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Uses defense mechanisms to control instinctual urges and distinguishes fantasy from reality using reality testing - ️️Ego Name 4 mature defense mechanisms - ️️1. Altruism 2. Humor 3. Sublimation 4. Suppression Name 7 neurotic defense mechanisms - ️️1. Controlling 2. Displacement 3. Intellectualization 4. Isolation of affect 5. Rationalization 6. Reaction formation 7. Repression Name 4 immature defense mechanisms - ️️1. Acting out 2. Denial 3. Regression 4. Projection

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PAEA Behavioral Health
Uses defense mechanisms to control instinctual urges and distinguishes fantasy from
reality using reality testing - ✔️✔️Ego

Name 4 mature defense mechanisms - ✔️✔️1. Altruism
2. Humor
3. Sublimation
4. Suppression

Name 7 neurotic defense mechanisms - ✔️✔️1. Controlling
2. Displacement
3. Intellectualization
4. Isolation of affect
5. Rationalization
6. Reaction formation
7. Repression

Name 4 immature defense mechanisms - ✔️✔️1. Acting out
2. Denial
3. Regression
4. Projection


In which patients is psychoanalysis contraindicated - ✔️✔️Patients who have problems
with reality testing (actively psychotic or manic patients)

Which patients most commonly exhibit primary process thinking - ✔️✔️Children and
psychosis

Unconscious; involves instinctual sexual/aggressive urges and primary process thinking
- ✔️✔️Id

Moral conscience and ego ideal (inner image of oneself that one wants to become) -
✔️✔️Superego

Serves as a mediator between id, superego, and external environment nad seeks to
develop satisfying interpersonal relationships - ✔️✔️Ego

,Woman tells you that "you and the nurses are the only people who understand me; all
the other doctors are mean and impatient". What defense mechanism is this? -
✔️✔️Splitting (borderline personality d/o)

Which cluster personality disorders benefit from psychoanalysis - ✔️✔️B and C

Interpersonal therapy - ✔️✔️Focuses on development of social skills to help treat
certain psychiatric d/os

Theory upon which behavioral therapy is based - ✔️✔️Learning theory: behaviors are
learned by conditioning and can be unlearned by deconditioning

Technique in which a negative stimulus (electric shock) is repeatedly paired with a
specific behavior to create an unpleasant response - ✔️✔️Aversion therapy

Therapy in which patient is taught to identify maladaptive thoughts and replace them
with positive ones - ✔️✔️Cognitive therapy

Form of CBT that is effective in reducing the urges to engage in self-harm behavior in
borderline personality disorder patients by incorporating cognitive and supportive
techniques and mindfulness derived from traditional Buddhist practice - ✔️✔️Dialectical
behavioral therapy

Which patients have poor reality testing - ✔️✔️Psychotic patients

Fluoxetine: Brand name and class - ✔️✔️Prozac, SSRI

Sertraline: Brand name and class - ✔️✔️Zoloft, SSRI

Paroxetine: Brand name and class - ✔️✔️Paxil, SSRI

Citalopram: Brand name and class - ✔️✔️Celexa, SSRI

Escitalopram: Brand name and class - ✔️✔️Lexapro, SSRI

Duloxetine: Brand name and class - ✔️✔️Cymbalta, SNRI

Venlafaxine: Brand name and class - ✔️✔️Effexor, SNRI

Desvenlafaxine: Brand name and class - ✔️✔️Pristiq, SNRI

Amitriptyline: Brand name and class - ✔️✔️Elavil, TCA (tertiary amine)

Imipramine: Brand name and class - ✔️✔️Tofranil, TCA (tertiary amine)

,Desipramine: Brand name and class - ✔️✔️Norpramin, TCA (secondary amine)

Nortriptyline: Brand name and class - ✔️✔️Pamelor, TCA (secondary amine)

Tranylcypromine: Brand name and class - ✔️✔️Parnate, MAOI

Phenelzine: Brand name and class - ✔️✔️Nardil, MAOI

Isocarboxazide: Brand name and class - ✔️✔️Marplan, MAOI

Selegeline: Brand name and class - ✔️✔️Eldepryl, MAOI

Lamotrigine: Brand name and class - ✔️✔️Lamictal, Anticonvulsant mood stabilizer
(bipolar maintenance drug)

Olanzapine: Brand name and class - ✔️✔️Zyprexa, Atypical antipsychotic (also used
as mood stabilizer for bipolar maintenance)

Valproate: Brand name and class - ✔️✔️Depakote, Anticonvulsant mood stabilizer
(bipolar maintenance drug)

Phenobarbital: Brand name and class - ✔️✔️Luminal, barbiturate

Diazepam: Brand name and class - ✔️✔️Valium, benzo

Triazolam: Brand name and class - ✔️✔️Halcion, benzo

Alprazolam: Brand name and class - ✔️✔️Xanax, benzo

Lorazepam: Brand name and class - ✔️✔️Ativan, benzo

Clonazepam: Brand name and class - ✔️✔️Klonopin, benzo

Midazolam: Brand name and class - ✔️✔️Versed, benzo

Zolpidem: Brand name and class - ✔️✔️Ambien: sleeping pill/hypnotic

Eszopiclone: Brand name and class - ✔️✔️Lunesta: sleeping pill/hypnotic

Flumazenil: Brand name and class - ✔️✔️Romazicon: benzo reversal agent

Ramelteon: Brand name and class - ✔️✔️Rozerem: sleeping pill/hypnotic

, Buspirone: Brand name and class - ✔️✔️Bu-Spar, non-sedative anxiolytic

Thiopental: Brand name and class - ✔️✔️Sodium pentothal, barbiturate

3 major AEs of SSRIs/SNRIs - ✔️✔️CNS stimulation (insomnia, agitation, mania)
GI problems
Sexual dysfunction (tx with bupropion)

Side effect caused by SNRI but not SSRIs - ✔️✔️HTN at high doses

Special indication for duloxetine (Cymbalta) - ✔️✔️Neuropathic pain

Which SSRI has fewer drug-drug interactions - ✔️✔️Sertraline

6 sx of serotonin syndrome - ✔️✔️Hyperthermia, muscle rigidity, myoclonus, akathisia,
hyperreflexia, fluctuating vital signs & mental status

MOA of trazodone, 2 unique side effects - ✔️✔️Serotonin receptor antagonist
SE: priapism, orthostatic hypotension (alpha blocker)

MOA of bupropion, unique indication - ✔️✔️Dopamine and NE reuptake inhibitor, used
for smoking cessation as well (bc also antagonizes nicotinic receptor)

Why is dosage of mirtazapine important - ✔️✔️Low dose (7.5 mg) targets histamine
and helps insomnia
High dose (>15 mg) targets SA and NE and helps depression

3 side effects of mirtazapine - ✔️✔️Weight gain, orthostatic hypotension,
anticholinergic effects (dry mouth, constipation, cognitive impairment)

2 important side effects of bupropion - ✔️✔️CNS stimulation (agitation, anxiety)
Lower seizure threshold

Disease for which clomipramine is indicated - ✔️✔️OCD (generic: Anafranil, related to
TCAs)

MOA of TCAs - ✔️✔️Block neuronal reuptake pumps for SA and NE (secondary NE
only)

Also block many neurotransmitter receptors, causing many side effects

6 SEs of TCAs - ✔️✔️-Arrhythmias
-Orthostatic hypotension (alpha blockade)

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