gambling disorder criteria
- gambling when distressed, depressed or anxious
- increased gambling to achieve the desired excitement
- return to recover past losses
- preoccupation
- irritability upon cutting back
- repeated attempts to cut back
- concealing
adjustment disorder
in response to a stressor in last 3 months
How often should opioid prescribers be seen?
3 months
side effects of lithium
nephrogenic DI, kidney disease, hyperparathyroidism and thyroid dysfunction
lithium screening
BUN, creatinine, urinalysis, calcium, pregnancy test and thyroid function tests
- ECG in heart patients
most effective treatment for MDD
antidepressent and psychotherapy
schizoid vs schizotypal
schizoid - loner, detached and unemotional
typal - eccentric, odd thoughts, perceptions and behaviors
first line for major depression with psychotic features
- antidepressant plus antipsychotic
- or ECT
medical treatment of neuroleptic malignant syndrome
reverse dopamine blockade with bromocriptine or amantidine
screening for depression
SIGECAPS
risk for suicidal thoughts and antidepressants
slight increased risk, less than 25
firstline treatments for bipolar I
lithium, valproate, quetiapine, and lamotragine
drug associated with hyponatremia
MDMA
order of postpartum problems
- blues = 2-3 days, no treatment
- depression = 4-6 weeks, treat with SSRI
- psychosis = days - weeks, hospital
breastfeeding drug for postpartum depression
sertaline
treatment of PTSD
- SSRI, SNRI, CBT
- prazosin for nightmares
nightmare disorder
- disturbing and frightening dream content
- alert, remembers and consolable
- during REM sleep
sleep terror disorder
- non-arousable
- no response to comfort
- cant remember content
MOA of buproprion
norepi/dopamine RI
parotid gland enlargement and hand abrasions
bullemia
abnormalities in bullemia
hypokalemia
brief psychotic disorder
must have return to function
long acting injectable antipsychotics
used when you cant give oral meds
