Tag: pharmacotherapy

Phobia-Management


Phobias-Management


  • Pharmacotherapy – BDZs, SSRIs
  • Psychotherapy – Behavior therapy is the most effective
  • Systematic Desensitization – [Exposure / Relaxation] Best Evidence in T/T of Phobias
  • Therapeutic graded exposure [Exposure and response prevention]
  • Flooding [Implosion]- Exposed in Most severe form
  • Modeling [Participant modeling]- Therapist himself makes contact with phobic stimulus

Social Anxiety Disorder [Social Phobia]:

  • Fear of social situation including contact with strangers
  • Afraid of embarrassing themselves

OCD-Management & prognosis


OCD-Management & prognosis


Management:

Pharmacotherapy:

  • First Line – SSRIs and Clomipramine [adverse side effect profile]
  • If first line fails then antipsychotics [Haloperidol, quetiapine, risperidone, olanzapine]
  • Other Drugs [Venlafaxine, Lithium, valproate and carbamazepine]

Psychotherapy:

  • Cognitive Behavior therapy [Exposure & Response prevention]
  • Desensitization, thought stopping, flooding and aversive conditioning

Other T/T modalities – ECT, Psychosurgery [Cingulotomy, capsulotomy – Caudate tractotomy]

Prognosis:

Acute Onset – 50%. 20-30% Significant improvement, 40-50% moderate, rest may so deterioration

Management of depression


Management of depression


Pharmacotherapy

  • Tricyclic Antidepressants (TCAs)
  • SSRIs
  • SNRIs
  • Monoamine Oxidase Inhibitors
  • Atypical Antidepressants

Psychotherapy

  • Cognitive Behavior Therapy
  • Interpersonal Therapy
  • Behavior Therapy

Somatic Therapy

  • ECT
  • Trans cranial magnetic stimulation
  • Vagal Nerve stimulation
  • Deep brain stimulation
  • Sleep deprivation
  • Phototherapy
Malcare WordPress Security