Exam 1: MH 701 MH701 Latest Psychopharmacologic

Exam 1: MH 701 / MH701 (Latest

2025 / 2026) Psychopharmacologic / Neuroscience Foundations of Mental Health Care | Questions and Answers | 100% Correct - Frontier

Question:

• neurotransmitters associated with anxiety

Answer:

The 3 major neurotransmitters associated with anxiety are

norepinephrine (NE)

serotonin

γ-aminobutyric acid (GABA).

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Question:

First-Like pharmacotherapy for Panic Disorder

Answer:

Treatment of panic disorder combines CBT, self-management techniques, and medications, including antidepressants and anxiolytic agents.

Alprazolam (Xanax) and paroxetine (Paxil) are the two drugs approved by the US FDA for the treatment of panic disorder.

SSRIs and clomipramine (Anafranil) over the benzos, MAOIs, and TCAs.Venlafaxine (Effexor) and buspirone (BuSPar) has been suggested as an additive medication in some cases. Venlafaxine is approved by the FDA for treatment of FAD and may be useful in panic disorder combined with depression.

Question:

How long can client take benzodiazepines before experiencing dependence?

Answer:

12 weeks

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Question:

What other pharmacotherapy is important for the treatment of Panic Disorder?

Answer:

-A conservative approach is to begin treatment with paroxetine, sertraline (Zoloft), citalopram (Celexa), or fluvoxamine (Luvox) in isolated panic disorder.

-If rapid control of severe symptoms is desired, a brief course of alprazolam should be initiated concurrently with the SSRI followed by slowly tapering use of the benzodiazepine

-In long-term use, fluoxetine (Prozac) is an effective drug for panic with comorbid depression, although its initial activating properties may mimic panic symptoms for the first several weeks, and it may be poorly tolerated on this basis.

-Clonazepam (Klonopin) can be prescribed for patients who anticipate a situation in which panic may occur (o.5 to 1mg as required)

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Question:

What education will you provide to clients about benzodiazepines?

Answer:

-Patients should be instructed not to drive, to abstain from alcohol or other CNS depressant medications, and avoid operating dangerous equipment while taking benzodiazepines.

-When used in short periods of 1-2 weeks usually have no tolerance/dependence/withdrawal

-Instruct patient that plan is short course with taper- do not use more than necessary; risk for tolerance and dependence

Question:

What other/adjunct pharmacotherapy is important for treatment of Agoraphobia?

Answer:

After 1st line therapy of SSRIs:

-The TCA drugs clomipramine (Anafranil) and imipramine (Tofranil) are the most effective in the treatment of these disorders. Dosages must be titrated slowly upward to avoid overstimulation (e.g. "jitteriness" syndrome), and the full clinical benefit requires full dosages and may not be achieved for 8 to 12 weeks.

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