Question | Answer |
Ericson showed life cycles as | battle VS |
2 social learning people | Mahler and Bowlby |
Self model sees normal/abnormal as additive of these 4 | DSBP; Developmental, Social Learning, Behavioral, Psychoanylitical |
Maslow said you can only move up | once all the prerecs are met |
Piaget is credited with todays | 2 school curriculum |
Disease model sees abnormal behavior as | “what the Pt has” |
Dimensional model sees abnormal behavior as | what a Pt is in terms of numbers, gradations, aka normal is under the curve |
Public Law 102-321 gave | block grants specifically to help those with DSM Dx that intereveres with life activities |
Medicare Modernization act of 64 effected psych by | giving 65 and over access to care but also increased homeless population by freeing those institutionalized that didn’t act as a threat to themselves or others |
Criminalization of psychiatric illness means | those who are ill are being jailed |
Psyching of criminal behavior refers to | criminals malingering into psych treatment |
Thorazine/chlorpromazine was | the first antipsychotic ish |
Mnemonic for 5HT. NE, and dopamine blockade | FAS=3-1-0; I D= 30,23; P=030 |
Valproic acid should be Rx to women only after | they are pregnancy tested and told they can’t have unprotected sex |
Monitor in elder on litium | CBC, EKG, UA |
Bupropion has the safety advantage of | few drug-drug interactions |
Litium is removed by | urination, it’s distributed in water and only dialysis can get it out |
Litium is used in bi-polar patients when then are alcoholics because | litium decreases drinking |
Clomipramine is the first drug approved for | OCD |
TCA dosing should be slow and once effect is reached you should | reduce to the lowest active level |
Bupropion is tolerated well because it does not have | sexual side effects |
Only SSRI for children is | Prozac aka fluoxetine |
Monitor this in children taking SSRI | suicidal thoughts |
2 drug classes that should be avoided together to avoid serotonin syndrome | MAO-I and SSRI |
SSRI’s have the advantage of | decreased autonomic action |
Fluoxetine’s metabolite | norfluoxetine has a half-life of 7-9 days |
STAR*D studied showed that failure of treatment with citalopram followed by Tx w/ | bupropion, sertraline or venlafaxine, is possible in 25% of Pts |
SE of citalopram | QT prolongation |
Difference in euthymia and mood disorder is when | the normal mood beings to interfere with success and happiness |
Depression mnemonic SIGECAPS | Sleep; Interest; Guilt; Energy; Concentration; Appetite; Psychomotor; Suicide |
Manic mnemonic: DIGFAST | Distractability; Indiscretion; Grandiosity; Flight of ideas; Activity increase; Sleep decrease; Talkativeness |
Bipolar I vs II | I can have hallucinations and mania where II is only up to hypomania |
Difference in normal axiety from pathological anxiety is when | the apprehension causes the individual significant distress and dysfunction |
Difference in Dx of PTSD vs Acute Stress disorder | PTSD 1 month or more; ASD minimum of 2 days max 4 weeks and occurs within 4 weeks of traumatic event |
Main problem with extended use of benzos | dependence |
Be careful prescribing benzos to who and why? | geriatric those with liver disease, low serum albumin, or obesity to avoid oversedation |
4 toxicities of benzos | sedative action, additive with alcohol, anterograde amnesia, 1st trimester teratogen |
Problem with discontinuing alprazolam | relapse of the condition or inability to discontinue |
The long term use of chlordiazepoxide has | never been investigated |
Midazolam is used mainly for | pre-op sedation, anxiolytic, and anteriograde amnesia |
2 routes of midazolam administration | IM, IV, oral |
BuSpar treats persistent anxiety well but one downfall is | it takes 2-4 weeks to work |
BuSpar has been established as outPt therapy for | GAD in which constant symptoms have been present for 1-12 months |
Regular vs XR zolpidem causes what SE | GI disturbances |
Zaleplon can cause these complex sleep-related problems | sleep driving, sleep eating, making phone calls |