Pharmacology

Question 1

Self-injurious, aggressive behaviour

Answer 1

Lithium is licenced

Evidence for naltrexone is minimal and conflicting

Should be used for those refractory to other treatment options

Question 2

Lithium

Answer 2

EEG advised prior to commencement given increased risk of seizures in people with LD

Cautioned in people with epilepsy + LD, given increased frequency of convulsions at therapeutic doses and marked epileptogenic activity in OD

Question 3

Sexually inappropriate behaviour

Answer 3

Behavioural treatments first line

Anti-libidinal may be used in the case of sexual offending (e.g. cyproterone acetate, medroxyprogesterone, which reduce testosterone levels), under specialist guidance

Question 4

Psychosis

Answer 4

Antipsychotics - risperidone

Question 5

BPAD

Answer 5

Lithium

Lithium may also be used as an adjunct to antidepressants and may have some utility in controlling angry outbursts

Question 6

Depression

Answer 6

Antidepressants

May also be used in OCD, anxiety

Question 7

ADHD

Answer 7

Stimulants