Table 6.
Psychiatric Disorder | Treatment Options |
---|---|
Depression | |
Mild | CBT ± Exercise |
Severe | CBT + SSRI ± Exercise |
Suicidality | CBT + SSRI ± Hospitalization ± Exercise |
With psychotic features | CBT + Antidepressant + Antipsychotic ± Exercise |
Refractory | CBT + Antidepressant + Antipsychotic ± Exercise ± ECT |
Anxiety | First Line: CBT ± SSRI, SNRI |
Second Line: CBT + SSRI, ± SNRI | |
Third Line: CBT + SSRI + different SSRI or SNRI with Benzodiazepines used as a bridge | |
until SSRI becomes effective. | |
ADHD | Stimulants [111,112] (methylphenidate, amphetamine), ± CBT, non-stimulants (atomoxetine, guanfacine, clonidine) |
PTSD | CBT, Ensure Safety, Treat Comorbidities, ± Antiadrenergic medications (clonidine, guanfacine, or prazosin *) |
* Prazosin is preferred in patients with PTSD nightmare disorder. CBT: cognitive behavioral therapy; ECT: electroconvulsive therapy; SSRI: selective serotonin reuptake inhibitor; SNRI selective serotonin norepinephrine reuptake inhibitor.