Olanzapine (Zyprexa)
Give this one a try later!
, atypical antipsychotic
olanzapine(Zyprexa)
Indication: FDA approved for treatment of schizophrenia age 13 and older
Special Comments: Best tolerated antipsychotic
MEDICATION INTERACTS WITH SMOKING AND REQUIRES 30%
INCREASED DOSAGE FOR CLIENTS WHO SMOKE
Risk:
High metabolic risk
Highest risk for weight gain, blood dyscrasias, QT prolongation,
cardiovascular disease, cerebrovascular effects, hyperglycemia, and
hyperprolactinemia
Family Psychiatric History
Give this one a try later!
Has any relative of yours ever been hospitalized for a mental health issue?
Has any blood relative of yours ever been diagnosed with a mental health
issue?
Has any blood relative of yours had a history of seizures or
dementia/Alzheimer's?
Panic disorder Tx plan
Give this one a try later!
, Exposure therapy
Cognitive behavioral therapy
Medications
Combination of modalities
Treatment may include exposure therapy, cognitive behavioral therapy,
medications, or a combination of modalities. SSRIs are a safe, economical
pharmacologic treatment for panic disorder. B enzodiazepines may be used
in emergencies
Holden is a 14-year-old who presents to the clinic with his parents. His mother notes
that he has stopped showering, seems disinterested in activities in which he had
previously engaged and in peer interaction, and echoes words that others have said.
These behaviors have increased over the past two months. Holden's urine toxicology
is negative.
Based on the DSM-5-TR, does Holden meet diagnostic criteria for schizophreniform
disorder?
yes
no
unable to determine
Give this one a try later!
no (Correct answer)
Rationale: Holden's behaviors have lasted for at least one month, but less
than six months. His behaviors are not attributable to a substance. Holden
displays two of the five required symptoms for the diagnosis of
schizophreniform disorder. He displays catatonic behavior with echolalia
and has negative symptoms of asociality and avolition. He does not,
however, display one of the three required behaviors for diagnosis:
delusions, hallucinations, or disorganized speech. An alternate diagnosis
should be considered.
, Benzodiazepines time to efficacy?
Give this one a try later!
Immediate
negative symptoms
Give this one a try later!
Affective flattening
Alogia
Anhedonia
Amotivation
Asociality
Which of the following medical conditions is likely to present with symptoms that
mimic anxiety?
A) hypothyroidism
B)hyperthyroidism (C
C)dysrhythmias (Correct answer)
D) irritable bowel syndrome (Correct answer)
E) anemia
F) diabetes type 2
G)migraine headache (Correct answer)
H) Covid-19
I) rheumatoid arthritis (Correct answer)
J) menopause (Correct answer)
Give this one a try later!
Give this one a try later!
, atypical antipsychotic
olanzapine(Zyprexa)
Indication: FDA approved for treatment of schizophrenia age 13 and older
Special Comments: Best tolerated antipsychotic
MEDICATION INTERACTS WITH SMOKING AND REQUIRES 30%
INCREASED DOSAGE FOR CLIENTS WHO SMOKE
Risk:
High metabolic risk
Highest risk for weight gain, blood dyscrasias, QT prolongation,
cardiovascular disease, cerebrovascular effects, hyperglycemia, and
hyperprolactinemia
Family Psychiatric History
Give this one a try later!
Has any relative of yours ever been hospitalized for a mental health issue?
Has any blood relative of yours ever been diagnosed with a mental health
issue?
Has any blood relative of yours had a history of seizures or
dementia/Alzheimer's?
Panic disorder Tx plan
Give this one a try later!
, Exposure therapy
Cognitive behavioral therapy
Medications
Combination of modalities
Treatment may include exposure therapy, cognitive behavioral therapy,
medications, or a combination of modalities. SSRIs are a safe, economical
pharmacologic treatment for panic disorder. B enzodiazepines may be used
in emergencies
Holden is a 14-year-old who presents to the clinic with his parents. His mother notes
that he has stopped showering, seems disinterested in activities in which he had
previously engaged and in peer interaction, and echoes words that others have said.
These behaviors have increased over the past two months. Holden's urine toxicology
is negative.
Based on the DSM-5-TR, does Holden meet diagnostic criteria for schizophreniform
disorder?
yes
no
unable to determine
Give this one a try later!
no (Correct answer)
Rationale: Holden's behaviors have lasted for at least one month, but less
than six months. His behaviors are not attributable to a substance. Holden
displays two of the five required symptoms for the diagnosis of
schizophreniform disorder. He displays catatonic behavior with echolalia
and has negative symptoms of asociality and avolition. He does not,
however, display one of the three required behaviors for diagnosis:
delusions, hallucinations, or disorganized speech. An alternate diagnosis
should be considered.
, Benzodiazepines time to efficacy?
Give this one a try later!
Immediate
negative symptoms
Give this one a try later!
Affective flattening
Alogia
Anhedonia
Amotivation
Asociality
Which of the following medical conditions is likely to present with symptoms that
mimic anxiety?
A) hypothyroidism
B)hyperthyroidism (C
C)dysrhythmias (Correct answer)
D) irritable bowel syndrome (Correct answer)
E) anemia
F) diabetes type 2
G)migraine headache (Correct answer)
H) Covid-19
I) rheumatoid arthritis (Correct answer)
J) menopause (Correct answer)
Give this one a try later!
