ch 16

with electroshock therapy ECT

• neurosis
• phychosis
• affective disorders

• distressing but still understands reality
• nervous and scared but don't know why
• treated with minor tranqs

• impairment of reality
• delusions, hallucinations, bizarre behavior

• mood/feelings expressed outward appearance
• 2 major emotions-depression/mania

• most common drugs for anxiety/neurosis
• effect emotional behavior,provide sedation,decrease tension
• xanax/valium

• anxiety associated with depression
• cymbalta/prozac

• total loss of reality/chemical imbalance
• hallucinations, delusions, bizarre behaviors

• most common form of psychosis
• disturbed sense of self, inappropriate emotional reactions, and withdrawal frm external world

• antipsychotic drugs/neuroleptics/major tranq
• block receptors in brain that control emotion
• NOT consider addictive

schizos/psychotic pts dont stay on their meds!!

tardive dyskinesia

involuntary, repetive movements of face, smacking lips, chewing, rocking back and forth, humming

lithium/reserpine

• depression occurs daily & interferes with everything
• decreased levels of norepinephrine/serotonin

• alleviate symptoms of depression
• increase mental alertness
• normalize sleep patterns
• restore/decrease appetite
• decrease suicide thoughts

• (1-2)tricyclic/tetracyclic antidepressants
• selective serotonin reuptake inhibitors
• serotonin/norepinephrine reuptake inhibitors
• monoamine oxidase inhibitors (MAOs)

• prolong action enhance effect of norepinephrine/serotonin in brain help correct low levels. increase sensitivity of receptors making it easier for neurotransmitters to connect
• amitriptyline

• serotonin low in pts w/depression, allow available serotonin bind receptors for longer periods of time
• prozac, zoloft

• serotonin/norepinephrine are low, drug allows available serotonin/norepinphrine to activate more receptors longer period
• cymbalta

• prevent enzyme from breaking down of nore/sero
• rx less frequently due to severe side effects from drug-food interactions

• increased levels of norepinphrine in brain
• nore mimics epinephrine cuases to speed up

• hyperactivity
• euphoria
• think/talk rapidly
• poor judgment

• mania and depression together
• topamax, thorazine

• continuing thoughts that cause anxiety or repetitive actions
• celexa, prozac

• intense fear can mimic heart attack
• xanax, zoloft

• afraid in public areas or @ crowds, stores, meetings, parties
• fear of speaking to strangers
• SSRI/SNRI drugs r used
• paxil, zoloft

• before going on stage
• taking a pill right bf go on
• inderal

• caused by something that happend bf
• brainwave altered increased levels of epinphrine and nore and decreased levels of cortisol

• sleep abnormalities
• headaches
• nausea
• dizziness
• chest pain
• cymbalta/zoloft

• loss appetite
• very thin

• sees themself overweight binges then pukes
• prozac

• frequent or constant use and abuse either drugs or alcohol
• methadone
• -withdralw from alcohol-librium

topamax

• restlessness, short attention span, easily distracted
• 5xs more common in boys
• ritalin, adderall