CANMAT CAM

Question 1

What is the only 1st line physical therapy?

Answer 1

light therapy for seasonal MDD-acute

Question 2

What are the 2nd line physical therapies?

Answer 2

exercise
yoga
light therapy for non seasonal MDE
level 2 
adjunctive
mild-mod MDD

Question 3

What are the 3rd line physical therapies?

Answer 3

sleep deprivation
level 2, but so impractical
adjunctive
mild-mod dep

Question 4

Which physical therapy has insufficient evidence

Answer 4

acupuncture

Question 5

recommendation level of light therapy?

Answer 5

1st line for seasonal MDE

2nd line for non seasonal mild- mod MDE

Question 6

recommendation level of exercise and yoga?

Answer 6

2nd line
adjunctive
mild-mod MDD

Question 7

recommendation level of sleep deprivation?

Answer 7

3rd line
adjunctive
mild-mod MDD

Question 8

recommendation level of acupuncture?

Answer 8

insufficient evidence to make recommendation

Question 9

What are the types of CAM in CANMAT?

Answer 9

physical therpaies
nutraceuticals
herbal therapies

Question 10

What are the types of physical therapies in CANMAT?

Answer 10

light
exercise
yoga
sleep deprivation
acupunture

Question 11

What are the nutraceuticals mentioned in CANMAT?

Answer 11

Omega-3
SAM-e
DHEA
Tryptophan
Folic Acid

Question 12

What are the 1st line nutraceuticals?

Answer 12

none are 1st line

Question 13

What are the 2nd line nutraceuticals for MDE?

Answer 13

Omega-3
SAM-e
both have L1
both monotherapy for mild to moderate depression
Omega 3 also adjunctive

Question 14

What are the 3rd line nutraceuticals for MDE?

Answer 14

DHEA, mono
FA, adj
both have L2

Question 15

What is the recommendation level of tryptophan for MDE

Answer 15

insufficient evidence to make a recommendation

bote: SE do not include seotonin syndrome

Question 16

What is the recommendation level of Omega 3?

Answer 16

2nd line mono or adj for mild to mod dep

L1

Question 17

What is the recommendation level of SAM-e?

Answer 17

2nd line mono for mild to mod dep
do not use adjunctively (serotonin syndrome)
L1

Question 18

What is the recommendation level of DHEA?

Answer 18

3rd line mono

L2

Question 19

What is the recommendation level of FA?

Answer 19

3rd line adj

L2

Question 20

what are the herbal therapies in CANMAT?

Answer 20

St. John’s wort
Crocus stavitus
gingko biloba

Question 21

What is the recommendation level for St.John’s wort?

Answer 21

1st line mothotherapy L1 for mild -mod depression
2nd line adjunctive therapy L2 for mild -mod depression
caution serotonin syndrome

Question 22

What is the recommendation level for Crocus sativus (saffron)?

Answer 22

third line monotherapy

L2 mild- mod severity

Question 23

What are the 1st line CAM?

Answer 23

St.JW 1st line mothotherapy L1 for mild -mod depression

light therapy is 1st line monotherapy for seasonal MDD-acute

Question 24

What are the CAM that can cause mania/hypomania?

Answer 24

light therapy
omega3
SAME
DHEA
St.JW

Question 25

What are the CAM that can cause serotonin syndrome?

Answer 25

SAM-E St JW not tryptophan (though its a precursor for serotonin)

Question 26

light therapy, how?

Answer 26

2500 lux X 2 hours Q am | or 10, 000 lux x 30 min Q am

Question 27

``` dose of: light therapy SAME St john's wort Crocus Sativus Omega 3 DHEA ```

Answer 27

``` 10,000 lux for 30 minutes 800-1600mg 500-1800mg 30mg 1-2 gm 30-450mg ```

Question 28

what are the monotherapies

Answer 28

light for seasonal MDE (1st line) it is 2nd adj for nonseasona SAME 2nd line(do not use as adj) Omega 3 (2nd line as mono or adj) DHEA 3rd line, only mono St.John's wort (1st line mono, 2nd line adj) Crocus sativuas (3rd line mono, or adj)