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treatments Flashcards

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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
Q

avoidant personality

A

psychotherapy

beta blockers can be used for ANS symptoms

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26
Q

dependent personality

A

psychotherapy

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27
Q

OCPD

A

psychotherapy

28
Q

delirium with hallucinations

A

quetiapine or haloperidol

29
Q

alzheimer’s disease

A

mematine - NMDA antagonist

cholinesterase inhibitors: tacrine, donepezil, revistagmine, and galantamine

30
Q

vascular dementia

A

symptomatic

31
Q

pick disease

A

treat behavior as needed

32
Q

parkinsons disease

A

levodopa/carbidopa
amantadine
anticholinergics to relieve tremor
MAO-B inhibitor: selegiline

33
Q

NPH

A

relieve increased pressure with shunt

34
Q

pseudodementia

A

low-dose antidepressants, therapy
ECT
Mirtazapine to increase appetite

35
Q

conduct disorder

A

psychotherapy + structured environment with firm rules; antipsychotics or lithium for aggression, SSRIs for impulsivity, irritability, and mood lability

36
Q

ODD

A

therapy

37
Q

ADHD

A

stimulants 1st line: methylphenidate, dextroamphetamine, and pemoline
Atomoxatine in pts. with substance abuse or tics
SSRIs and TCAs can be adjunctive

38
Q

autism (PDD)

A

neuroleptics for aggression and hyperactivity

SSRIs to help control stereotyped movement

39
Q

childhood disintegrative disorder

A

supportive, similar to autism

40
Q

tourette’s disorder

A

1st line: clonidine

most effective: haloperidol

41
Q

enuresis

A

bell and pad 1st line

antidiretics: DDAVP, TCAs (imipramine)

42
Q

selective mutism

A

psychotherapy

43
Q

separation anxiety disorder

A

therapy + SSRI

44
Q

dissociative amnesia

A

hypnosis or administration of sodium amobarbital or lorazepam may be useful to help patients retrieve lost memories

45
Q

dissociative fugue

A

hypnosis or administration of sodium amobarbital or lorazepam may be useful to help patients retrieve lost memories

46
Q

depersonalization-derealization disorder

A

anti-anxiety agents or SSRIs to treat associated anxiety symptoms or depression

47
Q

somatic symptom disorder

A

regularly scheduled visits to primary care provider

48
Q

conversion disorder

A

insight oriented psychotherapy, hypnosis, or relaxation therapy

49
Q

body dysmorphic disorder

A

SSRIs

50
Q

pain disorder

A

SSRIs

transient nerve stimulation, biofeedback, hypnosis, therapy

51
Q

factitious disorder

A

have 1 primary care dr. be the gatekeeper of care

52
Q

intermittent explosive disorder

A

SSRIs, anticonvulsants, lithium, and propranolol

53
Q

keptomania

A

therapy

ssris

54
Q

pyromania

A

Therapy

SSRIs

55
Q

trichotillomania

A

SSRIs, antipsychotics, lithium,
hypnosis,
CBT

56
Q

anorexia

A

1st: restore nutritional status and correct electrolyte imbalences
2nd: CBT
can use mirtazapine to help gain weight

57
Q

bulemia

A

1st: nutritional rehab
2nd: CBT
3rd: SSRIs; do NOT use bupropion

58
Q

binge eating disorder

A

CBT

treat comorbid mood and anxiety disorders

59
Q

primary insomnia

A

1st line; sleep hygiene

drugs: benedryl, zolpidem, zaleplon, trazodone

60
Q

primary hypersomnia

A

stimulants 1st line

61
Q

narcolepsy

A

timed daily naps + stimulant

SSRIs for cataplexy

62
Q

circadian rhythm sleep disorder

A

melatonin

63
Q

nightmare disorder

A

usually no therapy required

can use TCAs or theory REM suppressants

64
Q

night terror

A

none - keep area safe

low dose diazepam may be effective

65
Q

sleep-walking

A

injury prevention

psych (12 decks)

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