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New PDF release: CCS Psychiatry

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Extra resources for CCS Psychiatry

Example text

Other features of BPD such as avoidance of abandonment, identity disturbance, and impulsivity distinguishes BPD from PTSD. Treatment of Post-Traumatic Stress Disorder A. Sertraline (Zoloft) and paroxetine (Paxil) have demonstrated efficacy for all the symptom clusters of PTSD. Other SSRIs are also likely to be effective. Treatment at higher doses than are used for depression may be required. Older antidepressants (imipramine, amitriptyline, and monoamine oxidase inhibitors [MAOIs]) are moderately effective, especially for symptoms of increased arousal, intrusive thoughts, and coexisting depression.

The lifetime prevalence of PTSD is 8% and is highest in young adults. B. The prevalence in combat soldiers and assault victims is 60%. C. Individuals with a personal history of maladaptive responses to stress may be predisposed to developing PTSD. Classification of Post-Traumatic Stress Disorder A. Acute. Symptoms have been present for less than three months. B. Chronic. Symptoms have been present for greater than three months. C. With Delayed Onset. Symptoms begin six months after the stressor.

3. The person has recognized that the obsessions or compulsions are excessive or unreasonable. 4. The obsessions or compulsions cause marked distress, take more than a hour a day, or significantly interfere with functioning. 5. If another psychiatric disorder is present, the content of the symptoms is not restricted to the disorder (eg, preoccupation with food in an eating disorder. 6. The disturbance is not caused by substance abuse or a medical condition. 7. Specify if the patient has poor insight into his illness.

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CCS Psychiatry


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