Psych Flashcards

1
Q

Which generation of antidepressants is disqualifying

A

first generation

especially TCAs

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2
Q

Max certification for antidepressant therapy

A

1 year

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3
Q

max certification for antipsychotic therapy

A

1 year

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4
Q

When can drivers using hypnotics be certified

A

-if using short-acting (<5 hours)
lowest effective dose
used for short period of time <2 weeks
using non-sedating anxiolytic

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5
Q

what to advise drivers if using benzos

A

no driving until cleared from system
wait at least 7 half-lives
chronic users (more than 1 month) should wait an additional week

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6
Q

Before qualifying drivers using CNS stimulants, what must be verfied

A
  • evaluation from treating provider

- verify diagnosis of adult ADHD

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7
Q

max certification for adult ADHD

A

1 year

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8
Q

Waiting period for ECT

A

6 months symptom free following course of ECT

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9
Q

Max certification for ECT

A

1 year

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10
Q

Waiting period for lithium therapy

A

none

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11
Q

what to advise drivers taking lithium

A

avoid night time driving

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12
Q

when to certify drivers taking lithium

A

asymptomatic
lithium levels in therapeutic range
no impairment with driving

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13
Q

Waiting period for bipolar and MDD

A

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

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14
Q

Max certification for bipolar and MDD

A

1 year

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15
Q

How often should bipolar disorder and MDD have clearance from a mental health professional

A

at least every 2 years

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16
Q

If driver experiences a depressive or manic episode, what should be advised

A

seek medical attention within 30 days of onset to ME, employer, or appropriate professional

17
Q

Is nacrolepsy a disqualifying disease

A

yes, regardless of treatment

18
Q

Max certification for personality disorders

A

1 year

19
Q

waiting period for psychotic disorders

A

6 month symptom free if a brief reactive psychosis or schizophreniform disorder

1 year symptom free if any other psychotic disorder

20
Q

Schizophrenia and other psychotic disorders max certification

A

1 year

21
Q

when not to certify psychotic disorder

A
  • diagnosis of schizophrenia
  • active psychosis
  • negative symptoms
  • treatment side effects