Psych Flashcards
Which generation of antidepressants is disqualifying
first generation
especially TCAs
Max certification for antidepressant therapy
1 year
max certification for antipsychotic therapy
1 year
When can drivers using hypnotics be certified
-if using short-acting (<5 hours)
lowest effective dose
used for short period of time <2 weeks
using non-sedating anxiolytic
what to advise drivers if using benzos
no driving until cleared from system
wait at least 7 half-lives
chronic users (more than 1 month) should wait an additional week
Before qualifying drivers using CNS stimulants, what must be verfied
- evaluation from treating provider
- verify diagnosis of adult ADHD
max certification for adult ADHD
1 year
Waiting period for ECT
6 months symptom free following course of ECT
Max certification for ECT
1 year
Waiting period for lithium therapy
none
what to advise drivers taking lithium
avoid night time driving
when to certify drivers taking lithium
asymptomatic
lithium levels in therapeutic range
no impairment with driving
Waiting period for bipolar and MDD
6 months symptom free following a nonpsychotic major depression unaccompanied by suicidal behavior OR
1 year symptom free following a severe depressive episode, SA, or manic episode
Max certification for bipolar and MDD
1 year
How often should bipolar disorder and MDD have clearance from a mental health professional
at least every 2 years
If driver experiences a depressive or manic episode, what should be advised
seek medical attention within 30 days of onset to ME, employer, or appropriate professional
Is nacrolepsy a disqualifying disease
yes, regardless of treatment
Max certification for personality disorders
1 year
waiting period for psychotic disorders
6 month symptom free if a brief reactive psychosis or schizophreniform disorder
1 year symptom free if any other psychotic disorder
Schizophrenia and other psychotic disorders max certification
1 year
when not to certify psychotic disorder
- diagnosis of schizophrenia
- active psychosis
- negative symptoms
- treatment side effects