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Psych > Simplified 1st Line Tx > Flashcards

Simplified 1st Line Tx Flashcards

1
Q

ADHD: 4-6 YO

A

Parental training and behavioral interventions

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2
Q

ADHD: >6 YO

A

Stimulant med; methylphenidate preferred

Multi-modal always best. CBT not proven effective in children.

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3
Q

Complicated EtOH withdrawal

A

Correct electrolytes/fluids; parenteral thiamine

Benzos

Anticonvulsants if needed

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4
Q

Acute EtOH withdrawal (not complicated)

A

(1st line depends on patient’s needs)

Disulfram (PO every day)
Naltrexone (depot injection, I think?)
Acamprosate (TID)

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5
Q

Cocaine abuse

A

No FDA approved meds

NA/CA
Rehab
Therapy
Tx comorbid psych conditions

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6
Q

Opioid abuse

A

Buprenorphine

also, methadone, naltrexone [must be off opioids for several days first]

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7
Q

Post-Acute EtOH withdrawal

A

CBT

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8
Q

OCD

A

SSRI - esp Fluvoxamine + CBT

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9
Q

PTSD

A

SSRI (esp sertraline, fluoxetine, paroxetine)
Prolonged exposure therapy
Cognitive processing therapy

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10
Q

Borderline personality disorder

A

DBT (more effective than CBT)

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11
Q

Personality disorders other than BPD

A

CBT (patients often resistant, especially antisocial)

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12
Q

Bipolar: acute mania with psychosis

A

Mood stabilizer (lithium or valproate) + 2nd gen antipsychotic (risperidone can be given IM and good for angry outbursts)

Or haldol

Benzo if necessary

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13
Q

Bipolar: acute mania, no psychosis

A

2nd gen antipsychotic such as risperidone

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14
Q

Bipolar: maintenance therapy

A

Psychotherapy + lithium is first line

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15
Q

Schizophrenia

A

2nd gen antipsychotic - risperidone preferred

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16
Q

Major depressive disorder

A

SSRI + CBT

escitalopram or sertraline good starting point

17
Q

Persistent depressive disorder

A

SSRI + CBT

18
Q

PMDD

A

Lifestyle changes; SSRI - fluoxetine preferred

19
Q

Post/peripartum depression

A

SSRI other than paroxetine

20
Q

Adjustment disorder

A

Lifestyle (exercise, therapy, diet)

Meds not preferred

21
Q

Eating Disorders

A

Family Tx

In bulimia only: fluoxetine

22
Q

Dissociative disorders

A

Therapy

23
Q

Generalized anxiety disorder

A

SSRI + CBT

24
Q

Panic disorder

A

SSRI + CBT

25
Q

Social anxiety disorder

A

SSRI + CBT

Benzos for acute state

26
Q

Performance anxiety

A

SSRI (+ CBT if appropriate)

27
Q

Agoraphobia

A

SSRI + CBT

28
Q

Specific phobias

A

CBT including exposure therapy

Benzos for acute state

Psych (6 decks)

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