Psychological Disorders

Question 1

Example of Psychotic Behavior

Answer 1

• Unpredictable behavior
• Poor judgement

Question 2

Example of Manic Episode

Answer 2

• Grandiosity
• Impulsiveness
• Irritability
• Aggressiveness

Question 3

Example of Depressive Episode

Answer 3

• Slowed reaction time
• Poor judgement

Question 4

Example of Personality Disorder

Answer 4

• Inflexible behavior
• Maladaptive behavior
• Increased crash rate

Question 5

Antidepressant Therapy Certification Period & DQ

Answer 5

Max Cert: 1 year

Do NOT certify if:
1. Uses 1st generation antidepressant (Tricyclics - amitriptyline or Imipramine)
2. Has interfering side effects

Question 6

Antipsychotic Therapy Certification Period

Answer 6

Max Cert: 1 year

• Used to treat schizophrenia, mood d/o, and bipolar d/o
• Includes typical and atypical antipsychotics

Question 7

Anxiolytic/Sedative Therapy Certification Period and Requirements

Answer 7

Max Cert: 2 years

Certify if:
- If Hypnotic:
1. Short acting (half life < 5 hours)
2. Lowest effective dose
3. Short duration of use (< 2 wks)
- If Non-sedating anxiolytic

Question 8

Anxiolytic/Sedating Therapy DQ

Answer 8

1. Sedating anxiolytic
2. Interfering symptoms or side effects

Question 9

CNS Stimulant Therapy Certification Period and Requirements

Answer 9

Max Cert: 1 year

Certify if:
1. Non-DQ condition
2. No drug induced impairment
3. No tendency to increase dose

*Verify dx and request evaluation by treating MD

Question 10

CNS Stimulant Therapy DQ

Answer 10

1. DQ Condition (Narcolepsy or Hypersomnia)
2. Treatment side effects

Question 11

ECT Waiting & Certification Period

Answer 11

Waiting: 6 months symptom free following treatment

Max Cert: 1 year

Question 12

ECT Certification Requirements and DQ

Answer 12

Certify if:
1. Completes waiting
2. Cleared
3. Not undergoing maintenance ECT
4. Tolerates tx w/o side effects

DQ if:
1. Undergoes maintenance ECT
2. Interfering side effects

Question 13

Lithium Therapy Certification Period and Requirements

Answer 13

Max Cert: 1 year

Certify if:
1. Asymptomatic
2. Within therapeutic range
3. No impairment

Question 14

ADHD Certification Period and Requirements

Answer 14

Max Cert: 1 year

Certify if:
1. Complies with tx
2. Tolerates tx
3. Mental health exam

Question 15

ADHD DQ

Answer 15

1. Active psychosis
2. Negative symptoms
   - Decreased judgement
   - Decreased attention
   - Suicidal behavior/thoughts
   - Personality d/o
3. Interfering side effects

Question 16

Mood D/D Waiting & Certification Period

Answer 16

Incl: Depression & Bipolar
Waiting:
1. 6 mos sx free following depression w/o suicidal behavior
2. 1 year sx free following depression with suicidal behavior

Max Cert: 1 year

Question 17

Mood D/O Certification Requirements

Answer 17

1. Completes waiting period
2. Complies w/ tx
3. Tolerates tx
4. Mental health exam

Question 18

Mood D/O DQ

Answer 18

1. Active psychosis
2. Negative sx
3. Interfering side effects

Question 19

Personality D/O Certification Period & Requirements

Answer 19

Max Cert: 1 yr

Certify if:
1. Complies with tx
2. Tolerates tx
3. Mental health exam

Question 20

Personality D/O DQ

Answer 20

1. Active psychosis
2. Negative sx
3. Interfering side effects

Question 21

Schizophrenia Waiting & Certification Period

Answer 21

Waiting:
1. 6mos sx free if brief reactive psychosis or schizophreniform d/o
2. 1yr sx free if any other psychotic d/o

Max Cert: 1 year

Question 22

Schizophrenia Certification Requirements

Answer 22

1. Completes waiting period
2. Complies w/ tx
3. Tolerates tx
4. Mental health exam

Question 23

Schizophrenia DQ

Answer 23

1. Dx of schizophrenia
2. Active psychosis
3. Negative sx
4. Interfering side effects