Treatments Flashcards
treatment goal for eating disorders
restoration of patient’s nutritional balance
eating disorders: hospitalization is recommended at ___% below expected weight
30%
eating disorders meds
SSRIs - most commonly *Fluoxetine (Prozac)
most effective treatment for panic disorder
pharmacotherapy + CBT
panic disorder meds (2)
- all SSRIs are effective - FDA approved: *Paroxetine (Paxil)
- benzodiazepines are used until SSRIs take effect
social anxiety disorder meds (3)
SSRIs, benzodiazepines, SNRIs
performance anxiety meds (2)
beta blockers, *Lorazepam (Ativan)
specific phobia treatment (5)
- behavior therapy - exposure therapy
- psychotherapy - insight oriented therapy
- hypnosis
- supportive therapy
- family therapy
generalized anxiety disorder meds (3)
- SSRIs - *Paroxetine (Paxil), *Escitalopram (Lexapro)
- benzodiazepines (not first choice) - *Lorazepam (Ativan)
antianxiety agents use
adjunctive treatment - given in acute situations until SSRIs take effect; rapid onset of action
2 types of antianxiety agents
- benzodiazepines - enhances GABA
- antihistamines
OCD med
SSRIs - may need higher dose
body dysmorphic disorder med
*Fluoxetine (Prozac)
trichotillomania med
SSRIs augmented with Pimozide
behavior therapy for OCD (4)
desensitization, thought stopping, flooding, aversive conditioning
generalized anxiety disorder psychotherapy (3)
CBT, supportive, insight-oriented
treatment goal for personality disorders
reduce inflexibility of personality features that interfere with functioning and relationships
therapy for histrionic personality disorder
psychoanalytical psychotherapy
meds used to decrease impulsivity in borderline personality disorder
SSRIs
meds for dysphoria, mood instability, impulsivity in personality disorders
SSRIs + antipsychotics
meds for violent behavior in antisocial personality disorder
Lithium, Propranolol (beta blocker)
alcohol withdrawal treatment
- 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
alcohol withdrawal: med for tremulousness and mild-moderate agitation
oral Librium
alcohol withdrawal: meds for hallucinosis, extreme agitation
IV Librium, oral Ativan
alcohol withdrawal: med for seizures, DTs
IV Ativan
treatment for alcoholism (4)
- Alcoholics Anonymous
- counseling
- group therapy
- pharmacotherapy
alcoholism meds (4)
- Antabuse - deterrent
- Naltrexone - decreases pleasurable affects
- SSRIs - not always effective
- Campral
primary focus of opioid overdose treatment
address respiration and oxygenation
opioid overdose treatment
*Naloxone (Narcan) + assisted breathing until it takes effect in 3-7 minutes
opioid withdrawal meds
- *Methadone (Dolophine) substitution - maintenance treatment, receive daily from clinic
- *Buprenorphine - can only get from MD’s office, monthly supply
nicotine use disorder med
*Buproprion (Zyban)
trauma-focused psychotherapy for PTSD (3)
- CBT
- eye movement desensitization and reprocessing (EMDR) therapy
- prolonged exposure therapy
meds for PTSD (2)
- antidepressants (SSRIs) - FDA approved: *Paroxetine (Paxil)
- augmenting agents - use along with antidepressants (ex. for sleep, for nightmares)
