1. PSYCHOTIC SYMPTOMS
- Patients with Cognitive-Perceptual Disturbance, affective dysregulation and detachment with low reward
dependence.
- Under Cluster A classification.
- For Acute and Chronic Psychotic Symptoms
o Conventional / Typical Antipsychotics
Clopixol (Zuclopenthixol) given via IM (Z-track).
Haldol (Haloperidol) oral tablet and IM.
Phenergan (Promethazine) - given via IM.
2. MOOD DYSREGULATION
- Patients with emotional instability, emotional detachment, depression, and dysphoria with low reward
dependence.
- Under Cluster A classification.
- Emotional Lability - refers to rapid, often exaggerated changes in mood, where strong. emotions or feelings
(uncontrollable laughing. or crying, or heightened irritability or temper)
Tegretol (Carbamazepine)- oral tablet
- Atypical Depression / Dysphoria - a subtype of major depression or dysthymic disorder that involves
several specific symptoms, including increased appetite or weight gain, sleepiness or excessive sleep,
marked fatigue or weakness, moods that are strongly reactive to environmental circumstances, and feeling
extremely sensitive to rejection.
o Selective Serotonin Reuptake Inhibitor (SSRIs)
Entapro (Ecitalopram) - oral tablet
Citalogen (Citalopram) - oral tablet
Prozac (Fluoxetine) - oral tablet
Paroxat (Paroxetine) - oral tablet
Zoloft (Sertraline) - oral tablet
o Other Antidepressants
Cymbalta (Duloxetine) - oral capsule
Effexor (Venlaflaxine) - oral capsule
Amitriptyline - oral tablet
Mirzagen / Remeron(Mirtazapine) - oral tablet
- Emotional Detachment- refers to an inability to connect with others on an emotional level, as well as a
means of coping with anxiety by avoiding certain situations that trigger it; it is often described as
"emotional numbing" or dissociation.
o Atypical Antipsychotic
Risperdal, Risperdal Consta (Risperidone) - oral tablet and IM (Z-track).
Zyprexa (Olanzapine) - oral tablet
Seroquel / Atapina (Quetiapine)- oral tablet
Abilify (Aripiprazole) - oral tablet
4. Anxiety
- seen with personality disorders may be chronic cognitive anxiety, chronic somatic anxiety, or severe acute
anxiety.
- With High Alarm Avoidance and under Cluster C classification.
o Chronic cognitive anxiety related symptoms manifested by fear, confusion, repetitive negative
thoughts, difficulty on concentrating/ focusing and other mentally-related symptoms that last
more than six months.
SSRIs
MAOIs (N.A.)
Benzodiazepines
o Chronic somatic -anxiety related symptoms manifested by physical symptoms like stomach aches,
muscle tension, hyperventilation and/or nausea that last more than six months.
MAOIs
SSRIs