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'.2.yeacold temas man wih iy etschaopvena truth hsp bye pace He Geeroyed teen se st local econ se and en became eterey fad ard vert when erployeesatengtedo winene. The patents speech act {ote ar hes 4svoced, eemngyistznng aces he onl he can ar. Heisadwitedo the pychiane ward and gen hapa hich calms hin down. Lterthatevenna, rower ne waks the ruses’ sab and sas, "Vhashappenng ome?" Thee sunset srdrehecs tot doom poring hr nede.Phycal examination sous a aucaed contactonafisnecktothe aie. Wheh ofthe {olou she nos apropenetsap nmanapemet? ar A '.2.yeacold temas man wih iy etschaopvena truth hsp bye pace He Geeroyed teen se st local econ se and en became eterey fad ard vert when erployeesatengtedo winene. The patents speech act {ote ar hes 4svoced, eemngyistznng aces he onl he can ar. Heisadwitedo the pychiane ward and gen hapa hich calms hin down. Lterthatevenna, rower ne waks the ruses’ sab and sas, "Vhashappenng ome?" Thee sunset [reknes ntdoom points eck. Pha erination show ausaned contacto cis nck the igh sie, Which othe {olou she nos apropenetsap nmanapemet? ‘A. maradne 68) 8. Danwokre Os) VV © Ophettranine 70%) 1. Levene) Loran 5%) F Propranael(2) ©. Guat 0%) H. Vabentane 4%) ered etpoe toes lnatn ‘awe | Sato, sane conacon the eck row | » Seeropre arson tere Bere maces + Doberitanine 7 Ba boca) ausmisa | sunecwe esesstess repay oars | persasazepiefazepam) + nereoone Parkinsonism ‘+ Gradualonset tremor, /& beecynesia + Bereropine ty & oo : sete |" Tots) amar ttcomicerka |* a Dapacecttcmmanieneie |” ‘ueaponen nay nsuretcrgihe oor auton anu epsyentedepenng ah neal cara ‘Ts panes expen an aut dystonic reaction ue alone a nighpetency Festgenatatin anpsychete (FGA) Sule ytonaisa pee xrapyania symeto (EPS) tha deus uth hows to dys fee dose escalation ofan anipsyra. is aracteaes by muscle spasms er stifness inte head and neck icing org prorsins or Nig, fa gmacng, eo, ‘pstotoos ack ae olen ers fern, susanedclevaton he eyesin an gwar oston). The isk acte dso sea wit high soar kel hapa compare ou patency Fe nd second gnmaton aby (SGX). evi dtona shel ‘asunqusned om 2cter peso EPS. aka (ne resiesness and up-c parsons (remo ray tages mated face), season eacins eee uh aniotnerge medications (banewepne an antinatamines (phan Sramin) hat have Sricart actinic acy. Oe subsecuentmanapemen stages for EPS nce apy dose rection fase ox sutcting tan SGA ith aon erapyamial Pec rr 5 ar] ‘This patents exprorang an aut dystonic reaction uso loperc hgh-pteney fst. geneaion antpayehete (FGA) Acie rsonasa ype erapramia symptom (EPS) tat eveloos wihin hous © dys an cr doseescaion oan antsy. Mis [Garaiened by muscle spasms or sifiess nie head and neck icing tongue potuinso hrsing fal gracing, iis pstotonos ack and aalonync ess fared sstanes devaton he yes an guard ston). The ke acute sina eat wth high soeney FAs (a. hepa compared now pene FAs and second gnaton atipychetis (SOR). Acedia shel be Cistnquches om 2 eter pes of EPS. aka (nner resessree) an crug-nducedpansoism (remo, gy taapenesa masked faces) ‘Acute dstoncreacens er tesed wth anichetnerge medications (bewepne ard anthistanines(phenhy amin) ht have ‘carseat anvcheinergi acy. her subsequtmaranement stages fr EPS ine arepeyhat dose rn i easbleo utctng tan SGA witha wer ickofenrapranidal fects (Chole A) Amatadine ia dopainarjemaceton wth weak aiagnim th N-metiyD-asparste ghar receptor tis used otet 100 macs Neen associated wih an cteased 5to ‘rmyrmas ade sees ads an rdcatn a eatwert wah sodium batbnate References 1+ Try ansepessant pasa. + Fond dagross and teaent free Se nkceesnt ct Povchisny PaycitieBehaveral&Subane Abuse They amsepessants ‘sie ‘san tee ns ‘The patents hye constr wth eeye antidepressant (TCA) overdaze hich couse nen ttichanges azure Schycarsa hyooenson eareiae conton delay, ac anchebrargi ets (ested puis, hyprerma, fushd andy sn rest fs) Cardcroicty id to ecko of acdc fst sedi channels, leaing to ORS proongaton and ik of developing venti aria (Grit ass iA anianytic duns such as usin) ECG shoul bo ctaned media menied query suspected TCA ‘reese. QRS durtlon 100 mse is 5504 wthncreased isk flr venti ayn ard sures ais se 3 nation or ‘dum beaterate ary (choles and 8) Punta aston an decreased tows sounds ae cormann TCA overdose is fo archolnepe cs, ut these cigs oratcay ay pognos vave (holes D and E} TOA overdoses yea apres based on her ard charac cnc and ECG sings. uals (une) and ‘uate (ser) TCA tesing can help confi overdose buthave io careaten wt systemic nly ae ted presostc iy. Education objective: “cyl antieprestant overdose is carats by ert ahs changes, siuwes, cai condicion dey. and anichlnictony aes pps, hyperemia, tued andy sin, etstnal tus) RS duration >100 macs Neen associated wih an cteased 5to ‘rmyrmas ade sees ads an rdcatn a eatwert wah sodium batbnate References 1+ Try ansepessant pasa. + Fond dagross and teaent free Se nkceesnt ct Povchisny PaycitieBehaveral&Subane Abuse They amsepessants ‘sie ‘san tee ns ‘A 2-yeald woman canes othe flee a eabdominalpan. Shenae ad mle aches reaps" er bona oh past fe ‘weeks. The patent dees ruses, omng era change appt bowel mevemets. He tess lvl has een Nghe an arma sce horboyred broke ofthrelabonehp a month go. Sho sas, "ewes tgeher fo 10 years. Id evrythng to lose he and ako him haope abancered me. |dont knowhow 1 goon with” The pater srs rng when cussing hw her bytiend maraped et france and recrty pe her apy neo She neue boul shin josnowared cance her leew cde xno” Se ecenty moved in wih end ad hopes hs peson can Pep heseteveyewg out” The pet eps feng ied and ‘sa soe te treakup and looks don al ne round, peaking ft ding theme. Meccal han is noncntiby, Physi ‘raninaton she minma dcinton on palptan cine absonen hn eon oravaran tha amen of nd nandetended. ihieh fe oon isthe mest el explanation rhe pater behave? ‘A pase eves rae 8. Adusiment srr wth ane © 6. Aidan personaty Seower © 0. Barernepersonaiy discser Dependent personaly order OF gor depesive toner © 6 Somatic smpom dcrer ‘A 2-yeald woman canes othe flee a eabdominalpan. Shenae ad mle aches reaps" er bona oh past fe ‘weeks. The