Bupropion & TCA( nortriptyline and amitriptyline) – least weight gain compared to SSRI

Venlafaxine  least in SNRI

SSRIs are typically associated with weight loss during initial therapy, weight is often
regained after 6 months and can be followed by additional weight gain with long-term us

Mirtazapaine  highest weight gain

Paroxetine & citraprolam  highest in SSRI group

Alprazolam (BZD) for acute atks

paroxetine, sertraline (Zoloft), citalopram (Celexa), or fluvoxamine  for panic

DSM-5
panic disorder often anticipate a catastrophic outcome from a mild phys ical symptom or
medication side effect (e.g., thinking that they may have heart disease or that a headache
means presence of a brain tumor). Such individuals often are relatively in tolerant of
medication side effects. In addition, there may be pervasive concerns about abilities to
complete daily tasks or withstand daily stressors, excessive use of drugs (e.g., alcohol,
prescribed medications or illicit drugs) to control panic attacks, or extreme behaviors aimed
at controlling panic attacks (e.g., severe restrictions on food intake or avoidance of specific
foods or medications because of concerns about physical symptoms that provoke panic
attacks).

 Cognitive behavioral therapy (CBT) has been proven effective for

anxiety disorders. CBT examines the relationship between anxiety-
driven cognitions (thoughts), emotions, and behavior.
 ■■ Psychodynamic psychotherapy facilitates understanding and insight into the
development of anxiety and ultimately increases anxiety
tolerance.

Coping strategy , psychotherapy for self harm

Anxiety Tx
CBT
Cognitive therapy
Applied relaxatio
Respiratory training
In vivo exposure
Family therapy
Insight-Oriented Psychotherapy
 Student ID : 27232985

Stimulants for ADHD

Effect within 30mins
As medication wears off - irritability and worsening of symptoms
Given in the morning, allows the appetite to recover

progressively more improvement in functioning until a level where further increases do not
lead to any further improvement (optimal dose)
if optimal dose exceeded, behavior may worsen
As children grow the stimulant may become less effective (requires  dose)

Anorexia co-morbid
MDD
Bipolar
Anxiety disorders
Substance use

Risk factors – obsessional traits, social anxiety disorder, low self esteem

Indication for admission :

Depression
Medical complicaitons
Children - <75% of body weight OR rapid weight loss

Psychodynamic theory – struggle for control (esp mother)

Intellectual disability comorbid

ASD
ADHD
Schizo
MDD (8%)
Anxiety (14%)
Bipolar

Intellectual disablity
MDD  anorexia
Consider breakthrough seizure – not eating medication
 Student ID : 27232985

ASD
Sensory over-responsiveness
Sleep problems
 risk of anxiety, depression, OCD

ADHD
Consider substance & mood first

No TBI – protective factor

Job – social & psycho protective factor

Completed grief