Anxiety
first-line therapy for mild GAD
What is non-pharm (psychotherapy, CBT)
Bupropion is contraindicated in which conditions?
Epilepsy/seizure disorder, anorexia/bulimia
This is the first step in treating insomnia
What is treat underlying/contributing conditions
What is Lithium 300mg PO HS or Divalproex 250mg PO OD
First line medication for PTSD
Fluoxetine, paroxetine, sertraline, and venlafaxine
First line treatment for moderate-severe GAD
What is SSRI/SNRI +/- psychotherapy
This natural remedy can be used as a first-line monotherapy for mild-moderate depression
What is St. John's Wort
The primary treatment goal of insomnia is this.
What is, to improve daytime functioning
Things to monitor when on lithium
what are CBC, LFTs, ECG, weight gain, lithium levels
Used in the sleep disturbances associated with PTSD
Trazadone, Prazosin
In the treatment of anxiety, optimal clinical response can take this long.
What is 12 weeks
Children need follow up this frequently when being treated for depression?
Weekly x4 then q2w x2 then at 12 weeks
First line therapy for insomnia
What is CBTi
adverse effects of lithium
What are hand tremor, fatigue, thirst, polyuria
First line treatment for bulimia
Fluoxetine, Venlafaxine, Trazodone for sleep
Unlike SSRIs, SNRIs can cause this side effect which should be monitored.
What is hypertension and tachycardia; orthostatic hypotension in elderly
If no response to treatment, a different 1st line therapy should be attempted after this timeframe.
What is 12 weeks; consider adjunct if having some effect but not complete remission
This class of sedatives is most likely to cause rebound insomnia
they are the main reason for discontinuation and relapse
Reasons for referring a patient with bulimia to psychiatry or emergent care
suicidal, syncope, pregnancy, DM, severe electrolyte disturbances
What are paroxetine and fluoxetine
These scenarios would require emergent care or referral to psychiatry
What are suicidal, complex (dual-diagnosis), not responding to treatment, pediatric
Metallic taste is a side effect of which class of sedatives?
Patients being treated for schizophrenia should undergo monitoring for these complications.
Diabetes, liver function abnormalities, CVD (d/t combination of medications, lifestyle habits)
This vitamin is important in the treatment of anorexia.
What is thiamine