Sdělování špatné zprávy (1. část)

MUDr. Radkin Honzák, CSc.

Psychiatr. praxi. 2023;24(1):3  

Reinitiation of clozapine treatment

MUDr. Michaela Mayerová, Ph.D., prof. MUDr. Libor Ustohal, Ph.D.

Psychiatr. praxi. 2023;24(1):8-12  

The article deals with the reinitiation of clozapine treatment after it was discontinued for a reason (mostly because of side effects). Reinitiation is a controversial topic, especially after severe to life-threatening side effects. When is the reiniation possible and how should this be done? We try to provide a summary of relevant information which is available in literature of recent years or in therapeutic guidelines.

Panic disorder and autonomic nervous system

MUDr. Jozef Višňovský, prof. MUDr. Ján Praško Pavlov, CSc., MUDr. Jakub Vaněk, MUDr. Jonáš Boček, MUDr. Vlastimil Nesnídal, PhDr. Marie Ocisková

Psychiatr. praxi. 2023;24(1):13-17 | DOI: 10.36290/psy.2023.001  

Panic disorder negatively affects the patient's quality of life. Somatic manifestations of massive anxiety characterize the disorder. These are closely related to the autonomic nervous system (ANS), which influences the body's responses to external and internal stimuli. The article aims to map the connection between panic disorder and the autonomic nervous system and the possibilities of therapeutic intervention. Sources for this review article were drawn from the PubMed and Web of Science databases, published between 1991 and 2022. Additional information was obtained from the sources of the articles used in the primary selection. Marked somatic and...

Parasomnias - overview for clinical use

MUDr. Lucia Račanská

Psychiatr. praxi. 2023;24(1):18-21 | DOI: 10.36290/psy.2023.002  

Parasomnias are sleep disorders, some of which are connected to specific sleep phases. Among NREM (non-rapid eye movement) parasomnias belong somnambulism or sleep walking, pavor nocturnus or sleep terrors, confusional arousal. Most of the time they are bening, the biggest danger is occurrence of injuries as a consequence of episode of parasomnia. The onset is most common in childhood and they disappear with age. The onset is in adulthood can be due to psychopathology, based on research there is association with anxiety and depressive disorders or with alcoholism or substance abuse. Among REM (rapid eye movement) parasomnias belong nightmare disorder,...

Indications for neuropsychological assessment in neuropsychiatry: are referrals for neuropsychological evaluation always effective?

doc. Mgr. Ondřej Bezdíček, Ph.D.

Psychiatr. praxi. 2023;24(1):e4-e8  

The text aims at introducing the criteria for referral questions regarding neuropsychological assessment in clinical settings. A brief description of different referral questions including separate phases of neuropsychological assessment follows. We provide also an algorithm for choosing the right referral question for general practitioners and specialists as well.

Non­‑pharmacological treatments in neuropsychiatry

doc. MUDr. Marek Baláž, Ph.D., prof. MUDr. Tomáš Kašpárek, Ph.D., doc. MUDr. Lucie Kališová, Ph.D., prof. MUDr. Jan Chrastina, Ph.D.

Psychiatr. praxi. 2023;24(1):e9-e12  

Non-pharmacological methods in neuropsychiatry include biological approaches (invasive and noninvasive stimulation of central nerve system structures), psychotherapy and psychoeducation. Range of diseases treated by non-pharmacological methods is wide and with improvements of accessibility the use of these methods will probably grow.

Is it gender obsession in a girl with Asperger's syndrome or gender dysphoria?

MUDr. Šárka Bínová

Psychiatr. praxi. 2023;24(1):32-36 | DOI: 10.36290/psy.2023.003  

There is appearing a new phenomenon in the outpatient psychiatric services for children and adolescents that is the occurrence of gender dysphoria in individuals with autism spectrum disorders, according to the current ICD-10 it is meant in individuals with Asperger's syndrome. The manifestation of the disorder is atypical and differential diagnosis is complicated by the fact that an obsessive preoccupation with a certain topic or object is also one of the manifestations of Asperger's syndrome. There are studies that demonstrate the frequent occurrence of autism spectrum disorders in individuals with gender dysphoria. Therefore, Asperger's syndrome...

Using some of ACT strategies in traditional CBT approach - Theory, practical examples from therapy and a case study

Mgr. Roman Pešek, Helena Vontorčíková, BA, Bc. Lucie Zernerová, MSc., Ph.D., Mgr. Martina Lufferová, Mgr. Kateřina Azavedo

Psychiatr. praxi. 2023;24(1):37-44 | DOI: 10.36290/psy.2023.004  

Traditional CBT is commonly used with clients suffering from anxiety and mixed anxiety with depression disorders but it can be enriched by icluding some strategies from ACT (Acceptance and Commitment Therapy). This article will introduce ACT view of human mind as a problem solving machine, selected strategies for defusion from negative thoughts, and focus on values and committed action. Besides compatible components of these two approaches their differences will also be highlited. A case study of a client with intrusive thoughts will be described with whom CBT enriched with ACT strategies was used in her therapy sessions and other practical examples...

Mania after COVID-19 pneumonia

MUDr. Jonáš Boček

Psychiatr. praxi. 2023;24(1):45-47  

COVID-19 is a disease affecting mainly the respiratory system, but the manifestations of the infection can be multi-organs. The effect of this disease on the mental state of patients cannot be neglected. In this case report, we presents the case of a fifteen years old boy who developed manic symptoms after the acute phase of the disease.

Psychiatric disorders in patients with amyotrophic lateral sclerosis

MUDr. Jana Milerová, Ph.D.

Psychiatr. praxi. 2023;24(1):22-26  

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease leading to muscle weakness and death within 2-5 years. In the absence of a causal treatment, care focuses on reducing the concomitant complications of ALS. Psychiatric issues in ALS patients are common and neglected in clinical practice. The disorders described here - behavioral and cognitive symptoms of frontotemporal degeneration, pseudobulbar affect, and depressive and anxiety disorders - negatively modify the course of the underlying disease, shorten survival time, significantly exacerbate the suffering of ALS patients, and substantially reduce the quality of life and...

Agitated and aggressive patient in neuropsychiatry: Are we using non­‑pharmacological procedures correctly?

prof. MUDr. Jan Vevera, Ph.D.

Psychiatr. praxi. 2023;24(1):27-31  

Almost every healthcare worker meets patients with aggressive behavior, Deescalation is the way of behavior and communication which leads to a decrease of tension in the patient as well as caregivers. The first important step is an assessment of the situation. The safety of healthcare professional is essential. It is important to be aware of our own reactions, stay calm and find out real causes of agitation and violence. The second step is a correct communication based on informing patient about what happens and will happen which enhances his trust., don´t give an impulsive answer and identify the reason of patient's agitation. The consistency of verbal...

Co lze udělat pro pacienty se subsyndromální úzkostí?

MUDr. Andrea Skálová

Psychiatr. praxi. 2023;24(1):56-58  

Otázky a odpovědi v léčbě schizofrenie

MUDr. Jozef Višňovský

Psychiatr. praxi. 2023;24(1):51-55 | DOI: 10.36290/psy.2023.006  

Paliperidon palmitát v terapii schizofrenie

MUDr. Jonáš Boček

Psychiatr. praxi. 2023;24(1):59-62 | DOI: 10.36290/psy.2023.007  

Rychle působící antidepresiva -otázky a odpovědi

Otázky: prof. MUDr. Bc. Libor Ustohal, Ph.D., Odpovědi: MUDr. Eliška Bartečková, Ph.D.

Psychiatr. praxi. 2023;24(1):48-50 | DOI: 10.36290/psy.2023.005