NSG 552 Psychopharmacology Exam 2
Adjustment disorders
Occurs when a person develops emotional or behavioral symptoms in response to a stressful event or situation; symptoms aren't those of normal bereavement and resolve within 6 months of the stressor
SSRIs (sertraline and duloxetine)
Which of the following class of meds are used as first-line therapy for PTSD?
3 multiple choice options
Blood pressure
What do you need to monitor if a patient is on Prazosin?
Why are benzodiazepines contraindicated in PTSD treatment?
They interfere with the psychological processes needed to benefit from CBT: there is a high rate of comorbid SUD w/PTSD and benzodiazepines are highly addictive What medications are FDA approved to treat PTSD?
Sertraline and Paroxetine
When would you augment treatment of PTSD with an atypical antipsychotic?
Only in SEVERE cases
What co-occurring disorder do patients with DID typically have?
PTSD
What are SSRIs effective for in DID?
Co-occurring depressive or PTSD symtpoms
What are the suggested treatments for adjustment disorders?
Psychotherapy and pharmacology to target associated symptoms like anxiety, depression, insomnia
In patients with DID, what medication is used to reduce self-injurous behaviors?
Naltrexone
Is ECT contraindicated in DID?
No- there is often concurrent depression/anxiety and ECT can be effective in treating it- especially if symptoms are treatment resistant What are the suggested treatments for excoriation disorder?
Psychotherapy; SSRIs to treat concurrent anxiety/depression; antipsychotics; ansiolytics
What disorder has the following characteristics: recurrent skin picking that results in lesions despite attempts to stop?
excoriation disorder
What is the suggested treatment for tricholillomania?
Psychotherapy; SSRIs for concurrent anxiety/depression; Clomipramine, Atypical antipsychotics (lithium,
N-acetylcyteine
What disorder has the characteristic of recurrent pulling out one's hair despite repeated attempts to stop?
Trichotillomania
What is the suggested treatment for hoarding disorder?
CBT specific for hoarding; SSRIs to treat concurrent anxiety/depression
What disorder has the following characteristics: persistant difficulty discarding possessions regardless of value resulting in accumulation of possessions that compromise living space/ability to function. Person is
resistant to treatment
Hoarding disorder
What is the suggested treatment for body dysmorphic disorder?
Adjustment disorders
Occurs when a person develops emotional or behavioral symptoms in response to a stressful event or situation; symptoms aren't those of normal bereavement and resolve within 6 months of the stressor
SSRIs (sertraline and duloxetine)
Which of the following class of meds are used as first-line therapy for PTSD?
3 multiple choice options
Blood pressure
What do you need to monitor if a patient is on Prazosin?
Why are benzodiazepines contraindicated in PTSD treatment?
They interfere with the psychological processes needed to benefit from CBT: there is a high rate of comorbid SUD w/PTSD and benzodiazepines are highly addictive What medications are FDA approved to treat PTSD?
Sertraline and Paroxetine
When would you augment treatment of PTSD with an atypical antipsychotic?
Only in SEVERE cases
What co-occurring disorder do patients with DID typically have?
PTSD
What are SSRIs effective for in DID?
Co-occurring depressive or PTSD symtpoms
What are the suggested treatments for adjustment disorders?
Psychotherapy and pharmacology to target associated symptoms like anxiety, depression, insomnia
In patients with DID, what medication is used to reduce self-injurous behaviors?
Naltrexone
Is ECT contraindicated in DID?
No- there is often concurrent depression/anxiety and ECT can be effective in treating it- especially if symptoms are treatment resistant What are the suggested treatments for excoriation disorder?
Psychotherapy; SSRIs to treat concurrent anxiety/depression; antipsychotics; ansiolytics
What disorder has the following characteristics: recurrent skin picking that results in lesions despite attempts to stop?
excoriation disorder
What is the suggested treatment for tricholillomania?
Psychotherapy; SSRIs for concurrent anxiety/depression; Clomipramine, Atypical antipsychotics (lithium,
N-acetylcyteine
What disorder has the characteristic of recurrent pulling out one's hair despite repeated attempts to stop?
Trichotillomania
What is the suggested treatment for hoarding disorder?
CBT specific for hoarding; SSRIs to treat concurrent anxiety/depression
What disorder has the following characteristics: persistant difficulty discarding possessions regardless of value resulting in accumulation of possessions that compromise living space/ability to function. Person is
resistant to treatment
Hoarding disorder
What is the suggested treatment for body dysmorphic disorder?
