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What disorder has the following characteristics: recurrent skin picking
that results in lesions despite attempts to stop?
excoriation disorder
What are some side effects of Zolpidem (Ambien)?
antegrade amnesia, hallucinations, parasomnias (sleep walking and
eating), increased fall risk, GI effects
What do you need to monitor if a patient is on Prazosin?
Blood pressure
What co-occurring disorder do patients with DID typically have?
PTSD
,Why are benzodiazepines contraindicated in PTSD treatment?
They interfere with the psychological processes needed to benefit
from CBT: there is a high rate of comorbid SUD w/PTSD and
benzodiazepines are highly addictive
What medications are FDA approved to treat PTSD?
Sertraline and Paroxetine
When would you augment treatment of PTSD with an atypical
antipsychotic?
Only in SEVERE cases
What are SSRIs effective for in DID?
Co-occurring depressive or PTSD symtpoms
What are the suggested treatments for adjustment disorders?
, Psychotherapy and pharmacology to target associated symptoms like
anxiety, depression, insomnia
In patients with DID, what medication is used to reduce self-injurous
behaviors?
Naltrexone
Is ECT contraindicated in DID?
No- there is often concurrent depression/anxiety and ECT can be
effective in treating it- especially if symptoms are treatment resistant
What are the suggested treatments for excoriation disorder?
Psychotherapy; SSRIs to treat concurrent anxiety/depression;
antipsychotics; ansiolytics
What is the suggested treatment for tricholillomania?
Psychotherapy; SSRIs for concurrent anxiety/depression;
Clomipramine, Atypical antipsychotics (lithium, N-acetylcyteine