Psych Flashcards
What is one of the contraindications to starting interferon-alpha in viral hepatitis?
Depression (interferon-alpha can worsen depression)
Tx of serotonin syndrome?
- Supportive, Benzos, cooling and paralysis
- Cyproheptadine (5-HT antagonist) if Benzos are not working
What are the indications for ECT?
- Refractory depression
- psychotic depression
- Severe SI
- Depression leading to food refusal and nutritional compromise
- Depression with catatonia
- Pregnancy
- Bipolar
- schizophrenia (esp catatonia)
Which psych medication can cause diabetes DI? What is the treatment?
- Lithium
- HCTZ and Lithium
Tx of choice in bipolar disorder in a patient with renal failure?
-Valproic acid or carbamazepine (Lithium is contraindicated in renal failure)
Preferred treatment for specific phobias?
exposure therapy (systematic desensitization)
Pt with h/o schizophrenia has a neck spasm forcing the neck to be held in a weird position. Diagnosis? Treatment?
- Acute dystonia (torticollis)
- Anti-cholinergic (Benztropine or diphenhydramine)
What is the drug of choice for the treatment of the negative symptoms of schizophrenia?
atypical antipsychotics
What are the 2 main low-potency traditional neuroleptics?Major side effects?
- Chlorpromazine and thioridazine
- Anticholinergic SE
SE of clozapine?
agranulocytosis (weekly CBCs)
Medication that treats both depression and neuropathic pain?
Duloxetine
What are the stages of behavioral change?
- precontemplation
- contemplation
- preparation (plans to change)
- Action
- Maintenance
Agent to reverse benzos?
Flumazenil
Tx of HTN 2/2 cocaine/amphetamine use?
Benzos (NOT beta blocker)
What is the best pharmacologic treatment for bulimia? Does this also work for anorexia?
- SSRI
- Not as effective in anorexia (may help with concurrent anxiety disorder)
Best treatment for binge eating disorder?
-CBT
Which medication can be used in PTSD patients to reduce nightmares and improve sleep?
Prozosin (alpha blocker)
Unexplained loss of sensory or motor function with normal exam and tests?
Conversion disorder
Overwhelming worry about contracting a serious illness, without any signs/symptoms?
Illness anxiety disorder
Overwhelming worry about the seriousness of existing physical symptoms?
somatic symptom disorder
