PSYCH

Question 1

What herbal supplement has good evidence for the treatment of anxiety including GAD?

Answer 1

Kava

Metabolized by the liver.

Question 2

Which SSRI is most likely to cause withdrawal symptoms if stopped too quickly?

Answer 2

Venlafaxime (Effexor)

Symtoms include: agitation, anorexia, confusion, impaired coordination, seizures, sweating, tremor, and vomiting.

Question 3

What the basic difference between Cognitive therapy and Psychoanalysis?

Answer 3

Cognitive therapy: Correct false self-beliefs that can lead to negative moods and behaviors (good for unipolar major depression)

Psychoanalysis: Repressed memories are recovered.

Question 4

Drugs that increase serotonin levels (caution in combo with SSRIs).

Answer 4

MOAIs

Tramadol

Sibutramine

Meperidine

Sumatriptan

Lithium

St. John’s wort and Ginkgo biloba

**Atypical antipsychotic agents. **