Psychiatric Evaluation & Treatment
Comprehensive assessment and psychiatric monitoring aimed at diagnosis and the appropriate therapeutic approach.
A psychiatric evaluation is the clinical assessment of an individual’s mental health status, conducted by a psychiatrist or psychologist.
It helps diagnose emotional, behavioral, or developmental difficulties in children, adolescents, and adults. The evaluation includes questions about symptoms, thoughts, and emotions to design the right treatment plan or medication regimen.
Antidepressants:
First-line choice: New-generation antidepressants
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SPARI = serotonin partial agonist and reuptake inhibitor (Vortioxetine - Brintellix), SSRIs = selective serotonin reuptake inhibitors (e.g., Escitalopram - Cipralex, Sertraline - Zoloft, Paroxetine - Seroxat, Fluoxetine - Ladose, Citalopram - Seropram, Fluvoxamine - Dumyrox), NaSSA = Noradrenergic and Specific Serotonergic Antidepressant (Mirtazapine - Remeron), SNRIs = Serotonin-Norepinephrine Reuptake Inhibitors (Venlafaxine - Efexor, Duloxetine - Cymbalta), NDRI = Norepinephrine-Dopamine Reuptake Inhibitor (Bupropion - Wellbutrin), Melatonergic antidepressant (Agomelatine - Valdoxan)used either as monotherapy or in combination with each other (e.g., SSRI & Mirtazapine, SNRI & Mirtazapine, SSRI & SNRI & Mirtazapine, NDRI and SSRI, NDRI and SNRI, NDRI and NaSSA, etc.).
Second-line choice: Older antidepressants
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The tricyclic antidepressants and the MAO inhibitors (e.g., Clomipramine - Anafranil, Amitriptyline - Saroten/Minitran, and Moclobemide - Aurorix respectively), which are medications with more side effects than the newer ones.
Antipsychotics:
First-line choice: New-generation antipsychotics (Atypical antipsychotics)
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(Atypical Antipsychotics, or SDAs = Serotonin-Dopamine Antagonists): e.g., Olanzapine - Zyprexa, Risperidone - Risperdal, Quetiapine - Seroquel, Aripiprazole - Abilify, Amisulpride - Solian, Ziprasidone - Geodon, Paliperidone - Invega, Clozapine - Leponex.
Second-line choice: Typical or classical antipsychotics (Neuroleptics)
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Haloperidol - Haloperidin. Continuous treatment, even lifelong, with antipsychotics is necessary to reduce relapses of psychotic disorders and to ensure patients maintain the best possible level of functioning.
Mood Stabilizers:
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For example, Lithium - Lithium Lithiofor/Milithin, older antiepileptics such as Valproate - Valproate Depakine, Carbamazepine - Carbamazepine Tegretol, or newer antiepileptics such as Lamotrigine - Lamotrigine Lamictal, Oxcarbazepine - Oxcarbazepine Trileptal, Topiramate - Topiramate Topamac, Gabapentin - Gabapentin Neurontin, and atypical antipsychotics such as Olanzapine - Olanzapine Zyprexa, Quetiapine - Quetiapine Seroquel, etc., either as monotherapy or in combination therapy.
Continuous treatment, even lifelong, with mood stabilizers is necessary to reduce relapses of bipolar disorders, whether in the form of major depressive, hypomanic, manic, or mixed episodes.
For ADHD (Attention Deficit Hyperactivity Disorder):
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For example, Methylphenidate immediate release - Ritalin, Methylphenidate prolonged release - Concerta, as well as Atomoxetine - Strattera, which, either alone or in combination with other active substances, improve concentration and help control impulsive behaviors, both verbal and physical, in individuals with ADHD.