Psychopharmacology Wilkes n552 Test Questions and
Answers Rate A+
Dissociation - -defense mechanism that
protects a person from overwhelming anxiety by Excoriation Disorder - -Recurrent skin
emotionally separating picking that results in lesions despite attempts to
stop.
Depersonalization - -unreality or Cognitive-behavioral therapies may be beneficial
detachment from one's body, thoughts, feeling for patients accepting psychiatric referral
and actions
Txt: SSRIS, antipsychotics, anxiolytics
Derealization: - -unreality or detachment
from one's surroundings Posttraumatic Stress Disorder (PTSD) - -
Re-experiencing of an extremely traumatic event
accompanied by symptoms of increased arousal
Body dysmorphic disorder - - and avoidance of stimuli associate with the
Preoccupation with one or more perceived trauma.
defects or flaws in physical appearance
Spends significant time trying to correct
perceived flaw with makeup, dermatological PTSD treatment - -1st line: SSRIS (Zoloft,
procedures or plastic surgery Celexa) or SNRIS (Venlafaxine)
Txt: SSRI and or CBT FDA approved meds: Sertraline (Zoloft) and
Paroxetine (Paxil)
Hoarding disorder - -Persistent difficulty Alpha-1 agonist (Prazosin)= targets flashbacks;
discarding possessions regardless of actual nightmares and hypervigilance
value
Psychotherapy (CBC- exposure therapy etc.)
Results in accumulation of possessions that
compromise living space or inability to function
• PTSD - -is a potentially debilitating
Patients who remain resistant to psychosocial disorder that can occurs after a traumatic event.
interventions, or who lack access to them, can be
provided a trial of a serotonin-reuptake inhibitor, Commonly described in war veterans •
particularly if they have a comorbid affective or
anxiety disorder; Can also present in those experiencing non- war
events
Trichotillomania - -Recurrent pulling out
one's hair despite repeated attempts to stop. PTSD - -• Clinical syndrome is
characterized by 4 clusters of symptoms:
Txt: SSRI, Clomipramine; atypical antipsychotics,
lithium Re-experiencing the trauma (with intrusive
thoughts, nightmares, or flashbacks) •
1/5
, Psychopharmacology Wilkes n552 Test Questions and
Answers Rate A+
СВТ
Emotional numbing •
Avoidance behaviors • PTSD patients experience insomnia? - -up
to 90% experience insomnia
Persistent hyperarousal and mood symptoms
(depression, irritability, anger)
PTSD and nightmares - -70% experience
more than 5 a week
Difference between Acute Stress Disorder and
PTSD: - -When an individual experiences
a traumatic event and displays anxiety symptoms Sleep Assessment PTSD - -Sleep
that lasts for only a short duration, the condition impairment is a core symptom of PTSD
is opposed to PTSD.
For the diagnosed as ASD as condition to be PTSD Common sleep disturbances include: -
diagnosed as ASD, symptoms must occur within
-hyperarousal linked to difficulties initiating
one month of trauma and last for not more than
or maintaining sleep, trauma-related nightmares,
one month. The symptoms of ASD, however, are
disturbed awakenings without nightmare
similar to those observed in PTSD.
recollection, prolonged sleep latency (often due
to fear of nightmares)
Comorbidity Assessment: PTSD - -It is For many patients, improving sleep symptoms
important to look for: can improve core daytime PTSD symptoms
Substance use disorders (avoid (hypervigilance, avoidance, re-experiencing).
benzodiazepines)
Look for other causes of insomnia: sleep apnea,
Depression restless legs syndrome, periodic limb movements
of sleep, sleep hygiene issues, excess caffeine
Bipolar disorder consumption, medical problems
Psychosis
PTSD Treatment: 1st Line - -**SSRIS are a
first-line FDA recommended treatment:
Nonpharmacologic Treatment in PTSD: - -
СВТ Paroxetine and Sertraline are FDA-approved
From the FDA perspective, all other medication
Supportive Group Therapy Relaxation therapies uses are "off label", though there are differ levels
of evidence supporting their use.
Eye Movement Desensitization and
Reprocessing (EMDR) While SSRIS are typically the first class of
medications used in PTSD treatment, exceptions
***Benzodiazepines may interfere with the may occur for patients based upon their
psychological processes needed to benefit from individual histories of side effects, response,
2/5
Answers Rate A+
Dissociation - -defense mechanism that
protects a person from overwhelming anxiety by Excoriation Disorder - -Recurrent skin
emotionally separating picking that results in lesions despite attempts to
stop.
