Most Activating SSRI, best for fatigued patients takes the longest to start working

Lower doses cause more SE, good second option if failed SSRIs or needs help with energy, concentration or PAIN

Best medication treatments for Generalized Anxiety Disorder (all options)

Neuroprotective, protective again suicide
SE: nausea, increased thirst, mild tremor
Caution: patients with renal disease, or any patients at risk for dehydration or kidney damage

Best treatment for a patient who has OCD

One of Rachel's faves, may cause GI upset, has good dosing felxibility

Active metabolite of Effexor (less drug-drug interactions), well tolerated, expensive, risk of discontinuation syndrome

Best for situational anxiety and short time periods (panic attacks, flying)

Anticonvulsant
SE: increased depression, PCOS, hair loss, weight gain
Caution: in hepatic disease, annual LFT monitoring

Used in depression, most activating, bad in anxiety
SE: NO sexual or weight, worsens anxiety
Typically paired with an SSRI
Avoid in: seizures and bulimia

Good alternative to zoloft and lexapro, inexpensive, can be taken any time of day, risk of QT prolongation

Equal serotonin and nor-epinephrine effects at all doses
Approved from depression, GAD, diabetic neuropathy, fibromyalgia, and chronic MSK pain
Good to try in patients struggling with BOTH pain and depression

Can be taken as need to assist in falling asleep and staying asleep

Mostly targets depression
Can be effective but has risk of Stevens-Johnson Syndrome
Depakote increases circulating levels
Tegretol decreases circulating levels

Initial treatment for body dysmorphic, Hoarding disorder, trichotillomania, and skin picking

Rachel's other fave, lowest SEs (only sedation), good flexibility, stereoisomer of Celexa

Great for patients that can't sleep or eat
Strongest side effects are sedation and weight gain
No sexual or GI side effects
Only drug that stimulates some serotonin receptors but blocks others

What disorder must have other medical conditions ruler out first? tends to be diagnosed in the ER, can present as chest pain or shortness of breath. first line treatment is SSRIs

Atypical
Very fast and effective in mania, depression, anxiety, and insomnia
excellent acutely, can't be used long term
SE: sedation and weight gain

Initial treatment for schizophrenia should be this type of medication

Short term: GI/ nausea, sedation
Long term: lowered libido, difficulty focusing, feeling flat or dull, weightgain

This problem includes sensory symptoms (parasthesia, numbness etc.), disequilibrium, general somatic symptoms, affective symptoms, GI symptoms, and sleep disturbance after SNRIs or (less likely) SSRIs are stopped

Fear about social situations including public speaking, duration of greater than 6 months, fear is out of proportion to circumstance, causes patient to avoid certain situations
Treatment: therapy and prn benzodiazepines

Atypical, works well for depression and BPD
Better long term than Zyprexa
SE: akathisia, too activating, takes time to titrate effective dose

Best meds for insomnia