Psychopharmacology Wilkes N552 Exam Study Questions and Answers Graded A 2024

Dissociation - defense mechanism that protects a person from overwhelming anxiety by emotionally separating Depersonalization - unreality or detachment from one's body, thoughts, feeling and actions Derealization: - unreality or detachment from one's surroundings Body dysmorphic disorder - Preoccupation with one or more perceived defects or flaws in physical appearance Spends significant time trying to correct perceived flaw with makeup, dermatological procedures or plastic surgery Txt: SSRI and or CBT Hoarding disorder - Persistent difficulty discarding possessions regardless of actual value Results in accumulation of possessions that compromise living space or inability to function Patients who remain resistant to psychosocial interventions, or who lack access to them, can be provided a trial of a serotonin-reuptake inhibitor, particularly if they have a comorbid affective or anxiety disorder; Trichotillomania - Recurrent pulling out one's hair despite repeated attempts to stop. Txt: SSRI, Clomipramine; atypical antipsychotics, lithium Excoriation Disorder - Recurrent skin picking that results in lesions despite attempts to stop. Cognitive-behavioral therapies may be beneficial for patients accepting psychiatric referral Txt: SSRIS, antipsychotics, anxiolytics Posttraumatic Stress Disorder (PTSD) - Re-experiencing of an extremely traumatic event accompanied by symptoms of increased arousal and avoidance of stimuli associate with the trauma. PTSD treatment - 1st line: SSRIS (Zoloft, Celexa) or SNRIS (Venlafaxine) FDA approved meds: Sertraline (Zoloft) and Paroxetine (Paxil) Alpha-1 agonist (Prazosin)= targets flashbacks; nightmares and hypervigilance Psychotherapy (CBC- exposure therapy etc.) • PTSD - is a potentially debilitating disorder that can occurs after a traumatic event. Commonly described in war veterans • Can also present in those experiencing non- war events PTSD - • Clinical syndrome is characterized by 4 clusters of symptoms: Re-experiencing the trauma (with intrusive thoughts, nightmares, or flashbacks) • Emotional numbing • Avoidance behaviors • Persistent hyperarousal and mood symptoms (depression, irritability, anger) Difference between Acute Stress Disorder and PTSD: - When an individual experiences a traumatic event and displays anxiety symptoms that lasts for only a short duration, the condition is opposed to PTSD.