Psychopharmacology
This SSRI has the longest half life making it the least likely to cause discontinuation syndrome
What is fluoxetine?
Categorizing people as all good or all bad ?
What is splitting?
Buspar's antidepressant augmenting bonus is improvement of this common SSRI related adverse effect
What is sexual dysfunction?
These two agents are first line for alcohol use disorder
what is naltrexone and acamprosate
Freud's structural model divides psyche into these three agencies?
what is the id, ego, and superego
This SSRI is the most potent CYP2D6 inhibitor of its class
What is paroxetine?
DSM 5 requires at least this many of nine criteria for a BPD diagnosis
What is 5?
Reserved for as needed performance social anxiety, this blunts autonomic symptoms?
What is propranolol?
Acamprosate is contraindicated in this organ impairment and requires dose adjustments for moderate cases?
What is severe renal impairment?
Attributing one's own unacceptable impulses to another person
What is projection?
This antipsychotic's active metabolite is itself a separately marketed drug
What is risperidone (paliperidone)?
The 9th criterion captures these 2 transient stress related psychotic specturm phenomena
What are paranoid ideation and severe dissociative symptoms?
This antihistamine has old positive GAD data, but is discouraged first line due to sedation?
What is hydroxyzine?
This aldehyde dehydrogenase inhibitor is contraindicated in advanced liver disease and causes flushing and nausea if alcohol is consumed?
What is disulfram
Symbolically canceling out an unacceptable thought or act with a compensatory one- "placing it and then taking away."
What is undoing?
This anticonvulsant mood stabilizer inhibits ITS OWN metabolism (autoinduction)
What is carbamazepine?
Projecting an unwanted internal state into another and then unconsciously pressuring them to enact it?
What is projective identification
These 2 anticonvulsants are efficiacious for anxiety in trials, but remain non FDA approved and carry a class suicidality warning
What is Gabapentin and Pregabalin?
NOT FDA approved for AUD, this anticonvulsant potentiates GABA-A and inhibits glutamate. It was at least as effective as naltrexone in a head to head trial
What is topirmate?
Converting a forbidden impulse into its exaggerated opposite
what is reaction formation?
What is cigarette smoking?
The number of meds approved by FDA specifically for core BPD symptoms?
What is NONE
Beyond 5HT1A, buspirone also has low affinity antagonist activity at this autoreceptor, thought to contribute to its profile?
What is dopamine D2 receptor (auto)?
The Va/DoD guideline recommends this GABA analog for AUD when first line therapy fails, despite its abuse potential
What is gabapentin?
Expressing emotional conflict through physical/bodily symptoms rather than conscious awareness
what is somatization?