Acute anxiety ANS: First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines ANS: Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised.
Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders ANS: psychological disorders characterized by distressing, persistent anxiety or
maladaptive behaviors that reduce anxiety
anxiety disorders treatment ANS: -non-activating antidepressants area good place to start. for this
disorder
first line treatment anxiety disorders ANS: SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and paroxetine
(Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD ANS: Benzodiazepines- short acting Alprazolam are most
abusable
Rapid onset BZD ANS: used for acute panic disorder
BZD with long half- life (20-80 hours) ANS: Diazepam (avoid in elderly)
BEERS criteria ANS: A list of medications that are generally considered inappropriate when given to
elderly people
, BEERS criteria ANS: Identifies High Risk Meds to Generate Wide List of Meds That Should be Avoided
The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults", commonly called the
Beers List, are guidelines for healthcare professionals to help improve the safety of prescribing
medications for older adults.
concomitant with pharmacological tx in AD ANS: Psychotherapy
First line for specific phobias like clowns, blood, animals ANS: Psychotherapy
medications not all that helpful for specific phobias
OCD treatment ANS: SSRI and CBT
BZD in treatment of OCD ANS: Xanax, Valium, Klonipin
Trauma and Dissociative Disorders ANS: Consider and treat and comorbid disorders as well
Trauma and Dissociative Disorders first line pharmocology ANS: Antidepressants
Psychotherapy are treatment of choice
Dissociative disorders ANS: the degree of insight the patient has is crucial to the outcome of
psychotherapy
DID- Dissociative identity disorder ANS: may consider multi pronged approach to treatment but strongly
linked to childhood trauma so treating underlying PTSD s/s is often helpful