MODULE 6 PSYCH

Question 1

What are the 3 main categories of risk associated with psych disorders:

Answer 1

1. Mental Disorders (sxs, performance disturbances)
2. Residual Sxs (intermittent impairments)
3. Pharmacological Effects

Question 2

Do Recommendations Support automatic DQ for psych diagnosis?

Answer 2

NO, not solely on diagnosis. Need to assess the whole picture.

Question 3

Can ADHD patients be qualified?

Answer 3

Yep! As long as all the things (treatment, monitored, stable, no side effects, compliant, etc.)

MAX OF 1 YEAR CERT

Question 4

CNS Stimulants Certification Period

Answer 4

1 year MAX (as long as it isn’t taken for NARCOLEPSY

Question 5

Patient Comes in for certification, recently newly diagnosed with Major Depression and/or Bipolar, can we qualify?

Answer 5

NO - 6 month waiting period.

If after 6 months, he comes back and everything is in order, we can qualify for 1 year max…. as long as they’re meeting with their treating provider for mental health eval every 2 years

Question 6

What things do we need to consider about anti-depressants?

Answer 6

DQ if using 1st generation anti-depressants (Elavil, Tofranil)… except under special circumstance.

People on anti-depressants have 1 year max cert period

Question 7

Lithium Recs?

Answer 7

Not automatic DQ… as long as all the things are in order

Question 8

Anxiolytic, Sedatives, Hypnotics ….

Answer 8

As long as they have no significant next day effects … short acting half life (< 5 hours)

Max Cert 2 years

Question 9

Does Electroconvulsive Therapy DQ?

Answer 9

Not automatically. 6 month waiting period, and no ongoing / maintenance ECT or side effects from 1st treatment

Question 10

Personality disorders cert period?

Answer 10

1 year max, not automatically DQ

Question 11

What Conditions are auto DQ?

Answer 11

Schizophrenia & Active Psychosis