Psych/Behavioral Med

Question 1

How is GAD characterized

Answer 1

persistent and excessive worry pertaining to multiple events/domains that continues for 6 months or more

Question 2

What are the treatment options for GAD

Answer 2

SSRI: Paroxetine/escitalopram
SNRI: venlafaxine
Buspirone
Benzos (short term use)
Beta Blockers
Psychotherapy

Question 3

how is Panic disorder characterized

this ones for you melissa ;)

Answer 3

recurrent, unexpected panic attacks with at least a month or more of worry/avoidance behavior

Question 4

what are the treatment options for panic disorder

Answer 4

SSRI: paroxetine, sertraline, fluoxetine
Benzos (for acute attack)
CBT

Question 5

How are Phobias characterized

Answer 5

same as panid disorder but in relation to a specific stress event

Question 6

what is the first line treatment for phobias

Answer 6

exposure therapy

Question 7

what are other treatment options for phobias

Answer 7

SSRI + CBT
Bezos (i.e. prior to flying)

Question 8

How is agorophobia treated

Answer 8

SSRI and CBT

Question 9

How is ADHD/ADD characterized

Answer 9

problems paying attention, excessive activity or difficulty controling behavior which is not appropriate for a persons age

Question 10

Before what age is ADHD/ADD diagnosed?

Answer 10

12yo

Question 11

what is the first line treatment for ADHD/ADD

Answer 11

Stimulants
- methylphenidate: ritalin, concerta, daytrana
- Dexmethylpehnidate: focalin
- amphetamine/dextroamphetamine: adderal, dexedrine
- Atomoxetine (Strattera) - NON stimulant

Question 12

what are 2nd line/adjucts for the treatment of ADHD/ADD

Answer 12

Antidepressants (Guanfacine, clonidine, imipramine, buproprion, venlafaxine)
behavior modification, family, educational management

Question 13

What is a range of conditions classificed as neurodevelopmental disoders

Answer 13

autism spectrum disoders

Question 14

What does ASD encompass?

Answer 14

• autistic disorder
• childhood disintegrative disorder
• pervasive developmental disorder-not otherwise specified
• asperger disorder

Question 15

what is asperger disorder

Answer 15

child has normal cognitive development, poor relationships and does not spontaneously seek activities with others

Question 16

What are the treatment options for ASD

Answer 16

• refer - autism specialist, speech/language pathologist
• auditory eval, +/- EEG
• Behavioral therapy
• Meds: 2nd gen antipsychotics or SSRI

Question 17

how can child abuse/neglect manifest

Answer 17

anxiety
aggression/violence
PTSD
Depression/suicide
SUD
Poor self-esteem
disocciative d/o
Paranoid ideation
Failure to thrive (FTT)

Question 18

what is the treatment for child neglect/abuse

Answer 18

1. treat any immediate injuries (i.e. burns/fractures)
2. report to DCF
3. involve a social worker

Question 19

What is SIGECAPS stand for

Answer 19

Sadness
Interest/anhedonia
Guilt
Energy
Concentration
Appetite
Psychomotor activity
Suicidal

Question 20

What is the first line treatment for MDD

Answer 20

SSRI

Question 21

How is persistent depressive disorder characterized

Answer 21

chronic depression - depressive symptoms for more than 2 years

Question 22

what are the treatment options for persistent depressive disorder

Answer 22

SSRI/other antidepressants
Psychotherapy
Physical exercise
(+/- ECT)

Question 23

How is Premenstrual dysphroic disorder characterized

Answer 23

repeated episodes of significant depression and related symptoms during the week prior to menstruation

Question 24

What are the treatment options for Premenstral dysmorphic disorder

Answer 24

SSRI = first line (fluoxetine, sertaline, paroxetine, escitalopram)
Birth control, low dose estrogen and diuretics
SNRI (venlafaxine) - for predominantly psychological symptoms
Gonadotropin-releasing hormone (GnRH)

Question 25

What disorder is associted with repetitive and persistent pattern of behavior in which the basic rights of others or major ag-appropraiate societal norms or rules are violated

Answer 25

Conduct disorder

Question 26

What is a conduct disorder a precursor for

Answer 26

antisodical personality disorder - which is not diagnosed until 18yo

Question 27

what is the treatment for conduct disorder

Answer 27

seek to integrate individual, school and family setting. adress familial conflicts.

Question 28

How is ODD characterized

Answer 28

angry/irritable mood, argumentative/defiant behavior or vindictiviness lasting 6 months

Question 29

how is ODD different from CD

Answer 29

ODD pts are not aggressive towards people/animals, do not destroy property, do not show a pattern of theft or deceit

Question 30

what are the treatment options for ODD

Answer 30

Psychotherapy: CBT, Family therapy
Meds: mood stabliziers, antipsychotics and stimulants

Question 31

what disorder is associated with fear of being overweight associated with eating

Answer 31

anorexia nervosa

Question 32

what are the two types of anorexia nervosa

Answer 32

binging/purging
restricting

Question 33

what are the treatment options for anorexia nervosa

Answer 33

restore nutritional state
hospitalization (if <75% expected body weight)
Psychotherapy
SSRI

Question 34

What is bulimia nervosa

Answer 34

pt has episodes of mass eating followed by self-induced vomiting or intense exercise

Question 35

what are treatment options for bulimia nervosa

Answer 35

restore nutritional state
fluoxetine 60mg PO once/day
second line meds: TCA, MAOIs
behavioral/family/group therapy

Question 36

what are risk factors for suicide

Answer 36

• mental disorders
• previous suicide attempt
• LGBTQ+ community
• Hx of physical/sexual abuse
• family history of suicidal behavior