Psychopharmacology - Wilkes
Actual Questions and Answers
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Multiple-Choice (A–D), For Each Question.
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### 1. Why are benzodiazepines contraindicated in PTSD
treatment?
Answer: Benzodiazepines are contraindicated because they
interfere with cognitive processes necessary for cognitive-
behavioral therapy (CBT) and carry a high risk of dependence,
particularly in patients with comorbid substance use disorders
(SUD).
Explanation: While benzodiazepines may provide short-term relief
for anxiety, their sedative effects can hinder emotional processing
and cognitive functions critical for recovery. This makes them
unsuitable for PTSD treatment, where therapeutic engagement is
vital.
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### 2. What medications are FDA-approved to treat PTSD?
Answer: Sertraline and paroxetine are the FDA-approved
medications for treating PTSD.
Explanation: These SSRIs have undergone rigorous clinical
testing demonstrating their efficacy in relieving PTSD symptoms.
,Their approval indicates their importance in treatment protocols,
offering relief and improving quality of life for affected individuals.
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### 3. When would you augment treatment of PTSD with an
atypical antipsychotic?
Answer: Augmentation with an atypical antipsychotic is
considered only in severe cases of PTSD.
Explanation: Atypical antipsychotics may be effective in managing
severe PTSD symptoms, especially when first-line medications
fail. However, they carry more significant side effects and risks,
so their use should be reserved for patients who have not
responded to SSRI treatment.
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### 4. What co-occurring disorder do patients with DID typically
have?
Answer: Patients with Dissociative Identity Disorder (DID) often
have co-occurring Post-Traumatic Stress Disorder (PTSD).
, Explanation: The traumatic experiences that lead to DID
frequently overlap with those that cause PTSD. Both disorders
can exacerbate each other, making integrated treatment
approaches essential for effective management.
### 5. What are adjustment disorders?
Answer: Adjustment disorders occur when a person develops
emotional or behavioral symptoms in response to a stressful
event or situation. Symptoms differ from normal bereavement
and typically resolve within 6 months after the stressor's end.
Explanation: Adjustment disorders highlight the challenge some
individuals face in adapting to stressors. Symptoms can include
anxiety, sadness, and difficulty functioning. Recognizing and
intervening in adjustment disorders promptly can mitigate the
impact on a person's overall mental health and well-being.
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### 6. Which class of medications are used as first-line therapy
for PTSD?