Depersonalization - -unreality or Cognitive-behavioral therapies may be beneficial
detachment from one's body, thoughts, feeling for patients accepting psychiatric referral
and actions
Txt: SSRIS, antipsychotics, anxiolytics
Derealization: - -unreality or detachment
from one's surroundings Posttraumatic Stress Disorder (PTSD) - -
Re-experiencing of an extremely traumatic event
accompanied by symptoms of increased arousal
Body dysmorphic disorder - - and avoidance of stimuli associate with the
Preoccupation with one or more perceived trauma.
defects or flaws in physical appearance
Spends significant time trying to correct
perceived flaw with makeup, dermatological PTSD treatment - -1st line: SSRIS (Zoloft,
procedures or plastic surgery Celexa) or SNRIS (Venlafaxine)
Txt: SSRI and or CBT FDA approved meds: Sertraline (Zoloft) and
Paroxetine (Paxil)
Hoarding disorder - -Persistent difficulty Alpha-1 agonist (Prazosin)= targets flashbacks;
discarding possessions regardless of actual nightmares and hypervigilance
value
Psychotherapy (CBC- exposure therapy etc.)
Results in accumulation of possessions that
compromise living space or inability to function
• PTSD - -is a potentially debilitating
Patients who remain resistant to psychosocial disorder that can occurs after a traumatic event.
interventions, or who lack access to them, can be
provided a trial of a serotonin-reuptake inhibitor, Commonly described in war veterans •
particularly if they have a comorbid affective or
anxiety disorder; Can also present in those experiencing non- war
events
Trichotillomania - -Recurrent pulling out
one's hair despite repeated attempts to stop. PTSD - -• Clinical syndrome is
characterized by 4 clusters of symptoms:
Txt: SSRI, Clomipramine; atypical antipsychotics,
lithium Re-experiencing the trauma (with intrusive
thoughts, nightmares, or flashbacks) •
1/5
, Psychopharmacology Wilkes n552 Test Questions and
Answers Rate A+
СВТ
Emotional numbing •
Avoidance behaviors • PTSD patients experience insomnia? - -up
to 90% experience insomnia
Persistent hyperarousal and mood symptoms
(depression, irritability, anger)
PTSD and nightmares - -70% experience
more than 5 a week
Difference between Acute Stress Disorder and
PTSD: - -When an individual experiences
a traumatic event and displays anxiety symptoms Sleep Assessment PTSD - -Sleep
that lasts for only a short duration, the condition impairment is a core symptom of PTSD
is opposed to PTSD.
For the diagnosed as ASD as condition to be PTSD Common sleep disturbances include: -
diagnosed as ASD, symptoms must occur within
-hyperarousal linked to difficulties initiating
one month of trauma and last for not more than
or maintaining sleep, trauma-related nightmares,
one month. The symptoms of ASD, however, are
disturbed awakenings without nightmare
similar to those observed in PTSD.
recollection, prolonged sleep latency (often due
to fear of nightmares)
Comorbidity Assessment: PTSD - -It is For many patients, improving sleep symptoms
important to look for: can improve core daytime PTSD symptoms
Substance use disorders (avoid (hypervigilance, avoidance, re-experiencing).
benzodiazepines)
Look for other causes of insomnia: sleep apnea,
Depression restless legs syndrome, periodic limb movements
of sleep, sleep hygiene issues, excess caffeine
Bipolar disorder consumption, medical problems
Psychosis
PTSD Treatment: 1st Line - -**SSRIS are a
first-line FDA recommended treatment:
Nonpharmacologic Treatment in PTSD: - -
СВТ Paroxetine and Sertraline are FDA-approved
From the FDA perspective, all other medication
Supportive Group Therapy Relaxation therapies uses are "off label", though there are differ levels
of evidence supporting their use.
Eye Movement Desensitization and
Reprocessing (EMDR) While SSRIS are typically the first class of
medications used in PTSD treatment, exceptions
***Benzodiazepines may interfere with the may occur for patients based upon their
psychological processes needed to benefit from individual histories of side effects, response,
2/5
