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27 Cards in this Set

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anxiety symptoms that have a sudden onset and increase in intensity over an approximately 10 – minute period
Panic disorder
How do you treat panic disorder?
Anti-depressants:
SSRIs- Prozac or Paxil
Tricyclics- Tofranil
MAOI- Nardil
Xanax
Treatment of OCD
Clomipramine
Anxiety lasting > 6 months, MC btwn 20-30 y/o (3rd decade)
General Anxiety disorder
How do you treat GAD?
Cognitive and behavioral therapy
Benzodiazepines
Buspar- for people who can't tolerate benzos
What is the duration of action of:
Ativan
Xanax
Librium
Ativan-short
Xanax- Intermediate
Librium-Long
What is the Klonopin used for? (long acting)
Seizures
mania
social phobia
panic disorder
What is Dalmane used for?
Insomnia
How long must Sx last in order to classify the disorder as PTSD?
> 1 month
If last only 2 days to 4 wks, then it's considered Acute Distress Disorder
Is Pharm therapy useful in PTSD?
No, treat with psychotherapy although Imipramine, SSRIs and carbamazepine are sometimes used
25 year-old woman has a history of unclear somatic complaints. She tells you that she has consulted many doctors but that they are unable to help her
Somatoform disorder
Abrupt, dramatic loss of motor or sensory function or organ of special sense
Covnersion disorder

Can also present with Seizure and Globus hystericus (lump in the throat)
How can you treat Conversion disorder?
hypnosis
A patient is preoccupied with defects in appearance but has a normal appearance
Body dysmorphic disorder
Does plastic surgery or other medical treatment alleviates Sx of body dysmorphics?
Rarely
Patient experiences intense, prolonged pain with no physical cause
pain disorder
This disorder often coexists with a general medical condition ie. sarcoidosis, hepatitis
Pain disorder
Mental or physical illness to gain attention from medical personnel
Factitious Disorder (Munchausen)

If you induce illness in another person, it's Munchausen by proxy)
Simulation of physical or mental illness for financial or other gain
Malingering
What are the 4 types of dissociative disorders?
Dissociative amnesia
Dissociative fugue
Dissociative identity disorder
Depersonalization disorder
An inability to remember important information about oneself; leaves home and assumes a different identity
Fugue

assoc with a h/o excessive alcohol use
How do you treat Dissoc. Fugue?
Hypnosis and sodium amobarbital
This disoder is assoc. with early traumatic experience,
usually abuse in childhood or adolescence
Most commonly associated with incest
Multiple personality disorder
Person feels detached from their own body, talks in the 3rd person
Depersonalization disoder
How do you treat depersonalization disoder?
SSRIs
Anti-anxiety
Psychotherapy
Drug used to treat anxiety in the elderly
Buspar
What disorders can give you anxiety?
Thyroid
Pheo
Hypoglycemia
Cardia arrythmias
Mitral valve prolapse