{"id":31492,"date":"2019-04-12T14:45:52","date_gmt":"2019-04-12T12:45:52","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=31492"},"modified":"2019-04-12T14:48:49","modified_gmt":"2019-04-12T12:48:49","slug":"muj-syn-je-schizofrenik-a-nechce-se-lecit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=31492","title":{"rendered":"M\u016fj syn je schizofrenik a nechce se l\u00e9\u010dit!"},"content":{"rendered":"<p><strong>Dotaz: M\u00e1m syna, diagn\u00f3za paranoidn\u00ed schizobrenie, je mu t\u0159icet let, st\u00e1le odm\u00edt\u00e1 l\u00e9\u010dbu, co m\u00e1m d\u011blat?<\/strong> <!--more--><\/p>\n<hr \/>\n<p>&lt;p&gt;<\/p>\n<p><strong>Dotaz:\u00a0<\/strong> Dva roky se s t\u00edm jako matka pot\u00fdk\u00e1m a jsem naprosto bezradn\u00e1, st\u00e1l\u00e9 pobyty v Dob\u0159anech, a st\u00e1le doma tvrd\u00ed, \u017ee mu nic nen\u00ed, l\u00e9\u010dit se nechce, nikam chodit nebude a j\u00e1 m\u00e1m st\u00e1le m\u00e9n\u011b sil. V\u016fbec nev\u00edm, co m\u00e1m d\u011blat, kam se obr\u00e1tit, s k\u00fdm o tom hovo\u0159it a kdo by n\u00e1m pomohl obzvl\u00e1\u0161t\u011b s jeho odm\u00edt\u00e1n\u00edm l\u00e9\u010dby, mohl by mi n\u011bkdo pomoci poradit? Kdy\u017e nechce chodit k psycholo\u017ece, je mo\u017enost, \u017ee by psycholo\u017eka do\u0161la k n\u00e1m dom\u016f, \u017ee by i tu injekci dostal doma? Nechci tu pomoc \u0159e\u0161it jen t\u00edm, \u017ee zavol\u00e1m z\u00e1chranku a nech\u00e1m ho odv\u00e9zt do Dob\u0159an,\u00a0 pozn\u00e1m u\u017e prvn\u00ed p\u0159\u00edznaky schizofrenie a p\u0159esto mus\u00edm \u010dekat, a\u017e kdy opravdu je to z\u00e1va\u017en\u00e9 a nechat ho odv\u00e9zt, a p\u0159itom by bylo tak jednoduch\u00e9 \u0159e\u0161it to u\u017e p\u0159i t\u011bch prvotn\u00edch p\u0159\u00edznac\u00edch a j\u00e1 sama jsem naprosto bezradn\u00e1, dva roky pl\u00e1\u010du a \u010dek\u00e1m na z\u00e1zrak.<\/p>\n<p><strong>Odpov\u011b\u010f:<\/strong><\/p>\n<p>U schizofrenn\u00edch pacient\u016f se st\u00e1v\u00e1, \u017ee pacient v\u011b\u0159\u00ed sv\u00fdm halucinac\u00edm nebo blud\u016fm a mnohdy si nemysl\u00ed, \u017ee je nemocn\u00fd a m\u011bl by se l\u00e9\u010dit. Pokud m\u00e1 nav\u00edc i paranoidn\u00ed p\u0159\u00edznaky, pak p\u0159\u00ed\u010dinu sv\u00fdch\u00a0pot\u00ed\u017e\u00ed vid\u00ed v chov\u00e1n\u00ed jin\u00fdch lid\u00ed, mysl\u00ed si, \u017ee mu cht\u011bj\u00ed ubl\u00ed\u017eit, nebo \u017ee na n\u011bj chystaj\u00ed n\u011bjak\u00e9 spiknut\u00ed apod..<\/p>\n<p>Odm\u00edt\u00e1n\u00ed l\u00e9\u010dby je u schizofrenik\u016f \u010dast\u00e9, k tomuto jevu doch\u00e1z\u00ed i po \u00fasp\u011b\u0161n\u00e9 hospitalizaci, kdy l\u00e9\u010dba v psychiatrick\u00e9 l\u00e9\u010debn\u011b zab\u00edr\u00e1 a pacient si uv\u011bdomuje, \u017ee je nemocn\u00fd a \u017ee l\u00e9\u010dbu pot\u0159ebuje. P\u0159esto po n\u00e1vratu do dom\u00e1c\u00edho prost\u0159ed\u00ed postupn\u011b od l\u00e9\u010dby upou\u0161t\u00ed a onemocn\u011bn\u00ed jej op\u011bt st\u00e1le v\u00edce ovl\u00e1d\u00e1.