patent dees ruses, omng era change appt bowel mevemets. He tess lvl has een Nghe an arma sce horboyred broke ofthrelabonehp a month go. Sho sas, "ewes tgeher fo 10 years. Id evrythng to lose he and ako him haope abancered me. |dont knowhow 1 goon with” The pater srs rng when cussing hw her bytiend maraped et france and recrty pe her apy neo She neue boul shin josnowared cance her leew cde xno” Se ecenty moved in wih end ad hopes hs peson can Pep heseteveyewg out” The pet eps feng ied and ‘sa soe te treakup and looks don al ne round, peaking ft ding theme. Meccal han is noncntiby, Physi ‘raninaton she minma dcinton on palptan cine absonen hn eon oravaran tha amen of nd nandetended. ihieh te oon ithe mest el explana rhe pater behave? ‘A Pes ees rd (28) 1 Aquaman cert wth anos (2) ©. Aviat persona srr 0) 1. Baden persona sede (9) VE Dependent persona src 145) For pressive oder (18) Parana: cispaus derusl peraiant SEMA | + Seize: efor tote ane, cached nemaonl Osttecer: | © senaetypa uncial tough percapors & banat ~ Amisocia dareaarda valance igs of aha ‘ctr | « Bordeine: hac reltonsnps,abandrmont fas, able moe, inp, mer anges Saha lornstclatc| « Histon: superical teste atentonseserg + Narlssiste: ransiosty ack engathy ‘cure | * AONE owiane dust ears f etc @eectan ester | Depensene:sutmssve, cng, needs 0 be ke cate of Arcouter | opaessive compulsive: 3h cotati, pereconsic “This pavertsexassivedopendency on her byiend, neces, a feof manag on er ou ae sues of dependent personaly elsorder (OPO). Inv wih DPD need excessive reassurance ad dicen making decison en, teeing fr newt), anna avtakngiave du tains tates Tha ed be elingy and submissive and abn aayiesotn hrs deans eto tea cteang approval suppor. They re eafula tng et cae ens (e3,cancsing tees ovo carson” hosing end witha so eventing eu) ana ypcaty see. new ratonhip a oon eso nds Pavers win DPO may expanancesyplns odepressed mand andy, Magee by he rset nade. and concen aout manag ane when atontios end. Tey thay sek cc ten wh saat yok ei pallets nenspce conn pai) thaterean expression of rr ites. (roe A) ete sess dso develo ini WEA cf alestreznng vaunatc event aa 5 caraderzed by rnshe eeperencng end avodance ermine of ncn (rote 8) nasser dsarder wautnet exgan hs pant ang stant depandency on her byten agers, and ea bang ‘one Stressors en exacerate the sygiomsc an urdrg sae ‘Ts pasents excessive dopendency on her boytend decane a Te of manag on her awn ae sioestve of dependent personaly siorder (OPO) Iss win DPD nea oxczava reserance an mics mise decison e9 eung fr neh), andteyaoidtatng naive due fing of imafesusy. The te tobe clingy and submissive ac ote actuesce others deans uetofearcfloang approval rauppot. The a fel af teng a caer emcee og cncsing ites ois corinn” host nd hp So etn ou") ans ypcay seek a etonip a oon aso ns Pater wih DPD may exerience sympa of depressed mond rane, gered he sense cf inadeiacy and once bout ‘managing are when orp ere. They may seekmesea! ertion wh sora rpc oh pletsnenspec ena p) ‘Matarean expression of er asbess. (hole A) Act sos dearer develo win weeks oa e-treterng tounstis vent ang is characterized by ruse repainting (Ghote 8) An ausmer sorter wou et exalan spate’ long-standing dependency on er over, néecsiveness, and fear ofa one: Stecsrs en erat thesyptoms of an undehingaarer (€hoiee€) Bah OPO arava personally dover re charac by fogs ofradeqvany ea fection, and neo for rassrance Hover hese chaacersic adn wih avatar personaly ioe tard resonsis, rater an sek than outa ins ten) (Ghote D) thou inviss wth beste esol dso ao far abarorent hey react wih rape ac demanding behav. whereas nis wth deperdet personaly are submissive. This patent ao aks he mood by, mpusty ae elm ‘atactestealy seen ted parson cde (Ghote F) Ths patent's moos smetoms ae inset tomeet crea fora ma depressive epsoce, Patents wt DPD coneniy cerpeence sme dere of depression loving separatan rom th anu afoot (notes 6) Paterts wth somatic smpom dco have any ati causes by tor synptons. This abet ana, Pewee is roger not her syscal ston bt afer of being aoe nd avin wo career here, Somatic toms ae olen an oxresson frie enesson RC) Pavers wih DPD nay excerence sympa of depressed ond rane, ageedby He sense cf nsec and concen abot ‘manapng ane when hors erd. They may seekmase aero wh sora prs eh pet nenspec emnl pi) ‘matarean expression of er asbess. (Groin ) Act sos dearer devon win weeks of ae-treterng tounstis vent ane is characterized by ruse reexpeiencing aren (Ghote 8) An aiusmer sorter wou et xan spate’ log-stanina dependency on er yer, néecsiveness, and fear of one Stecer en crate the syns of an undehing aad {heiee€) Beth OPO and avis personaly order are charac by fclgsotnadaquny fear fect, and aod for rascrance ewer hese characersics leans wih avoitar personaly ioe to ard eons, aera sek thm outa ints ten) (Ghote D) thous inviss wth beter persoraity dso ao far abarorent hey react wih rape ac demanding behav, whereas nis wth doped personaly are submissive. Tis paent so aks the ood rb, mpusty an elm ‘atacteatealy seen eden parson decd (Ghote F) Ths patent's moos smgtoms ae inset omeet crea fora ma depressive cpsode, Patents wth DPD corey cerpeence sme dere of depression loving separstan rom th anu afoot (notes 6) Paterts wth soma smpom ded have any ati causes by tor Symptons. This abet anes, Pewever is nee not her syscal ston bt 2 fear of being alone and ang caer hese, Somatic stems ae olen an oxresson fare Edueations objective: Dependent personality dsrer is characeiedbyexestiey dependent and submissive behav, rdecveess a er of beinale to manage alone References 1 Dependent pevoralty dre 3 cal eet ns ‘A 1Syearald gis bougte to mectce by her momar whos enced aout nar mzoaress an por gates. Fare ast 3 ments, he senna been utcharatstcaly ble an wire. The meter 5), ‘She staps atevejne fn reason ane Stans he dot 12 hice in erroom The patent as preveusy ace coil wth several cose rend and was an A tute bu Now haS topped atari ater ‘ool aches, hs ores, and sugges wo marian a Caerage. Onweekents, se speres most ie seeping. hen seen aloe, (hep early descres Pere ae ead sys "Tn andy" Sh one anger concen