Psychiatry for Practice, 2020, issue 1
Editorial
Umíme pomáhat
prof. MUDr. Ján Pavlov Praško, CSc.
Psychiatr. praxi. 2020;21(1) 
Review articles
Screening of autism spectrum disorder
MUDr. Štěpánka Kicková, Ph.D., prof. MUDr. Michal Hrdlička, CSc.
Psychiatr. praxi. 2020;21(1):7-12 | DOI: 10.36290/psy.2020.001
Within the last decade there has been growing emphasis on early diagnosis of autism. It has been proved, that early diagnosis of autism followed by an appropriate intensive intervention lead to the reduction of autistic psychopathology and significant improvement of the child's prognosis. Efforts to identify children at risk of autism as early as possible resulted in the development of many screening tools. Despite extensive efforts, the international agreement on the best screening method has not yet been established. The article presents an overview of the most important screening tools worldwide and introduces which factors are important for the...
Cognitive superagers
MUDr. Miloslav Kopeček, Ph.D., Mgr. Zuzana Frydrychová, Mgr. Radek Heissler, PhDr. Hana Georgi, Ph.D.
Psychiatr. praxi. 2020;21(1):13-15 | DOI: 10.36290/psy.2020.002
People aged 80 and older are called superagers if they have the episodic memory of an average sexagenarian and performing at or above 1 SD average performance for age and education on non-memory measures according to published norms. It is a captivating construct from the scientific point of view, that is a counterpart of age-related cognitive decline. The estimation of the prevalence of this phenomenon is 12 % between cognitively healthy older adults in the Czech Republic. Prevalence of amyloid β+ and APOE ε4 is equivalent between SA and non-SA, however SA have larger grey matter volume especially in hippocampus. Grey matter volume is associated...
Importance of side effects of antipsychotics and their monitoring in clinical practice - focused on paediatric and geriatric populations
prof. MUDr. Eva Češková, CSc.
Psychiatr. praxi. 2020;21(1):16-18 | DOI: 10.36290/psy.2020.003
The use of antipsychotics especially atypical ones is increasing including off-label prescription. These trends are significant especially in vulnerable subgroups, paediatric and geriatric populations. Preliminary studies have shown significant differences in both the number and types of adverse events between the paediatric, adult and geriatric populations. Assessment and monitoring of adverse effects are included in our updated diagnostic and treatment guidelines for psychiatric disorders and aimed at adult population. The monitoring of adverse (especially metabolic) events in common clinical praxis continues to be suboptimal; this exposes patients...
Case report
The diagnosis of delusional parasitosis
MUDr. Helena Kučerová
Psychiatr. praxi. 2020;21(1):30-32 | DOI: 10.36290/psy.2020.006
The International Classification of diseases, the 10th revision, does not content the diagnosis of delusional parasitosis. It is a syndrom of tactile hallucinations (itching, twinges, smarting and biting sensations of a small insects, such as bugs, fleas, louses, little beatles… ), visual hallucinations (the patient can see the parasits) and false interpretation of the infestation of the parasits, usually paranoid ideas. We can meet with more symptoms, such as depression, anxiety and insomnia. Delusional parasitosis can be coded as Organic halucinosis (F06.0). Sometimes it can be also included in paraphrenia (F22.0) or schizophrenia (F20), if...
Psychotherapy of psychoses within the day care center
MUDr. Miloslav Maňhal
Psychiatr. praxi. 2020;21(1):33-39 | DOI: 10.36290/psy.2020.007
The aim of this study was to evaluate the psychotherapeutic approach to patients diagnosed with the psychotic spectrum within the day care center. There is an eclectic therapeutic approach with a combination of psychotherapeutic methods and techniques and their application based on our practical experience in the treatment of psychosis and the latest research findings in this field. Effective intervention is clinically evaluated from the perspective of current psychopathology, degree and type of remission achieved and subjective evaluation of the development of mental state. The clinical evaluation is based on objective and subjective psychometric...
Psychopharmacological profile
Aripiprazole in the form of long-acting intramuscular injections in the clinical practice
prof. MUDr. Jiří Masopust, Ph.D.
Psychiatr. praxi. 2020;21(1):40-46 | DOI: 10.36290/psy.2020.010
Aripiprazole in the form of long-acting intramuscular injections (ALAI) is intended for maintenance treatment of schizophrenia in adult patients stabilized on oral aripiprazole. The recommended maintenance dose is 400 mg administered once a month. It is the first long-acting antipsychotic drug with partial agonistic action on D2 receptors. Two large registration trials have confirmed the efficacy of ALAI in maintenance treatment of schizophrenia. ALAI was more effective than placebo and displayed non inferiority to oral aripiprazole in delaying psychosis exacerbation or impending relapse and in reducing relapse rates. ALAI is well tolerated,...
Farmakologický profil
Atomoxetine
MUDr. Daniela Zmeškalová, Ph.D.
Psychiatr. praxi. 2020;21(1):47-52 | DOI: 10.36290/psy.2020.009
Atomoxetine is a selective norepinephrine-reuptake inhibitor indicated for the management of ADHD (F90.0) in children over six years of age, adolescents and adults. There is positive evidence for effectiveness of atomoxetine on core ADHD symptomatology and various comorbid conditions and quality of life. Commonly reported side effects, especially in the beginning of treatment, include headache, stomachache and decreased appetite. Atomoxetine can affect heart rate and blood pressure; cardiovascular status should be regularly monitored. The persistence of the therapeutic effect of atomoxetine through 24 hours enables once-daily dosing and thus can maintain...
Heard at a congress
Zaznělo na 62. česko‑slovenské psychofarmakologické konferenci 15.–19. ledna 2020
prof. MUDr. Pavel Mohr, Ph.D.
Psychiatr. praxi. 2020;21(1)
Psychotherapy in case reports
Enhanced collaboration between psychiatrist and psychotherapist in treatment of multiple alcohol and substance dependence
MUDr. Radmila Kučíková, MUDr. Martin Černý, Ph.D.
Psychiatr. praxi. 2020;21(1):19-21 | DOI: 10.36290/psy.2020.004
An article demonstrates a case report of successful outpatient treatment of patient with dual diagnosis - multiple alcohol and substance dependence, depression and personality disorder. Report emphasizes the importance of the enhanced collaboration between psychiatrist and psychotherapist.
Imagery rescripting of painful memories
PhDr. Marie Ocisková, Ph.D., prof. MUDr. Ján Pavlov Praško, CSc., MUDr. Aleš Grambal, Ph.D., MUDr. Jakub Vaněk, PhDr. Michal Kotian, Mgr. František Hodný, PhDr. PaedDr. Marta Zaťková, PhD., doc. PhDr. Miloš Šlepecký, CSc., PhDr. Antónia Kotianová, PhD.
Psychiatr. praxi. 2020;21(1):22-29 | DOI: 10.36290/psy.2020.005
Imaging rescripting is one of the basic techniques of schematherapy. The basic steps of this technique are: identification a specific painful or traumatic memory, recognising the unmet needs associated with the situation, and meeting them through a "new story" that the patient imagines. During the individual or group therapy, the patient usually undergoes the rescripting sessions repeatedly and with different memories. That gradually increases patient´s introspection, self-control, and self-care. Various obstacles may arise during the implementation of this technique. The text deals with common factors on the part of the therapist and the patient and...