{"id":47211,"date":"2024-03-20T05:03:57","date_gmt":"2024-03-20T04:03:57","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=47211"},"modified":"2024-03-20T05:05:36","modified_gmt":"2024-03-20T04:05:36","slug":"cekaci-doba-na-termin-u-detskeho-psychiatra-je-az-6-mesicu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=47211","title":{"rendered":"\u010cekac\u00ed doba na term\u00edn u d\u011btsk\u00e9ho psychiatra je a\u017e 6 m\u011bs\u00edc\u016f"},"content":{"rendered":"\n

D\u011btsk\u00e1 psychiatrick\u00e1 p\u00e9\u010de u\u017e n\u011bkolik let nar\u00e1\u017e\u00ed na sv\u00e9 limity. P\u0159ib\u00fdv\u00e1 d\u011bt\u00ed, je\u017e tr\u00e1p\u00ed \u00fazkosti a deprese, mnohdy prov\u00e1zen\u00e9 poruchou p\u0159\u00edjmu potravy nebo sebepo\u0161kozov\u00e1n\u00edm. Chyb\u00ed v\u0161ak odborn\u00edci, kte\u0159\u00ed by se jim mohli v\u011bnovat. Dostat se do p\u00e9\u010de psychiatrick\u00e9ho l\u00e9ka\u0159e trv\u00e1 pr\u016fm\u011brn\u011b 5\u20136 m\u011bs\u00edc\u016f. Zoufal\u00ed rodi\u010de proto \u010dasto kontaktuj\u00ed v\u00edce psychiatrick\u00fdch ambulanc\u00ed, obrac\u00ed se na pohotovosti nebo hledaj\u00ed pomoc u praktik\u016f. O\u00a0bli\u017e\u0161\u00ed spolupr\u00e1ci d\u011btsk\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f s\u00a0psychiatry proto budou hovo\u0159it odborn\u00edci na 18. kongresu prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00fd startuje 22. b\u0159ezna v\u00a0Praze.<\/strong><\/p>\n\n\n\n

\u201eV psychiatrick\u00e9 p\u00e9\u010di dlouhodob\u011b chyb\u00ed koncepce. To, \u017ee to m\u00e1me syst\u00e9m, kter\u00fd dob\u0159e fungoval v\u00a090. letech, neznamen\u00e1, \u017ee je funk\u010dn\u00ed dnes. V\u00fdrazn\u011b n\u00e1m p\u0159ib\u00fdv\u00e1 dosp\u011bl\u00fdch a\u00a0d\u011btsk\u00fdch pacient\u016f, zejm\u00e9na adolescent\u016f. Vytv\u00e1\u0159\u00ed to prostor pro nestandardn\u00ed \u0159e\u0161en\u00ed, jako je obch\u00e1zen\u00ed syst\u00e9mu za pomoci zn\u00e1m\u00fdch nebo n\u00e1v\u0161t\u011bva pohotovosti se stavem, kter\u00fd ani zdaleka nen\u00ed akutn\u00ed,\u201c<\/em> vysv\u011btluje MUDr. Michal Pova\u017ean, prim\u00e1\u0159 d\u011btsk\u00e9ho odd\u011blen\u00ed Psychiatrick\u00e9 nemocnice Bohnice, kter\u00fd na kongresu p\u0159edn\u00e1\u0161\u00ed. <\/p>\n\n\n\n

Podle ned\u00e1vn\u00e9ho v\u00fdzkumu N\u00e1rodn\u00edho monitoringu du\u0161evn\u00edho zdrav\u00ed d\u011bt\u00ed vykazuje a\u017e 40 % \u017e\u00e1k\u016f dev\u00e1t\u00fdch t\u0159\u00edd zn\u00e1mky st\u0159edn\u00ed a\u017e t\u011b\u017ek\u00e9 deprese a 30 % m\u00e1 probl\u00e9m s\u00a0\u00fazkostmi. \u201eKrom\u011b toho se mnohem \u010dast\u011bji setk\u00e1v\u00e1me s\u00a0tzv. dysmorfofobi\u00ed neboli poruchou hodnocen\u00ed vlastn\u00edho t\u011bla \u010di genderovou dysfori\u00ed, tedy nesouladem s vlastn\u00edm biologick\u00fdm pohlav\u00edm,\u201c<\/em> dopl\u0148uje prim\u00e1\u0159 Pova\u017ean.<\/p>\n\n\n\n