cerpe her hmewaior ‘sol projects and fated a ent ah es. She has ood eaton or redial concen. Pry examination cl pa wigan of 2h (44) ence er annual chechup 9 morte prevousy. On ert status exminston the pais ge, mabe poor ey cat and picks athertrgermais. Laboratory vate, nuding TSH, ar wenn oral arg, and nine rg screens nopabve. The patent anshermther ask fein is a eatnent open. Inadbonopsychomerany, which of the fleur ste mes appeerite Es sed Ea © 8 eepan a ©) 6. Fluonetine OO. Metyoterdote E Nopramaconerapy would be efecive ‘A 1Syearald gis bougte to mectce by her momar whos enced aout nar mzoaress an por gates. Fare ast 3 ments, he senna been utcharatstcaly ble an wire. The meter 5), ‘She staps atevejne fn reason ane Stans he dot 12 hice in erroom The patent as preveusy ace coil wth several cose rend and was an A tute bu Now haS topped atari ater ‘ool aches, hs ores, and sugges wo marian a Caerage. Onweekents, se speres most ie seeping. hen seen aloe, (hep early descres Pere ae ead sys "Tn andy" Sh one anger concen cerpe her hmewaior ‘sol projects and fated a ent ah es. She has ood eaton or redial concen. Pry examination cl pa wigan of 2h (44) ence er annual chechup 9 morte prevousy. On ert status exminston the pais ge, mabe poor ey cat and picks athertrgermais. Laboratory vate, nuding TSH, ar wenn oral arg, and nine rg screens nopabve. The patent anshermther ask fein is a eatnent open. Inadbonopsychomerany, which of the fleur ste mes appeerite ‘A. prperazte (0%) 8. Biprepon 11%) V6. Fuoxsne 76%) 1. Methjptendte 2%) Nopramassnesapy would be efecve (5) | F venatoine 5) ‘Ths pasts men soy fate mond, hypersarma, Inpavedconcawaten deceased retin socal civ, aa ets of \wertlssreessconsstent wth mor opressne sor (DD) Pedic cepesson ofan poses wth spo of itty ramer than ecressed mood. The patents symptoms warant tezment because they have ested in aares charge fom er basin as el 2s ‘ignicat academic ans zsialimpainnentestrert stone or pedi deprecion nde paychotherapypharmactherpy of 2 Phamacoteapy is fective fr pec depression, and evidence shows hat selective serotonin reuptake inhibitors (SSRs) arrest cfecive and general weitaerted fren he SSRs Mugetne coradered the madeaton of chocs Saved actrees Ciren and atoescents sou be casey monted er creasing sical outs o behaves dn anepessnt Vener Deca 2 Sahty creased rick of usa has been denonstaod a a smal ou of pate. (role A) The sean geneaton anys axppazales at st ne eae peda depression. is pinay wadin he ‘esnent epsyetan ana gtr sorters (hoe B) shag bgrpon ha las alte cate wet gah He mean cot conser tne einen pede eresson because has tl been wel stated nS poplin. canbe consered fo aes who do al espond oan SSR (Chole D) Metnichenite a frs-neweatment for aenon dee hrperainty ode (ADHO). This ptt mpakedconceraion and ‘ageiess en mera sis examination ae manfeiaons her VOD, pat pray syplrsot ADHD, whch woushaveantstea 92 age? (Chole B) SSFis have demonstrates eteay in peat depression (hole F} Urike fue, which has good evidence andi ppoved fr us n pada possi, verlafaxn lacks stent evden om ‘Scala toveconmend suse 2s ita eatnetin th pedatc age group Ica be cansdered fr SSRI nomespondes, Educational objective exit deresson can present wih pions of abit ahr than depressed meod.Tezmen oxen nce sjchtherapy anor sharmacahepy. Fuowne isthe dg of coc. () cosiered te mation cote bed en sever maar Chien and atoescents sou be cosey monted a increasing sical outs of ehavErs dng anepessntVeatnen Deca 3 ht creased ick sult has been denonstaodn a smal eoup of pate (roie A) The sean geneaton antpsychate appazales a tne eset pedi depression. is pinay wadin he ‘resnentopsytan ana gtr sore, (hoe 8) Jtheug bgrpon ha leas alte cate wet gah He mean not conaered fist ne einen pede enession because hast baan wel stated n Ne popston. I canbe conse eels who do at espana aan SS (Chole D) Metichenie ia frs-ne weatent for atenton dex hrperactity sore (ADHO). Ths patents pated concentration and ‘gets en mera snus examination sre nanfeistone her HOD, nat rrary symp of ADMD heh woudhaverandsiea pret aoe (hole B) SSFis have demonstrates eteay in pedatic depresin * (Chole F} Unite fuoetn, which has good evidence andi approved for us mpd possi, veritas lacks stent even om 2 ‘Scala tveconmerd is use 2s nia eatnetin the pedatc age group Itcan be cansdered fr SSRI nomespondes > Educational objective: = eciatc deresson can resent wih pions of ait ahr than depressed mood. Teznen oxen rie psychotherapy andor La sharmacahepy. Funes the dg of ccs 2 References 2 ‘+ Davcpertyiomed phamacateay fo chia ascot emesshe soe onary Psycnatictenaval&Sutsance Abuse Depression ns ‘A. yearly bougtt aeeergency depart bys pares ave 1a econ change behave. The pallet was preva ple lanasotspeten bute has became mite tte, patton ude eer the pas ew Weeks. Hi ets ey smssed Ns ew ‘borane a "phase however, they oH mare corered Is ight when they covers athe had sien money fom tha wales ad ier found nen pacing in oom at 00. Wen questioned by saber about his svange behave, the pent sae, havea be cet ecnire meng llonedty CR agets” He har normal canine, He her har con pa and ins er whch he ke cnycotre ard dehenmyaarine.Tenpeatuels 305 (67 9F) Hood pressures 16498 mH, pase's 120m, and respons ae ‘mn. On pha! exmnaton te poet acoears fat. Hoe eweang prey and hs ple ae dad. He i cbsenedin he emergency deparment fe saveral tous, his condtion proves, and hoe discharge to he ceo of arn. Which ofthe flonrg isthe mostly ogres his part? ‘A. Rephaarie incon B. Arachne poisoning O 6. Bear asoror O00. Bret psrhate oer SE Dekins ser ns ‘A. yearly bougtt aeeergency depart bys pares ave 1a econ change behave. The pallet was preva ple lanasotspeten bute has became mite tte, patton ude eer the pas ew Weeks. Hi ets ey smssed Ns ew ‘borane a "phase however, they oH mare corered Is ight when they covers athe had sien money fom tha wales ad ier found nen pacing in oom at 00. Wen questioned by saber about his svange behave, the pent sae, havea be cet ecnire meng llonedty CR agets” He har normal canine, He her har con pa and ins er whch he ke cnycotre ard dehenmyaarine.Tenpeatuels 305 (67 9F) Hood pressures 16498 mH, pase's 120m, and respons ae ‘mn. On pha! exmnaton te poet acoears fat. Hoe eweang prey and hs ple ae dad. He i cbsenedin he emergency deparment fe saveral tous, his condtion proves, and hoe discharge to he ceo of arn. Which ofthe flonrg isthe mostly ogres his part? VA. Anghetanineinoecaton 6%) 1 Arnenine pong (12%) ©. Beir dsc) . Bre psycho sade (2%) E Deki soe 0) F Oped tou (195) Elon aren ‘This paserts enc aan. insomnia, payehess (on delsions about te CA, change in behavior 6a. stealing money ands of _ympatesehyperseeiy (9, yaiassachycasa,ryperensic, depen) wth szsequet eno hasan nonin ley a chsenes pera ol atsinence oe conastert wih amphetamine itleaton. Foetal eres canyons of arpa ncton Ineo cardoc anytime, sszures,hypererns,ardinacerstrainerorene ‘Te agnosis of ampaetaninewtoucsion clncal& postive tnleogy Siz cante supparve. However, the cecongestant pscudoephedine andthe artdpressats bupropion an slglne can case abe postives fr anghetamnes en une oxcolgy tesa “Amphetamines nud a range of substances, fom hse preserbed fore resmart of atenbon fst yperacivy dorset henewer ‘sine cathinanes fe, bth sas) wich arent detectable on fovtne oni seers (oie B) Some sym fatale piorng ep mad, hyperheri,tachycarda) can occu deo righting ication. ‘Arecroiernc poisoning is erent byte presence cy sn ard mucous mareranes, meer MONS (eg MEIN KS TENS). andthe classic niche manfesatos such slew and uray ent. Delmis mee than ote prchcsmetoms (hole €) Amari opsose of pole dares charscarzed by at kasta week af lvatadinible moc, ncreased ener, creased ned forsee, ad pressured speech t may so Rte pce fees. Sturt rsaten can mic maniaare shod be ued ut etre Crcaing tha apeertie eng mancepzode Aan epante ous tol subedequciy mou! ay pharmaco riverton (Chole D) Diagnosis o mary peice dso requres ing out sibstance-ntice causes. rt pychtic sors characteris by ane onset foe errere pacha stems sing 1 day but <1 month wih everival cole reschion. Athcugh is part has Foyectc cares he puna dion sched, phon, and leat ond reese combined wth ezktoncfsgraeynpons ig coset supp a dagnoss of sustane. races ayenoss (Ghote) Osionaliserder canon be Sagnesedi a deluson has ben presenter = ment and does ot rest em inxcaton, asin this patent (Chole F) Opie, oycodone) wera spins nce usc spas, jontpan, nausea ard vertng, cea, abso carps, ‘heorhes Iacimaton ard sweating Iniabiyhyprenin and mycasis may occur However delusions lly and symp of pala wintauatonen st’ ays, andthe classic antchelnarge manosaons such ses ard uray retention. Delitumis mer ialthan ote pyehe Som. (rote €) A nan epsce of Bear dade characeraed by tas a week af elavatable naa ncteased ene, deceased need foc oe, ad pressued speech, tay also nce payee features. Stuart niecaten can manic mana an shod be ued ut bee cxneixngthata patents hamga ranceisose. Amanic epsoie wok nt ssc auc tout ay prarracdogcmrverton (Grete D) Dagress os pmary pyc soe reques ing out sustance-ntice causes Bt pyehtc srs haces by ‘nue onset of ne ere pechat stems arin 1 day but <1 marth wth evervalconleeresclien. Athcug spat has eycot features, is pula dio, accra, daphoei, nd cats toed pressure combined wth esktonf Sansom ing bsenatnsipprta diagnos of stance ices aches (hoiee€) Olina sere can ony be apnesedit a deusen has ben present or = ment and oes not rest ram ican, asin this patent (hein F) Opi (a, onycodone) wiheranal symp nde muscle spss, jontpan, nausea ard vomting, dana, abdoninal carps, ‘nore Jacimaton ard sweat. tabi hyper and yeas may occur However delusors 28 lc, and SMT of paid wihtawal chen at cor, Educational objective: ‘Amphetamine rxcaboncan present wth phate syretors.inusing nab aptaon, and psychosis. Connon phys sins nue lachyenda hypetenson hypecheria,Saphoeas ard mya Reternens + Bath ans nication ace sees + Overdse of ups eaten dict mypeactvily diserd: inal postion, machansms foil ard management Poychiany —PaycitietBohavoal 8 Substance Abuse Stuarts 2¢2yeaold man cores tote ofc due to pst sadness wait gan an fatque oe he pos mons. The pant a dens uno has tad teuty wakrg up inte morning acne. He say," used abe ely eer bu now! aay 2 urs ei ened” He hasbeen esng “os of fo for nner an els aust evry dy. FelongaGvece 3 yas apy, he pant was agnesed wth nar depesive disorder, wochimproved ate afew orf teatnent wth parce. The patent has astro separaon arety dzone 25a chld when rescued nth paycbtherspy. Farhi enc r geerzed aly dorderin hisraher, Phys ‘raniaton ana abr evaluton ae nomal Ate cussion of asmertepons epaart dece sta seas. ts sylons ‘eso by he low up appenimert 6 mons er. Wich of he folowing feats i an natn forlorgtrm mantenace of anideprssart therapy inthis patent? OA Age ot onset otal pressive eoece CO & ouatoneteurer depressive episode ©. Fama itn of ancy deoder . Hetoy f sparen ancy dcr OE Number ot ior depressive episodes OF Presece of anneal depressive fates 2¢2yeaold man cores tote ofc due to pst sadness wait gan an fatque oe he pos mons. The pant a dens uno has tad teuty wakrg up inte morning acne. He say," used abe ely eer bu now! aay 2 urs ei ened” He hasbeen esng “os of fo for nner an els aust evry dy. FelongaGvece 3 yas apy, he pant was agnesed wth nar depesive disorder, wochimproved ate afew orf teatnent wth parce. The patent has astro separaon arety dzone 25a chld when rescued nth paycbtherspy. Farhi enc r geerzed aly dorderin hisraher, Phys ‘raniaton ana abr evaluton ae nomal Ate cussion of asmertepons epaart dece sta seas. ts sylons ‘eso by he low up appenimert 6 mons er. Wich of he folowing feats i an natn forlorgtrm mantenace of anideprssart ‘herapyin he patent? ‘A. Doe ot onset inl aepressive ese (1) 5. Ouatonotcure depressive cpscde OH) (©. Fama itn of ancy dor (0) 1. Het of spaaton ancy dade) VY © © Number et ir deprssve esas 7) F Presence of apical depressive features (1) RC) For many patorts, major depressive sores rcuretihoss, 2 een inthscasa. Reconrendatns for ngern matonance arepessant apy shud ake th numberof ifctime depesseepledes io azure becouse or history pds he most ‘conan ert ik ster forte pieces Pavers wih 22 epsodes are cancetes er mlnenance