Treatment guidelines

Question 1

PTSD treatment

Answer 1

Question 2

Unipolar depression

1st, 2nd line, adjunct

Answer 2

1st line recommendations for Rx - MDD
Stop Sadness and Bring More Vibrance

SSRIs
SNRIs
Agomelatine
Buproprion
Mirtazapine
Vortioxetine & Vilazodone

2nd line:
Mood Quietly Turns Tearful

Moclobemide
Quetiapine
TCA
trazodone & Nefazodone

Adjunct 1st line: aripiprazole, brexpiprazole

Adjunct 2nd line:
“Better Keep On Questioning Recovery, Low Confidence Might Make Tears”

Bupropion, ketamine, olanzapine, quetiapine, risperidone, lithium, cariprazine, mirtazapine/mianserin, modafinil, T3

Question 3

Bipolar 1 & 2

Answer 3

Question 4

Unipolar depression psychotherapies

Answer 4

Question 5

Bipolar 1 psychotherapies

Answer 5

Question 6

Bipolar 1 acute mania

Answer 6

Question 7

Bipolar 1 acute depression

Answer 7

Question 8

Bipolar 1 maintenance

Answer 8

Question 9

Bipolar 2 depression

Answer 9

Question 10

Bipolar 2 maintenance

Answer 10

Question 11

Tourettes Syndrome

Answer 11

Question 12

ASD

Answer 12

Question 13

ID or IDD

Answer 13

refer to CRDI
1- education
2-behavior therapy/CBT
3-fam psychoed+ support
4-social: respite for family, social skills training

Rx: risperidone for aggressivity. treat comorbidities.

Question 14

ADHD

Answer 14

Question 15

SUD

Answer 15

Question 16

Social anxiety

Answer 16

Question 17

Panic disorder

Answer 17

Question 18

Specific phobia

Answer 18

-exposure
-better if exposure prolonged, real (vs imaginary),

gradual exposure = flooding
-VR effective: heights, flights, spiders, claustrophobia.
-computer programs good for: spiders, flights, small animals
-exposure + applied tension (AT) good for BII

Question 19

OCD

Answer 19

Question 20

Antidepressants with evidence for superior efficacy based on meta-analyses

Answer 20

2nd gen antidepressant superiority:
- Escitalopram (level 1)
- Mirtazapine (level 1)
- Sertraline (level 1)
- Venlafaxine (level 1)

- Agomelatine (level 2)  Citalopram (level 2)