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PHOBIAS - Coggle Diagram

- - - - SSRI's (citalopram, sertraline, fluoxetine)
        
        Adverse Effects: Dizziness, Lightheadedness, Drowsiness, Dry Mouth, Insomnia.
        
        Action: Inhibits reuptake of serotonin which increases the amount available.
        
        Nursing Implications: Monitor patient for serotonin syndrome (agitation, coma, diarrhea, tachycardia, headache. Should not be given to patients with bradycardia, long QT syndrome. Monitor liver enzymes.
    - - Diazepam & Alprazolam
        
        Adverse Effects: Drowsiness, Cognitive issues, Impaired Coordination, Steven Johnson Syndrome, Angioedema, Hepatic Failure.
        
        Action: Works by increasing effects of GABA (an inhibitory neurotransmitter), this helps to control emotional behavior.
        
        Nursing Implications: Inform patients not to take this drug with alcohol or opioids.
    - - Atenolol & Propranolol
        
        Adverse Effects: Arrhythmias, Bradycardia, Laryngospasm, Renal Failure, Bronchospasm.
        
        Action: Works by decreasing cardiac excitability, cardiac output, and cardiac oxygen demand.
        
        Nursing Implications: Use cautiously in patients with heart failure and diabetic patients. Monitor patient for heart failure and hyperthyroidism.
  - - - In vivo exposure: Directly facing a feared object, situation or activity in real life
      - Imaginal exposure: Vividly imagining the feared object, situation or activity.
      - Interoceptive exposure: Deliberately bringing on physical sensations that are harmless, yet feared.
    - - Cognitive behavioral therapy (CBT) involves exposure combined with other techniques to learn ways to view and cope with the feared object or situation differently. You learn alternative beliefs about your fears and bodily sensations and the impact they've had on your life.