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Page i
TRAINING TOOLKIT
For
Overview of Mental Health Medications
for Children and Adolescents
Fall 2011
S ELF -A SSESSMENT
Page i Contents
Page 1.1 Module 1: General Information about Medications Part 1: Pharmacology; FDA Approval Process
Page 1.2 Module 1: General Information about Medications
Part 2: Generics; Metabolism
Page 1.3 Module 1: General Information about Medications Part 3: Drug Interactions; Labels
Page 2 Module 2: Depressive Disorders
Page 3 Module 3: Bipolar Disorder
Page 4 Module 4: Anxiety Disorders
Page 5 Module 5: ADHD and Behavior Disorders
Page 6.1 Module 6: Drugs of Abuse
Part 1: General Information; Dependency; Alcohol
Page 6.2 Module 6: Drugs of Abuse Part 2: Marijuana and Other Drugs
Page 7 Module 7: Miscellaneous Medications
Page A.1 Answers: Module 1 – Module 3
Page A.2 Answers: Module 4 – Module 5
Page A.3 Answers: Module 6 – Module 7
Overview of Mental Health Medications for C&A Self-Assessment
Page 1.
Module 1. General Information about Medications
Part 2. Generics; Metabolism
1-3. Which organ is the most responsible for metabolism of medications.
a. Heart b. Kidney c. Lung d. Brain e. Liver
1-4. Which of the following are FDA requirements for generics?
a. Contains identical amounts of same active drug as brand b. Same route of administration c. Same indications d. Same dosage form e. All of the above
Overview of Mental Health Medications for C&A Self-Assessment
Page 1.
Module 1. General Information about Medications
Part 3. Drug Interactions; Labels
1-5. Name six factors affecting drug interactions.
1-6. Name at least one mental health medication used for children and adolescents that has received a
black box warning.
Overview of Mental Health Medications for C&A Self-Assessment
Page 3
Module 3. Bipolar Disorder
3-1. Indicate whether each of the following statement is True or False.
a. An episode of mania is required for the diagnosis of Bipolar I Disorder.
True [ ] False [ ]
b. A major depressive episode is required for the diagnosis of Bipolar I Disorder.
True [ ] False [ ]
c. Untreated episodes of mania typically last longer than untreated episodes of depression.
True [ ] False [ ]
3-2. What is the difference between hypomania and mania?
3-3. Which of the following mood stabilizers require monitoring of serum medication levels.
a. Carbamazepine b. Lamotrigine c. Lithium d. Valproic acid
Overview of Mental Health Medications for C&A Self-Assessment
Page 4
Module 4. Anxiety Disorders
4-1. List three different mental illnesses that are classified as anxiety disorders.
4-2. In the fear pathway, what portion of the brain is activated?
a. Amygdala b. Cerebrum c. Cerebellum d. Hippocampus e. Hypothalamus
4-3. Which medications may be used by a physician to treat anxiety disorders in children.
a. Citalopram b. Escitalopram c. Fluoxetine d. Fluvoxamine e. Paroxetine f. Sertraline g. All of the above
4-4 Indicate whether the following statement is True or False:
In the treatment of Generalized Anxiety Disorder (GAD) in children and youth, benzodiazepines have
been associated with worsening or emergence of depression.
TRUE [ ] FALSE [ ]
4-5. Indicate whether the following statement is True or False:
Antidepressants are not preferred in the treatment of GAD because they may not be tolerated well in the
long term if chronic anxiety is present.
TRUE [ ] FALSE [ ]
Overview of Mental Health Medications for C&A Self-Assessment
Page 6.
Module 6. Drugs of Abuse
Part 1. General Information; Dependency; Alcohol
6-1. What are five of the most commonly abused drugs?
6-2. Which part of the brain affected by extensive alcohol use by an adolescent can result in impaired
memory formation?
Overview of Mental Health Medications for C&A Self-Assessment
Page 6.
Module 6. Drugs of Abuse
Part 2. Marijuana and Other Drugs
6-3. Indicate whether each of the following statements is True or False.
a. Children with untreated ADHD are more likely to develop a substance use disorder.
TRUE [ ] FALSE [ ]
b. Heroin intoxication can result in constricted pupils
TRUE [ ] FALSE [ ]
c. If marijuana and cocaine were used on the same day by an adolescent, they would likely both be present in a urine drug test one week later.
TRUE [ ] FALSE [ ]
d. Withdrawal from alcohol and benzodiazepines can be lethal.
TRUE [ ] FALSE [ ]
e. Withdrawal from heroin and cocaine is often lethal.
TRUE [ ] FALSE [ ]
Overview of Mental Health Medications for C&A Self-Assessment
Page A.
ANSWERS—Page A.
Module 1: General Information about Medications
Part 1: Pharmacology; FDA Approval
1-1: c – Psychologist 1-2: FDA (Food and Drug Administration)
Part 2: Generics; Metabolism
1-3: e – Liver 1-4: e – All of the above
Part 3: Drug Interactions; Labels
1-5: Age, Nutrition, Pharmacogenetics, Co-morbid conditions, Hormones, Other drugs 1-6. Go to http://blackboxrx.com/ for a comprehensive list; click on the tab for Therapeutic Classes, then Psychiatric Agents
Module 2: Depressive Disorders
2-1: d – 2 weeks 2-2: d – 3–4 weeks 2-3: c – Imipramine
Module 3: Bipolar Disorder
3-1: a – True b – False c – False
3-2: Hypomania is generally a mild to moderate level of mania, characterized by optimism, pressure of speech and activity, and decreased need for sleep. Generally, hypomania does not inhibit functioning like mania. Many people with hypomania are actually more productive than usual, while manic individuals have difficulty completing tasks due to a shortened attention span.
3-3: c –Lithium
Overview of Mental Health Medications for C&A Self-Assessment
Page A.
ANSWERS—Page A.
Module 4: Anxiety Disorders
4-1: a – Generalized Anxiety Disorder (GAD) b – Panic Disorder c – Obsessive-Compulsive Disorder (OCD)
4-2: a – Amygdala
4-3: f - All the medications listed may be used by a physician to treat anxiety disorders in children
4-4: True
4-5: False
Module 5: ADHD and Behavior Disorders
5-1: a – Atomoxetine
5-2: b – Decreased sleep c – Increased blood pressure
5-3: False
5-4: a – ADHD c – Conduct Disorder (CD) e – Oppositional Defiant Disorder (ODD)
