Waco Guide: Expert Psychopharmacology Decision Support for Primary Care

The Waco Guide to Psychopharmacology in Primary Care is a tool developed by faculty of the Waco Family Medicine Residency in consultation with faculty of the Massachusetts General Hospital Psychiatry Academy. Tools combine top-level evidence and expert opinion from world-renowned psychiatrists with primary care expertise from one of the nation’s premier family medicine training programs. This resource is intended for use in communities where the mental and behavioral health needs outpace psychiatric specialty resources. Ideal for primary care clinicians, including physicians, nurse practitioners, and physician assistants. The tools succinctly reflect standard and advanced primary care mental health practices and psychopharmacology for: • Adult • Pediatric & Adolescent • Geriatric • Perinatal and Women’s Mental Health • Substance Use Disorders Special Population considerations offering individually tailored pharmacotherapy recommendations include: • Obesity • Cardiac Impairment • Renal Impairment • Hepatic Impairment • Geriatric Why use The Waco Guide? • High-yield, evidence-based psychopharmacology • In office usability at the point-of-care to enhance medical decision making • Common language and framework for integrated and collaborative care practices • Tools account for cost and medication availability • Titration schedules, monitoring recommendations, and a list of side effects accompany each tool Treatment recommendations for the following disorders: Adult: • Major Depressive Disorder • Anxiety Disorders— Panic Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder • Bipolar Disorder • Posttraumatic Stress Disorder • Acute and Chronic Insomnia • Schizophrenia Spectrum and Other Psychotic Disorders • Acute Stress Disorder • Anorexia Nervosa • Antipsychotic Side Effect Management • Binge Eating Disorder • Bulimia Nervosa • Fibromyalgia • Intermittent Explosive Disorder • Neuropsychiatric Dementia • Obsessive-Compulsive Disorder • Tobacco Use Disorder • ADHD Pediatric & Adolescent Decision Support Tools • ADHD • Depression • Generalized anxiety • Bipolar disorder • Psychosis • Anorexia Nervosa • Binge Eating • Bulimia Nervosa • Autism Spectrum Disorder • Opioid Use Disorder Perinatal (Preconception, Antepartum, and Postpartum)/Women’s Mental Health: • Sexual Interest/Arousal Disorder • Obsessive Compulsive Disorder • Premenstrual Dysphoric Disorder • SSRI-Induced Sexual Dysfunction • Antepartum Tobacco Use Disorder Substance Use Disorders: • Alcohol Use Disorder • Antepartum Alcohol Use Disorder • Tobacco Use Disorder • Benzodiazepine Deprescribing • Opioid Use Disorder • Stimulant Use Disorder The decision support tools included are designed to be informational and to reflect current accepted practices at the time of publication. These tools are not intended to replace professional medical judgment or treatment of specific conditions. Heart of Texas Community Health Center (dba Waco Family Medicine) and the authors accept no responsibility for any damages, obligations, losses, liabilities, costs or expenses arising from use of the decision support tools contained herein. By using this app, you acknowledge that you have reviewed the above and accept these terms.