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Psychiatric Emergencies
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Eating Disorder Complications
Medical stabilization, nutritional rehabilitation, psychotherapy like CBT or family-based therapy
Serotonin Syndrome
Discontinue serotonin-affecting drugs, supportive care, and medications like cyproheptadine if needed
Major Depressive Episode with Suicidal Ideation
Ensure patient safety, psychotherapy, and potentially antidepressant medication
Acute Psychosis
Maintain safety, antipsychotic medications, and supportive psychotherapy
Attention-Deficit/Hyperactivity Disorder (ADHD) Crisis
Behavioral interventions, adjustments in medication, and supportive psychotherapy
Schizophrenic Episode
Antipsychotics, possibly hospitalization, and supportive therapy
Panic Disorder
Cognitive-behavioral therapy (CBT), SSRIs, and education on coping strategies
Self-harm
Immediate physical treatment for injuries, psychosocial assessment, and formulation of a safety plan
Anxiety Attack
Calm reassurance, breathing exercises, and if severe, medication like benzodiazepines
Borderline Personality Disorder Crisis
Dialectical behavior therapy (DBT), crisis intervention, and emotion regulation strategies
Neuroleptic Malignant Syndrome
Immediate cessation of antipsychotics, cooling measures, hydration, and possible use of dantrolene or bromocriptine
Bipolar Disorder Depressive Episode
Mood stabilizers, antidepressants, and psychotherapy
Dissociative Crisis
Reassurance, grounding techniques, and in some cases therapy or medication for co-morbid conditions
Autism Spectrum Disorder Meltdown
Create a safe environment, apply calming strategies, and after the meltdown, work on communication and coping skills
Manic Episode
Mood stabilizers, antipsychotic medication, and supportive therapy
Agitated Patient
Verbal de-escalation, possible physical restraints if necessary, and emergency medication if needed
Delirium
Identify and treat the underlying cause, antipsychotics for severe agitation, and supportive care
Post-Traumatic Stress Disorder (PTSD) Crisis
Ensuring patient's sense of safety, trauma-focused therapy, and possible SSRI/SNRI medications
Catatonia
Benzodiazepines, electroconvulsive therapy (ECT), and rehydration/nutrition maintenance
Substance Withdrawal
Medically supervised withdrawal, possible pharmacotherapy, and supportive care
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