Substance Use Disorders
Alcohol Use Disorders are treated medically in three different phases, which are...
What are intoxication, withdrawal, and maintenance?
This medication is approved for bulimia nervosa
What is Fluoxetine (Prozac)?
What is considered a Chronobiotic supplement to help with circadian rhythm sleep-wake disorders and sleep onset support
What is Melatonin?
This class of medications are often avoided with personality disorders, especially Borderline Personality Disorder, as it can worsen disinhibition, impulsivity, suicidal risk, and dependency.
What are Benzodiazepines?
This class of medications is often recommended for treating OCD?
What are SSRI's (examples: Fluoxetine (Prozac), sertraline Zoloft), escitalopram (Lexapro), citalopram (Celexa), paroxetine) (Paxil))?
These medications are commonly prescribed for alcohol use disorder in the withdrawal and maintenance phases...
What are benzodiazepines (for withdrawal) and Antabuse (disulfiram), naltrexone, gabapentin (for maintenance/abstinence)?
This medication is used to treat moderate to severe Binge eating disorder.
What is Lisdexamfetamine (Vyvanse)?
This Medication is known to help with the following sleep-related issues: Narcolepsy, obstructive sleep apnea, residual sleepiness, shift-work disorder
What is Modafinil (Provigil)/armodafinil (Nuvigil)?
This medicine helps in regulating mood, mania, aggression, and impulsivity
What is valproate (Depakote)
This medication is used often for treatment-resistant OCD.
What is Risperidone (Risperdal), aripiprazole (Abilify)--which are atypical antipsychotics?
Psychiatric symptoms are very common in alcohol intoxication and withdrawal. These three mental health diagnoses are associated with increased risk of alcoholism are Schizophrenia, mania, and antisocial personality disorder. Alcohol, being a depressant, causes depressive symptoms during intoxication and anxiety during withdrawal. What is one medication used to treat the symptom of anxiety upon withdrawal?
What are Benzodiazepines (or Buspirone)?
This medication is FDA-approved for Anorexia Nervosa (AN)--This one is tricky!
What is While no exclusive medications are FDA-approved specifically for anorexia nervosa, but there are medications that may target associated symptoms which help in treating AN. One example of this is Olanzapine (Zyprexa), which is commonly used off-label for weight gain, rigidity, anxiety, and obsessive thoughts?
What are dual orexin receptor antagonists (DORAs) used?
What is insomnia?
This class of medication called, DORAs, works by blocking orexin (hypocretin), a neurotransmitter involved in wakefulness, thereby promoting sleep.
There are NO FDA-approved medications that "cure" personality disorders themselves. Medication is generally used to treat what?
What is treating comorbid disorders, reducing of specific symptoms clusters, improving of emotional stability of functioning, and decreasing dangerous behaviors.
These classes of medications can be helpful in treating/reducing the following associated with PTSD: Hypervigilance, Irritability, Anxiety, Depression, Intrusive thoughts, Emotional reactivity, and Avoidance symptoms.
What are SSRIs (first line) and SNRIs?
This is one medication used to treat the state of intoxication with a stimulant (the effects of including euphoria, paranoia, and hyperexcitability).
What is Clonidine (or benzodiazepines or antipsychotics, or beta-blockers)?
This medication helps to reduce eating rituals and rigid behaviors.
What is Abilify?
This medication is most commonly prescribed and is used to help with difficulty falling asleep at the beginning of the night--and can be helpful for people who lie awake for long periods before sleeping or have trouble initiating sleep despite feeling tired
What is Zolpidem (Ambien)?
This is the primary type of treatment for Personality Disorders?
What is Psychotherapy (relational treatment coupled with skills-based interventions)
Which medication is known for helping to reduce PTSD-related nightmares and sleep disturbance (e.g., Trauma nightmares, Night sweats, Sleep disruption, and Hyperarousal during sleep)
What is Prazosin (Minipress)?
Neuromechism: Alpha-1 adrenergic blocker which reduces noradrenergic hyperactivation.
This medication can be used to treat opiate use disorder in both the intoxication and abstinence/maintenance phase...
What is Naltrexone?
What medication is used to help with weight gain which is critical for the treatment of Anorexia Nervosa.
What is Effexor
This medicine is a benzodiazepine medication that helps reduce excessive activity in the brain by enhancing the effects of GABA, an inhibitory neurotransmitter. It is useful for reducing acting out dreams during sleep and may reduce severe sleepwalking or night terrors.
What is Clonazepam (Klonopin)?
This type of personality disorder can sometimes overlap with social anxiety disorder and SSRI's are often useful.
Avoidant Personality Disorder
Sleep problems with PTSD are very common. What are some symptoms seen in which medication can target?
What is: Nightmares, Insomnia, Hypervigilance, and Sleep fragmentation?
(Common medications: Prazosin, Trazodone, Clonidine, and Hydroxyzine)