COMPLETE SOLUTIONS
/. Acute anxiety - Answer-First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
/.Benzodiazepines - Answer-Withdrawal can be dangerous, even deadly. Stopping
abruptly is not advised. Symptoms of agitation, tension, irritability, and sz. may occur
/.anxiety disorders - Answer-psychological disorders characterized by distressing,
persistent anxiety or maladaptive behaviors that reduce anxiety
/.anxiety disorders treatment - Answer--non-activating antidepressants area good place
to start. for this disorder
/.first line treatment anxiety disorders - Answer-SSRI- Fluoxetine (Prozac), sertraline
(Zoloft), and paroxetine (Paxil)
TCAs often effective but with riskier SE
/.may interfere with psychotherapy in TX of AD - Answer-Benzodiazepines- short acting
Alprazolam are most abusable
/.Rapid onset BZD - Answer-used for acute panic disorder
/.BZD with long half- life (20-80 hours) - Answer-Diazepam (avoid in elderly)
/.BEERS criteria - Answer-A list of medications that are generally considered
inappropriate when given to elderly people
/.BEERS criteria - Answer-Identifies High Risk Meds to Generate Wide List of Meds
That Should be Avoided
The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults",
commonly called the Beers List, are guidelines for healthcare professionals to help
improve the safety of prescribing medications for older adults.
/.concomitant with pharmacological tx in AD - Answer-Psychotherapy
/.First line for specific phobias like clowns, blood, animals - Answer-Psychotherapy
medications not all that helpful for specific phobias
/.OCD treatment - Answer-SSRI and CBT
, /.BZD in treatment of OCD - Answer-Xanax, Valium, Klonipin
/.Trauma and Dissociative Disorders - Answer-Consider and treat and comorbid
disorders as well
/.Trauma and Dissociative Disorders first line pharmocology - Answer-Antidepressants
Psychotherapy are treatment of choice
/.Dissociative disorders - Answer-the degree of insight the patient has is crucial to the
outcome of psychotherapy
/.DID- Dissociative identity disorder - Answer-may consider multi pronged approach to
treatment but strongly linked to childhood trauma so treating underlying PTSD s/s is
often helpful
/.DID - Answer-discourage use of BZD
/.DID - Answer-beta blockers and alpha blockers useful for reducing sympathetic
nervous system activation
/.Prazosin - Answer-alpha 1 blocker helpful for nightmares and flashbacks
/.anorexia nervosa - Answer-An eating disorder characterized by an obstinate and willful
refusal to eat, a distorted body image, and an intense fear of being fat
/.Meds for anorexia - Answer-Prozac
Anafranil
Pariactin
Thorazine
Zyprexa
/.Used in anorexia nervosA - Answer-atypical antipyschotics
/.binge eating disorder - Answer-significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
that marks bulimia nervosa
/.treatment of binge eating disorder - Answer-Antidepressants and other medication,
cognitive behavioral and interpersonal therapy.
/.psychosomatic goal - Answer-reduce discomfort, improve depression, improve
anxieties or obsessive thoughts
/.SSRI indications - Answer-Major depression, OCD, GAD, panic disorder, social
anxiety disorder and premenstrual dysphoric disorder