antidepressant therapy (, onruing artderesars 1-3 yeas). Corinna tresinen inden con sles be consid some caves og, 22 lc epeseve pecs) Ober cation rience theray neue ety ape fase eae Seve) Sudally and he esence af seve organg psjhosacal stesso cr pase eu eoreseve Symptons ee ee eee eee ‘Neanen to aperodetS mons olowngresporseemsson sSwsianed De anepesszt can then be taper aa ascarid (Ghote A) Ea age of ret (20 years) a sk ctor or recurence (hole 8} Chrove depressive episodes lastrg > years) ar anindeston ormaitnance heap. Hower this patents cuneran rer eoressveensdes ase ny afew mets (tciee €) Alok beten fant hs faetydcocdes andthe isk ecurence of mood cides has ot boon demonstrated (Cree D) Patents una nave an ste comer payee cr oa say of cdhd bse an taeda x cease recurence However is paterthas Msi ofabuse and Ns Asay of sepaaten ane dade ence (Ghote F) Therein eience hat the presence of apical depressive faves (e, hyperemia, pepo, mood react) cease Eduction objective: apr depres aor fequnny fecaret Lang lrm macteranceanidegreazan hey cated pant wth 2 fot ceressnecpsotes References 1+ Racutence of maj depressive donde i reds nthe pene popton ests om he Nears Mensa Heath Sune are Inaerce Study (NEMESIS) Inconrat to paints wih recurent eae, pers wih» shale episode of rar dees disorder hou Cninue atseoressant ttestnanoraperadat monns towing response entsion sane, te aniepestant can fen be apr at corned (Ghote A) Ear aoe of rst (20 years) sk factor for recurence (heiee B) Chroxe depressive episodes Using >2 years) are an idetion for maetenance heap. Hower his pation curert andre ecesseeisdes ase ny afew ei. (roe €) snk beter fant say fay Asa andthe sk ecurence of oad esos has ot been dencnstates (Ghote D) Fans who hae an active comer sciatic sore ra soy of chidhos abuse area an increased ek for eoressve reeurence However is paterthas rosy ofabuse ans Msn a speraten anu dade rence (Ghote F) There sn evience hat the presence of apical epressiefeaues(e,hpesenia, hyperphagia, med react) ceases the educations objective: Nao desresive ores Fequentyrearet. Long term mabteranceatpressant hays indeed pts ith 22 ior enessnecpotes References 1 Rearoce of mie dete date mits recs inthe gene poplin reas om he Netra: Mew Heath Suey are Incidence Study (EVES) + Predcing late ale ariseresat whats sysomatcrvee Pvchiany PaycitiBehavral SSubsance Abuse Deeesscn| ‘sie ‘san te ns 3 2 12a gis ough toe tice by her mer ceo worsening des adapt teens om school associa wih enue ‘Somachches, Her moa Sos, "She nave ada pelem bet sang mae school mrt ao. She Sedo walk 6 lent) sea ute mid schealsfarer away, Now| have ake sthol myst because she refies fo gt onthe bus A son ae we ge clos the schol, her stomach hus andshe says shes goingto vem. she goesto stock she cals dng every beak o sce moka. | feep {cling heat ne” Te tit wed tht er mathe lve an acento beable apc her up am cho wn a," wot ‘oon wha nape er” The patent Ges poles wn ie poet oe ues thas ube concentra in cass Decasese \wored about geting the phanein her leckar. She dens bar bli o having tar ssus a sched. Farha i sient ‘carson inte ans arty nh ane ana cease compsenedastsrinher mama aunt. Physics examnatan roma heh te olowra ithe mest ely danross? = 1. ks rt tat = 5 eprint srr a ©. Generaked arty disorder a OD Obsesivecomeuste rer = © © Septtinaiydaee = OF Sones sre 2 12a gis ough toe tice by her mer ceo worsening des adapt teens om school associa wih enue ‘Somachches, Her moa Sos, "She nave ada pelem bet sang mae school mrt ao. She Sedo walk 6 lent) sea ute mid schealsfarer away, Now| have ake sthol myst because she refies fo gt onthe bus A son ae we ge clos the schol, her stomach hus andshe says shes goingto vem. she goesto stock she cals dng every beak o sce moka. | feep {cling heat ne” Te tit wed tht er mathe lve an acento beable apc her up am cho wn a," wot ‘oon wha nape er” The patent Ges poles wn ie poet oe ues thas ube concentra in cass Decasese \wored about geting the phanein her leckar. She dens bar bli o having tar ssus a sched. Farha i sient ‘carson inte ans arty nh ane ana cease compsenedastsrinher mama aunt. Physics examnatan roma heh te olowra ithe mest ely danross? ‘A. Austen lord th ry (10) 8. Dependent prsonaity dors) ©. Gener aut disor) . Obsessie-comeusne doce) YE Separation aie dre 72%) Somatic mptom dod (19%) “Ts pants feof separation wih excesive cance a sarang Sad wl happen atdrlutanee te lave it masher ar suppesve seperation ansety zonder. Wis nore conan cen unde age 2b can occu a any age ‘Sere date of separator at fenomal tage 9-19 mite This ty common rc when cident schoo or tanaien same way mis case the gnasovaelarhe ay Yom hme to ster mde Scad, wich Mas predpate et amlety Inchen art dcescensearon anny ect associated wih somatic symptoms (ef, stomathaces),nigtare, adie sepia ad may eed sence aeitanc, 3s een is pant. In ads, separation ant my represen persist coro chiehed or cn develop ‘sol espocaly a taut He charing event. Separation ancy bores pathological nents persistent meds cise evelopment reais rca unetinalimpsinment (Ghote A) Adjustment sorderdesops respons fo ses vet ae causesimpaimetin funciona. However aster ‘sender isnot dagosed en the paler caeitons beter expand ba are spec doe eg ns case, epaaon aie) (Chote 8} In sapndentperonaiy dior fare eaparaon arate an eceesie need be ten care cf wth teu bg lone an making decsons. This pate, Roweve sressig separabn de fear of someting happening she mae. Pesenaty sores fe ot Cormnlydagrened:a chien wae parolee ate develope (Ghote €) Goneraizes amity Ssoier ves axcessie wore stout lire sie, wich rate case wih hs pant. Her amet s fecised on separation, (holes D) rooecupain with see and chacng behaviors can ba seonin cosessne-conpuie dare Howove hs rs behaviors ue ‘one fear separation fom er mate, making separation annette ceil sie (rete FI soa sypiom aster paterts ae poses wn Ber Somat: syrctans, wh concer tat ne cou Mave a sercus ess In cons, n separation aneay dsr, ys eymptons ep, somschaches,ypanemision, hashes ecu on whan ‘separations amici Uttke someone wih orate pion ser hs patent doesnot eit excessive preoccupation wit her symplons