7/20

Question 1

ECT

Answer 1

one of the first line tx in patients with depression with psychotic features. It also is very good for patients who are catatonic, and patients who have tried several medications.

ECT is very good if rapid response is desired. SSRI’s and other antidepressants sometimes take 4-8 weeks for an effect to be seen whereas the response to ECT can sometimes be immediate.

Question 2

Pathophysiology of tardive dyskinesia

Answer 2

thought to be due to the up regulation and super sensitivity of the Dopamine receptors.

Question 3

treatment of very refractory bipolar disorder

Answer 3

augment lithium or valproate with a second generation anti-psychtoic, particularly quetapine.

Question 4

first line treatments for OCD

Answer 4

cognative behavioral therapy specifically exposure and response prevention and SSRI’s