Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting >Three Axioms of

Mental Health Care for Medical Settings

Robert C. Smith, Gerald G. Osborn, Francesca C. Dwamena, Dale D'Mello, Laura Freilich, Heather S. Laird-Fick+
Table 1-2.Mental Disorder Treatment Causing Physical Disease

Mental Disorder Treatment Disease

Obesity

Tremor
SSRI

Sexual dysfunction

Nausea

Hypertension

SNRI
Tachycardia

Sexual dysfunction

Lower seizure threshold

Bupropion

Anxiety

Sedation (lower doses)

Mirtazapine

Obesity

Thyroid disorder
Lithium

ECG changes

Hepatitis
Lamotrigine

Skin changes

Obesity
Antipsychotics

Metabolic disturbance (hyperlipidemia)

Hypertension

Stimulants
Insomnia

Myocardial infarction

ECG = electrocardiogram; SNRI = serotonin-norepinephrine reuptake inhibitor; SSRI = selective serotonin reuptake inhibitor.

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