Behavioral Health Flashcards

What is the first-line pharmacologic treatment for major depressive disorder in adults?

Answer: Selective serotonin reuptake inhibitors (SSRIs)

Selective serotonin reuptake inhibitors (SSRIs) are considered the first-line pharmacologic treatment for major depressive disorder in adults. They are generally well-tolerated, effective, and have a relatively safer side effect profile compared to older antidepressants like TCAs and MAOIs. SSRIs work by increasing serotonin levels in the brain, which helps regulate mood.

Which of the following screening tools is commonly used to assess for anxiety disorders in primary care settings?

Answer: GAD-7

The GAD-7 (Generalized Anxiety Disorder 7-item scale) is a widely used and validated screening tool specifically designed to assess for anxiety disorders in primary care settings. It helps clinicians quickly identify and gauge the severity of generalized anxiety symptoms. While other tools like PHQ-9 screen for depression, GAD-7 focuses on anxiety.

What is the recommended approach for managing mild to moderate postpartum depression?

Answer: Cognitive-behavioral therapy (CBT) and supportive counseling

For managing mild to moderate postpartum depression, cognitive-behavioral therapy (CBT) and supportive counseling are recommended as the first-line approach. These non-pharmacological interventions help mothers develop coping strategies, challenge negative thought patterns, and improve their emotional well-being. Pharmacotherapy may be considered if symptoms are severe or do not respond to initial therapy, often in conjunction with counseling.

Which behavioral intervention has the strongest evidence for effectiveness in treating insomnia?

Answer: Cognitive-behavioral therapy for insomnia (CBT-I)

Cognitive-behavioral therapy for insomnia (CBT-I) has the strongest evidence for effectiveness in treating chronic insomnia and is considered the gold standard non-pharmacological treatment. CBT-I addresses the underlying thoughts and behaviors that contribute to insomnia, including sleep restriction, stimulus control, and cognitive restructuring. It provides more durable improvements in sleep than medication alone.

What is the primary purpose of using the CAGE questionnaire in clinical practice?

Answer: To assess for alcohol use disorder

The CAGE questionnaire is a widely used screening tool specifically designed to assess for alcohol use disorder in clinical practice. The acronym CAGE stands for Cut down, Annoyed, Guilty, and Eye-opener, referring to questions about a person's drinking habits. A positive response to two or more questions suggests a potential alcohol problem requiring further evaluation.