Sample interview questions: Describe your approach to managing patients with premenstrual dysphoric disorder (PMDD).
Sample answer:
Approach to Managing Patients with Premenstrual Dysphoric Disorder (PMDD)
1. Establish Diagnosis:
- Conduct a thorough history to elicit symptoms, timing, and impact on daily life.
- Use diagnostic criteria from the DSM-5:
- At least five significant symptoms in the week before menses
- Symptoms improve within a few days after onset of menses
- Symptoms occur most months and have been present for at least six months
- Rule out other potential causes of symptoms, such as thyroid dysfunction or hormonal imbalances.
2. Listen to Patient Concerns:
- Validate the patient’s experiences and empathize with the challenges they face.
- Explore patient’s perceptions of their symptoms and how they impact their life.
- Discuss treatment options and preferences, including potential risks and benefits.
3. Treatment Options:
Pharmacological:
- Selective serotonin reuptake inhibitors (SSRIs): Fluoxetine, sertraline, paroxetine
- Serotonin-norepinephrine reuptake inhibitors (SNRIs): Venlafaxine, duloxetine
- Gonadotropin-releasing hormone (GnRH) agonists (in severe cases)
Non-Pharmacological:
- Cognitive-behavioral therapy (CBT): Focuses… Read full answer
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