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Psychiatric Emergencies

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Eating Disorder Complications

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Medical stabilization, nutritional rehabilitation, psychotherapy like CBT or family-based therapy

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Serotonin Syndrome

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Discontinue serotonin-affecting drugs, supportive care, and medications like cyproheptadine if needed

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Major Depressive Episode with Suicidal Ideation

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Ensure patient safety, psychotherapy, and potentially antidepressant medication

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Acute Psychosis

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Maintain safety, antipsychotic medications, and supportive psychotherapy

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Attention-Deficit/Hyperactivity Disorder (ADHD) Crisis

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Behavioral interventions, adjustments in medication, and supportive psychotherapy

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Schizophrenic Episode

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Antipsychotics, possibly hospitalization, and supportive therapy

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Panic Disorder

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Cognitive-behavioral therapy (CBT), SSRIs, and education on coping strategies

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Self-harm

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Immediate physical treatment for injuries, psychosocial assessment, and formulation of a safety plan

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Anxiety Attack

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Calm reassurance, breathing exercises, and if severe, medication like benzodiazepines

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Borderline Personality Disorder Crisis

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Dialectical behavior therapy (DBT), crisis intervention, and emotion regulation strategies

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Neuroleptic Malignant Syndrome

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Immediate cessation of antipsychotics, cooling measures, hydration, and possible use of dantrolene or bromocriptine

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Bipolar Disorder Depressive Episode

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Mood stabilizers, antidepressants, and psychotherapy

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Dissociative Crisis

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Reassurance, grounding techniques, and in some cases therapy or medication for co-morbid conditions

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Autism Spectrum Disorder Meltdown

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Create a safe environment, apply calming strategies, and after the meltdown, work on communication and coping skills

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Manic Episode

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Mood stabilizers, antipsychotic medication, and supportive therapy

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Agitated Patient

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Verbal de-escalation, possible physical restraints if necessary, and emergency medication if needed

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Delirium

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Identify and treat the underlying cause, antipsychotics for severe agitation, and supportive care

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Post-Traumatic Stress Disorder (PTSD) Crisis

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Ensuring patient's sense of safety, trauma-focused therapy, and possible SSRI/SNRI medications

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Catatonia

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Benzodiazepines, electroconvulsive therapy (ECT), and rehydration/nutrition maintenance

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Substance Withdrawal

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Medically supervised withdrawal, possible pharmacotherapy, and supportive care

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