psychuworld2 Flashcards
treatment for general social anxiety disorder versus performance only social anxiety disorder
for general, use SSRI and CBT; for performance only, use benzo prior to performance and CBT
delusional disorder timeframe
at least one month
citalopram
celexa (SSRI)
SNRIs
venlafaxine, desvenlafaxine, duloxetine
TCAs
amitryptiline, nortryptiline, clomipramine, doxepin
MAOis
phenelzine, tranylcypromine
potential side effect of trazadone
priapism
panic disorder is highly assoc with what other mental illness?
depression, but also bipolar disorder, agoraphobia, and substance abuse
chlorpromazine
typical (first gen) antipsychotic
treatment for alcohol withdrawal
long-acting benzos like diazepam
a battered woman who believes her husband is right when he says she is worthless
introjection defense mechanism
second gen antipsychotics with greatest risk of weight gain
olanzipine and clozapine
second gen antipsychotics with the lowest risk of weight gain
aripiprazole and zaprasidone
ziprasidone
geodon
following acute stabilization, patients with bipolar disorder should get what therapy?
first line is atypical antipsychotic; second line is mood stabilizer; for severe patients, combo of mood stabilizer plus atypical can be used
mirtazapine
antidepressant that incr appetite and makes you sleepy
treatment of acute dystonic reaction
anti-cholinergic (benztropine) or antihistamine (diphenhydramine)
treatment of akathisia
beta blocker
treatment of drug-induced parkinsonism
anti-cholinergic or Amantadine (dopamine ag)
dantrolene
can be used in NMS
treatment for OCD
SSRI or clomipramine
propranolol
can be used for the treatment of performance-assoc social anxiety disorder (as an alternative to benzos when you do not want to be sedated)
laboratory evaluation of NMS
CPK
how does buproprion work?
NDSI (aka norepi, dopamine and seratonin reuptake inhib)
why avoid buproprion in people on benzos or alcohol addicts?
because benzos and alcohol use already predisposes to seizures and buproprion lowers the seizure threshold even more
stranger anxiety is normal until what age?
age 3
antidepressants approved to treat OCD
clomipramine, fluvoxamine, fluoxetine, paroxetine, sertraline
ingestion of a MAOI with certain foods- monitor what?
blood pressure; can cause hypertensive crisis
amitryptiline use for things besides depression
diabetic neuropathy and prevention of migraines
reaction formation defense mechanism
like when a woman is mad at immigrants competing with her for her job so she offers job search advice for the immigrants
sublimation
a man with explosive anger channels his energy into athletic pursuits
treatment for mild to moderate dementia versus severe dementia
mild to moderate is cholinesterase inhib; severe is NMDA antag like memantine
memantine versus Amantidine
memantine is an NMDA receptor antag used for severe dementia; amantadine is a dopamine agonist used to treat parkinsons; it can minimize the severity of dementia in parkinsons patients but does not affect alzheimers
atypical antipsychotics assoc with weight gain
olanzipine and clozapine
