Psychiatr. praxi. 2015;16(1)
Psychiatr. praxi. 2015;16(1):6-10
Agomelatine is a syntetic analogue of melatonin, agonist of melatonergic MT1, MT2 and antagonist of serotonergic 5-HT2C recceptors. Agomelatine is antidepressant with unique pharmacological profile which it differs agomelatine from other antidepressant drugs like SSRI and SNRI in efficacy, tolerability. The article focuses on its efficacy in depression treatment, its diference from SSRI and SNRI, and its use in clinical practice, in patiens with somatic disorders.
Psychiatr. praxi. 2015;16(1):11-13
Eating disorders are psychosomatic illnesses that significantly affect the patients' somatic condition. Collaboration with a paediatrician particularly involves diagnosing along with ruling out an organic cause as well as realimentation of cachexia that is frequently present. The role of a gynaecologist is then to examine and treat amenorrhoea that is one of the fundamental symptoms of anorexia nervosa and often occurs in bulimia nervosa as well.
Psychiatr. praxi. 2015;16(1):14-20
Workaholism involves extreme time spent working, preoccupation with work to the elimination of other life areas, loss of control over the limits of one’s work and disenchantment with work, and negative emotional, social, and health consequences. The etiology of workaholism is not clear but may relate to persons with several characteristic, like compulsive, narcissistic or dependent traits, which are driven to work harder than that required from work contexts, and who have learned to place work as a main means of satisfaction compared to other lifestyle options. Treatment implications are discussed.
Psychiatr. praxi. 2015;16(1):21-23
Personality characteristics play an important role in predicting marital satisfaction. People with personality disturbances have logically significant difficulties with establishing and maintaining relationships with partner. The link between the dysfunctional marriage and personality pathology of the partners may have the source in the insufficient insight on the own behavior of one or both partners. People with personality disorder experience in the interpersonal relations numerous misunderstandings, misinterpretations, communicate poorly and are more alert to verbal and physical aggression. They do not understand that the source of experienced...
Psychiatr. praxi. 2015;16(1):24-26
Prescription drug misuse and abuse are also common problems in primary care settings. Substances of abuse have profound effects on neurotransmitter systems involved in the pathophysiology of anxiety disorders and, with chronic use, may unmask a vulnerability or lead to organic changes that manifest as an anxiety disorder. Generalized anxiety disorder (GAD) follows a chronic period with low rates of remission and frequent relapses. Comorbid substance use disorder decreases the likelihood of recovery from GAD and increases the risk of exacerbation.
Psychiatr. praxi. 2015;16(1):27-28
How is it different from the established molecules? Phosphodiesterase-5 inhibitors are drugs of choice for erectile dysfunction treatment. Now, there is new one molecule on the marketavanafil. What is the difference between avanafil and other PDE-5 inhibitors?
Psychiatr. praxi. 2015;16(1):30-33
Psychiatry for Practice – the 11th Conference of Outpatient Psychiatrists, which was held in Olomouc, Czech Republic in late November 2014, provided Petr Hrubeš, M.D. (Department of Psychiatry, University Hospital, Hradec Králové and Medical Institution for Addictive Diseases in Nechanice, Czech Republic) with an opportunity to speak. In his presentation "Treating alcoholism in routine clinical practice", he reported on the one-year experience with a novel treatment strategy for alcohol dependence in which the amount of alcohol consumed is reduced while using pharmacological and psychosocial support. This kind of treatment is suitable...