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• Abstract • Introduction • Prevalence of Psychiatric Emergencies • Models of Emergency Psychiatric Delivery • Consultant in Medical Emergency Department • Dedicated Mental Health Wing of Medical Emergency Department • The PES Model • Treatment Goals of Emergency Psychiatry • Exclude Medical Etiologies for Symptoms • Rapid Stabilization of the Acute Crisis • Avoid Coercion, Treat in the Least Restrictive Setting, Form a Therapeutic Alliance • Appropriate Disposition and Aftercare Plan • Types of Psychiatric Emergencies • Suicide Attempt/Ideation • Agitation, Violent or Disruptive Behavior • Psychosis Leading to Dangerous Behavior or Thoughts • Mania • Anxiety • Other Common Presentations and Exclusions • Conclusion • References Dr.
Recently completed studies have shown that Sumatriptan (Imitrex) can provide excellent headache relief for adolescents (age 12 and up) with migraine, Injectable Sumatripan is preferable for adolescents who develop a severe migraine very rapidly.
There are potential complications with long-term use of NSAIDs, but these non-sedating, non-addictive compounds have the advantage of generally allowing the adolescent to continue normal activities.
The over--the-counter NSAIDs, such as ibuprofen (Advil, Mortin, Nuprin) can also be used.
Currently, most disease-modifying agents have been approved for use only in relapsing forms of MS.
Mitoxantrone (see below) is also approved for the treatment of secondary (long-term) progressive and progressive relapsing MS.