primary care psych

Question 1

what is the stepped care model for depression ?

Answer 1

1. assess, support, lifestyle, monitor
2. sleep hygiene, active monitoring, low-intensity psychological therapy, if PMH of depression then SSRI
3. SSRI, CBT, DVLA?
4. MDT assessment

Question 2

how do you manage non-responders ?

Answer 2

switch to different SSRI
different class
combine
add lithium/antipsychotic

Question 3

how do you assess suicide risk ?

Answer 3

suicidal thoughts
pervious attempts
homicide risk
impulsivity
access to lethal methods
current stressors
protective factors
if immediate risk refer urgently

Question 4

what is a questionnaire for anxiety ?

Answer 4

GAD-7

Question 5

what is the stepped care model for anxiety ?

Answer 5

1. education, active monitoring
2. low intensity psych intervention
3. CBT, SSRI
4. referral

Question 6

what are symptoms of panic attacks ?

Answer 6

palpitations
sweating
shaking
SOB
choking sense
chest pain
nausea
dizzy, lighthead
dissociating
fear

Question 7

how do you treat social anxiety disorder ?

Answer 7

CBT

sertraline, escitalopram

Question 8

how do you treat OCD ?

Answer 8

CBT
SSRI
clomipramie
buspirone + SSRI

Question 9

how do you treat insomnia ?

Answer 9

sleep hygiene
CBT - sleep diary

zopiclone only in severe