Treatment guidelines part 2

Question 1

Phobia

Answer 1

-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 2

GAD

Answer 2

CBT=RX = relaxation techniques
no evidence combined is superior

EPS-VPAD:

1st line: SSRIs, venlafaxine, duloxetine, agomelatine, pregabalin

2nd line: bzd, TCA, vortioxetine, buspirone, buproprion, quetiapine, hydroxyzine

Adj: 2nd line pregabalin, 3rd line aripiprazole, olanzapine, quetiapine, risperidone