Psychotherapy and Psychopharm Flashcards
Name that therapy: Pt is taught to identify maladaptive thoughts and replace them with positive ones. Helps treat depressive and anxiety disorders.
Cognitive Therapy
Name that therapy: Helps pts change behaviors that contribute to symptoms.
Behavior Therapy : Systemic Desentization, Flooding and Implosion, Aversion Therapy, Token Economy, Biofeedback.
Name that therapy: Treatment follows a protocol or manual with homework assignments between therapy sessions. The pt learns of his behavior is influenced by his thoughts.
Cognitive Behavioral Therapy.
Name that therapy: Patients get immediate feedback and support from their peers. Patients may gain insight into their own condition by listening to others with similar problems.
Group Therapy.
First line treatment for neuropathic pain and depression?
Duloxetine (SNRI)
First line of treatment for depression when person has fear of weight gain and sexual dysfunction?
Bupropion ( No sexual side effects)
Name the drug: Hypotension, dry mouth, constipation, confusion, arrhythmias.
TCA (amitryptyline, nortriptyline, imipramine)
Name the drug: Monitor diet, given food rich in tyramine will produce HTN. Safe foods include white wine and processed cheese.
MOA-I (Phenelzine, Isocaroxazid, Tranylcypromine)
Name the drug: HA, weight gain, sexual side effects and GI upset.
SSRI (Fluoxetine, Paroxetine, Citalopram, Escitalopram, Setraline)
Name the drug: 1. Increase risk of seizure activity. 2. Priaprism. 3. Sedation and weight gain, increased appetite.
- Bupropion 2. Trazodone 3. Mirtazapine
Name the drug: HTN, HA, weight gain, GI and sexual side effects.
SNRI (Venlafaxine, duloxetine, desvenlafaxine)
Name the drug: Alopecia, teratogenic, hepatotoxic.
Valproic Acid
Name the drug: Stevens-Johnson Syndrome
Lamotrigine
Name the drug: Transient memory loss
Electric convulsive therapy.
Name the drug: Leads to obesity, weight gain, DM, metabolic syndrome.
Olanzapine
Name the drug: Prolongation of QT interval.
Ziprasidone
Which medication is safe to use after stroke and causes significant sedation. Dx?
Trazodone.
Name 4 drugs that are given to schizo who are noncompliant with there meds.
Fluphenazine deconate, haloperidol deconate, Risperidone and palliperidone
A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Rx?
Acute dystonia. Benztropine or diphendyramine.
Name that therapy: Therapist as a guide. Reinforce coping skills. Listen foster and understand. Build up adaptive defense mechanisms.
Supportive Therapy.
Name that therapy: Unconscious conflicts cause symptoms. Explore past relationships and conflicts. Utilize transference. Breakdown defense mechanisms.
Psychodynamic Therapy.
Name that therapy: Address Ambivalence to change. Non judgemental. Enhance motivation to change. Acknowledge resistance.
Motivational interviewing.
Name that therapy: Acceptance and change. Improve emotion, regulation, mindful awareness, distress tolerance, manage self harm, group therapy component.
Dilaectical behavioral therapy for boderline personality disorder.
Name that therapy: Improve awareness and control over physiological reactions, lower stress levels, integrate mind and body.
Biofeedback.
A common side effect of Alprazolam?
Seizure.
Confusion, flushing, diaphoresis, tremor, myoclonic jerks, hyperthermia, hypertonicity, rhabdomyolysis, renal failure and death. Dx?
Serotonin Syndrome ( SSRIs+ MAOIs)
Fever, tachycardia, hypertension, tremor, elevated CPK, lead pipe rigidity. Dx? Rx?
Neuroleptic Malignant Syndrome. Fluids, electrolytes and stablize, Give Bromocriptine, Dantrolene or Amantadine.
This antipsychotic specifically raises Prolactin.
Risperidone.
What occurs after you discontinue an SSRI abruptly.
SSRI discontinuation syndrome ( seen in short half life drugs paroxetine and setraline, not seen in fluoxetine because it has a longer half life)
Next step in management after you read a lithium level of 4.5meq/L?
Emergency Dialysis.
Which antipsychotic can help suppress and ameliorate TD?
Clozapine.
When can flumazenil precipitate seizures?
When pt has preexisting seizure disorder.
Use and Side effects (2) of clozapine.
Treatment resistance schizophrenia. Agranulocytosis and lowers seizure threshold.
Name side effects (2 )of carbamezapine.
Agranulocytosis, Stevens Johnson’s
Side effects of Zolpidem, Zaleplon, ezopiclone.
Anterograde amnesia and sleep walking, eating, driving
Drugs for sleep?
- Melatonin (MT1 and MT2) 2. Diphenhydramine (H1) 3. Doxylamine (H1)4. Rameltem (MT) 5. Doxepin (TCA- H1) 6. Trazadone ( H1, serotonin, alpha 1) 7. BZRA - Zolpidem, Zaleplon, ezopiclone 8. Benzos- Triazoloam, temazepam, flunazepam
Name the drugs to treat each: 1. Akithisia 2. Acute dystonia 3. Neuroleptic Malignant Syndrome 4. TD
- Benzodiazepine 2. Benztropine, Diphenhydramine 3. Dantrolene, Bromocriptine, Amantadine 4. Nothing this is irreversible can switch to atypical or start clozapine
Treatment for pregnant pt with bipolar disorder?
Clonazepam.
Treatment for Akithisia?
Propanolol or Lorazepam
Weight neutral but increases akethesia ?
Aripiprazole.