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)
