Class 4

Question 1

What to prescribe MDD + psychotic features

Answer 1

antipsychotic and antidepressant treatment, ECT for some cases

Question 2

Time to response dep with psychotic features

Answer 2

same but prognosis is worst.

Question 3

Response to antipsychotics time

Answer 3

within 1 week

Question 4

Response for treatment for antidepressants time

Answer 4

: within 2 weeks, most guidelines will say 4 weeks

Question 5

Remission time with antidepressants

Answer 5

8 weeks

Question 6

Switch antidepressants when

Answer 6

it’s the 1st antidepressant trial, poorly tolerated s/e, no response (less than 25%), more time to wait for a response (less severe, less functional impairment), pt preference

Question 7

Alcohol and concerta

Answer 7

enhance the adverse classic effects of concerta, to be avoided completely

Question 8

Bupropion and concerta

Answer 8

high risk of increased seizures, shouldn’t be prescribed

Question 9

Bupropion & ROH

Answer 9

consider therapy modification, minimize alcohol, lower alcohol tolerance and lower seizure threshold

Question 10

Principles of Clinical Management

Answer 10

Conduct a thorough biopsychosocial assessment, using clinical scales.
Obtain collateral information whenever possible.
Formulate a diagnosis and differential diagnosis.
Establish a therapeutic alliance.
Support education and self-management
Engage the patient as a partner to determine treatment goals.
Construct a comprehensive management plan, including safety, together with the patient and his or her family (or other supports) if possible.
Deliver evidence-based treatments.
Monitor outcomes with measurement-based care

Question 11

Adjunct when

Answer 11

2/ more antidepressant trial, initial antidepressant well tolerates, partial response (more than 25%) to the initial antidepressant, specific residual symptoms/ s/w to the initial antidepressant that can be targeted, pt preference, less time to wait for a response (more severe, more functional impairment)