Psychiatry Flashcards
(28 cards)
Best initial test in a patient with psychosis
Drug screen
Low potency antipsychotics
Thioridazine(check EGD)
Chlorpromazine
Greater anticholinergic effects
Atypical antipsychotics
best for negative symptoms
Risperidone(less sedative)
olanzapine(wieght gain)
clozapine(Agranulositosis)
quetiapine
High potency antipsychotics
greatest association with EPS
Fluphenazine
Haloperidol
Most effective antipsychotic for schizophrenia
CLOZAPINE
Check CBC for agranulocytosis
Social anxiety disorder treatment
Exposure
Panic disorder treatment
Cognitive-behavioral therapy
GAD treatment
Supportive psychotherapy
OCD treatment
Behavioral psychotherapy
treatment for dysthymia
Psychotherapy
Seasonal affective disorder
Phototherapy or sleep deprivation
the best treatment for Rapid cycling bipolar(>4 episodes of mania per year)
Divalproex
Bipolar treatment during the first trimester of pregnancy
ECT
Bipolar treatment during the 2nd and 3rd trimester of pregnancy
Lamotrigine
Treatment for cyclothymia
Psychotherapy
Indications for ECT
Major depressive episodes unresponsive to meds
High risk for immediate suicide
contraindications to using antidepressant medications
Good response to ECT in the past
length of antidepressant therapy
-6 months, change medication if no response after 8 weeks
Treatment for depression with poor appetite
Mirtazapine
Treatment for depression with patient concerned about weight gain or sexual side effect
Bupropion(watch for seizures)
Best treatment for illness anxiety disorder
Cognitive therapy
Treatment for Conversion disorder
Supportive physician-Patient relationship
TCA antidepressant( check for Colnvulcions,Coma,Cardiotox)
amitryptiline(Most anticholinergic) nortriptyline imipramine desipramine(seziures) clomipramine doxepine amoxpaine
MAOIs
more helpful for atypical depression
tranylcypromine
Phenelzine
Isocarboxazid
Selegiline
Serotonin syndrome treatment
Cyproheptadine
