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20 Cards in this Set
- Front
- Back
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-All psychotropic medications cross the _____________
-Try to avoid during pregnancy (esp. ___ trimester) or when nursing -Consider ECT in severe cases |
-placenta
-1st |
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Administration of drugs that can raise plasma serotonin concentration
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Serotonin Syndrome
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MAOI + SSRI
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Serotonin Syndrome
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Hyperthermia + autonomic instability, extreme muscle rigidity, tremor + antipsychotic drug (typicals > atypical, clozapine + Li)
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Neuroleptic Malignant Syndrome
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A movement disorder which mimics the signs & symptoms of idiopathic Parkinson’s disease
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Parkinsonism
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Bilateral vs. unilateral parkinson symptoms
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bilateral = iatrogenic parkinsonism
unilateral = dz |
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A severe form of restlessness associated with a compulsion to move
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Akathisia
(iatrogenic) |
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Spasms or muscle stiffness usually most prominent in head and neck, which occur early in the course of treatment or with dose increases
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Dystonia (iatrogenic)
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A collective term for a set of late-onset and sometimes irreversible disorders which can include chorea, dysphonia, dystonia, tics, and myoclonus
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Tardive Dyskinesia
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Most effective treatment for mood disorders:
Major depression 80-90% efficacy, Bipolar mania ~ 80% efficacy |
Electroconvulsive therapy
ECT |
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Increased ICP, lesions, recent MI, stroke, unstable AA,
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CI's to ECT
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-Best treatment for SAD, non seasonal depression, sleep disorders, OCD w/seasonal pattern.
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Phototherapy
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-No guidelines exist for this treatment
-May be a beneficial adjunct for some psychiatric disorders |
OMT in psychiatry
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-Some anxiety disorders (e.g., GAD, panic disorder)
-Somatoform disorders -Fibromyalgia -PMDD |
Possible indications for OMT in psychiatry
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-Psychotic disorders
-Personality disorders -PTSD -Patients with history sexual abuse |
Relative CI's to OMT in psychiatry
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1. debilitating disorder refractory to any other treatment
2. intractable MDD & OCD 3. epilepsy 4. chronic pain disorders |
Indications for neurosurgery.
NOT for schizo or mania. |
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Cingulotomy, capsulotomy
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Neurosurgery for OCD
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Hemispherectomy
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Neurosurgery for children with epilepsy
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Adjunctive long-term treatment of chronic or severe recurrent depression over 18 yo. Permanent device; risk of hoarseness.
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Vagal Nerve Stimulation
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Uses magnetic pulse to stimulate brain cells that control mood for depression.
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Transcranial Magnetic Stimulation (rTMS)
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