Psychiatry for Practice, 2013, issue 4

Editorial

Je potřebná znalost multikulturní zdravotní péče

doc. PaedDr. et Mgr. Eva Zacharová, Ph.D.

Psychiatr. praxi. 2013;14(4):143

Review articles

Metabolic syndrome in bipolar disorder

MUDr.Jan Hubeňák

Psychiatr. praxi. 2013;14(4):146-148

Bipolar affective disorder is a chronic disease connected with a high occurence of cardiovascular and metabolic morbidity and mortality as well. Despite these findings, bipolar patients are not obtaining equal standard of medical care for their somatic diseases as general population. Monitoring of physical health by psychiatrists is therefore necessary.

Stress and possibilities of its pharmacological modulation - do we know to measure the stress load?

Mgr.Barbora Prokopová, prof.PharmDr.Daniela Ježová, DrSc.

Psychiatr. praxi. 2013;14(4):150-154

A general treatment of stress is not possible because stress is a highly specific response to different stimuli and it is variable in each individual. It is well known that chronic exposure to intensive stress situations may induce or speed up the development of psychiatric disorders. Positive stress coping can reduce or prevent negative consequences, while inadequate stress coping contributes to the development of disease states, such as affective and anxiety disorders. One of the latest concepts of stress is the allostatic theory. It defines allostasis as a process achieving stability (homeostasis) through change. When the individual is challenged...

Treatment in Ejaculatio Praecox

MUDr.Luděk Daneš, CSc., prof.PhDr.Petr Weiss, Ph.D.

Psychiatr. praxi. 2013;14(4):155-157

Premature ejaculation is probably after the erectile problems the second most freyuent sexual dysfunction in men. This dysfunction negativelly influences not only the life of our patients, but the life of their partners as well. There is a substantial improvement in our therapeutic possibilities in the last years, especially in the area of new drugs, namely new antidepressants. The combination of pharmaco- and psychotherapy shows the best therapeutical results.

Dementia with Lewy bodies

doc.MUDr.Roman Jirák, CSc.

Psychiatr. praxi. 2013;14(4):158-160

Dementia with Lewy bodies, also known as diffuse Lewy body disease (DLBD), is a dementia of neurodegenerative origin. It is second only to Alzheimer’s disease as the most common neurodegenerative dementia and the third most common of all dementias. It has a specific pathology, with the occurrence of degeneration of the neuronal protein alpha-synuclein – similarly to Parkinson’s disease; however, cortical neurons are also affected to a varying degree. In addition, Alzheimer’s changes, neuronal tau protein degeneration, and amyloid plaque formation often occur in varying degrees. Clinically, there are several forms that...

Mental health during pregnancy and after childbirth

MUDr.Ľubomíra Izáková, PhD.

Psychiatr. praxi. 2013;14(4):161-163

Pregnancy and postpartum period represent during a woman‘s life, in terms of manifestations of mental disorders, risk period. The most commonly occurring disorders include tocofobia, postpartum blues, postpartum, respectively perinatal depression and postpartum psychosis. Etiology could also be considered as the first manifestation of endogenous mental disorder or a relapse/decompensation of existing endogenous mental disorder. Despite the fact that a woman at that time regularly visit the doctors, mental disturbances often remain undiagnosed, which significantly reduces the quality of life of the mother, child and whole family, negatively...

Case report

Anhedonia - adverse effect, residnal symptom or a sign of stability?

MUDr.Luboš Janů, Ph.D.

Psychiatr. praxi. 2013;14(4):164-166

Anhedonia is the core symptom of depression and several other psychiatric disorders such as schizophrenia, substance abuse etc. Anhedonia could be taken into consideration as residual symptom of depression as well. As residual symptoms should be treated, because of risk of worsening in the future. Some patiens, mainly long term SSRI´s treated, refer to fear of feeling emotions. They consider emotions being weaknes and risk of repeated development of depression. Decision making has been shown in two case-reports with respect to patient evaluation. Difference between SSRI´s and agomelatine has been emphasized.

Addiction to tramadol in patients with eating disorders

MUDr.Petra Holanová, MUDr.Miroslav Sekot, prof.MUDr.Hana Papežová, CSc.

Psychiatr. praxi. 2013;14(4):167-168

Tramadol is one of the commonly prescribed analgetics. Its addiction is very often underestimated. Our case studies are focused on addiction to tramadol in patients with eating disorders to influence eating habits, daily regime and negative emotions.

Therapeutic response to complex treatment in patients with social phobia

MUDr.Dana Kamarádová, Ph.D., doc.MUDr.Klára Látalová, Ph.D., prof.MUDr.Ján Praško, CSc., MUDr.Daniela Jelenová, MUDr.Barbora Mainerová, MUDr.et Bc.Aleš Grambal, MUDr.Zuzana Sigmundová, MUDr.Jiří Táborský

Psychiatr. praxi. 2013;14(4):169-173

Introduction: In social phobia as well as other anxiety disorders is pharmacoresistancy an important problem. Exact predictors of the therapeutic response are not known yet. The aim of our study was to prove the efficacy of our treatment program and identify predictors of therapeutic response to complex pharmacotherapeutical and cognitive behavioral treatment in pharmacoresistant patients. Methods: We analysed data for 50 probands diagnosed with social phobia hospitalized on psychotherapeutical department of Department of Psychiatry, University Hospital Olomouc. We investigated basic demographic data (age, disease duration, age of onset), index...

Law in psychiatry

Current addictological issues from the perspective of a lawyer

Mgr.Hana Fidesová, Ph.D.

Psychiatr. praxi. 2013;14(4):183-185

The article deals with a basic of legal regulation related to the relatively new independent health profession addictologist, its potential fulfilment in a health care system, the scope of its activities and funding of care in addiction services. Furthermore, the article highlights particularities of patients in addiction health services; because they are more likely than patients of other medical and nonmedical health disciplines get into conflict with a legal system in connection with their illness, although it is not necessarily a causal relationship. This fact indirectly affects the health professionals who are those clients encounter in...

Psychotherapy

Ethics and psychotherapy

Mgr.Jana Vyskočilová

Psychiatr. praxi. 2013;14(4):174-178

Ethical theory and reflection can be applied to both the theory and practice of psychotherapy. Ethics and psychotherapy have a natural affinity. The practice of psychotherapy deals with human problems, dilemmas and emotions that are related to both one’s own values and other people’s values. Philosophical reflection in itself is not an adequate basis for psychotherapy ethics, but it does facilitate impartial examination of the assumptions that are commonly made in psychotherapy, psychiatry and health care.

The diagnosis and psychotherapy of emerging addictions

Mgr.et Mgr.Veronika Víchová, Mgr.Ing.Petr Koblovský, Ph.D.2

Psychiatr. praxi. 2013;14(4):179-182

Psychotherapeutic approaches in the treatment of classic and emerging addictions show specifics given the character of the addictions, but the common denominator of treatment still remains working with motivation addicts, education of addicts, insight, individual or group psychotherapy, practicing relaxation techniques and subsequent long-term aftercare. Permanent and consistent abstinence as one of the desired goals of treatment in the case of emerging addiction is a rarely achievable goal and therefore the main aim is the alteration of addiction processes.