Antipsychotics
What is Clozapine?
Excessive anxiety and worry occuring more days than not for at least six months is characteristic of this disorder.
What is generalized anxiety disorder?
Benzodiazepines are not recommended for ___ treatment of anxiety.
Long term
Medications of this drug class are often used off label for the treatment of alcohol use disorder (AUD).
What are anticonvulsants (Topiramate, Gabapentin)
* FDA-approved medications for AUD
Acamprosate (Campral)
Dilsulfiram (Antabuse)
Naltrexone (Vivitrol)
Off label medications may be used first
The first priority when woking with a client in crisis.
What is assess for safety?
These symptoms include tremors, rigidity, and bradykinesia.
What are extrapyramidal symptoms (EPS)?
The LCSW exam often emphasizes this before diagnosis.
What is ruling out medical causes and differential diagnoses?
This antidepressant is part of its own unique drug class and is known to cause sedation and increased appetite.
What is Mirtazapine (Remeron)
* Mirtazapine is a tetracyclic antidepressant.
Increasing the dose of this medication for opioid use disorder too quickly can lead to overdose or heart problems
What is methadone
*Methadone has a half-life of up to 59 hours.
Methadone can cause:
* Heart arrythmias
* Sedation
* Respiratory depression
* Overdose
A client experiencing a panic attack may benefit from this immediate intervention.
What is grounding or breathing techniques?
What intramuscular atypical antipsychotic is indicated for the treatment of schizophrenia in adults.
Hint: Prescribed every 4 weeks
What is paliperidone (Invega Sustenna)
Initiate with Invega Systenna 234mg followed by Invega Sustenna 156mg one week later.
This part of the mental status exam evaluates a client's awareness of person, place, time and situation.
What is orientation?
In addition to SSRIs, this class of antidepressants is considered first-line treatment for many anxiety disorders.
What are SNRIs
What are benzodiazepines.
*
During a crisis assessment, these four areas should always be evaluated.
What are risk, safety, supports, and coping abilities?
These over-the-counter pain medications can increase lithium levels and the risk of toxicity.
What are nonsteroidal anti-inflammatory drugs (NSAIDs)
Examples: Ibuprofen (Advil), Naproxen (Aleve)
A client reports hearing voices that others cannot heart.
What is an auditory hallucinations?
Tha hallmark symptoms of schizophrenia include these four domains.
What are delusions, hallucinations, disorganized thinking, and negative symptoms?
This substance withdrawal can be life-threatening and may require require medcal detoxication.
If a child reports physical abuse by a caregiver, what does the social worker do next?
Make a mandated report to child protective services.
This medication is considered first line in the prevention and treatment of antipsychotic-induced weight gain.
What is metformin.
Second-generation (atypical) antipsychotics can cause metabolic syndrome.
During an assessment, a client presents with depressed mood, insomnia, and low energy following the death of a spouse. The clinician should first evaluate for this before assigning a psychiatric diagnosis.
What is normal grief/bereavement?
The orally disintegrating tablet formulation of this antipsychotic is commonly used for the management of medetomidine withdrawal.
Medetomidine is a sedative that was first found in Philadelphia's street drug supply in May 2024.
In addtion to being very sedating, it can also cause severe withdrawal symptoms.