Psych Flashcards
Mild-mod depression tx
CBT is best
Serotonin syndrome
Too much of the drug
AMS, neuromuscular change
Potentially life threatening
Cymbalta black box warning
Liver failure
Elderly depression treatment
Remeron
Bc causes appetite increase and wt gain
MAOIs
Tyramine restricted diet – can otherwise cause hypertensive crisis
Interacts with other antidepressants
Avoid What meds in pregnant in pts?
St. John’s wort
Paroxetine
Tricyclics
MAOIs
(SSRIs are ok)
First line treatment for depression
SSRIs
Bipolar I
Depression w/ at least 1 week of mania - DIG FAST Distractability Insomnia Grandiose thght Flight of ideas Activity increase Speech rapid Thoughtlessness - no consequences
Bipolar II
Hypomania with out psychosis
Bipolar treatment
Lithium for mania and lamictal for depression together are good
Depakote for mania , DONT use with lamictal - bad , cause SJS
Somatization
Multiple unexplained symptoms in multiple organ systems
Malingering
Faking for secondary gain
Anorexia
CBT
1/2 - 1 lb wt gain
Inpt treatment
No meds available
Bulimia
Purging
Laxatives
Starvation
Exercise
What BMI start to worry for anorexia?
What BMI can qualify for gastric bypass?
> 40
Morbid obesity WITH other risk factors can qualify for surgery with which BMI?
> 35
Best way to achieve wt loss ?
Calories in
Best way to Maintain wt ?
Exercise
SIG E CAPS
Sleep change interest loss Guilt Energy loss Concentration issues Appetite change Psychomotor slow Suicidal ideation
Generalized anxiety disorder
Definition:
Tx:
Worry out of proportion to what would be expected based on fear
Buspirone ( treats the anxiety, but not the depression)
Panic disorder
Recurrent panic attacks and fear of having another attack
Social anxiety disorder
Fear of being perceived negatively by others
Obsessive compulsive disorder
Persistent intrusive thoughts or stereotyped behaviors
Can be disabling
Tx: therapy , no medications
Cluster A personality disorder
Paranoid
Schizoid
Schiztypal
Cluster B personality disorder
Borderline
Antisocial
Histrionic
Narcissistic
Cluster C personality disorder
Anxious / fearful
Dependent
avoidant
Obsessive compulsive
Obsessive compulsive disorder
Vs
OCD personality disorder
First is upsetting to pt
Second is not upsetting to pt as they don’t believe they have a problem, the problem is someone else’s.
Schizoid
Loner
Schizotypal
Magical thinking, loner
Antisocial
No remorse
Multiple Arrests
Histrionic
Center of attention Dramatic Unstable relationships Fear of abandonment Self mutilation with suicide attempts Also with anxiety and depression.
Narcissistic
Self important
Superior and special
Believe others are envious of them
Avoidant
Inadequacy Can't talk about self Hypersensitive to criticism May avoid situations where could be judged Low self esteem
Dependent personality disorder
Common
Desire to be taken care of
Can’t make decisions on their own
OCD personality disorder
Morally inflexible Workaholics Stubborn and Will not delegate Preoccupied w/ orderliness/perfection Projects overwhelming
Schizophrenia
Related to D2 dopamine receptors
Antipsychotics side effects
Akathisia Parkinsonism Tremor Dystonia Tardive dyskinesia High prolactin
