Psychiatry U World Flashcards
Avoidance behaviour
And agarophobia
Tx?
CBT
MDD with psychotic features
Tx?
Antidepressants plus antipsychotic
Or/with
ECT
Body dysmorphic disorder
Tx?
SSRI High dose
CBT
Depression criteria for management?
1 Episode - 6 month after response
2or more - 1-3yrs
3 or more episode — Indefinite tm
Ziprasidone
Qt prolongation
Risperidone
Extra pyramidal symptoms most common
OCD
Tx
First line?
2nd line?
SSRI
CBT
TCA
Schizophrenia tx
First episode tx 1-2 yr
Multiple —— 5 yrs or indefinite
Antipsychotic
Involuntry admission
suicidal
homicidal
lack of self care
PCP intoxication tx
Benzodiazepines
Neuropathic pain with depression
Tx?
Duloxetine
Mirtazapine
Preferred due to
Sedating and appetite stimulant
Trazodone
S/e
Ortho static hypotension
Sedation
Bupropion causes less
Sexual dysfunction and less weight gain
Hoarding disorder
High dose SSRI (paroxetine ) with CBT
Acute mania Pt not controlled
Olanzapine IM
Lamotrigine given in
Mania depressive episode
Hoarding disorder
CBT
Cardiac Pt with MDD
Drug?
Sertaline
Venlafaxine
Tachycardia
Hypertension
Cocaine induced symptoms
5?
Manic symptoms HTN Tachycardia Mydriasis Sweating
C/I of lithium
CKD
Heart disease
Hyponatremia or diuretic use
Naltrexone
Use
Contraindicated
Decrease craving
Liver problem , hepatitis or opioids taking
Acamprosate
Use
Contraindicated
Maintain abstinence
Renal problem