Psych/Behavioral Med Flashcards
How is GAD characterized
persistent and excessive worry pertaining to multiple events/domains that continues for 6 months or more
What are the treatment options for GAD
SSRI: Paroxetine/escitalopram
SNRI: venlafaxine
Buspirone
Benzos (short term use)
Beta Blockers
Psychotherapy
how is Panic disorder characterized
this ones for you melissa ;)
recurrent, unexpected panic attacks with at least a month or more of worry/avoidance behavior
what are the treatment options for panic disorder
SSRI: paroxetine, sertraline, fluoxetine
Benzos (for acute attack)
CBT
How are Phobias characterized
same as panid disorder but in relation to a specific stress event
what is the first line treatment for phobias
exposure therapy
what are other treatment options for phobias
SSRI + CBT
Bezos (i.e. prior to flying)
How is agorophobia treated
SSRI and CBT
How is ADHD/ADD characterized
problems paying attention, excessive activity or difficulty controling behavior which is not appropriate for a persons age
Before what age is ADHD/ADD diagnosed?
12yo
what is the first line treatment for ADHD/ADD
Stimulants
- methylphenidate: ritalin, concerta, daytrana
- Dexmethylpehnidate: focalin
- amphetamine/dextroamphetamine: adderal, dexedrine
- Atomoxetine (Strattera) - NON stimulant
what are 2nd line/adjucts for the treatment of ADHD/ADD
Antidepressants (Guanfacine, clonidine, imipramine, buproprion, venlafaxine)
behavior modification, family, educational management
What is a range of conditions classificed as neurodevelopmental disoders
autism spectrum disoders
What does ASD encompass?
- autistic disorder
- childhood disintegrative disorder
- pervasive developmental disorder-not otherwise specified
- asperger disorder
what is asperger disorder
child has normal cognitive development, poor relationships and does not spontaneously seek activities with others
What are the treatment options for ASD
- refer - autism specialist, speech/language pathologist
- auditory eval, +/- EEG
- Behavioral therapy
- Meds: 2nd gen antipsychotics or SSRI
how can child abuse/neglect manifest
anxiety
aggression/violence
PTSD
Depression/suicide
SUD
Poor self-esteem
disocciative d/o
Paranoid ideation
Failure to thrive (FTT)
what is the treatment for child neglect/abuse
- treat any immediate injuries (i.e. burns/fractures)
- report to DCF
- involve a social worker
What is SIGECAPS stand for
Sadness
Interest/anhedonia
Guilt
Energy
Concentration
Appetite
Psychomotor activity
Suicidal
What is the first line treatment for MDD
SSRI
How is persistent depressive disorder characterized
chronic depression - depressive symptoms for more than 2 years
what are the treatment options for persistent depressive disorder
SSRI/other antidepressants
Psychotherapy
Physical exercise
(+/- ECT)
How is Premenstrual dysphroic disorder characterized
repeated episodes of significant depression and related symptoms during the week prior to menstruation
What are the treatment options for Premenstral dysmorphic disorder
SSRI = first line (fluoxetine, sertaline, paroxetine, escitalopram)
Birth control, low dose estrogen and diuretics
SNRI (venlafaxine) - for predominantly psychological symptoms
Gonadotropin-releasing hormone (GnRH)
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
Conduct disorder
What is a conduct disorder a precursor for
antisodical personality disorder - which is not diagnosed until 18yo
what is the treatment for conduct disorder
seek to integrate individual, school and family setting. adress familial conflicts.
How is ODD characterized
angry/irritable mood, argumentative/defiant behavior or vindictiviness lasting 6 months
how is ODD different from CD
ODD pts are not aggressive towards people/animals, do not destroy property, do not show a pattern of theft or deceit
what are the treatment options for ODD
Psychotherapy: CBT, Family therapy
Meds: mood stabliziers, antipsychotics and stimulants
what disorder is associated with fear of being overweight associated with eating
anorexia nervosa
what are the two types of anorexia nervosa
binging/purging
restricting
what are the treatment options for anorexia nervosa
restore nutritional state
hospitalization (if <75% expected body weight)
Psychotherapy
SSRI
What is bulimia nervosa
pt has episodes of mass eating followed by self-induced vomiting or intense exercise
what are treatment options for bulimia nervosa
restore nutritional state
fluoxetine 60mg PO once/day
second line meds: TCA, MAOIs
behavioral/family/group therapy
what are risk factors for suicide
- mental disorders
- previous suicide attempt
- LGBTQ+ community
- Hx of physical/sexual abuse
- family history of suicidal behavior
