GAD
Name one rapid-acting benzodiazepine.
Diazepam
Alprazolam
> 25%
May worsen recovery from trauma
No evidence of benefit
Name 2 Cluster B personality disorders.
Histrionic personality disorder
Borderline personality disorder
Narcissistic personality disorder
Antisocial personality disorder
30-60% of patients with ODD/CD have this comorbid condition which should be treated pharmacologically BEFORE treatment of ODD/CD.
ADHD
Name 2 specific prescription medications that can cause symptoms of GAD.
Stimulants (Adderall, Ritalin, Vyvanse, etc.)
Thyroid hormones (levothyroxine, liothyronine)
Bupropion
Bronchodilators (albuterol, salmeterol, formoterol, levalbuterol, etc)
Steroids (testosterone, prednisone, hydrocortisone, etc.)
Which class of medications may be used to treat performance-related SAD?
Beta-blockers (i.e. propranolol, atenolol)
Name 2 physical symptoms of a panic attack.
•Abdominal distress, nausea
•Chest pain, palpitations, tachycardia
•Chills, hot flashes
•Dizziness, light-headedness
•Feeling of choking
•Shortness of breath
•Trembling or shaking
True or false. More males are diagnosed with antisocial personality disorder compared with females.
True
Identify one significant difference between ODD and CD.
CD has more severe symptoms including violent behavior/physical harm to others.
Name 2 first-line medications in the treatment of GAD.
SSRIs (especially paroxetine, escitalopram, citalopram, sertraline)
SNRIs (venlafaxine XR, duloxetine)
Pregabalin
What is the starting dose of clomipramine for the treatment of OCD?
25 mg daily (third-line treatment after two failed SSRIs)
For how long must a patient experience PTSD symptoms to meet DSM-5 criteria?
>1 month
What is first-line treatment of borderline personality disorder?
DBT
Name one specific medication that would be considered first-line for CD.
Risperidone
Aripiprazole
Lurasidone
Olanzapine
Quetiapine
Paliperidone
A patient's HAM-A score goes from 11 to 6 after 8 weeks of pharmacologic treatment. Classify his clinical response (remission, improved, partial response, non-response)
Remission (score <7)
How long might it take to see a treatment response in OCD?
10-12 weeks
Which class of medication is considered second-line for panic disorder?
Tricyclic antidepressants
Name 2 medications that can be used to treat affective dysregulation in borderline personality disorder.
SSRIs
Lamotrigine
Topiramate
Divalproex
Which three SSRIs have the most evidence in the treatment of PTSD?
Paroxetine, sertraline, fluoxetine