Psych Flashcards
which class of drugs causes impaired thermoregulation
typical antipsychotics (i.e. fluphenazine, haldol)
treatment of choice for agitation in the elderly
antipsychotics: low-dose haloperidol
(DO NOT GIVE BENZOS)
note: atypicals are better for Lewy Body dementia due to susceptibility to EPS effects
neuroleptic malignant syndrome is mediated by what neurotransmitter? what is the treatment
dopamine:
Tx: stop the antipsychotic, give dantrolene or bromocriptine
what is primidone
a barbituate class antiepileptic often used for essential tremor
what is trihexyphenidyl
trihexyphenidyl is an anticholinergic used to treat Parkinson’s motor symptoms
how do you diagnose major depressive disorder
requires at least 1 major depressive episode, which is:
depressed mood or anhedonia + 5 or more SIG E CAPS
(sleep change, interest loss/pleasure loss, guilt/worthlessness, energy loss/fatigue, concentration loss, appetitie/weight change, psychomotor change, suicidal thoughts)
define how to diagnose adjustment disorder
occurs within 3 months of stressor; lasts 1-6 months, does not have 5 or more MDD symptoms
hypomania vs. mania
hypomania, in contrast to mania, does not involve functional impairment and does not require hospitalization and is 4 days rather than 1 week
define how to diagnose bipolar disorder (I and II)
bipolar I= at least 1 manic or mixed episode
bipolar II= at least 1 MDE + hypomania
manic episode= 1 week of DIG FAST (distractibility, insomnia, grandiosity, flight of ideas, activity/agitation, sexual indiscretion, talkativeness)
what are the treatments for social phobia:
- generalized
- performance only
- generalized: SSRI/SNRI and CBT
- performance only: benzo or propranolol 30-60 min before performance and CBT
what are the treatments for Tourette’s
- antipsychotics
- alpha 2 agonists (clonidine, guanfacine)
- behavioral training
