| A | B | C | D | E | F | G | H | I | J | K | |
|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Created by Bennett Waxse, UChicago, updated 3/11/18 | ||||||||||
2 | More med school reference docs here | ||||||||||
3 | Class | Psychotherapy or Other | Disease | 1st-line ℞ | 2nd-line ℞ | Circumstantce-Specific ℞ | Avoid | ||||
4 | Psychotic | suportive, psychoeducation | Schizophreniform/ia | AAP | AP | clozapine (refractory, SI) | |||||
5 | Schizoaffective | AAP | AP | Lithium, VPA, carb (Bipolar) | SSRI (depression) | ECT (depression) | |||||
6 | Brief Psychotic Disorder | AAP | AP | BDZ (agitation) | |||||||
7 | supportive, group | Delusional Disorder | |||||||||
8 | Mood | CBT ECT (SI, elderly, catatonia) | MDD | SSRI | SNRI | TCAs, MAOIs | buproprion (to avoid sexual dysfunction) | mirtazapine (insomnia and wt loss) | perphenazine (w/ psychotic features) | ||
9 | cognitive, interpersonal | Persistent Depressive Disorder | SSRI | SNRI | TCAs, MAOIs | ||||||
10 | Premenstrual Dysphoric Disorder | SSRI (daily, luteal) | OCPs may help | ||||||||
11 | supportive, family, group ECT (mania) | Bipolar I/II | Lithium | VPA, carbamazepine (rapid cycling, mixed) | + lorazepam (keep calm acutely) | AAP (acute mania or depression) | |||||
12 | Cyclothymic Disorder | Lithium | VPA, carbamazepine | AAP (acute mania or depression) | |||||||
13 | CBT | Disruptive Mood Dysregulation Disorder | Only for cormorbidities | ||||||||
14 | Anxiety | CBT (psychodynamic) | Panic Disorder, Agoraphobia | sertraline, citalopram, escitalopram | TCAs | BDZ (immediate Tx) | |||||
15 | CBT | Specific / Social Phobia | SSRI (if debilitating) | SNRI (if debilitating) | BDZ (augment, performance-subtype) | propranolol, atenolol (performance anxiety) | |||||
16 | CBT | GAD | SSRI | SNRI | BDZ (short-term) | buspirone (adjunct) | |||||
17 | CBT, family | Selective Mutism, Separation Anxiety | SSRI (for anxiety) | ||||||||
18 | OCD | CBT (graded ERP) | OCD | sertraline, paroxetine, fluvoxamine, fluoxetine (high dose) | clomipramine | risperidone (3rd-line) | |||||
19 | CBT | Body Dysmorphic Disorder | SSRI | Plastic surgery | |||||||
20 | CBT (specialized) | Hoarding Disorder | SSRI (if OCD Sx) | ||||||||
21 | CBT | Trichotillomania | SSRI | AAP | N-acetylcysteine | ||||||
22 | Stress | CBT (ERP, cognitive processing, supportive/psychodynamic) | PTSD | sertraline, citalopram | venlafaxine | prazosin (nightmares) | AAP (severe) | BDZ | |||
23 | CBT (ERP, cognitive processing, supportive/psychodynamic) | Acute Stress Disorder | |||||||||
24 | CBT (supportive, group) | Adjustment Disorder | Only for cormorbidities | ||||||||
25 | Substance | behavioral counseling, 12-step, CBT, motivation | Substance Use Disorder | Medically-assisted withdrawal, meds to ↓ craving | |||||||
26 | Alcohol Withdrawal | chlordiazepoxide, lorazepam, diazepam | lorazepam, oxazepam, temazepam (liver dysfxn) | ||||||||
27 | Delirium Tremens | lorazepam gtt | thiamine, FA, MV, lytes, IVF | AP (severe agitation) | |||||||
28 | AA | Alcohol Use Disorder | naltrexone | acamprosate | disulfiram or topiramate | ||||||
29 | Cocaine Intoxication | BDZ (agitation) | haloperidol (severe agitation) | Sx support | |||||||
30 | Benzodiazepine OD | flumazenil | lavage (if 4-6 hrs ago) | ||||||||
31 | Barb OD | alkalinize urine | |||||||||
32 | Benzodiazepine Withdrawal | taper | |||||||||
33 | Opiod OD | naloxone | naltrexone | ||||||||
34 | NA | Opiod Withdrawal (moderate) | clonidine | NSAIDs | |||||||
35 | NA | Opiod Withdrawal (severe) | buprenorphine | methadone | buprenorphine + naloxone (UD) | methadone (UD) | naltrexone (UD if dedicated) | ||||
36 | NCD | Delirium | Tx underlying disorder | haloperidol (agitation, aggression) | BDZ (disinhibition) | ||||||
37 | Caregiver support | Alzheimer's | donepezil, rivastigmine, galantamine | memantine | AP (agitation, aggression) | AP (black box warning) | |||||
38 | Caregiver support | Vascular Dimentia | manage risk factors | AP (agitation, aggression) | AP (black box warning) | ||||||
