PA PSYCHIATRY EOR | 2026
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Terms in this set (241)
SIGECAPS of Depression Sleep disturbances
Interests are ↓
Guilt
Energy is ↓
Concentration is ↓
Appetite is ↓
Psychomotor Agitation
Suicidal thoughts
Major depressive disorder Depressed Mood or Anhedonia
Dx: 5 or more of the SIGECAPS Sxs for > 2 wks
effecting normal function
Tx:
SSRI or SNRI > TCA/MAOi > ECT
S/Es of SSRIs Sexual Dysfunction
Wt gain
Anxiety
Nausea
,SHIVERS of Serotonin Syndrome Shivering
Hyperreflexia
Increased temp (fever)
Vitals, unstable
Encephalopathy
Restless
Sweating
Tx: Cyproheptadine
1st line Tx of depression in children Fluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ↑ SI in the 1st 2 weeks of use
SSRI known to cause QT interval Citalopram (Celexa)
prolongation
Screening tool or questionnaire BPD: The Mood Disorder Questionaire
used in clinic for:
Bipolar Disorder MDD: Beck Depression Inventory
Major Depression Disorder
Atypical Antidepressant which Bupropion
inhibits DA reuptake, has less sexual smoking cessation
and wt-related side effects, but
decreases seizure threshold
SNRI Trade Names SNRI Drug Names
Effexor Venlafaxine
Pristiq Desvenlafaxine
Cymbalta Duloxetine
Fetzima Levomilnacipran
, TCA antidepressants Desipramine - selective NET inhibitor
special characteristics Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
QT Interval prolongation = arrythmias
MAO Inhibitors used as Tranylcypromine
antidepressants Phenelzine
Take Pride in Shanghai Selegiline
Antidepressant which inhibits MAO Selegiline
b mechanisms and can ↑ dopamine - Can be added in Tx of Parkinson's
concentrations
Suicide Risk Assessment Sex (males)
SAD PERSONS Age (biphasic)
0-4 Low Depression
5-6 Moderate Previous attempts
7-10 High Excessive substance abuse
Rational thinking, loss
Social support lacking
Organized plan
No spouse
Sick (chronic)
DIG FAST of Bipolar Distractibility
Irresponsibility
Grandiosity
Flight of ideas
Agitation
Sleep disturbances
Talkative
UPDATE|COMPREHENSIVE FREQUENT MOST-
TESTED QUESTIONS AND VERIFIED
ANSWERS/SOLUTIONS|GET IT 100%
ACCURATE!!
Save
Terms in this set (241)
SIGECAPS of Depression Sleep disturbances
Interests are ↓
Guilt
Energy is ↓
Concentration is ↓
Appetite is ↓
Psychomotor Agitation
Suicidal thoughts
Major depressive disorder Depressed Mood or Anhedonia
Dx: 5 or more of the SIGECAPS Sxs for > 2 wks
effecting normal function
Tx:
SSRI or SNRI > TCA/MAOi > ECT
S/Es of SSRIs Sexual Dysfunction
Wt gain
Anxiety
Nausea
,SHIVERS of Serotonin Syndrome Shivering
Hyperreflexia
Increased temp (fever)
Vitals, unstable
Encephalopathy
Restless
Sweating
Tx: Cyproheptadine
1st line Tx of depression in children Fluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ↑ SI in the 1st 2 weeks of use
SSRI known to cause QT interval Citalopram (Celexa)
prolongation
Screening tool or questionnaire BPD: The Mood Disorder Questionaire
used in clinic for:
Bipolar Disorder MDD: Beck Depression Inventory
Major Depression Disorder
Atypical Antidepressant which Bupropion
inhibits DA reuptake, has less sexual smoking cessation
and wt-related side effects, but
decreases seizure threshold
SNRI Trade Names SNRI Drug Names
Effexor Venlafaxine
Pristiq Desvenlafaxine
Cymbalta Duloxetine
Fetzima Levomilnacipran
, TCA antidepressants Desipramine - selective NET inhibitor
special characteristics Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
QT Interval prolongation = arrythmias
MAO Inhibitors used as Tranylcypromine
antidepressants Phenelzine
Take Pride in Shanghai Selegiline
Antidepressant which inhibits MAO Selegiline
b mechanisms and can ↑ dopamine - Can be added in Tx of Parkinson's
concentrations
Suicide Risk Assessment Sex (males)
SAD PERSONS Age (biphasic)
0-4 Low Depression
5-6 Moderate Previous attempts
7-10 High Excessive substance abuse
Rational thinking, loss
Social support lacking
Organized plan
No spouse
Sick (chronic)
DIG FAST of Bipolar Distractibility
Irresponsibility
Grandiosity
Flight of ideas
Agitation
Sleep disturbances
Talkative
