Slovo úvodem

prof. MUDr. Ivan Rektor, CSc., FCMA, FANA, FEAN

Psychiatr. praxi. 2020;21(3)  

Drug interactions - experience with the software assistant

MUDr. Martin Hýža, Ph.D., MUDr. Tomáš Skřont, MUDr. Petr Šilhán, Ph.D.

Psychiatr. praxi. 2020;21(3):120-123 | DOI: 10.36290/psy.2020.021  

Considering the high prevalence of combinations of both psychiatric and somatic drugs, drug interactions represent atopical issue in psychiatry. We performed the analysis of the computer program records and we have defined 15 most often reported interactions of the highest importance. Our survey contains 6 antidepressants, 4 antipsychotics, 2 sedatives/hypnotics and 1 drug used in atreatment of addiction. Athreat in aparticular patient depends on additional risk factors and individual adverse events are of different seriousness and they are recognizable differently. Aclinician is obliged to assess the information of acomputer system critically. The...

Treatment options for pharmacoresistant depression in routine clinical practice

prof. MUDr. Eva Češková, CSc., MUDr. Petr Šilhán, Ph.D.

Psychiatr. praxi. 2020;21(3):124-127 | DOI: 10.36290/psy.2020.022  

Most psychiatrists consider depression to be pharmacoresistant in the setting of an inadequate response to two adequate antidepressant courses. For research purposes and for the testing of various pharmacotherapeutic strategies, several models involving more degrees of pharmacoresistance have been proposed. The present article deals with the treatment options for pharmacoresistant depression in routine clinical practice. They include antidepressant switching, augmentation, and combinations. In patients with severe depression and suicidality, fast-acting antidepressants are an option. The most widespread method of augmentation is that with second-generation...

Panic disorder in partnership

PhDr. Petra Kasalová, prof. MUDr. Ján Praško, CSc., MUDr. Jakub Vaněk, PhDr. Marie Ocisková, Ph.D., PhDr. Michaela Holubová, Ph.D., PhDr. Marta Zaťková, Ph.D., MUDr. Kamila Minaříková

Psychiatr. praxi. 2020;21(3):129-135 | DOI: 10.36290/psy.2020.023  

Marital disagreements can be associated with anxiety in one or both partners. However, it is not possible to determine exactly how marriage contributes to the onset and maintenance of these symptoms. The importance of understanding partner interactions in patients with panic disorder or agoraphobia is supported by a number of studies. The results presented in this review generally suggest that a relationship may affect the severity of panic disorder and agoraphobia and vice versa. The relationship between panic disorder and the relationship between partners is bi-directional: psychological problems adversely affect the relationships and attitudes of...

Poststroke depression

MUDr. Tomáš Novák, Ph.D.

Psychiatr. praxi. 2020;21(3):136-140  

One third of stroke survivors develop a clinically significant depression (poststroke depression, PSD). A higher risk is in patients with a history of depressive disorder, a more severe stroke and a more pronounced impairment of motor or cognitive functions. Given the link between PSD and higher mortality, worse outcomes, and a more pronounced motor and cognitive impairment, early recognition of PSD and its treatment is a crucial step in a care after stroke. Previous studies suggest the efficacy of antidepressants (ADs) in both the treatment of PSD and the effect on daily functioning including alleviation of motor impairment, and a possible usefulness...

Obsessive compulsive disorder and attachment

Mgr. František Hodný, prof. MUDr. Ján Praško, CSc., PhDr. Marie Ocisková, Ph.D., PhDr. Michaela Holubová, Ph.D., MUDr. Jakub Vaněk, doc. MUDr. Dana Končelíková, Ph.D., PhDr. Petra Kasalová, MUDr. Vlastimil Nesnidal, MUDr. Jana Zmeková

Psychiatr. praxi. 2020;21(3):142-148 | DOI: 10.36290/psy.2020.025  

Introduction: Emotional attachment arises between the child and the primary caregiver in early childhood and fundamentally affects the child's self-esteem and their perception of the world as a safe place. The aim of this review is to present the current state of knowledge about the relationship between attachment and obsessive-compulsive disorder (OCD), the course of the disorder and the effectiveness of the treatment. Method: A literature search was performed using PubMed, Web of Science, Google Scholar, and ScienceDirect databases using key search terms. Scientific texts were extracted for the period from January 1990 to the end of March 2020. Results:...

Recovery in borderline personality disorder

MUDr. Vlastimil Nesnídal, prof. MUDr. Jan Praško, CSc., Mgr. Marie Ocisková, Ph.D., MUDr. Kamila Minaříková, PhDr. Michaela Holubová, Ph.D., MUDr. Jakub Vaněk, MUDr. Lucie Bundárová, MUDr. Kryštof Kantor, Mgr. František Hodný, PhDr. Miloš Šlepecký, Ph.D.

Psychiatr. praxi. 2020;21(3):149-153 | DOI: 10.36290/psy.2020.026  

Historically, borderline personality disorder (BPD) has been viewed as alifelong and highly disabling disorder. However, investigations throughout the past two decades have confronted these postulations. BPD is most commonly diagnosed during early adulthood, and the course of the disorder is generally similar, with decreasing symptomatology over time. The review aims to deliver up-to-date information on the concept of recovery in BPD patients, and possibilities to reach it. Acomputerized database search was conducted in PubMed and Web of Science, using various combinations of keywords relevant to the topic. The search was filtered for the time period...

Confidentiality obligation of health care professionals and exemptions to it under the current legislation - Part 2

JUDr. Šárka Špeciánová

Psychiatr. praxi. 2020;21(3):166-170 | DOI: 10.36290/psy.2020.028  

This article deals with situations in which health professionals fulfill the legal duty to provide information to the authorities of social and legal protection of children, public health protection authorities and other entities, especially courts in civil proceedings. Listed are also the situations in which other subjects are informed with a view of ensuring follow-up care for the patient.

Working with modes using chairs in schematherapy

PhDr. Marie Ocisková, Ph.D., prof. MUDr. Ján Praško, CSc., doc. PhDr. Miloš Šlepecký, Ph.D., PhDr. Antonia Kotianová, Ph.D., PhDr. Michaela Chupáčová, PhDr. Marta Zaťková, Ph.D., PhDr. Michal Kotian

Psychiatr. praxi. 2020;21(3):155-164 | DOI: 10.36290/psy.2020.027  

Chairwork contains techniques of classical psychodrama (empty chair, change of roles, double, mirroring), as well as specific schema therapeutic approaches related to working with schema modes. Modes are complex patterns of emotional experience, thinking, bodily reactions, and behaviors that occur after activation of an early maladaptive schema. Chairwork is useful for easier identification of individual modes and their associated thoughts, experiences, and behaviors. This allows to increase self-reflection and subsequently self-control. In the case of internal conflicts, it is possible to conduct dialogues between the individual modes, where the patient...