Edueations objective: ‘Separation ait dere sce conmony son in ifr and oder bu can ocaat ary age ands oer assed wi arson range 1s characerzed by 2 mare tao Separatn Tom loved ae and ay leant 3 Schoo ar werk absences RC) (Ghoiee A) Auster dover devons a response loa ses ventas causes impaimetin fonconing. However atrere aster src dagrosed when he pater ato sete exsaned 2 ave spec asode eg, a case, sepaaten ane) (Ghote 8) independent perseraiy disor, feast sepraon ae custo an excessive reed be taken cre wth deat beng lone an ‘ating decir, Ti pater howeve rearing aparaten do tear of=nmathng happening toh maher Parent acter fe nt cement aagnsedn cen wnese pesorltes fe al dean, (Groin €) Generazes amiey dearer ives excessive woris about use issues, wich ratte case wih his pant. Her aie is focuses on separation, (hoieeD)rooccupatin wit sefey nd chackngbehavos canbe sonincosssne-conpuie dary However hs gs ears he = the fear of separation fom her mates, making separation nwt te ceil ste {hole Fin somatic rmptomctrder pers are presespind wih ter somatic symone, wih concer tathey aul Pave sercus = ess ncontrs,n separation aneety dso, ys sympton eg, somechaches,penemiaion,headohes) occur when = ‘ssparsion is miched Ure sarcore wah omate symp dear the pant dea no eit eteszrve pearepaton wither > ‘symptoms. cy Educational objective: 2 ‘Separate sity srr ost commony ann tartan adr can acu a ay ae anon saci wih aration = crarge Ms characerzed by @ mare tao separaton rom aloved ane and ay reser as scoot or werk absences ta References a 1+ Sepaiin any athe neuatidageal cosas of satan and tas. = + Pasaticonset nd atitonset separation awety doe acess cures nthe Wer Meal Heath Suey Poychiany PayciatieBeaveral&Subsanee Abuse Separation ance dsrer ‘sie ‘san wee ns ‘A 13yearald gis bougtt tects by het momar ave te abtorinal pan. The meter Saye, “Shes had casa Somactaches re ae fewweets, | Maughtit was us menstual ramos tut shehas sated stppng meas ad leks ke she slesg WaT” Her moter a0 ropors rhe paerthesceconeinceasngy mab, ocr erst inher beeor an coming ot nly owen lovson. The patent says thathermectheris"reang cus abut nota hat se fees re” She dies ase, voniig, ra change ineatngo towel abs. ascal try rca fr sense alge este wih tinea nade. igre ate atin nea le Sg (1) ht loss Sted sce eas Wt 6 man ago. ysl examnatons syntax aa, eczratous ash ound Meme neeng he asl elds. Tho abdomen i sot aft wo tndeross lo papaton. Aisa and enor cod andthe newcloia ‘examination stows gbaly ccreased rors. Whe fh folowing se mostaay exenation forthe patents presetation? 5) A. ee ntertert prpyia ©. Lea poiseing D. Sila ties OE Sram ups enamatoeus OF Wison scone ‘A 13yearald gis bougtt tects by het momar ave te abtorinal pan. The meter Saye, “Shes had casa Somactaches re ae fewweets, | Maughtit was us menstual ramos tut shehas sated stppng meas ad leks ke she slesg WaT” Her moter a0 ropors rhe paerthesceconeinceasngy mab, ocr erst inher beeor an coming ot nly owen lovson. The patent says thathermectheris"reang cus abut nota hat se fees re” She dies ase, voniig, ra change ineatngo towel abs. ascal try rca fr sense alge este wih tinea nade. igre ate atin nea le Sg (1) ht loss Sted sce eas Wt 6 man ago. ysl examnatons syntax aa, eczratous ash ound Meme neeng he asl elds. Tho abdomen i sot aft wo tndeross lo papaton. Aisa and enor cod andthe newcloia ‘xaminaton stows gbaly ccreased rors. Whch ofthe folowing se mostaay exenton forthe patents preston? ‘A dewe nteter ppryra (6%) 8 wana 72%) ©. Lead poi (3) 1. Simian abies (0) . Sytoric ups erthamatous (2) F son dseae 2) “This parts intbily absominal eras, an anorexa,n corbin with pera demas and raul Sens, are concertina er Inhale abuse Inna reas cresbie and fundnevaydy profuse, gu, shoe pal, sohne, pray pan). Tey ready cross the blot tan ari, restingim euphoria nd intoxaten. Use ypc beans mchishoad or ean aslescence va nif riage, lca 2a stake th the ean ne meth and nae) The characte pei derma "jm fers racedo ttieying ect Ctnytocabens estes urd eeu aor ose clas cng te nsolba fold (a Mihy characters tate) he clas fale tise inte he adr of cumin he bet ches rrr rage, ga o heria cartier nthe ash ‘eae oymetoms oir use ince neuralgia (og, tens detelston heaaches aired speech haluntora), gostrinetina! 9, ‘Somach lamps, rausea) cardovascut ep aya) and espa (e,whesrg, caughog) ets. Pyne manfesaons nue Inbred sags, ages, nd grandoty, Clone use vautsnweight oes and anorel,nerocogntveinpimen, ere ‘ystuneton ard perherelncpaty ep, decreased rotors). (rote A) Ace terme prpya so reser win tsi pan, ptsny changes and pre newopaby. Homers tents antes’ been a9 20 and 40 end does ot cause poral oma. (rete €) L223 paseig can preset wth niabity an atdominalastes;nowever, oe festes inte mussel dsurbances (2, myalgia, tain) and eit. In addin, woud neon ts patents perl coma, (roiee D) Strutt tuse can rest nia 2s wal 38 weght ss and vena’ tom synpanac vesunuston however, decreased ‘eles a peta ash atenct cl ihe conmany asec rings neue aed pls, acca and cares. (hole B) Athoushsytenc bps enthematus (SLE can cause CNS manifestations, the most commen chin SLE has a alr dsrouon ‘hatapres th malta, In ado emer pal mantesttens of SLE (ey, tv fate, myaiga, anes) ae absertin ts ptt (Ghote F) Wison disease may preset in chihod wt psychi smpions are neucloeal dstincon natn fo sans over sca ouldratcipan tee plans paral erate, chs gy characerne iar ture educations objective: Inala abe tial esis in chithood or ey adolescence. Perral dermis mig he rasa oss charac. Preseing Inala easy acresbe and fundneveysay pout, sos pls, sche, ray pa). They ready cross the blot vie, realign supra rd noraon. Use cal begins in chidhoo or ny alsa a nif rang (el mp ‘cate tn he substance ne mesh aa nse) The characte paral derma ("ue Slash" sue eying fect fhydocatbns. Resins arund he eth andor nose clascaly incling te nasolabial fold (a highly chara fests). Orcs finale tus inte he odor of chemical on he breath ches rng gs, 98.29, of her crtainesinthe ash ‘Feu syotoms of naar use ncudenewolgle (6, Yenes dsokenlson heasaces, res Spece,Naluanaens), gastelmestia (9, ‘omc ramps, ruses), cardovesculr