Flashcards in Psychiatry Deck (13):
Effective Maintenance for Bipolar?
NOT Haloperidol! Only for mania but not for maintenance
Signs and symptoms?
1. Agitation, confusion, tachy, High BP, dry mouth
2. Stop drug; give Lorazepam or Diazepam
Obsessive Compulsive behavior?
Repetitive stimuli exposure
Female who lost his husband in a car crash 2 weeks ago.
Unable to sleep; relived the event; refuse to go in a car
Acute Stress disorder!
Adjustment DO --> Acute Stress disorder --> PTSD ( more than 1 month)
Severity of Anorexia nervosa. Based on What?
Schizo patient on Haldol
Cannot sit still
Medication that decreases depressive symptoms in children and adolescence?
1. Fluoxetine (Prozac)
Paroxetine is associated with Suicide!
Patient with Post traumatic stress disorder.
1. SSRI or SNRI --> Sertraline or Paroxetine
2. 2nd line: Mirtazapine
Which Antidepressant can prolong QT interval and should be avoided with concomitant QT prolong in agents?
Citalopram + Escitalopram
Patient diagnosed with Somatization disorder.
Most Effective Drug?
TCA and SSRI
Amitriptyline is a TCA that has great success!
Adult Pt with significant depression; no other health problems
Best initial tx?
Alpha 2 antagonist: Mirtazapine (remeron)
What is Boarderline Personality DX?
Tx if stable?
Maladaptive personality, highly emotional lability, intense anger, unstable relationship, internal sense of emptiness. Ha self injurious behavior. 1 out of 10 succeeds in vomiting suicide.
Psychotherapy if stable.
Inpatient hospitalization if extreme difficulties in living and daily functioning.