Deck 2 Flashcards
Treatment of Dissociative Disorder (2)
Psychodynamic psychotherapy, hypnosis
Delusion Disorder vs. Illness Anxiety Disorder
Delusion disorder always involves the same illness/problem
Treatment of Illness Anxiety Disorder (2)
CBT, regular scheduled appointments
Required duration for Somatic Symptoms Disorder
6 months
Required duration for Bulimia
3 months
Most common electrolyte abnormalities in bulimia
Hypomagnesemia, hypokalemia, alkalosis
Pharmacologic management of bulimia
SSRIs
Pharmacologic treatment of anorexia
Olanzapine
Duration/Frequency required for Enuresis
3 months; BIW
First-line treatment of enuresis
Behavior modification techniques (e.g. bell and pad training)
Pharmacologic treatment of enuresis (2)
DDAVP, anticholinergics (e.g. tolterodine, oxybutynin)
Duration required for insomnia
3 months; diagnosis of exclusion
Pharmacotherapy for insomnia (4)
Ramelteon, Benzodiazepine Receptor Agonists, Trazodone, Antihistamines
Sleep Terror Disorder typically occurs during ___ wave sleep
delta
Nightmares occur during which phase of sleep?
REM
Symptom categories in conduct disorder (4)
Aggression (people/animals), theft/deceit, rule violation, property destruction
Number of symptoms required fro conduct disorder
3
Pharmacotherapy for conduct disorder
Risperidone
Most common substance abused
Alcohol
Wernicke Encephalopathy Triad
Ophthalmoplegia, ataxia, confusion
Korsakoff Syndrome hallmarks
Confabulation, amnesia, irreversible
Medications to reduce alcohol craving (2)
Naltrexone, Acamprosate
Naltrexone MOA
Opioid antagonist
Acamprosate MOA
Stabilizes glutaminergic function
Timing of alcohol withdrawal: tremulousness or jitteriness
6-8 hours
Timing of alcohol withdrawal: psychosis and perceptual symptoms
8-12 hours
Timing of alcohol withdrawal: seizures
12-24 hours
Timing of alcohol withdrawal: delirium tremens
24-72 hours
Preferred treatment of alcohol withdrawal if liver impaired
Lorazepam
Duration of cocaine withdrawal
2-4 days
Urine clearance of cocaine
72 hours
Opioid with most severe withdrawal
Heroin (shortest half life)
Treatment of opioid withdrawal (3)
Clonidine, methadone, buprenorphine
Pharmacologic treatment of tobacco use disorder
Bupropion, Varenicline
Bupropion MOA
NDRI
Varenicline MOA
Partial nAchR agonist
Signs more specific to PCP intoxication (4)
Dysarthria, nystagmus, hyperacusis, seizures
Treatment of PCP intoxication (3)
benzos (for muscle spasms, seizures), antipsychotics (for psychosis, agitation), antihypertensives
Benzodiazepine most likely to cause withdrawal symptoms
Alprazolam (short half life)
Treatment of benzodiazepine overdose
Flumazenil
Treatment of agitation in delirium
Antipsychotics
Treatment of mild-moderate dementia
Cholinesterase inhibitors (donepezil, galantamine, rivastigmine)
Treatment of moderate-severe dementia
Memantine (NMDA antagonists)
Cluster A Personality Disorders
Schizoid, Schizotypal, Paranoid
Cluster B Personality Disorders
Antisocial, Borderline, Histrionic, Narcissistic
Cluster C Personality Disorders
Dependent, Avoidant, Obsessive-Compulsive
Pharmacologic Treatment of Antisocial Personality Disorder
SSRI/mood stabilizers
Avoidant PD defenses (2)
projection, displacement
Pharmacologic Treatment of Avoidant PD
SSRI/beta blockers
Obsessive-Compulsive PD defense
reaction formation
Histrionic PD defense
reaction formation
First-line treatment of Histrionic PD
Group therapy
Schizotypal PD defenses (2)
projection, regression
Treatment of Schizotypal PD
Low-dose antipsychotic
Narcissistic PD defenses (2)
denial, idealization
Paranoid PD defense
projection
Borderline PD defenses (2)
projection, splitting
First-line treatment of Borderline PD
DBT