S\u00a0p\u00e9\u010d\u00ed o stabilizovan\u00e9 pacienty proto pom\u00e1haj\u00ed l\u00e9ka\u0159i prim\u00e1rn\u00ed p\u00e9\u010de. \u201eV na\u0161\u00ed ordinaci se star\u00e1me o n\u011bkolik d\u011btsk\u00fdch pacient\u016f, adolescent\u016f, kte\u0159\u00ed se pot\u00fdkaj\u00ed se stavy \u00fazkosti nebo s\u00a0depres\u00ed. \u010casto s\u00a0rodi\u010di \u0159e\u0161\u00edme tak\u00e9 akutn\u00ed stavy \u00fazkosti, kdy je na tom d\u00edt\u011b psychicky natolik \u0161patn\u011b, \u017ee nen\u00ed schopno doj\u00edt do \u0161koly, vykon\u00e1vat b\u011b\u017en\u00e9 aktivity, doch\u00e1z\u00ed u n\u011bj k\u00a0sebepo\u0161kozov\u00e1n\u00ed. P\u0159ed 15 lety jsme nic takov\u00e9ho neza\u017e\u00edvali,\u201c<\/em> popisuje MUDr. Ilona H\u00fclleov\u00e1, p\u0159edsedkyn\u011b Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost. <\/p>\n\n\n\n

Krom\u011b praktick\u00fdch l\u00e9ka\u0159\u016f pom\u00e1haj\u00ed \u0159e\u0161it n\u011bkter\u00e9 psychick\u00e9 stavy d\u011bt\u00ed tak\u00e9 rodinn\u00ed terapeuti nebo psychologov\u00e9. Je v\u0161ak \u0159ada p\u0159\u00edpad\u016f, kdy je p\u00e9\u010de psychiatra nezastupiteln\u00e1. \u201ePokud se n\u00e1m pacient del\u0161\u00ed dobu nezlep\u0161uje, p\u0159ib\u00fdv\u00e1 u n\u011bj akutn\u00edch z\u00e1chvat\u016f, nebo m\u00e1 dokonce sebevra\u017eedn\u00e9 sklony, rad\u00edme se s\u00a0psychiatrem a p\u0159ed\u00e1v\u00e1me pacienta do jeho p\u00e9\u010de. St\u00e1v\u00e1 se, \u017ee nasazujeme medikaci p\u0159ed prvn\u00edm psychiatrick\u00fdm vy\u0161et\u0159en\u00edm, a to v\u010detn\u011b antidepresiv. Bohu\u017eel rodi\u010de na konzultaci \u010dekaj\u00ed i n\u011bkolik m\u011bs\u00edc\u016f. P\u0159epln\u011bn\u00e1 jsou \u010dasto tak\u00e9 l\u016f\u017ekov\u00e1 psychiatrick\u00e1 odd\u011blen\u00ed,\u201c<\/em> shrnuje MUDr. H\u00fclleov\u00e1.<\/p>\n\n\n\n

Odborn\u00edci se shoduj\u00ed na tom, \u017ee psychick\u00e9 pohod\u011b d\u011bt\u00ed p\u0159\u00edli\u0161 nepomohla striktn\u00ed covidov\u00e1 na\u0159\u00edzen\u00ed, kter\u00e1 je izolovala od vrstevn\u00edk\u016f a z\u00e1lib a upoutala k\u00a0televizn\u00edm \u010di po\u010d\u00edta\u010dov\u00fdm obrazovk\u00e1m. Nen\u00ed to v\u0161ak jedin\u00e1 p\u0159\u00ed\u010dina. Stavy \u00fazkosti a deprese jsou \u010dasto d\u016fsledkem dlouhodob\u00e9ho stresu a tlaku na v\u00fdkon. Rodi\u010d\u016fm proto l\u00e9ka\u0159i rad\u00ed na d\u011bti tolik netla\u010dit, a\u0165 u\u017e ve \u0161kole, \u010di v d\u011btsk\u00fdch krou\u017ec\u00edch. Z\u00e1rove\u0148 by jim v\u0161ak m\u011bli rodi\u010de nastavit jasn\u00e9 hranice. <\/p>\n\n\n\n

\u201eU\u017e dlouho v\u00edme, \u017ee pro psychiku \u0161koln\u00edch d\u011bt\u00ed nen\u00ed ide\u00e1ln\u00ed vst\u00e1vat v\u00a06 hodin r\u00e1no a vy\u017eadovat od nich u\u017e v\u00a08 hodin plnou pozornost. Naopak co pom\u00e1h\u00e1, je m\u00edt dostatek pohybu, mo\u017enost odpo\u010dinout si u aktivity, kter\u00e1 nen\u00ed zam\u011b\u0159ena na v\u00fdkon, a neb\u00fdt zav\u0159en\u00fd jen doma nebo ve \u0161kole,\u201c<\/em> rad\u00ed prim\u00e1\u0159 Pova\u017ean.<\/p>\n","protected":false},"excerpt":{"rendered":"

D\u011btsk\u00e1 psychiatrick\u00e1 p\u00e9\u010de u\u017e n\u011bkolik let nar\u00e1\u017e\u00ed na sv\u00e9 limity. P\u0159ib\u00fdv\u00e1 d\u011bt\u00ed, je\u017e tr\u00e1p\u00ed \u00fazkosti a deprese, mnohdy prov\u00e1zen\u00e9 poruchou p\u0159\u00edjmu potravy nebo sebepo\u0161kozov\u00e1n\u00edm. Chyb\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21892,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-47211","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/47211","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=47211"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/47211\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21892"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=47211"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=47211"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=47211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}