Psych treatments: Childhood, mood, and psychosis Flashcards
What is the treatment for mental retardation
Genetic counseling for expectant mothers, special education, and behavior therapy to reduce negative behaviors
The four pervasive developmental disorders occur before age 3 and include autistic disorder, rett disorder, childhood disintegrative disorder, and asperger disorder. What is the treatment for autistic disorder and childhood disintegrative disorder
Make them achieve independant living, use behavior modification programs
If aggressive, antipsychotics
The four pervasive developmental disorders occur before age 3 and include autistic disorder, rett disorder, childhood disintegrative disorder, and asperger disorder. What is the treatment for rett disorder?
Symptomatic
- ) Behavior therapy for self injurious behavior
- ) Physiotherapy for muscular dysfunction
The four pervasive developmental disorders occur before age 3 and include autistic disorder, rett disorder, childhood disintegrative disorder, and asperger disorder. What is the treatment for asperger syndrome
None
What is the treatment and side effects for attention deficit hyperactivity disorder
First line: Methylphenidate and dextroamphetamine - side effects are insomnia, decreased appetite, and headache
Second line: Atomexetine (NE reuptake inhibitor) - even though second line, less side effects so choose this on USMLE
Two disruptive behavior disorders are oppositional defiant disorder (argue but don’t break law) and conduct disorder (breaks laws). What is the treatment for oppositional defiant disorder
ODD: Teach parents appropriate child management skills
Two disruptive behavior disorders are oppositional defiant disorder (argue but don’t break law) and conduct disorder (breaks laws). What is the treatment for conduct disorder
Behavior intervention - rewards for prosocial or nonaggressive behavior
If aggressive, use antipsychotics
What is the treatment for tourette disoder
Antipsychotics (dopamine antagonists), i.e. risperidone
What is the most common medical cause of major depression and must be ruled out
Hypothyroidism
What is the treatments for depression
SSRI’s and cognitive psychotherapy to develop positive ways of thinking
What is depression + neuropathic pain treated with
Desvenlafaxine
What is depression but people who are afraid of weight gain and sexual side effects given
Buproprion
For bipolar disorder, what other causes must be ruled out
Cocaine and amphetamines - get urine drug screen
If someone with bipolar disorder is in the acute manic stage, what medications should you use
Lithium
Can also use valproic acid, atypical antipsychotics
If someone with bipolar disorder is in the depression stage, what medications should you use
Lithium or lamotrigine
Atypical depression is composed of reverse vegetative symptoms, depression worse in evening, and feeling of heaviness. What is the treatment
SSRI’s or MAOi’s
Choose SSRI’s on USMLE if both given, but MAOi’s are usually the answer