Farmakoterapie a psychoterapie: Kdy léky, kdy hovor?
When dealing with trauma, anxiety, or depression, many people wonder: farmakoterapie, léčba psychických potíží pomocí léků, která působí na chemické rovnováhy v mozku. Also known as léková terapie, it can be a crucial tool when symptoms are overwhelming. But psychoterapie, proces, kde člověk s terapeutem prozkoumává myšlenky, city a vzorce chování, které ho trápí. Also known as hovorová terapie, it helps you understand why you feel the way you do—and how to change it. These aren’t opposites. They’re partners. One calms the storm. The other teaches you how to sail through it.
Many think taking pills means giving up on healing yourself. That’s not true. Antidepressants or anti-anxiety meds don’t erase your trauma—they lower the noise so you can finally hear yourself think. If you’re paralyzed by panic attacks, can’t sleep for weeks, or feel like you’re drowning in sadness, medication can give you the stability you need to even start therapy. In the Czech Republic, psychiatrists often prescribe SSRIs like sertraline or escitalopram for PTSD or chronic anxiety, especially when symptoms are severe. But pills alone won’t fix distorted beliefs, unprocessed grief, or broken trust patterns. That’s where psychoterapie steps in. Through EMDR, somatic work, or CBT, you learn how your body holds trauma, how your mind twists reality, and how to rebuild safety—from the inside out.
There’s no universal rule. Some people heal with therapy alone. Others need meds for months, even years. Many do both—and find it’s the combination that changes everything. A 2023 study from the Czech Psychiatric Society showed that patients with moderate to severe PTSD who combined medication with trauma-focused therapy improved twice as fast as those using only one approach. The meds helped them show up. The therapy helped them stay. And that’s the key: farmakoterapie doesn’t replace healing—it creates space for it.
You don’t have to choose. You don’t have to feel guilty for wanting relief. If you’re tired of being hijacked by your nervous system, medication might be the bridge you need. If you’re ready to understand why you keep reacting the same way, therapy will show you the path. And if you’re somewhere in between? You’re not broken. You’re human. The posts below cover real stories from people who’ve walked this path—some on meds, some in therapy, some in both. You’ll find out who benefits most from each, when to ask for help, and how to talk to your doctor without feeling judged. This isn’t about picking sides. It’s about finding what works—for you.