Psychology Flashcards
What are 2 common depression screening tools?
PHQ 2 and 9 (given if 2 is positive)
What are the first 2 lines of medications for depression?
- SSRI
2. SNRI
Why do men normally stop taking SSRIs and SNRIs?
Erectile dysfunction and sexual dysfunction
What herbal supplement is used for depression?
St John’s Wort
When do you consider tapering antidepressants?
Once at a stable/effective level for 6 months
What 2 things do we consider before increasing antidepressants?
- Where are they in the process (did they just start a new med within the last 4-6 weeks)
- Look at symptoms (chronic fatigue - consider thyroid)
What class of antidepressants should not be given to elderly? Why?
Tricyclic Antidepressants (amitriptyline) Anticholinergic effects
What 2 things are atypical antipsychotics notorious for?
- Weight gain
2. Hyperlipidemia
What 3 things should we check before starting atypical antipsychotics?
- Lipid panel
- Blood glucose
- Weight
Name 2 examples of antipsychotics.
Zyprexa and Seroquel
What is the first line of treatment for bipolar?
Lithium
Narrow therapeutic range with long term side effects
What is the preferred treatment for PTSD?
SSRIs
When a person becomes depressed at the same time every year. Primarily effects the circadian rhythm.
Seasonal Affective Disorder (SAD)
What is the primary treatment for Seasonal Affective Disorder?
Light therapy
Can use meds and talk therapy
Due to the CYP3A4 enzyme, we can’t given St. John’s Wort with antidepressants. What happens if we do?
Serotonin syndrome
Neurotoxic to patients
