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Psychiatric Disorders
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Positive
(presence of abnormal features)
Negative
(Absence of normal features)
Tardive dyskinesia
-Old treatment for Schizophrenia
-Chlorpromazine (sedating). Reserpine (effective but dangerous drop in blood pressure)
Dopamine hypothesis-
Loss of DA= Parkinsons. Too much DA= schizophrenia
-Supported by
: Reserpine depletes DA (leak vesciles)
-Chlorpromazine blocks DA receptors
-Problems
: takes weeks to work (cant be all D)
Affective Disorders-
-Depression/mania. More sufer from unipolar than bipolar
-Amygdala/Prefrontal Cortex/Mesotelencephalic damaged (depression)
Depression/Mania Treatments
-Treatment
: MAOIs- Prevent breakdown of monoamines
-Tricyclic antidepressants- block reuptake of serotonin/norepinephrine (safer then MAOIs)
-SSRIs- Very successful
-Lithium- lots of side effects
-Sleep deprivation improves depression
Monoamine Theory of Depression-
Underactive serotonin/norepinephrine
Diathesis-Stress model of depression-
-inherited genetic susception to depression
-HPA axis not as responsive to normal negative feedback
Generalized anxiety disorder-
stress/anxiety in absence of causal stimulus
Phobia
- anxiety triggered by stimulus
Panic Disorder
-onset rapid stress physiological response
OCD
-anxiety producing obsessive relieved by compulsive actions
PTSD-
continuing stress following extreme stress
Anxiety Disorder Treatments
-Treatments
: Benzodiazepines (hypnotics, muscle relaxants) GABA agonist. Increases probability of channel opening
-Serotonin agonists- Reduce anxiety without sedation/best long term treatment
Cause of Anxiety?
Too little serotonin/GABA neurotransmission=anxiety.
Amygdala (fear/defensive maybe responsible)
Barbiturates-
setative/increased duration of GABA channel opening
Tourettes Syndrome-
involuntary movement/vocalization
-Major genetic component
-Hard to study/ no animal models
-Treated with neuroleptics
-Suggest basal ganglia-thalamus-cortex problem
ADHD Types?
hyperactive impulsive, inattentive, combined hyperactive impulsive and inattentive
ADHD Brain differences:
Smaller prefrontal cortex/cerebellum, lower levels of dopamine
ADHD Treatment
-Atomoxetine- Norephinephrine reuptakeinhibitor
-Amphetamine salts (adderall/retalin) increase dopamine, serotonin and norepinephrine concentrations in synapse
Author
bens1088
ID
33602
Card Set
Psychiatric Disorders
Description
psych disorder
Updated
2010-09-09T05:50:46Z
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