SSRIs
This is the main neurotransmitter targeted by SSRIs.
What is serotonin?
Recurrent episodes of eating large quantities of food without compensatory behaviors
What is binge eating
obsessive focus on a perceived flaw or defect in physical appearance
What is body dysmorphic disorder
This SNRI is also used to treat chronic pain conditions like fibromyalgia.
What is duloxetine (Cymbalta)?
This disorder occurs after a traumatic event and lasts less than one month.
What is Acute Stress Disorder?
This term describes the time it takes for SSRIs to begin showing therapeutic effects.
What is 2 to 4 weeks?
Restriction of energy intake relative to requirements
what is anorexia
Patients may seek cosmetic surgery — but are rarely satisfied with the results
what is body dysphoric disorder
Compared to SSRIs, SNRIs are more likely to increase this vital sign.
What is blood pressure?
This disorder develops in response to a significant life stressor, such as divorce or job loss, and begins within 3 months of the event.
What is Adjustment Disorder?
This is a common side effect of SSRIs that may affect sexual function.
What is decreased libido or sexual dysfunction?
Often underweight, with intense fear of gaining weight
What is anorexia
This term describes unwanted, intrusive thoughts that cause anxiety.
What are obsessions?
This is the typical time frame for SNRIs to show therapeutic effects.
What is 2 to 4 weeks?
This condition involves behavior changes in a child following extreme neglect and begins before age 5.
What is Reactive Attachment Disorder (RAD)?
This potentially life-threatening condition can occur with excessive serotonin activity.
What is fluoxetine?
Can lead to electrolyte imbalances, especially hypokalemia
what is bulimia nervosa
True or False: People with OCD are always aware that their behaviors are unreasonable.
What is true? (Most individuals have insight, though some may have poor insight.)
This life-threatening condition may occur if SNRIs are combined with St. John's Wort or SSRIs.
What is serotonin syndrome?
This type of event often precedes the development of PTSD.
What is a traumatic event (e.g., abuse, assault, disaster)?
Nurses should instruct patients not to abruptly stop SSRIs due to this risk.
What is withdrawal syndrome or discontinuation symptoms?
Feelings of guilt or shame after episodes of eating
What is binge eating
This disorder is characterized by the urge to pull out one's hair.
What is Trichotillomania?
True or False: SNRIs are safe to take with MAOIs.
What is false? (They should never be combined due to risk of serotonin syndrome.)
True or False: Therapeutic communication with PTSD clients should include detailed exploration of their trauma early in treatment.
What is false? (Exploration should occur only when the client is stable and ready, typically in therapy.)
SSRIs should not be taken with this class of antidepressants due to serotonin syndrome risk.
What are MAOIs (monoamine oxidase inhibitors)?
Erosion of tooth enamel due to repeated vomiting
what is bulimia nervosa
This disorder involves recurrent skin picking that leads to tissue damage.
What is Excoriation Disorder?
If a dose is missed, patients should:
What is take it as soon as remembered unless it's close to the next dose?
True or False: Trauma-related disorders in children can affect brain development and emotional regulation.
What is true?
This SSRI may cause more sedation and is sometimes taken at bedtime.
What is paroxetine?
This life-threatening condition can occur when a malnourished client begins receiving nutrition too quickly, especially in those with anorexia nervosa.
What is refeeding syndrome?
In these related disorders, the behaviors are not intended to relieve anxiety but may feel pleasurable or tension-reducing.
What are Trichotillomania and Excoriation Disorder?
True or False: Weight gain is more common with SNRIs than SSRIs.
What is false? (SNRIs are generally weight-neutral or may cause weight loss.)
Trauma-informed care emphasizes safety, trust, and this key principle.
What is empowerment or collaboration?