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What is agoraphobia and how can it be treated? - (Answer)intense fear of being in public pleases
where escape or obtaining help may be difficult
Treat with CBT and SSRI
What treatment is used for generalized anxiety disorder - (Answer)First line - SSRI
Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
What is used to treat panic attacks? - (Answer)initially use benzos short term
What is used to treat panic disorder? - (Answer)First line- SSRI, SRNA
Second line- TCAs, though limited use
Adjunct - benzo with caution, short-term until SSRIs reach therapeutic efficacy
Alprazolam (Xanax) is FDA approved
SSRI - Fluoxetine (Prozac), Paxil (paroxetine), Zoloft (sertraline),
, SNRI - Effexor (venlafaxine)
TCA - clomipramine (Anafranil), imipramine (Tofranil)
What is social phobia and how is it treated? - (Answer)fear of scrutiny by others or fear of acting
in humiliating or embarrassing way
CBT
First line - SSRI or SNRI
Benzos can be used as scheduled or PRN
Beta blockers such as atenolol (50-100 mg) and propranolol (20-40 mg) 1 hour before
performance or public speaking
What is used to great specific phobias? - (Answer)CBT with exposure
SSRI - fluvoxamine (Luvox), Paxil (paroxetine), Zoloft (sertraline),
SNRI - Effexor (venlafaxine)
What is obsessive compulsive disorder (OCD) and how is it treated? - (Answer)obsessions
and/or compulsions that are time consuming, distressing, and impairing
MEDS + CBT