<\/p>\n<p>B\u011b\u017en\u00e1 praxe je skute\u010dn\u011b takov\u00e1, \u017ee pokud rodina nen\u00ed schopna nemocn\u00e9ho k l\u00e9\u010db\u011b p\u0159esv\u011bd\u010dit, existuje mo\u017enost nedobrovoln\u00e9 hospitalizace a l\u00e9\u010dby, a to tehdy, kdy\u017e je nemocn\u00fd nebezpe\u010dn\u00fd sob\u011b nebo sv\u00e9mu okol\u00ed. Pak lze zavolat z\u00e1chranku, kter\u00e1 pacienta doprav\u00ed k psychiatrick\u00e9mu vy\u0161et\u0159en\u00ed. Pokud psychiatr shled\u00e1 pacienta nebezpe\u010dn\u00fdm, m\u016f\u017ee na\u0159\u00eddit nedobrovolnou hospitalizaci, kterou ov\u0161em mus\u00ed nahl\u00e1sit soudu.<\/p>\n<p>Na\u0159izovat n\u011bkomu, \u017ee se mus\u00ed l\u00e9\u010dit, i kdy\u017e jeho p\u0159\u00edznaky nejsou natolik z\u00e1va\u017en\u00e9, \u017ee by mohl ubl\u00ed\u017eit sob\u011b nebo jin\u00e9mu, nen\u00ed podle sou\u010dasn\u00e9 zdravotnick\u00e9 legislativy mo\u017en\u00e9.<\/p>\n<p>Psychiatr obvykle nem\u00e1 n\u011bjak\u00e9 mo\u017enosti potenci\u00e1ln\u00edho pacienta do sv\u00e9 ordinace p\u0159iv\u00e9zt, nem\u00e1 z\u0159\u00edzence, kter\u00fd by d\u011blal v\u00fdjezdy do ter\u00e9nu.<\/p>\n<p>Psychiatr m\u016f\u017ee v p\u0159\u00edpad\u011b, \u017ee se od p\u0159\u00edbuzn\u00fdch pacienta dozv\u00ed, \u017ee se jeho p\u0159\u00edznaky v\u00fdznamn\u011b zhor\u0161uj\u00ed, po\u017e\u00e1dat praktick\u00e9ho l\u00e9ka\u0159e, aby v rodin\u011b provedl n\u00e1v\u0161t\u011bvu, situaci posoudil a pacientovi l\u00e9\u010den\u00ed na psychiatrii doporu\u010dil. Na pacienta mnohdy autorita l\u00e9ka\u0159e zap\u016fsob\u00ed a psychiatra nav\u0161t\u00edv\u00ed.<\/p>\n<p>Obdobnou n\u00e1v\u0161t\u011bvu m\u016f\u017ee prov\u00e9st i psycholo\u017eka, pokud j\u00ed tento v\u00fdkon zdravotn\u00ed poji\u0161\u0165ovna zaplat\u00ed a pokud j\u00ed to vyt\u00ed\u017een\u00fd program dovol\u00ed.<\/p>\n<p>Se \u017e\u00e1dost\u00ed o radu se doporu\u010duji obr\u00e1tit p\u0159edev\u0161\u00edm na psychiatra, kter\u00fd Va\u0161eho syna ji\u017e o\u0161et\u0159oval, a podrobn\u011b s n\u00edm Va\u0161i situaci rozebrat a nechat si poradit postup, jak m\u00e1 rodina posti\u017een\u00e9ho p\u0159im\u011bt k l\u00e9\u010db\u011b. Stejn\u011b tak V\u00e1m m\u016f\u017ee poradit i psycholo\u017eka, kter\u00e1 ji\u017e s Va\u0161\u00edm synem pracovala.<\/p>\n<p class=\"uvod\">D\u016fle\u017eitou roli maj\u00ed tak\u00e9 asociace rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f du\u0161evn\u011b nemocn\u00fdch, co\u017e jsou sdru\u017een\u00ed lid\u00ed s podobn\u00fdm osudem, jako m\u00e1te Vy, kde V\u00e1m mohou pomoci radou a vlastn\u00edmi zku\u0161enostmi. <strong>Sdru\u017een\u00ed pomoci du\u0161evn\u011b nemocn\u00fdm \u010cR z.s.