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Flashcards in Psych Treatment Deck (73)
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1

Treatment for ADHD

- Stimulants (methylphenidate)
- CBT
- Alternatives: atomoxetine, guanfacine, clonidine

2

Rett Syndrome

- X-linked dominant
- Girls, age 1-4
- REGRESSION - loss of development, loss of verbal abilities, intellectual disability, ataia, stereotyped HAND-WRINGING

3

Treatment for Conduct Disorder
- Violating basic rights of others or societal norms (aggression, destruction, theft)

CBT
- Antisocial personality disorder

4

Treatment for Oppositional Defiant Disorder
- Hostile to authority figures

CBT

5

Treatment for Separation Anxiety Disorder

CBT
Play therapy
Family therapy

6

Treatment for Tourette Syndrome

Psychoeducation and behavioral therapy
For intractable/distressing tics: high-potency antipsychotics (fluphenazine, pimozide), tetrabenazine, guanfacine, clonidine

7

Treatment for Delirium?

Treat underlying condition
Haloperidol used as needed
Benzodiazepines for alcohol withdrawal

8

Treatment for schizophrenia?

Atypical antipsychotics (Risperidone)

9

Treatment for bipolar?

Mood stabilizers (lithium, valproic acid, carbamazepine)
Atypical antipsychotics
AVOID ANTIDEPRESSANTS (can precipitate mania)

10

Treatment for depression?

CBT and SSRIs are first line
SNRIs, mirtazapine, buproprion can also be considered
ECT in select patients

11

Treatment for depression with atypical features?

CBT and SSRIs are first line
MAOi are effective but have lots of AE

12

Treatment for postpartum blues?

Supportive
Follow-up to assess for postpartum depression

13

Treatment for postpartum depression?

CBTs and SSRIs

14

Treatment for postpartum psychosis?

Hospitalization and initiation of atypical antipsychotic
ECT may be used

15

Treatment for panic disorder?

CBT, SSRIs, venlafaxine are first line
Benzodiazepines for acute attack

16

Treatment for specific phobia?

Systemic desensitization

17

Treatment for social anxiety disorder?

CBTs, SSRIs, and venlafaxine are first line
Benzodiazepine or Beta-blocker for occasional anxiety-inducing situations

18

Treatment for agoraphobia?

CBT, SSRIs, MAOi

19

Treatment for generalized anxiety disorder?

CBT, SSRIs, SNRIs are first line
Buspirone, TCAs, benzodiazepines are 2nd line

20

Treatment for adjustment disorder?

CBT, SSRIs

21

Treatment or OCD?

CBT, SSRIs, clomipramine

22

Treatment for body dysmorphic disorder?

CBT

23

Treatment for PTSD?

CBT,SSRIs, venlafaxine

24

Treatment for acute stress disorder?

CBT, pharmacotherapy not indicated

25

Treatment for anorexia nervosa?

Psychotherapy and nutritional rehabilitation are first line
- Watch out for Refeeding Syndrome (increased insulin --> hypophosphatemia --> cardiac complications)

26

Treatment for bulimia nervosa?

Psychotherapy, nutritional rehabilitation, antidepressants

27

Treatment for binge eating disorder?

Psychotherapy (CBT) is first line, SSRIs

28

Treatment for narcolepsy?

Daytime stimulants (amphetamines, modafinil) and nightime sodium oxybate (GHB)

29

Methadone

- Heroin detox or long-term maintenance
- Long-acting oral opiate

30

Naloxone + Buprenorphine

- Antagonist + partial agonist
- Naloxone is not orally bioavailable, so withdrawal sx occur if injected (lower abuse potential)
- QUICK