Biological Therapies Flashcards

1
Q

Types of Antipsychotic Medication

A

Conventional

Atypical

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2
Q

Antipsychotic medication

A

Helps the person with disorder function as well as possible in their life, as increasing their feelings of subjective well being

Conventional = combat +ve symptoms + products of overactive dopa system

Atypical = also combat +ve symptoms but claims there are also beneficial effects on -ve symptoms as well

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3
Q

Conventional antipsychotic drugs

A

Reduce effect of dopa = reduce symptoms of Sz

Bind to dopa receptors but don’t stimulate them = blocking their action

Can eliminate hallucinations + delusions experienced by people with Sz

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4
Q

Atypical antipsychotic drugs

A

Act on dopa system but thought to block sero receptors too

Only temporarily occupy D2 receptors + then rapidly dissociate to allow normal dopa transmission

Responsible for lower levels of side effects compared to conventional

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5
Q

ECT

A

Small amount of electric current, lasting about half a second, is passed through the brain = produces seizures lasted about a minute

Requires 3-15 treatments

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6
Q

ECT + Sz

A

When ECT was compared with Placebo = more improved with real ECT

When compared with antipsychotic medication = favoured medication groups

Concluded use of ECT + medication may be appropriate when rapid reduction of symptoms is required or when P’s show limited response to medication alone

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7
Q

Effectiveness of conventional antipsychotics

A

Research: found relapse in 55% of placebos + only 19% in conventional antipsychotics

BUT 45% on placebo did benefit

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8
Q

Appropriateness of conventional antipsychotics

A

Side effects: Tardive dyskinesia = about 30% taking conventional get Tardive dyskinesia

Prescribed medication reinforces the view that there is something wrong + prevents indi form thinking about possible stressors = reduces their motivation to look for solutions

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9
Q

Effectiveness of atypical antipsychotic

A

META: superiority of these drugs compared to conventional was only moderate

Found only 2 of the new drugs were slightly more effective than conventional

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10
Q

Appropriateness of atypical antipsychotics

A

Lower likelihood of Tardive Dyskinesia

Supported by study which only found TD in 5% of those on atypical compared to 30% on conventional

Also fewer side effects = p’s more likely to continue their medications + therefore see more benefits

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11
Q

Effectiveness of ECT

A

Comparison of ECT + stimulated ECT = no different or worse than antipsychotic medication

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12
Q

Appropriateness of ECT

A

Risks associated: memory dysfunction, brain damage + even death = use of ECT as treatment has declined

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13
Q

Ethical issues

A

Use of antipsychotics = if side effects were taken into account, a cost benefit analysis of its advantages would be negative

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