatr. praxi. 2013;14(2):77-79  

The author summarises his experience of a liaison psychiatrist with the evaluation of suicide risk in patients admitted to medical wards after a suicide attempt. He presents a sample of patients assessed by his liaison psychiatric service in Slany Hospital over a period of one year. In discussion he tries to evaluate factors helpful in making decisions about the care for these patients. He also considers advantages and disadvantages of an involuntary admission.

Demographic and EEG differences in patients with panic disorder who respond to treatment sufficiently

MUDr.Dana Kamarádová, Ph.D., prof.MUDr.Ján Praško, CSc., MUDr.Martin Brunovský, Ph.D., MUDr et Bc.Aleš.Grambal, PhDr.Tomáš Diveky, doc.MUDr.Klára Látalová, Ph.D.

Psychiatr. praxi. 2013;14(2):80-85  

and those who do not In our study we looked for clinical and electrophysiological differences between patients with panic disorder who respond well to therapy and those with an inadequate response. Patients were treated by standardized CBT and most of them used also antidepressants. Based on BAI score decreases by 25 %, the patients were classified into two groups – responders and non-responders. On initiation of therapy, there was no statistically significant difference in brain electrical activity between responders and non-responders. After the therapy responders showed a statistically significant (p < 0.05) decrease in alpha-2 activity...

Bipolar affective disorder in a female patient with breast cancer as a complication of anticancer therapy

MUDr.Birgita Slováčková, Ph.D., doc.MUDr.Ladislav Slováček, Ph.D.

Psychiatr. praxi. 2013;14(2):69-71  

The authors report on a case of chemotherapy-induced bipolar disorder after non-adjuvant chemotherapy AC-TH in a 45-year-old woman with breast carcinoma. This case report highlights the potential risk of chemotherapy and premedication causing bipolar disorder. At the same time it indicates the need to cooperate with the psychiatrist. Early symptomatic psychopharmacological intervention enabled the smooth completion of non-adjuvant chemotherapy followed by partial mastectomy and axilla exenteration including adjuvant therapy (radiation therapy, biotherapy, hormonal therapy).

Long acting injection antipsychotics at a glance

MUDr.Miloslav Kopeček, Ph.D.

Psychiatr. praxi. 2013;14(2):89-91  

The article informs about knowledge and experiences with long acting injection antipsychotics (LAI-A).

Amendment of regulations of the Code of Civil Procedure on the permissibility of institutionalization

MUDr.Jiří Švarc, Ph.D.

Psychiatr. praxi. 2013;14(2):92-94  

With effect from 1 January 2013, the section in the Code of Civil Procedure (CCP) on the proceedings on the grant of permission to accept or detain a person in a health care institution (Article 191a to Article 191h of the CCP) was amended by Act No. 404/2012 Coll. What in this amendment is relevant and new for health care professionals and what has to be changed in their practice? In particular, it is the fact that the consent of the guardian of a person deprived of or restricted in their legal capacity does not replace the consent of the institutionalized person. The article also summarizes additional changes in the CCP and the resulting...

Family constelations in Gestalttherapy group setting for inpatients and daily clinic patients with neurotic disorders

MUDr.Petr Mílek

Psychiatr. praxi. 2013;14(2):86-88  

Since 2004 the author has been working with family a systemic constellations in the daily clinic during group sessions on the open ward of the psychiatry clinic. He describes how to practice the method under clinical conditions, and how to integrate it in a wider concept of Gestalttherapy. He gives an overview of the topics, which the pacients, suffering from anxiety and depressive disorders, offer.