Anxiety OCD PTSD

Which SSRIs are not great (second or third line) for GAD?

citalopram, fluoxetine, mirtazapine, trazodone

Which 2 non serotonin drugs are first line for GAD?

pregabalin, agomelatine

Which are 2 prominent side effects of pregabalin?

Dizziness, somnolence

Is routine combo of drugs and CBT recommended in GAD?

No, but based on limited data. If one fails, try the other

How many situations must you have to have social anxiety disorder in the DSM?

just 1

What the typical onset of Social AD?

Adolescence

What is the scale used for social anxiety?

Liebowitz

What is buspirone level 2 for?

GAD only

First line for social anxiety?

Escitalopram, fluvox, parox, sertraline, pregabalin, venlfaxine

Main differences between treatment of GAD and social anxiety?

Fluvox higher for SAD, busp not recommended

How does CBT compare in treatment of SAD?

CBT benefits persist longer, unclear if combined is better

How many symptoms do you need for a panic attack?

4

How many feared situations you need for agoraphobia?

2

First line meds for panic disorder?

Citalo, escitalo, fluox, fluvox, parox, sert, venla

What level are benzos for panic?

2nd line, but first grade evidence

What is the most common type of social phobia?

Situational type (airplanes, elevators, driving, enclosed places)

WHen do you do VR exposure for phobia

Stuff you can’t do in office

What adjunct to exposure has some evidence for phobia?

steroids

How much time per day for OCD criteria?

1 hr per day

Which are first line for OCD?

Escitalo, fluoxe, fluvox, parox, sertraline

Which two adjjunctive antipsychotics can be used?

Abilify, risperidone

in OCD is combined superior?

yes, and better long term outcome compared to CBT alone

Which 3 situations are criteria A for PTSD?

death, serious injury, sexual violence (can be threatened for each)

What are the other 4 categories of symptoms in PTSD?

Intrusions, avoidance, negative cognitions or mood, arousal

SSRI of choice for Body dysmorphic disorder?

fliuoxetine, or clomipramine

Which surgical procedure is reserved for highly resistant OCD patients?

capsulotomy and singulotomy

Time course for pTSD

1 month at least

Which 5 CBT approaches are used in PTSD?

TF CBT, EMDR, Stress mx, CPT, PE

Combined in PTSD?

No superiority