ep, atyhmia, and espa (c,nhoszg, coughog) fas Paychatre manfecaons nce Inabtey,mosd sens, session, and ands. Chronic use esuts invites and anorela,netrcoante nsimert, erebelar ystuneton ard perheralneopaty en decreased refers). (hole A) Actertrmeen pep sto reser wih stain pain, prconsy changes ané pnphorleuapsby. Honore, nds 0 Imantes between ae 20 and ae does case peti eras. (hete ¢) Lead pceing can preset wth intbity and abdomioal dues, however, cher feses indude meculostelel dtrbances (9, mala. arti) an aie. nation, woud ret oman hs patents eral comatis (rote D) stl tuse can su nay 2s we 35 wet sand ener tom synpancc ovesunulton: however, decreased rote and apna as rect pies! Ctherconmony esac rings noe ated pop, occa, and depres (rote) stnoughsystame ps ernematus(SLE)cancause CNS manfesiaions, he mos commen hn SLE asa mat dreon ‘hat seres te aslo. nado, omer ypc mantestton of SLE (ey, fate myaiga, ana) ate abserin tes pate (hcieeF)Weon diate may preset in chino wh pyc ymplons ae neusloel ystincen mack fe ofc sense "would ratemplan is pater pena eats, heh shay charasersc ofertas Eduction objective: Innant abe peal begs rnd or eayatbscence Perl Germats wang eras ose earcerse.Presering features nce tabi, noes, ebdonal cramps end rewagcaldystuncion von seca esting nercopve irparmert. E Pre ‘A s2,yarald man comes oe ace falowsp 2 rth ater beng hospi weatnen ofa mane esd elated sehaaatectve ‘AscederThe patents cet medal sly. F4s mana as eave ade appears cn. Rouge crue ea a ace aang his dy acts, he veice has drsnisnod in roquency nd rensy. The patertis ss ancus and hisleop has improves. Via irs re win norma. He's 175 en (SR ital and eis $6.29 (210 be has ganed 45g (1b) since schage. Pryscal ezrin wana che stocmaliiee, Larry rete are a flew ‘Complete toed cout Hemogibin 145 96 Places 190000mr? Lekocyes 500i? vewopis 52% Eosnoshis 2 mooie 20% onceyes 1 > | 4 Maracyes 7% 6 ‘Sem chemsty > ‘sesun Mongol, $ Paasium —— 42mEgL Creatine OS ma. Faangguecse 150m9i. “hyo tinction tess nin at faning madcatons is mos aly ohave caused is pats ical examination and lta Sage? eREN Rey ore ‘Monga, s2meat sma, Fasting iuccee 150 m9l. “Thyra tncton tess 2 hence obey metas mest hay bhava pet's ysl xannson a abt angs? 2 1A irae 2) x 2. catenpe O) Z 6. en 8) * 2. umm en S Minazapine (255) = YF Olanaapine (86%) 6. Vabrat (0%) H. Zprasione 2) omits Pa ose ozzy — LW Fries coe Tet ares eREN Rey ns =3 Table ees of atcona ean ripen le 7 Weta to abo entame | «Dyer fa 1 threwyeoma theta neon dts oe + Clozapine ere =o ied (rae = Bene aro > aie 7 Mentne edéeiwe| + Fara soe ne : | bhotnesve » ary oto medstes can cane waht gan Hae; Be seem gwraton ayes Sacre ect = Coa safe wig an eripcema =rhypevcena manent can he pps pea wanes eh » ‘tea fr Anengeos res estes neapie we tsp oy genet ike ree oe » Pit neue rice yas aur nd gcd congue, Aen hae, an aetna a coat wee brett sees chet Aare = (Crcees8 2,286) Catone tim a aon lon ond sie nthe rose sna oa 2 Iayenae weg pn Howe ey aes yo ce yeni, Pale nun hose metre petal ys ystuncon, Ts paters TSH s namat (hoies Cand} Te setonnnereprepineeupake hbo caste et sace th inealy agnor ight an ot ypegyema. The anepessantmrtazanne may caise wer gant ess et cause hyperemia + Fastin cos is + Brot pressure ‘cnc sian welght gan dysipiemia ard hyperglycemia, ating tho mst ik caus ths pants pyscal arian and Inboratoy nings. Arena secon aeration anise, elanzapine ane eleapne cary he greatest rik fret adverse elt enable mectanons lie apple straten and dupindiced changes metabo. Apes kraecona, nd apsione a associ wt ones tk fr abe se ace (Choices Aan (Ghoiees B,D and 6) Carbanazeie tum, and arate a oton uo as ood saiizes inthe weatnertfshzoaecive ode and nay cause WeQt gan. However, thay ae essay a cause hypergyeema. Paes aig lum shall De mantored peal fr ya cystuncon, Ts teres TSH s namat (hoies Cand E} The setonnnreprepineeupake hbo caste et sacted th incaly agnor ight an ot ypegyema. The anepessanmrtazanne may caise wer gant ss ket cause ypergycema Eduction objective: \Wegrt gan, esipaena, and mypergycena ae cenvron complicates of teatner ih acon generation arapsyenaics anzapne ans cmap cay e gees sk References + Weg gan and cranges n sabe vats eng darzapne veament schzaphvnia and ilar Sse + Secantgeneaton antsy an tabi sd etc syseatic renew peputonised sti Povchiany —PaycitiBehavral SSubsance Abuse Anipsichotcs ‘sie ‘san wee = A aan a Se Mary peyeoopc mes conical sian laboratory ings. Avs (holes B,D, and 6) por oat = i ‘2 18yearald man comes oe oe duets overwlmng "sess" The part eer stated wring sa bsay in aestauant ants ais ‘matne wl be tebocais he sone ae. He 95 ve Cosetn work, ute aNe kes me along Bre Rave a make alt ps Everts he pnt rues ver burp interns he scarce hate has cory nn ver eomeone aint pls ove heck undereath he cr. Even at er, he unable focus ars mus Requenty check he news se ary hitanéan acres hare been repated. The patent hare preacupoyehanc hon, accept a vert Behav, arly hay i tale fracptreniasn a ‘matend unce. The sine pamaccberapy ls patents cert cond pray aes wich of Me olowrg recente? ns ‘2 18yearald man comes oe oe duets overwlmng "sess" The part eer stated wring sa bsay in aestauant ants ais ‘matne wl be tebocais he sone ae. He 95 ve Cosetn work, ute aNe kes me along Bre Rave a make alt ps Everts he pnt rues ver burp interns he scarce hate has cory nn ver eomeone aint pls ove heck undereath he cr. Even at er, he unable focus ars mus Requenty check he news se ary hitanéan acres hare been repated. The patent hare preacupoyehanc hon, accept a vert Behav, arly hay i tale fracptreniasn a ‘matend unce. The sine pamaccberapy ls patents cert cond pray aes wich of Me olowrg recente? ‘A. Dopamine) 8. Gara avnobutie acid (1) ©. Guarate %) . Noeinepene 2) YO © Seton as) aren + Recuent tune, aruty-provng hats ges, or mages + Compuisens Ctetcalteaes) Response o obsessions wih epee tetas of meralacts 1 Sects nt comneie eich prevent feted ert + Te consung "1 a) casing Seam asvess er rpaent 1 Saave secon ete rier + Cogve behave ran (eos response reverton) “Thispaserts behaves hah sugesve of bsessivecompulsivedsorder (OCD). OCD