39 | Lewy Body Disease | donepezil, rivastigmine, g... (cognition) | olanzapine, quetiapine, risperidone (psychosis) | levodopa-carbidopa (Parkinsonism) | AAP (neuroleptic sensitivity) | ||||||
40 | Parkinson's | levodopa-carbidopa vs dopamine agonists | donepezil (cognition) | ↓ levodopa → quetiapine, clozapine (fewest motor Sx) (psychosis) | |||||||
41 | Frontotemporal Degeneration | SSRI | trazodone | ||||||||
42 | HIV | HAART | stimulants (fatigue, apathy) | ||||||||
43 | Huntington's | tetrabenazine | AAP (psychosis) | ||||||||
44 | supportive, group, senior center | Pseudodimentia | Low-dose SSRI | nortriptyline | mirtazapine | ECT | Tertiary TCAs (higher antichold SE) | ||||
45 | Kids | B-mod (social skills, classroom intervention, family education) | ADHD | stimulants | atomoxetine | clonidine, guanfacine (3rd-line) | |||||
46 | behavioral therapy, psychoeducation | ASD | risperidone, aripiprazole (disruptive behavior) | stimulants (hyperacitivty) | clonidine, guanfacine | ||||||
47 | psychoeducation | Tourette's Disorder | guanfacine > clonidine (if impairing) | haloperidol, risperidone, pimozide (severe) | |||||||
48 | B-mod (parent-child interaction therapy) | ODD | Only for cormorbidities | ||||||||
49 | B-mod, family-/community-based therapy | Conduct Disorder | Only for cormorbidities | ||||||||
50 | B-mod, PMT | Enuresis | DDAVP (refractory or diurnal) | imipramine (refractory or diurnal) | |||||||
51 | bowel retraining, behavioral program, toileting routine | Encopresis | stool softener (if 2/2 constipation) | ||||||||
52 | Dissoc. | supportive, CBT, hypnotherapy | Dissociative Amnesia | Only for cormorbidities | |||||||
53 | psychodynamic, CBT, hypnotherapy | Depersonalization / Derealization | Only for cormorbidities | ||||||||
54 | safety, stability, Sx reduction, identify integration | Dissociative Identity Disorder | Only for cormorbidities | prazosin (nightmares) | naltrexone (self-mutilation) | ||||||
55 | Eating | family (Maudsley), supervised wt gain | Anorexia Nervosa | Only for cormorbidities | SSRI (depression, anxiety) | bupropion (↓ Sz threshold) | |||||
56 | CBT, nutritional counseling | Bulimia | SSRI | bupropion (↓ Sz threshold) | |||||||
57 | CBT, individual | Binge-Eating Disorder | stimulants (↓ appetite) | topiramate (↓ wt) | orlistat (↓ pancreatic lipase) | ||||||
58 | Sleep | sleep hygiene, CBT | Insomnia Disorder | BDZ (short-term) | zolpidem, eszopiclone, zaleplon | trazodone (elderly, depressive Sx) | |||||
59 | Primary Insomnia (Travel) | BDZ (not groggy like trazodone/diphen) | |||||||||
60 | scheduled napping | Hypersomnolence Disorder | modafinil | stimulants | atomoxetine | ||||||
61 | wt loss, exercise, surgery | Obstructive Sleep Apnea Hypopnea | BiPAP, CPAP | ||||||||
62 | scheduled napping, sleep hygiene, no shift work | Narcolepsy | modafinil | amphetamine, methylphenidate (daytime sleepiness) | Na Oxybate (cataplexy) | TCA, SSRI, SNRI (cataplexy) | |||||
63 | Sleep in elderly | trazodone | BDZ | Diphenhydramine | |||||||
64 | education, reassurance, safe environment | Non-REM Sleep Arousal Disorder | low-dose BDZ (refractory) | ||||||||
65 | reassurance, imagery rehersal therapy | Nightmare Disorder | Not indicated | ||||||||
66 | environmental safety | REM Sleep Behavior Disorder | D/C offending med | clonazepam (if needed) | |||||||
67 | Restless Leg | DA agonist | BDZ | Fe (if deficient) | |||||||
68 | sex | sex therapy, CBT, hypnotherapy, group therapy | Sexual Dysfunction | sildenafil, alprostadil (erectile dysfunction) | SSRI, TCA (premature ejaculation) | T, vaginal E2 (hypoactive desire) | |||||
69 | Pharm | MAOI Hypertensive Crisis | α-blocker (phentolamine) | ||||||||
70 | Serotonin Syndrome | BDZ | |||||||||
71 | Acute dystonia | ↓ dose | diphenhydramine > benztropine | ||||||||
72 | AP-induced akathisia | ↓ dose | propranolol | BDZ | |||||||
73 | EPS | ↓ dose | benztropine, diphenhydramine | amantadine (anticholinergic toxicity) | |||||||
74 | Tardive Dyskinesia | d/c offending drug | clozapine, quetiapine (optional) | benztropine (tardive dystonia) | |||||||
75 | D/C Meds | NMS | dantrolene | bromocriptine | |||||||