psych EOR list topics/treatments

first line treatments for MDD

SSRIs (zoloft, prozac, lexapro) + CBT

highest risk of suicide is in

white men +85 years old, w/ firearms and hx of attempts

cluster A PD

schizoid, shizotypal, paranoid

ckuster B PD

narcisstic, histornic, borderline, antisocial

cluster C PD

avoidant, dependent, OCD

what is atomexetine

SNRI

What therapy is used in depressive pts thats resistant to all treatment

ECT

whats agoraphobia

anxiety disorder characterized by an intense fear and avoidance of environments or situations where escape might be difficult or help unavailable

what labs should you check with lithium

TSH; can cause hypothryodism

second line treatments for MDD

SNRI

which TCA treats panic attacks

imapriamine

tx for panic disorders

SSRIs

what is most commonly seen with panic disrorder

alcohol use

tx for acute panic attacks

xanax or klonopin

first line for dysthmia

SSRI (zoloft, prozac, lexapro) + therapy

first line for PMDD

prozac or zoloft

Whats most common diagnosis in eldery

anxiety

tx for bipolar disorder with acute mania

lithium or depakote + antipsych

AE of carbamazapine

SIADH and SJS

carbamazpeine is used to tx

trigeminal neuralgia

AE of depakote

neural tube defect in pregnant woman

maintenance for bipolar tx

lithium

tx for bipolar depression

quetiapine or lurasidone (2nd gen)

tx for cyclothymia

psychotherapy and/or mood stabilizers

tx for shrooms or LSD

benzos

main AE with 1st gen antipsych

EPS

AE of risperidone

akathisia and high prolactin

which 2nd gen causes most weight gain

olanzapine

which 2nd gen causes least weight gain

ziprasidone

tx for alchohol withdrawl acutely in ED

benzos (diazepam) --> long acting

sx of NMS

muscle rigidty and AMS

short acting benzos

xanax and oxezapem

long acting benzos

lorazepam and chlor

tx for maintenace therapy of alchohol use

naltrexone

tx for opioid use

suboxone or methadone

tx for opioid overodse

narcan

opioid use disorder triad

respiratory depression, CNS depression and miosis

first line tx for pt coming in believing theres insects under their skin (delusions or parasotisis)

establish strong therapeutic alliance

main sx of opioid use disorder

lacrimation, myadriasis

tx for cannabis or stimulant use

CBT

OCD vs OCPD

OCD is ego dysotnic and OCPD is ego syntonic, OCD has obsessions and compulsions

tx for OCD

SSRIs or clomaprarmine

which TCA treats OCD

clompramine

tx for PTSD nightmares

prazaosin

tx for shcizoaffective

paliperidone

ADHD symptoms can be diagnosed at what age

12

tx for delusional disorder

risperodone or olanzapine (2nd gen)i

tx for depression and neuropathy

duloxetine

tx for depression and sexual side effects on SSRI

wellbutrin

tx for social anxiety

propranolol

tx for acute severe anxiety

ativan

tx for PTSD

zoloft or paroxetine

tx for ADHD

adderal or concerta

tx for ADHD + binge eating

vyvanse

tx fro ADHD + tics

clonidine or gaunficine

tx for abstitence maintanence from alchohol use

acomprosate

main sx leading to alcohol use disorder

having a strong craving

tx for bullimia

prozac (fluoxetine)

main side effects of bullmia

hypokalemia

exhibitonsintic disorder

showing genitals to people in public

MDD criteria

- 2 weeks of 5 symptoms

- SIGECAPS

main hallmark of MDD

anhedonia

what does SIGECAPS stand for

Sleep disturbance

Interest decreased (anhedonia)

Guilt

Energy low

Concentration impaired

Appetite change

Psychomotor retardation

Suicidal ideation

IF pt has sexual dysfunction what should be given

wellbutrin or remeron

tx for TCA overdose

sodium bicarb

first line tx for MDD + insomnia

remeron

what mechanism causes sedation in trazadone ans remerone

H1 blocker

MOA of remeron

alpha 2 antagonist

MOA of trazadone

alpha 1 blocker

what should you always do before starting antidepressants

screen for mania

dysthmia is also known as

persistent depressive disorder

dysthmia criteria for adults

Depressed mood for +2 years in adults

dysthmia criteria for kids

Depressed mood for +1 year in kids

main differentiating factor of dysthmia and cyclothymia

cyclothymia is symptoms free for 2 months

PMDD criteria

- occurs in luteal phase

- sx resolve when period starts

bipolar 1 criteria

- 1 week of mania → psychosis

- decreased need for sleep, talkative, flight of ideas

main risk factor for bipolar 1

family hx

screening for bipolar 1

mood disorder questionnaire

tx for bipolar 1

mood stabilizer (lithium) or 2nd gen antipsych

how to diagnose antisocial disorder

sx at 18 years old with conduct disorder at 15 y/o

main hallmark of antisocial disorder

violates rights of others

what can depakote do for pregnant women

cause neural tube defects

bipolar 2 criteria

hypomania and depression for 4 days

whats highest risk of suicide

Previous attempt, male gender and old age

PTSD criteria

Sx last for at least 1 month

acute stress disorder criterua

3days - less then 1m

adjusment disorder criteria

- Occurs within 3months of stressor 

- divorce, loss of job

stages of grief

denial, anger, bargaining, depression, acceptance

tx for performance/social anxiety

propranolol

panic disorder criteria

- recurrent attacks of chest pain, palipitations, sweating

- fear about future attacks

- usually for one month

MC form of child abuse

neglect

which SSRI causes least amount of withdrawl

prozac, 72 hour half life

which SSRI causes least amount of weight gain

sertraline

main sx you will see with seratonin syndorme

flu like sx

which SSRI causes most amount of weight gain

paroxetine

functional neuro disorder criteria

- seizures, blindness

- normal neuro exam

- triggered by stressor or trauma

somatic disorder criteria

- patient has real sx lasting.6 months

- no medical explanation

- pts anxiety is relative to sx

illness anxiety disorder criteria

- patient is "convinced" about symptpms but dont actually have any

- exaggerate every normal bodily function

factitious disorder criteria

- person intentionally produces fake sx

- wants to be seen a sick

- no external gain

malingering disorder criteria

- person intentionally produces fake sx

- external gain