10 - PTSD

Question 1

Impaired functioning for at least __ month

Answer 1

1

Question 2

Psychotherapy and meds may be required in the first ___ weeks following trauma only unless there is impaired functioning

Answer 2

4

Question 3

What are 1st line options for PTSD?

Answer 3

fluoxetine, paroxetine, sertraline, venlafaxine

Question 4

What are 2nd line options for PTSD?

Answer 4

fluvoxamine, mirtazapine, moclobemide and phenelzine

Question 5

What can we augment with?

Answer 5

SGAs

Question 6

Treat for how long?

Answer 6

1 year usually (to reduce relapse rate and time to relapse)

Question 7

Monotherapy with ____ not recommended

Answer 7

BZD

Question 8

Is augmentation with BZD recommended?

Answer 8

not recommended but ok for short-term relief of anxiety or insomnia

Question 9

_____ for insomnia from PTSD

Answer 9

trazodone

Question 10

____ for nightmares from PTSD

Answer 10

prazosin

Question 11

What do we use for pregnancy?

Answer 11

therapy plus SSRI or SNRI (not paroxetine)

**NOT benzos as they have risk of orofacial malformations

Question 12

What do we use for breastfeeding?

Answer 12

therapy plus paroxetine or sertraline