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34 Cards in this Set
- Front
- Back
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Anxiety treatment first line
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SSRI snr+ therapyi, maos tcas can be used
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Should benzodiazepines be used after trauma
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potential concerned that they may interfere with recovery
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When to use beta blockers
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to reduce autonomic symptoms, not helpful for generalized social phobia
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Anxiety therapy
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CBT Behavior exposure supportive therapy
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The specifics of CBT
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cognitive restructuring to reduce catastrophic thinking, relaxation training to manage anxiety such a slow breathing and muscle relaxation
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Define behavioral exposure
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repeatedly exposing the patients are fearful stimuli to extinguish the conditioned fear response
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When isa supportive therapy helpful
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right after the acute trauma
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Dissociation symptoms treatment
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Ativan 1 to 2 milligrams, risperidone 1 milligram, Seroquel 25 to 50 milligrams
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Dementia Cognitive symptoms meds
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1 episode galantamine rivastigmine Namenda
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Dementia and depression
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ssris except paroxetine use Mirtazapine and buproprion
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dementia when to use stimulants
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methylphenidate for poor energy or motivation costume with cardiac disease
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When to use ECT or moa
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severe treatment refractory depression
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Antipsychotics in the elderly
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Black Box warning of increased death and increased sensitivity, hallucinations paranoia and delusions not require treatment unless causing harm to others
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Treatment of depression most common reason for failure
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inadequate dosing and duration need 6 weeks of maximum dose
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treatment duration single and multiple episodes
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single episode of 6 months Bold full episodes lifetime
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Less than desired response to drug
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add lithium or synthroid
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Atypical depression treatment
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SSRI bupropion all night with trailer parks all over paranoid
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Melancholic treatment
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snri or GTA
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Irritability or anger attacks treatment
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SSRI
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Treatment seasonal affective disorder
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light therapy of 10 K left for 30 minutes in the morning and evening
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Depression with psychosis treatment
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antidepressant and antipsychotic, or ECT
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Treatment for severe recurrent or pregnant depression
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ECT
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Depression with panic disorder
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SSRI
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Depression with substance abuse
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abstinence
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Acute Mania
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initiate with mood stabilizer or atypical antipsychotic
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What are the mood stabilizers and alternatives
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lithium Depakote Tegretol trileptal (oxcarb)
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It first line therapy fails
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dc antidepressants, add another First Line agent, as hard as tegretol, change of that psychotic
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Treatment treatment refractory
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503 CT down a discontinued antidepressant
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Mania maintenance therapy first line
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lithium olanzapine Abilify Seroquel and Depakote
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First line Alternatives Mania
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Lamotrigine and Tegretol
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bipolar depressiontreatment list first line
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olanzapine/fluoxetine combination (fda), Seroquel, Lithium and lamotrigine either were together or severe
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Treatments for core mixed Mania
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typical or atypical, ECT
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Rapid Cycling
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initially mood stabalizer, alternatively lamotrigine
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>:O |
>_< |