is characerzed bythe presence of Persistent ‘nha aug ugeimanes adler commulnwe at pformed erptartochcssons Common thes nak fears conarnabon, 2oyessve ard seuss mpuses, syne obsessns, and eas cham. images oat scenes (granny over 2 pton) of vale ues (@9,t0stab someone) can occu. Reledcomeusions nude caring suas, checking beavers (ths pant heding underoath his ar anston the new) ae mental cts pfomedn response hecbsesson ey, coun, epeaing Wo ian praing). Pars wth OCD fen prt mtn consi alae ecatze he atonal ature ether beaver bt el rable te top and are eyo ser ‘eneare datas andtuncenal mgs ‘tough multiple reurotarsmiters net ects ae ought ocr othe inca expesson of OC, serotonin she ‘vay phamacologcal get Frsttnewestment a salecve serotonin reuptake ihr artdetesart eg, fupsetne voip, faethe, aoa, eetaopran, sean), The seianerge yee aredepesar lomrarine gona sed senondane Deaise£ (hoiee A) Depa he primary phamacsogeal eget of apsychmedeatonsusedin th restart of pyc odes srtps/ect moneberapy sola se veatmen fix OCD, Ansys maybe used as aguncive mada npn wih inadequate espana oa serconergeebgrssen (roie 8) Gama arncouyie ads ne major nib neuaransnitr he CNS an the pay target eraocazepnes eee a5 2 2 8 2 S. "Tis patents Bena s gh suggestive of ebaessivecompulive isrder (OCD) OCD charcetzd by Ihe presence pesstent intusive ougtslugesimanes andlor congue et formed response to chcasson. Conmon thes inal fears of conaniatn, ayessve ard sens mouse, syrrery obsessns, and feast ham. Images fhm scenes (9. Ung Over 3 DTN oF Wet US (ca,to sab someane) can occ Felted compusion nce caring russ, checking behaviors (es patent checking undereah is ar nd nen bene) anda cts paromad response te cboasson ecu, pean ws ley pay), Pater wah GCD hen ptr mute tne consi tala ecg he Tahal rare er Dean bl el nee lop an ae eyo suet Sansean dese anshinens mpsimere ‘2anaun mutplereuobersmiters i epuary medias ae Paige crue othe cca expen 2 OCD, sreanin she frinayghamacobogcal tye. Frattine wetent a sleeve serotonin reuptake inbitorantetessat eg Aue, Henan, arxctre, cilopram, esctapran, eraine).Thesertonerge yc artdepesar clomrarine is gonaay sed second beause¢ ‘slessweltertes (Ghote A) Dopamine rim pharmacoiogcal age antbeycate mesons vein he restart of peyctoc deoders, ‘Artosrchetc monetary is ota se veament fer OCD. Amprchais maybe used a= agunctve msicabons Mpa wih % |) tiene poe oscouonene wipe | temic) conmeanmni litem ity month CS aie pny ftps 2 {Choice C) Glutamate i the mar exctatory neurtransmiier in te CNS and is thought to play @yole M many psychic orders. However, 2 || See edn egg areca OC tnt ee oa (hoiee D) Nereraphane 2 catecholamine mckedin ed, ancy ernees lamina andmemary Atbough rugs tht lt eth = |] Sleeves ten nD seater ae ton) trae soncann ay LS) eden site ‘Serio snicepresets 6, steve senna reuptake bins) arte Msn mecatin esr for cheessv compu dre References «+ Pharmarnogcal eatnent of ssesave compulsive eorder SED oe a a > = ‘fen perio mile ime consuming ls ad ecoptize the srabonal rau of Ber bao bulfeel unade 1 lp and ae ke to suFer Sarieae dss aa functor mpsimer ‘Athauh munple newborn epusry mectarisms ae Baugh o crue othe cnc expen ef OCD, serotonin she rar gramacsigea! pst Frtne testant a ealactve serotonin uptake inhibi arteresas eg hats, sesamin axtre,ciaopram, ectalpran seraine),Thesertmerc yc aredesessart comrarine is gercay sed secodine because ¢ (Ghote A) Depa she pimary phamacoegca at of antpsicatc mesicaons usadin he resort of pCa eos ‘rtbsrchetc monoberpys ota sie veament er OCD. Armpsychoics maybe uses as agunctve mescatons Mp with eee (Ghote 8) Gans arinccutic aod ie major rir neuaransnitr in he CNS andthe primary tape tereosazeies. (note C) Glasses te mar ental neuatransiern be CNS adi ought o play ace any seh ses. However, tho ctcary of mexcabons targeong game oceplos in OCD hs net een establishes, > (rote) Nerearegane 2 cazcraamine noNedin med, aly dens eng, and meray, Atbough args Batata Q ‘serine ad norepinephrine hae been Used OCD (e,ettonnnorepnephin evakewittos), te olf extn is aay 2 Educators objective: = ‘Series anidepressets este secon reuptake ins) ate sre medcaton Yes fo cbsesve-compulsie ore, ta References a + Ohsasive compe dearer 22 + Phamacoogcal eatrest of osessveconpulve Sacer Povchiany PaycitieBehaveral 8 Subsanee Abuse Obsestive compulsive disor ‘sie ‘san tee ns ‘ 2-yearald rans bog te emegenydeparmet by hil terhe began reatanng Me athe. Sheep hat he as been ceasing ati and absive oer he at Several onths and becomes arg fro clea eason. He Waseca evoNed gh at Were. Hs we also ae hat oy have bon ureucesstlin the atempisoconene over a past? years. Tehustand tats hat hares nating wrong. He sciterase healt andesercsesReqvendy, The patent eno cecasonal col use ard pat mariana vse On| (ramon Hod presuets {4082 mH nd pues C2; hehasseeningherine Ther pate sue uenenh es ples Dlaeraly, Heat andiung earnatons arene, ich of etal Subsinces mosey plans he paets Symptons aetna? ‘ 2-yearald rans bog te emegenydeparmet by hil terhe began reatanng Me athe. Sheep hat he as been ceasing ati and absive oer he at Several onths and becomes arg fro clea eason. He Waseca evoNed gh at Were. Hs we also ae hat oy have bon ureucesstlin the atempisoconene over a past? years. Tehustand tats hat hares nating wrong. He sciterase healt andesercsesReqvendy, The patent eno cecasonal col use ard pat mariana vse On| (ramon Hod presuets {4082 mH nd pues C2; hehasseeningherine Ther pate sue uenenh es ples Dlaeraly, Heat andiung earnatons arene, ich of etal Subsinces mosey plans he paets Symptons aetna? A. Growth hormone) Baits (0%) ©. Methamphetamine 28) 1. Phaneyeatne 2%) . Tamaxten @%) VY OF Testosterone (50) 6. Tevahyocznrabin (8) “his patenes increased aggression, cclatc male pane Baldness ad gmecomes ae cancering fr anabolic androgenic) trea use, Arable saad (09, eteterene,tnbvions, Snore, stanza nancrolne) ar ppulr aren ourg pel nd ales locking tomoroe er prsia appearance and perrmance ‘Anabale Sriside fects nude inpaied endosenstsicuar chon and decreed testculr size and sperm count Hepatic

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