Sometimes we laugh sometimes we cry, but I guess you know now.
Use of what type medication class is associated with worsening of rapid cycling?
Antidepressants
Involves uncovering the unconscious and making it conscious, involves sessions up to twice a week for years. Often the hardest type of therapy to master.
Psychodynamic Psychotherapy.
Approved medication for Binge Eating Disorder? Starting dose?
Vyvanse 30mg
A patient recently diagnosed with cancer, spends all their time reading up on cancer, the current treatment guidelines, the fda approved medications, does not spend much time emotionally experiencing the recent stressor.
Intellectualization.
5 FDA Warnings for Clozapine.
Seizures, Myocarditis, Increased Mortality in elderly, Severe Neutropenia, Orthostatic Hypotension
Which symptom would indicate MDD rather than just bereavement: Poor appetite and
sleep, hearing the voice of the loved one, feelings of guilt or thoughts of suicide?
Thoughts of suicide.
Form of therapy that focuses on the present moment. The goal is mainly to "improve ego functioning."
Supportive Psychotherapy.
FDA Approved medication for bulimia? What dose?
Prozac 10-20
Bad night at home, come yell at colleagues.
Displacement
Patient is managed on lamictal, and a new medication was added, now they have a huge rash on their face, and want to sue you, what medication was added?
Depakote
Depression.
Eager medical student asks you, "Who is the father of Cognitive Behavioral Therapy."
What do you say?
Aaron Beck is daddy.
FDA approved benzos for panic disorder? Starting doses?
Klonopin and Xanax
-Resident wants to yell at a patient, however compliments the patient for throwing less feces on the staff.
-Patient wants to murder neighbor, buys the neighbor cake instead.
Reaction Formation (opposition)
You started a new mood stabilizer, and a patient on oral contraceptives, is now pregnant. She is mad at you because her boyfriend's pull out game week. What mood stabilizer caused this?
Oxcarbamazapine
What is the 3-letter screening test for depression commonly used in the outpatient medicine setting?
PHQ-9.
Eager medical students asks who you the momma of DBT is, what do you say?
Marsha Linehan
What two conditions is Clozapine indicated for?
1). Treatment-Resistant Schizophrenia
2). Reduction of suicidal behavior in SCAD and Schizophrenia
Common tool in the toolkit of a patient with Borderline Personality Disorder.
Splitting.
Lawsuits involving Depakote frequently are for what effect?
Neonatal
What commonly precipitates suicide in the elderly?
Loss.
What are the 3 core themes of DBT?
Distress Tolerance
Emotion Regulation
Interpersonal Effectiveness
1). Zyprexa/Prozac combo
2). Seroquel
3). Latuda
An adolescent patient witnesses his twin sister get a better grade on a test than him, and gets very jealous. Next week his sister beats him on another test, however the patient is less jealous this time.
Sublimation (dampening)
What patient characteristics makes it more likely a lawsuit will be filed against you? Think Social History.
List