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1. What is ECT? - Correct Answer: The use of electrical shock current
delivered to the brain to induce a seizure that treats depression. Goal is to
reverse atrophy.
2. ECT is FDA approved for what - Correct Answer: Bipolar disorder,
schizophrenia, schizoaffective disorder, catatonia, neuroleptic malignant
syndrome, treatment resistant refractory major depressive disorder
3. What is ECT schedule - Correct Answer: Typically Monday Wednesday
Friday for 6 to 12 sessions
4. Unilateral electrode in ECT indications - Correct Answer: Typically first
line because it has less cognitive side effects but has less efficacy
5. Bilateral electrode placement in ECT indications - Correct Answer:
Classic placement increases cognitive side effects but has better efficacy.
Reserved for urgency such as life-threatening depression profound distress
and catatonia
,6. ECT side effects and Risks 8 - Correct Answer: Cognitive side effects such
as memory loss, head, neck, jaw pain, nausea, myalgia's procedure is low
risk
7. What is vagus nerve stimulation - Correct Answer: It's an implant in the
chest that stimulates the left Vegas nerve by Paul stations and it's controlled
by an on off switch that is activated by a magnet
8. How does vagus nerve stimulation work - Correct Answer: Stimulates
the brain stem nuclei which changes serotonin in the limbic and cortical
systems
9. Vagal nerve stimulation side effects-4 - Correct Answer: Voice altered,
breathlessness, neck pain, no cognitive side effects
10.Vagus nerve stimulation is FDA approved for what in under investigation for
what - Correct Answer: FDA approved for epilepsy and under
investigation for major depressive disorder and bipolar disorder
11.What is trans cranial magnetic stimulation - Correct Answer: Placement
of rapid alternating magnets on scalp cause impulse to structures and is
focused
12.Goal of trans cranial magnetic stimulation - Correct Answer: Firing of
neurons will alter pathology
,13.Trans cranial magnetic stimulation is FDA approved for and not approved for
- Correct Answer: Approved for refractory treatment resistant
depression It is not approved for bipolar disorder or schizophrenia
14.What is cognitive therapy based on - Correct Answer: Negative thinking
increase his depression vulnerability, this therapy challenges beliefs and
assumptions related to depression
15.Cognitive therapy indications 11 - Correct Answer: Depression, anxiety,
PTSD, schizophrenia, phobia, OCD, bipolar disorder, sexual disorder, eating
disorders, sleep disorders, substance abuse disorders
16.Cognitive therapy interventions - Correct Answer: Automatic thought
restructuring, provide evidence just prove beliefs, antidepressants plus
cognitive behavioral therapy is greater than just antidepressants and anti-
depressants are greater than just cognitive behavioral therapy in efficacy
17.What is interpersonal therapy based on - Correct Answer: Based on the
theory that depression Arises from problematic patterns and relationships
18.Interpersonal therapy indications 5 - Correct Answer: Indicated for
depression, grief, interpersonal dispute, role transitions, interpersonal skill
deficits
19.Interpersonal therapy interventions 3 - Correct Answer: Increase
relationship awareness, increase interpersonal skills, communication
analysis
, 20.What is behavioral therapy based on - Correct Answer: Deficits in
reinforcers like present activities and positive interpersonal contacts
increased depression vulnerability
21.Behavioral therapy interventions 3 - Correct Answer: Increase activity
level, structure goalsetting, interpersonal skills training
22.Dialectical behavioral therapy is based on - Correct Answer: Increasing
emotional regulation
23.Dialectical behavioral therapy Indications - Correct Answer: Borderline,
bulimia, binge eating, PTSD, substance abuse
24.Dialectical behavioral therapy interventions 4 - Correct Answer:
Increase skills, mindful practice, monitoring/responding to crisis
25.Involuntary commitment reasons - Correct Answer: Danger to self,
danger to others, and self Neglect
26.Are there main points of involuntary commitment - Correct Answer: 1.
Mental illness/developmental disability or drug/alcohol dependence. 2. It is
treatable. 3. It is related to the danger to self or others