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Psychiatry > Psych treatments: Anxiety, Eating, and Sleep disorders > Flashcards

Psych treatments: Anxiety, Eating, and Sleep disorders Flashcards

1
Q

Which medical conditions should be ruled out when considering an anxiety disorder, characterized by symptoms less than 30 minutes that may have agorophobia

A

Hypothyroidism, cardiac abnormalities, hypoglycemia

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2
Q

What is the medical treatment for all anxiety disorders

A

SSRI’s + benzodiazapene

Do this because benzo starts acting immediately while SSRI takes some time, but once SSRI kicks in start tapering the benzo to avoid dependance.

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3
Q

What is the treatment for a panic disorder vs. a panic attack

A

Panic disorder: SSRI

Panic attack: Benzodiazepene

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4
Q

What is the treatment for specific phobias and social phobias (fear of any situation)

A

Behavioural modification: Systemic desensitization

Relaxation techniques

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5
Q

What is the treatment for obessive compulsive disorder

A

All SSRI’s

Behaviour therapy: Exposure and response prevention

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6
Q

What is the treatment of post traumatic stress disorder (more than 1 month) and acute stress disorder (2 days to 1 month)

A

SSRI: Specifically paroxetine and sertraline

Relaxation

Psychotherapy

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7
Q

What is the treatment of generalized anxiety disorder

A

All SSRI’s

Venlafaxine and Buspirone

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8
Q

What are some anti-anxiety medications and their special indications (the benzos)

A

Lorazepam - Given emergently through IM

Clonazepam - longer half life, give if abuse potential

Alprazolam: Given for panic disorders

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9
Q

What is the risk of flumenazil

A

Can cause seizures in benzo dependant people, looks like delerium tremens

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10
Q

Match the description with the intoxication: Talkative, disinhibited

A

Alcohol - treat with mechanical ventilation if severe

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11
Q

Match the description with the intoxication: Euphoric, hypervigiliant, pupillary dilatation, autonomic hyperactivity, perceptual disturbances, weight loss

A

Cocaine and amphetamines. Treat intoxication with antipsychotics/benzos/antihypertensives

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12
Q

Match the description with the intoxication: Impaired motor coordination, slowed sense of time, social withdrawal, increased appetite, conjunctival injection

A

Maraijuana

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13
Q

Match the description with the intoxication: Ideas of reference, perceptual disturbances, impaired judgement, tremors, incoordination, dissociation

A

Hallucinogens: Treat intoxication with antipsychotics/benzos/talking down

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14
Q

Match the description with the intoxication: Apathy, dysphoria, pupillary constriction, drowsy, slurred speech, coma, death

A

Opiates - treat with nalaxone

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15
Q

Match the description with the intoxication: Belligerence, psychomotor agitation, violence, nystagmus

A

PCP: Antipsychotics/benzos/talking down

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16
Q

Match the description with the WITHDRAWAL: Tremors, hallucinations, seizures, delerium tremens

A

Alcohol - treat withdrawal with benzos, thiamine, folic acid

17
Q

Match the description with the WITHDRAWAL: Anxiety, tremors, headache, increased appetitite, depression, risk of suicide

A

Cocaine - treat withdrawal with bupropion or bromocriptine (both mildly increase dopamine reward)

18
Q

Match the description with the WITHDRAWAL: Everything runny, including nose, eyes, diarrhea, with muscle cramps

A

Opiates - treat with clonidine, methadone, or buprenorphine

19
Q

What is the method of treatment of all somatoform disorders, which are disorders without medical explanation and include somatization, hypochondriasis, conversion, body dysmorphic disorder, and pain disorder

A

Psychotherapy - because basis is psychological in nature

20
Q

What is the difference between somatization disorder, hypochondriasis, and conversion disorder

A

Somatization: 4 pain, 2 GI, 1 sexual, 1 neuro

Hypochondriasis: Believe they have specific disease despite reassurance

Conversion: Voluntary motor and sensory functions affected in response to stressor

21
Q

What is the treatment for adjustment disorde,r, which is maladaptive reaction to IDENTIFIABLE stressor within 3 months causing impairment of function

A

Psychotherapy

22
Q

What is the treatment for all personality disorders

A

Psychotherapy

23
Q

Which personality disorders have associated short lived psychotic episodes

A

Borderline and schizotypal

24
Q

What is the most common cause of death for anorexia nervosa patient

A

Arrhythmia due to potassium deficiency (remember this because they keep throwing up)

25
Q

What is the treatment for anorexia nervosa

A

Hospitalization - dehydration, starvation, electrolyte imbalance, with psychotherapy and SSRI’s

26
Q

What is the treatment for bulimia nervosa

A

No hospitalization unlike anorexia nervosa unless severe electrolyte problem, otherwise just treat with psychotherapy and SSRI’s (same as anorexia nervosa)

27
Q

In what three situations do you diagnose eating disorder not otherwise specified

A
  1. ) Anorexia with normal menstruation
  2. ) Anorexia with normal weight
  3. ) Use of compensatory behavior after eating normal amount of food (bulimia over-eat, anorexia under-eat)
28
Q

What is the diagnostic procedure and treatment for narcolepsy, charactierized by excessive daytime sleepiness

A

Forced naps during day and modafinil for alertness

29
Q

The four features of narcolepsy are sleep attacks, cataplexy, hypnogogic/hypnopompic hallucations, and sleep paralysis. What is each of them

A

Sleep attack: Irresistable sleepiness during day and feeling refreshed when waking up
Cataplexy: Sudden loss of muscle tone in response to loud noise or emotions, pathognomonic
Hallucinations going to sleep and waking up
Sleep paralysis: Patient awake but unable to move after waking up in morning

30
Q

What is the treatments for insomnia

A

Sleep hygiene: Going to sleep and waking up at same time, avoid caffeine, avoid daytime naps

Medical therapy: Zolpidem, eszopiclone, zaleplon

31
Q

The four sexual dysfunctions are impotence, premature ejacualation, dyspareunia, and vaginismus. What is the treatment for each?

A

Impotence: Psychotherapy, couples sexual therapy

Premature ejaculation: Psychotherapy, stop go squeeze technique, and SSRI

Dyspareunia: Psychotherapy

Vaginismus: Psychotherapy and dilator therapy

32
Q

What is the treatment for paraphilias

A

Psychotherapy, aversive conditioning

Medications: antiandrogens and SSRI’s to reduce sexual drive

33
Q

What is the treatment for gender identity disorder

A

Sexual reassignment surgery and psychotherapy

Psychiatry (2 decks)

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