Behavioral/Psych Review Flashcards
Expressing UNacceptable feelings through actions
Acting out
Behaving as if an aspect of reality does NOT exist
Denial
Transferring feelings to less threatening object/person
Displacement
Focusing on non-emotional aspects to avoid distressing feelings
Intellectualization
Avoiding Conflict by expressing hostility covertly
Passive aggression
Attributing one’s own feelings to others
Projection
Justifying behavior to avoid difficult truths
Rationalization
Transforming Unacceptable feelings/impulses into the opposite
Reaction Formation
Reverting to earlier developmental stage
Regression
Experiencing a person/situation as either all positive or all negative
Splitting
Channeling impulses into socially acceptable behaviors
Sublimation
Putting unwanted feelings aside to cope with reality
Suppression
Sudden, sustained contraction of the neck, mouth, tongue and eye muscles
Acute Dystonia
Treatment for Acute Dystonia
- Benztropine
- Diphenhydramine
Subjective restlessness; inability to sit still
Akathisia
Treatment for Akathisia
- Beta-blocker
- Benzos (lorazepam)
- Benztropine
Gradual-onset tremor, rigidity, and bradykinesia
Parkinsonism
Treatment for Parkinson’s (tremors)
- Benztropine
- Amantadine
Gradual onset AFTER prolonged therapy (>6 months); dyskinesia of the mouth, face, trunk, and extremities
Tardive Dyskinesia
Treatment for Tardive Dyskinesia
- Valbenazine
First Line treatment for Bipolar Disorder
Lithium
What drugs are C/I with lithium usage?
- Thiazide Diuretics
- Loop Diuretics
A pregnant pt comes in for 1st prenatal visit. She is taking valproic acid for bipolar disorder and does not want to switch medications. What do you do?
- educate strongly about possibility of birth defects
- give lots of folic acid
MOA of Buspirone
Partial 5-HT1a receptor antagonist
SE: GI upset
Which atypical antipsychotic puts you at a risk for diabetes and dyslipidemia?
Olazapine
First line treatment for Narcolepsy
Modafinil
A 32 year old pt comes in complaining of decreased libido and gaining 10 lbs since 3 months after starting on fluoxetine. What can you switch the patient to?
Wellbutrin (bupropion)
Why should you NOT give a bipolar patient sertraline?
Provokes Mania
(don’t give them any SSRIs or SNRIs)
Which SSRI has the longest half-life?
Fluoxetine
MOA of Varenicline
Nicotinic Ach receptor partial agonist
What drug reduces cravings in a smoker and prevents relapse?
Varenicline
(or bupropion)
What do we prefer clomipramine for?
OCD
Bupropion is contraindicated in what types of patients?
- Bulimia (binge-purge type)
- Seizures
lowers seizure threshold
Which SNRI is used to treat OCD?
Venlafaxine
Which SNRI is used to treat PTSD?
Venlafaxine
SE of Amitriptyline
Three C’s
- Cardiotoxicity
- Convulsions
- Coma
Which TCA is preferred in the elderly and why?
- Nortriptyline
less anticholinergic effects than tertiary TCAs
Which TCA treats sleep enuresis?
Imipramine
Treatment for Amitriptyline Overdose
Sodium Bicarb (NaHCO3)
DOC for ADHD
- amphetamine salts
- methylphenidate
- dextroamphetamine
How do you treat an amphetamine overdose?
benzos !
Non-stimulant medication option for ADHD
- Atomoxetine !!
Treatment for Serotonin Syndrome
Cyproheptadine
5-HT2 receptor antagonist
Treatment for treatment-resistance schizophrenia
Clozapine
A child has nightmares and they don’t remember then when they wake up
Sleep Terror Disorder
What stage of sleep do nightmares occur?
REM (thats why you can remember them)
Name the Disorder:
- Sensory or motor deficits following stress that are not medically explained
- Not Intentional
Conversion Disorder
Name the Disorder:
- multiple recurrent physical symptoms
- unintentional and not explained by medicine
- recurrent med/ER trips, etc.
Somatic Symptom Disorder
Name the Disorder:
- intentional induction of disease or reporting of symptoms
- patient has a direct benefit from appearing ill
Malingering
Name the Personality Disorder
- distrust of others
- suspicious
- cynical view of the world
Paranoid
Name the Personality Disorder
- odd beliefs
- awkward
Schizotypal
Name the Personality Disorder
- likes to be left alone
- indifferent to the presence of others
Schizoid
(doesn’t care about having friends)
Name the Personality Disorder
- aggressive behavior toward people or animals
- has no remorse after hurting someone or their property
Antisocial (> 18 y/o)
called Conduct Disorder if < 18 y/o
Name the Personality Disorder
- unstable relationships
- self mutilation
- fear of abandonment
Borderline
Name the Personality Disorder
- seeking attention
- dramatic
Histrionic
Name the Personality Disorder
- can’t handle criticism
- no empathy
- self entitled
Narcissistic
Name the Personality Disorder
- wants relationships
- fear of criticism or embarassment
Avoidant
Name the Personality Disorder
- very clingy
- needs others for support
Dependent
Name the Personality Disorder
- preoccupied with details; perfectionist
- likes control
Obsessive Compulsive Personality Disorder
1st line Tx for Bipolar Disorder
Lithium
2nd line Treatment for Bipolar Disorder
Valproic Acid
What anti-epileptic agent used to treat manic episodes of Bipolar Disorder?
Carbamazapine
1st Line for Major Depression Disorder
SSRIs
1st Line for Generalized Anxiety Disorder
SSRIs
1st Line for OCD
SSRIs
Which atypical antipsychotic increases QT interval the MOST?
ziprasadone