<\/strong> m\u00e1 \u0159adu region\u00e1ln\u00e1\u00edch spolk\u016f, obr\u00e1tit se se \u017e\u00e1dost\u00ed o kontaktn\u00ed informace m\u016f\u017eete nap\u0159. na ing. Z\u00e1vi\u0161ka\u00a0 zavisek@volny.cz<\/p>\n<p class=\"uvod\">Dal\u0161\u00ed podobnou organizac\u00ed je <strong>Sympathea<\/strong>, organizace p\u0159\u00edbuzn\u00fdch du\u0161evn\u011b nemocn\u00fdch, je\u017e s\u00eddl\u00ed v <span class=\"contact-street\">Bulharsk\u00e1 26, <\/span><span class=\"contact-suburb\">Praha<\/span><\/p>\n<p class=\"uvod\">Poradenstv\u00ed i pr\u00e1vn\u00edho charakteru poskytuje <strong>\u010cesk\u00e1 asociace pro psychick\u00e9 zdrav\u00ed<\/strong> http:\/\/www.capz.cz<\/p>\n<p class=\"uvod\">Existuje \u0159ada dal\u0161\u00edch organizac\u00ed, kter\u00e9 pom\u00e1haj\u00ed rodin\u00e1m, kde se vyskytuj\u00ed du\u0161evn\u00ed onemocn\u011bn\u00ed.<\/p>\n<p class=\"uvod\">Pomoci m\u016f\u017ee i tzv. <strong>peer konzultant<\/strong> \u010di peer pracovn\u00edk, kter\u00fd pracuje v soci\u00e1ln\u00edch slu\u017eb\u00e1ch a m\u00e1 stejnou zku\u0161enost nebo probl\u00e9m jako du\u0161evn\u011b nemocn\u00fd. Funguje jako jak\u00fdsi d\u016fv\u011brn\u00edk, poradce, kamar\u00e1d, n\u011bkdo, kdo m\u00e1 stejn\u00e9 onemocn\u011bn\u00ed, ale \u00fasp\u011b\u0161n\u011b se l\u00e9\u010d\u00ed.<\/p>\n<div>Vhodn\u00e9 je obr\u00e1tit se na n\u011bkterou z organizac\u00ed <strong>soci\u00e1ln\u00edch slu\u017eeb<\/strong> zam\u011b\u0159en\u00fdch na c\u00edlovou skupinu lid\u00ed s du\u0161evn\u00edm onemocn\u011bn\u00edm. Vy\u0161kolen\u00fd soci\u00e1ln\u00ed pracovn\u00edk se individu\u00e1ln\u011b v\u011bnuje pacientovi, jeho pr\u00e1ce je zam\u011b\u0159en\u00e1 na intervenci do klientova prost\u0159ed\u00ed a n\u00e1sledn\u011b nav\u00e1z\u00e1n\u00ed vztahu mezi klientem a soci\u00e1ln\u00edm pracovn\u00edkem. Snahou individu\u00e1ln\u00ed soci\u00e1ln\u00ed pr\u00e1ce je, aby klient zm\u011bnil svoje vadn\u00e9 \u017eivotn\u00ed postoje a byl schopen samostatn\u011b \u0159e\u0161it sv\u00e9 osobn\u00ed, rodinn\u00e9 i spole\u010densk\u00e9 probl\u00e9my, v\u010detn\u011b sv\u00e9 l\u00e9\u010dby. P\u0159\u00ednosn\u00e1 m\u016f\u017ee b\u00fdt i skupinov\u00e1 soci\u00e1ln\u00ed pr\u00e1ce s pacientem.<\/div>\n<div><\/div>\n<div>Mo\u017enost\u00ed je tedy cel\u00e1 \u0159ada, je t\u0159eba kontaktovat p\u0159\u00edslu\u0161n\u00e9 odborn\u00edky, nechat si od nich poradit a vyu\u017e\u00edt v maxim\u00e1ln\u00ed m\u00ed\u0159e slu\u017eeb, kter\u00e9 jsou poskytov\u00e1ny, v\u010detn\u011b asistence.<\/div>\n<div><\/div>\n<div>MUDr. Jan \u010cin\u010dura<\/div>\n<div><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: M\u00e1m syna, diagn\u00f3za paranoidn\u00ed schizobrenie, je mu t\u0159icet let, st\u00e1le odm\u00edt\u00e1 l\u00e9\u010dbu, co m\u00e1m d\u011blat?<\/p>\n<\/div>","protected":false},"author":1,"featured_media":21147,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-31492","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31492"}],"version-history":[{"count":1,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31492\/revisions"}],"predecessor-version":[{"id":31507,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31492\/revisions\/31507"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21147"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}