Tag Archives: Buspar

Treating Dementia

Question. I am interested in your opinion on the use of Depakote and BuSpar, as opposed to benzodiazepines, in the treatment of agitation and aggression in dementia. What dosages would you suggest? Do you know of any articles reviewing these topics? Answer. There are very few controlled studies bearing on your questions; most of the… Read More »

Difficult Dementia Patient

Question. My father lives in a nursing home. After he broke his hip, he steadily deteriorated mentally. He recognizes very few people, has virtually no memory, whether short term or long term. He constantly calls for help, even when I or his sitter are next to him. He is causing quite a problem for the… Read More »

Dissociative [Conversion] Disorders

Description of Medical Condition A sudden change in state of consciousness, identity, motor behavior, thoughts, feelings and perception of external reality to such an extent that these functions do not operate congruently. Many pathologic symptoms can be found, but the patient experiences dysphoria, suffering, and maladaptive functioning. Disorders include: • Dissociative amnesia • Dissociative fugue… Read More »

Autism

Description of Medical Condition Autism is a pervasive developmental disorder of early childhood characterized by severe impairment in: • Effective social skills • Absent or impaired language development • Repetitive and/or stereotyped activities and interests, especially inanimate objects System(s) affected: Nervous Genetics: High concordance in monozygotic twins; increased prevalence in siblings Incidence/Prevalence in USA: About… Read More »

Anxiety Disorders in Children and Adolescents: Pharmacotherapy

With advances in the identification of child- and adolescent-onset anxiety () has come a concomitant increase in the application of pharmacological treatments borrowed in part from successful strategies applied in adult populations with similar disorders (). Conversely, although psychopharmacological interventions are increasingly recognized as an essential part of the treatment armamentarium for anxious youths (),… Read More »

Anxiety in the Context of Substance Use

Complaints about anxiety are so common among persons who abuse substances that substance abuse has sometimes been characterized as a misguided attempt to self-medicate these symptoms (). Anxiety disorders, as defined by DSM-IV-TR (), occur in only a minority of persons who abuse substances. In contrast to depression, the etiology, pathogenesis, and treatment of anxiety… Read More »

Reliability and Validity of Psychiatric Diagnoses Comorbid With Substance Use Disorder

To consider the coexistence of substance use disorders and anxiety disorders, it is particularly important to define the reliability and validity of the anxiety disorder diagnoses in the presence of high levels of substance use. Because most structured psychiatric diagnostic instruments provided little guidance in distinguishing “substance-induced” from “independent” psychiatric disorders, Hasin et al. ()… Read More »

Which of the drugs be of benefit in treating GAD?

Which of the following has been shown to be of benefit in treating generalized anxiety disorder (GAD)? A. Paroxetine (Paxil) B. Buspirone (BuSpar) C. Venlafaxine (Effexor) D. Cognitive-behavioral therapy E. All of the above The answer is E. Generalized anxiety disorder (GAD) is often treated acutely with benzodiazepines, but these medications may be associated with… Read More »

Psychotherapy for Generalized Anxiety Disorder

As discussed in previous chapters in this volume, generalized anxiety disorder (GAD) is a relatively common disorder that is associated with significant distress and functional impairment. Fortunately, advances in both pharmacotherapy and psychotherapy have resulted in a greater likelihood of providing effective treatment. Unfortunately, many more inroads remain to be made to clarify what works… Read More »