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Flashcards in Psych Deck (46)
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1

useful med for nightmares of PTSD?

prazosin

2

med for mania with a touch of psychosis

haloperidol

3

schizoid

loner
prefers to be alone

4

atypical antipsychs

quetiapine
olanzapine
risperdol

work on both positive and negative symptoms

5

what to use on combative psychosis

haloperidol

6

if all else fails with psychotic symptoms

clozapine

must try everything else first

7

timeline of schizo

1 month- brief psychotic disorder
1-6 months- schizophreniform
6 months or more schizophrenia

8

schizotypal

bizarre thinking (magical stuff) eccentric, fully functional

9

cluster A

paranoid
schizoid
schizotypal

10

cluster B

Bad Boys. Manipulative, demanding, want to change the rules

borderline personality disorder. Split people. Unstable, rapid changes in mood

histrionic (theatrical, attention seeking)

narcissistic

antisocial

11

Cluster C

avoidant

dependent

OCD personality disorder (perfectionist, not the other OCD)

12

ODD vs Conduct Disorder vs antisocial

ODD and Conduct D/O are under 18

ODD not violent. hates authority, cooperates with peers. Pathology: incongruent parenting.

Conduct d/o hurts peers, violates rules, destroys property. RX: Juvie

antisocial over 18

13

avoidant personality disorder

wants to make friends but can't

14

treat antisocial personality

jail

not psychotherapy

15

cata--

catatonia- abnormal movement (depressed or agitated) [bad tone]

cataplexy- collapse [strike down]

catalepsy- muscular rigidity [seize down]

16

suspected catatonia, what to do?

give lorazepam
if it works, it is confirmed

17

treat tourette's and tic disorder with

dopamine antagonists like risperdone

18

tourette's association for later in life

OCD

19

SSRIs

escitalopram
fluoxetine
paroxetine
sertroline

sexual side effects

20

SNRIs

desvenlafaxine
duloxetine

cleaner than SSRIs, cost more money

21

atypical antidepressant

buproprion -depression plus quit smoking

not for bulemia; decreases seizure threshold

22

serotonin modulators

crappy antidepressants

mirtazapine - appetitie stimulant

trazodone (sleep aid). --> priapism.

23

TCAs

-triptylenes
imipramene
doxapene

Mostly used for side effects (Ach, like for bedwetting)
Neuropathic pain

Convulsions, Cardiac Toxicity, Coma

24

MAOis

old antidepressant med.

selegeline
phenylzine

--> hypertensive crisis with wine/ cheese etc.

25

Mood Stabilizers

Lithium
Valproate

26

treat acute mania

lithium or valproate plus an antipsychotic

quetiapine in all phases of bipolar

27

lithium

first line mood stabilizer but
nephrotoxic and hypothyroidism
teratogen
narrow therapeutic windo

28

valproate

first line mood stabilizer but
spina bifida (preggers)
pancreatitis
agranulocytosis
decreased platelets

29

quetiapine

2nd line mood stabilizer

weight gain
QTC
somnolence

30

lamotrigene

2nd line mood stabilizer
no real side effects

stay away from carbamazapene as mood stabilizer