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treatments Flashcards

1
Q

schizophreniform disorder

A

antipsychotics 3-6 months

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2
Q

schizoaffective disorder

A

antipsychotics + mood stabilizers or antidepressants as needed

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3
Q

brief psychotic disorder

A

antipsychotics and/or benzos for agitation

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4
Q

delusional disorder

A

psychotherapy first line

antipsychotics usually ineffective, but can be tried

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5
Q

MDD

A

SSRIs first line; use 4-5 weeks at max dose before switching to new drug
2nd line: different SSRI

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6
Q

seasonal affective disorder

A

light therapy

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7
Q

Bipolar disorder

A

lithium 1st line

valproic acid or carbamazepine, especially for rapid cycling bipolar disorder

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8
Q

dysthymic disorder

A

CBT most effective; antidepressants useful if used concurrently; (venlafaxine or bupropion or SSRIs);

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9
Q

cyclothymic disorder

A

antimanic agents as used to treat bipolar disorder

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10
Q

panic disorder

A

acute: benzos
maintenance: SSRIs

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11
Q

agoraphobia

A

SSRIs first line

CBT

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12
Q

specific phobia

A

systemic desensitization +/- hypnosis; if necessary short course of benzos or beta blockers can be used

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13
Q

social phobia

A

SSRIs + behavior therapy

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14
Q

OCD

A

SSRIs at high dose are 1st line + exposure/response prevention
clomipramine 2nd line

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15
Q

PTSD

A

SSRIs,
alpha blockers (prazosin) or beta blockers (propranolol) for hyperstimulation
anticonvulsants for flashbacks
trazodone for sleep

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16
Q

GAD

A

buspirone
benzos
SSRIs, venlafaxine

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17
Q

adjustment disorder

A

supportive psychotherapy first line

drugs for associated symptoms (insomnia, anxiety etc)

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18
Q

paranoid personality

A

psychotherapy is TOC

some pts. may benefit from anti anxiety meds

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19
Q

schizoid personality

A

psychotherapy is TOC (group therapy often beneficial)

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20
Q

schizotypal personality

A

psychotherapy is TOC

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21
Q

antisocial personality

A

use caution in treating; therapy unhelpful, drugs can cause addicion

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22
Q

borderline personality

A

dialectic behavioral therapy

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23
Q

histrionic personality

A

psychotherapy

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24
Q

narcissistic personality

A

psychotherapy

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25
avoidant personality
psychotherapy | beta blockers can be used for ANS symptoms
26
dependent personality
psychotherapy
27
OCPD
psychotherapy
28
delirium with hallucinations
quetiapine or haloperidol
29
alzheimer's disease
mematine - NMDA antagonist | cholinesterase inhibitors: tacrine, donepezil, revistagmine, and galantamine
30
vascular dementia
symptomatic
31
pick disease
treat behavior as needed
32
parkinsons disease
levodopa/carbidopa amantadine anticholinergics to relieve tremor MAO-B inhibitor: selegiline
33
NPH
relieve increased pressure with shunt
34
pseudodementia
low-dose antidepressants, therapy ECT Mirtazapine to increase appetite
35
conduct disorder
psychotherapy + structured environment with firm rules; antipsychotics or lithium for aggression, SSRIs for impulsivity, irritability, and mood lability
36
ODD
therapy
37
ADHD
stimulants 1st line: methylphenidate, dextroamphetamine, and pemoline Atomoxatine in pts. with substance abuse or tics SSRIs and TCAs can be adjunctive
38
autism (PDD)
neuroleptics for aggression and hyperactivity | SSRIs to help control stereotyped movement
39
childhood disintegrative disorder
supportive, similar to autism
40
tourette's disorder
1st line: clonidine | most effective: haloperidol
41
enuresis
bell and pad 1st line | antidiretics: DDAVP, TCAs (imipramine)
42
selective mutism
psychotherapy
43
separation anxiety disorder
therapy + SSRI
44
dissociative amnesia
hypnosis or administration of sodium amobarbital or lorazepam may be useful to help patients retrieve lost memories
45
dissociative fugue
hypnosis or administration of sodium amobarbital or lorazepam may be useful to help patients retrieve lost memories
46
depersonalization-derealization disorder
anti-anxiety agents or SSRIs to treat associated anxiety symptoms or depression
47
somatic symptom disorder
regularly scheduled visits to primary care provider
48
conversion disorder
insight oriented psychotherapy, hypnosis, or relaxation therapy
49
body dysmorphic disorder
SSRIs
50
pain disorder
SSRIs | transient nerve stimulation, biofeedback, hypnosis, therapy
51
factitious disorder
have 1 primary care dr. be the gatekeeper of care
52
intermittent explosive disorder
SSRIs, anticonvulsants, lithium, and propranolol
53
keptomania
therapy | ssris
54
pyromania
Therapy | SSRIs
55
trichotillomania
SSRIs, antipsychotics, lithium, hypnosis, CBT
56
anorexia
1st: restore nutritional status and correct electrolyte imbalences 2nd: CBT can use mirtazapine to help gain weight
57
bulemia
1st: nutritional rehab 2nd: CBT 3rd: SSRIs; do NOT use bupropion
58
binge eating disorder
CBT | treat comorbid mood and anxiety disorders
59
primary insomnia
1st line; sleep hygiene | drugs: benedryl, zolpidem, zaleplon, trazodone
60
primary hypersomnia
stimulants 1st line
61
narcolepsy
timed daily naps + stimulant | SSRIs for cataplexy
62
circadian rhythm sleep disorder
melatonin
63
nightmare disorder
usually no therapy required | can use TCAs or theory REM suppressants
64
night terror
none - keep area safe | low dose diazepam may be effective
65
sleep-walking
injury prevention

psych (12 decks)

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