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Psychiatry > Treatments > Flashcards

Treatments Flashcards

1
Q

Schizoaffective disorder?

A

1) Hospitalize + psychotherapy

2) Antipsychotics + mood stabilizers; antidepressants or ECT for mood sxs

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2
Q

Delusional disorder?

A

Psychotherapy, antipsychotics should be tried but usually fail

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3
Q

Shared psychotic disorder?

A

1) Separation

2) Psychotherapy and antipsychotics if sxs not improved in 1-2 wks

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4
Q

Rapid cycling bipolar and mixed episodes?

A

Anticonvulsants

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5
Q

Dysthymia?

A

CT and insight oriented psychotherapy + antidepressants

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6
Q

Cyclothymia?

A

Mood stabilizers (same as bipolar)

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7
Q

Adjustment disorder?

A

Supportive psychotherapy most effective

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8
Q

Panic disorder?

A

1) Immediate = BZDs
2) Long term = SSRIs (paroxetine and sertraline)
3) Clomipramine or imipramine maybe

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9
Q

Specific phobia?

A

CBT 1st line (not drugs!)

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10
Q

Social phobia?

A

1) Paroxetine
2) B-blockers for performance anxiety
3) Assertiveness training

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11
Q

OCD?

A

1) SSRIs or clomipramine
2) Behavioral therapy (as effective as drugs)
3) Exposure and response prevention (ERP)
4) ECT or cingulotomy

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12
Q

PTSD?

A

1) SSRIs (1st line), TCAs (imipramine, doxepin), MAOIs
2) Anticonvulsants (for flashbacks and nightmares)
3) Psychotherapy
4) Eye mvt desensitization and reprocessing (EMDR)

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13
Q

ASD?

A

Same as PTSD

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14
Q

GAD?

A

1) SSRIs/SNRI (venlafaxine)
2) Buspirone
3) BZDs (clonazepam, diazepam)
4) CBT

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15
Q

DTs?

A

1) Chlordizepoxide, diazepam, lorazepam
2) Antipsychotics for agitation
3) Thiamine, folic acid, multivitamin (banana bag)

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16
Q

Barb OD?

A

1) Alkalinize urine

2) Na bicarb

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17
Q

Delirium?

A

1) Tx cause
2) Haloperidol 1st line
2) Avoid BZDs!!!

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18
Q

Mild to moderate dementia?

A

ACEIs

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19
Q

Moderate to severe dementia?

A

Memantine

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20
Q

Lewy body dementia?

A

ACEIs for visual hallucinations

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21
Q

Pick’s?

A

Anticholinergics + antidepressants

22
Q

HIV dementia?

A

HAART

23
Q

Pseudodementia?

A

1) Supportive
2) Low dose SSRIs
3) If using TCAs in elderly, use nortriptyline (fewest anticholinergic AEs)
4) Mirtazapine (for appetite and sedation)
5) Methylphenidate (for psychomotor retardation)
6) ECT

24
Q

ADHD?

A

1) Stimulants
2) Atomoxetine (nonstimulant)
3) Alpha-2 agonists (clonidine, guanfacine)
4) If underlying mood/anxiety disorder, tx that first

25
Q

Tourette’s?

A

1) Risperidone

2) Haloperidol, pimozide (for severe cases)

26
Q

Tourette’s + ADHD?

A

Alpha-2 agonists

27
Q

Enuresis?

A

1) Behavioral therapy 1st line
2) Desmopressin
3) Imipramine

28
Q

Dissociative disorders?

A

Psychotherapy

29
Q

Somatization disorder?

A

Regularly scheduled visits with a SINGLE primary care doc

30
Q

Conversion disorder?

A

Insight oriented psychoterhapy hypnosis, relaxation therapy

31
Q

Hypochondriasis?

A

CBT (most useful), regularly scheduled visits to one primary care doc

32
Q

Body dysmorphic disorder?

A

SSRIs (work 50% of time)

33
Q

Pain disorder?

A

SSRIs, analgesics not helpful

34
Q

Factitious disorder?

A

Avoid early confrontation

35
Q

Intermittent explosive disorder?

A

SSRIs, anticonvulsants, lithium, propranolol, psychotherapy is not helpful

36
Q

Kleptomania?

A

Psychotherapy, behavioral therapy, systematic desensitization, aversive conditioning, SSRIs

37
Q

Pathologic gambling?

A

Gamblers Anonymous (12 steps) most effective

38
Q

Trichotillomania?

A

SSRIs, antipsychotics, lithium

39
Q

Pyromania?

A

BT, supervision, SSRIs

40
Q

Anorexia?

A

1) Olanzapine
2) CBT
3) BZDs before meals to reduce preprandial anxiety

41
Q

Bulimia?

A

1) Fluoxetine 1st line

2) CBT

42
Q

Binge eating disorder?

A

1) Stimulants (suppresses appetite)
2) Orlistat
3) Sibutramine

43
Q

Chronic insomnia?

A

CBT 1st line

44
Q

Insomnia (drugs)?

A

1) BZDs (use short term, 4-8 wks)
2) Non-BZDs (lower incidence of daytime sleepiness and orthostatic hypotension)
3) Trazodone, amitriptyline, doxepin

45
Q

Most common reason to Rx long term BZD?

A

Insomnia

46
Q

Cataplexy?

A

Na oxybate (DOC), SSRIs, TCAs

47
Q

Circadian rhythm disorders?

A

Melatonin

48
Q

Sleepwalking?

A

Clonazepam or TCA

49
Q

Sleep terror?

A

Clonazepam, diazepam

50
Q

Nightmare disorder?

A

Imagery rehearsal therapy (esp in PTSD)

51
Q

REM sleep behavior disorder?

A

Clonazepam

Psychiatry (14 decks)

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