Treatments

Question 1

treatment goal for eating disorders

Answer 1

restoration of patient’s nutritional balance

Question 2

eating disorders: hospitalization is recommended at ___% below expected weight

Answer 2

30%

Question 3

eating disorders meds

Answer 3

SSRIs - most commonly *Fluoxetine (Prozac)

Question 4

most effective treatment for panic disorder

Answer 4

pharmacotherapy + CBT

Question 5

panic disorder meds (2)

Answer 5

• all SSRIs are effective - FDA approved: *Paroxetine (Paxil)
• benzodiazepines are used until SSRIs take effect

Question 6

social anxiety disorder meds (3)

Answer 6

SSRIs, benzodiazepines, SNRIs

Question 7

performance anxiety meds (2)

Answer 7

beta blockers, *Lorazepam (Ativan)

Question 8

specific phobia treatment (5)

Answer 8

• behavior therapy - exposure therapy
• psychotherapy - insight oriented therapy
• hypnosis
• supportive therapy
• family therapy

Question 9

generalized anxiety disorder meds (3)

Answer 9

• SSRIs - *Paroxetine (Paxil), *Escitalopram (Lexapro)

- benzodiazepines (not first choice) - *Lorazepam (Ativan)

Question 10

antianxiety agents use

Answer 10

adjunctive treatment - given in acute situations until SSRIs take effect; rapid onset of action

Question 11

2 types of antianxiety agents

Answer 11

• benzodiazepines - enhances GABA

- antihistamines

Question 12

OCD med

Answer 12

SSRIs - may need higher dose

Question 13

body dysmorphic disorder med

Answer 13

*Fluoxetine (Prozac)

Question 14

trichotillomania med

Answer 14

SSRIs augmented with Pimozide

Question 15

behavior therapy for OCD (4)

Answer 15

desensitization, thought stopping, flooding, aversive conditioning

Question 16

generalized anxiety disorder psychotherapy (3)

Answer 16

CBT, supportive, insight-oriented

Question 17

treatment goal for personality disorders

Answer 17

reduce inflexibility of personality features that interfere with functioning and relationships

Question 18

therapy for histrionic personality disorder

Answer 18

psychoanalytical psychotherapy

Question 19

meds used to decrease impulsivity in borderline personality disorder

Answer 19

SSRIs

Question 20

meds for dysphoria, mood instability, impulsivity in personality disorders

Answer 20

SSRIs + antipsychotics

Question 21

meds for violent behavior in antisocial personality disorder

Answer 21

Lithium, Propranolol (beta blocker)

Question 22

alcohol withdrawal treatment

Answer 22

• substitution therapy with benzodiazepines - *Chlordiazepoxide (Librium), *Lorazepam (Ativan)
• start with high doses, reduce by 20-25% every day
• give every 4-6 hours + additional doses for breakthrough symptoms

Question 23

alcohol withdrawal: med for tremulousness and mild-moderate agitation

Answer 23

oral Librium

Question 24

alcohol withdrawal: meds for hallucinosis, extreme agitation

Answer 24

IV Librium, oral Ativan

Question 25

alcohol withdrawal: med for seizures, DTs

Answer 25

IV Ativan

Question 26

treatment for alcoholism (4)

Answer 26

• Alcoholics Anonymous
• counseling
• group therapy
• pharmacotherapy

Question 27

alcoholism meds (4)

Answer 27

• Antabuse - deterrent
• Naltrexone - decreases pleasurable affects
• SSRIs - not always effective
• Campral

Question 28

primary focus of opioid overdose treatment

Answer 28

address respiration and oxygenation

Question 29

opioid overdose treatment

Answer 29

*Naloxone (Narcan) + assisted breathing until it takes effect in 3-7 minutes

Question 30

opioid withdrawal meds

Answer 30

• *Methadone (Dolophine) substitution - maintenance treatment, receive daily from clinic
• *Buprenorphine - can only get from MD’s office, monthly supply

Question 31

nicotine use disorder med

Answer 31

*Buproprion (Zyban)

Question 32

trauma-focused psychotherapy for PTSD (3)

Answer 32

• CBT
• eye movement desensitization and reprocessing (EMDR) therapy
• prolonged exposure therapy

Question 33

meds for PTSD (2)

Answer 33

• antidepressants (SSRIs) - FDA approved: *Paroxetine (Paxil)
• augmenting agents - use along with antidepressants (ex. for sleep, for nightmares)