diff --git a/lua/neotest-python/base.lua b/lua/neotest-python/base.lua
index 6d4a3d3..41c6322 100644
--- a/lua/neotest-python/base.lua
+++ b/lua/neotest-python/base.lua
@@ -107,21 +107,45 @@ end
 ---@param python_command string[]
 ---@param config neotest-python._AdapterConfig
 ---@param runner string
----@return string
-local function scan_test_function_pattern(runner, config, python_command)
+---@return table {test_pattern: string, namespace_pattern: string}
+local function scan_pytest_config(runner, config, python_command)
   local test_function_pattern = "^test"
+  local namespace_pattern = "" -- For describe_prefixes
+  
   if runner == "pytest" and config.pytest_discovery then
     local cmd = vim.tbl_flatten({ python_command, M.get_script_path(), "--pytest-extract-test-name-template" })
     local _, data = lib.process.run(cmd, { stdout = true, stderr = true })
 
     for line in vim.gsplit(data.stdout, "\n", true) do
-      if string.sub(line, 1, 1) == "{" and string.find(line, "python_functions") ~= nil then
+      if string.sub(line, 1, 1) == "{" then
         local pytest_option = vim.json.decode(line)
-        test_function_pattern = pytest_option.python_functions
+        
+        -- Extract python_functions pattern
+        if pytest_option.python_functions then
+          test_function_pattern = pytest_option.python_functions
+        end
+        
+        -- Extract describe_prefixes pattern (from pytest-describe plugin)
+        if pytest_option.describe_prefixes then
+          local prefixes = vim.split(pytest_option.describe_prefixes, " ", { trimempty = true })
+          local prefix_patterns = vim.tbl_map(function(p)
+            return "^" .. p .. "_"
+          end, prefixes)
+          namespace_pattern = table.concat(prefix_patterns, "|")
+        end
       end
     end
   end
-  return test_function_pattern
+  
+  -- Default namespace patterns if none configured
+  if namespace_pattern == "" then
+    namespace_pattern = "^(describe_|context_|when_|given_|scenario_|requirement_)"
+  end
+  
+  return {
+    test_pattern = test_function_pattern,
+    namespace_pattern = namespace_pattern,
+  }
 end
 
 ---@param python_command string[]
@@ -129,9 +153,19 @@ end
 ---@param runner string
 ---@return string
 M.treesitter_queries = function(runner, config, python_command)
-  local test_function_pattern = scan_test_function_pattern(runner, config, python_command)
+  local patterns = scan_pytest_config(runner, config, python_command)
+  local test_function_pattern = patterns.test_pattern
+  local namespace_pattern = patterns.namespace_pattern
+  
   return string.format([[
-    ;; Match undecorated functions
+    ;; Match container functions (describe_*, context_*, when_*, given_*, scenario_*, requirement_*)
+    ;; These create namespaces for organizing tests
+    ((function_definition
+      name: (identifier) @namespace.name)
+      (#match? @namespace.name "%s"))
+      @namespace.definition
+
+    ;; Match undecorated test functions
     ((function_definition
       name: (identifier) @test.name)
       (#match? @test.name "%s"))
@@ -148,7 +182,7 @@ M.treesitter_queries = function(runner, config, python_command)
     (decorated_definition
       (class_definition
        name: (identifier) @namespace.name))
-      @namespace.definition
+       @namespace.definition
 
     ;; Match undecorated classes: namespaces nest so #not-has-parent is used
     ;; to ensure each namespace is annotated only once
@@ -158,7 +192,7 @@ M.treesitter_queries = function(runner, config, python_command)
       @namespace.definition
      (#not-has-parent? @namespace.definition decorated_definition)
     )
-  ]], test_function_pattern, test_function_pattern)
+  ]], namespace_pattern, test_function_pattern, test_function_pattern)
 end
 
 M.get_root =
diff --git a/neotest_python/pytest.py b/neotest_python/pytest.py
index 57e3e27..ca73508 100644
--- a/neotest_python/pytest.py
+++ b/neotest_python/pytest.py
@@ -240,8 +240,14 @@ def maybe_debugpy_postmortem(excinfo):
 class TestNameTemplateExtractor:
     @staticmethod
     def pytest_collection_modifyitems(config):
-        config = {"python_functions": config.getini("python_functions")[0]}
-        print(f"\n{json.dumps(config)}\n")
+        extracted_config = {"python_functions": config.getini("python_functions")[0]}
+
+        # Extract describe_prefixes if pytest-describe is configured
+        describe_prefixes = config.getini("describe_prefixes")
+        if describe_prefixes:
+            extracted_config["describe_prefixes"] = " ".join(describe_prefixes)
+
+        print(f"\n{json.dumps(extracted_config)}\n")
 
 
 def extract_test_name_template(args) -> int: