Stephanie L. Bunch – Psychopharmacology for Advanced Practice Clinicians

Psychiatry, due to its subjective nature, is one of most difficult areas of medicine. As clinicians, there is no objective data upon which to base the course of our treatment.

Stephanie L. Bunch – Psychopharmacology for Advanced Practice Clinicians

Antidepressants

• There are many factors that can impact depression, including neurotransmitter imbalances and life events.
• Antidepressant history in terms of safety, efficacy and effectiveness
• Antidepressants are classified as MAOIs (TCAs), SSRIs/SNRIs/SDRIs, antidepressants and other antidepressants.

Antipsychotics

• Targeted neurotransmitters DA, mechanism and action of DA pathways, D2 & 5Ht2A – why is this important?
• What are the differences between atypical and typic? How can we decide which one is best for us?
• Adverse effects
• Indicates Off-Label
• The class has specific benefits

Mood Stabilizers

• Targeted neurotransmitters/Mechanism of action
• Treatment effectiveness
• Negative reactions
• Safety – It is important to comply with and monitor safety
• Indicates Off-Label
• Best practice pearls

Anxiolytics

• 2nd line treatment vs. first line treatment – reasons why these may not be as effective as the first.
• Targeted neurotransmitters/Mechanism of action
• This class is not recommended for everyone.
• Adverse effects
• Safety – Addiction and Withdrawal

Stimulants

• Different types of ADHD drugs and their differences
• Neurotransmitters involved/Mechanism in action
• Be careful with controlled substances
• Safety for children and adult use

Important Considerations for Psychopharmacology Treatment

• Patients who take psychotropic medication with alcohol or illicit drugs are at greater risk
• TBI and autism are challenging symptoms to treat
• Removing medical conditions that are similar to psychiatric disorders
• Important to take a complete history and look at symptoms

Enlightening Case Studies

• Depression
• Schizophrenia
• Bipolar

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Due to the subjectivity of the specialty, psychiatry can be one of the most challenging areas in medicine. As clinicians, there is no objective data upon which to base the course of our treatment.

Psychopharmacology The best treatment options are psychotherapy and counselling. However, therapy can only be successful if patients are willing to commit to each session, complete their homework and make the changes necessary to improve their mental well-being. While medication can help with some mental health issues, it is important to choose the right medication or combination of medications in order to achieve success. Due to the shortage in psychiatry, providers from other specialties often treat mental health patients. These additional challenges can be challenging.

This recording will provide you with an update on the various classes of psychiatric medication and help you to understand how they interact with each other. It is not common. for Mental health patients should not be prescribed one medication. Often, a combination of medications is required in order to achieve the desired level.

You will be able identify and implement effective medication regimens after this course. for Patients can be referred based upon their psychiatric history as well as their presenting symptoms. This will ultimately improve the quality of life in patients with mental illnesses.

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