Brain and Behavior test 3 Flashcards
Tz
Means treatment
Sx
Means symptoms
Rs
Means receptors
Schizophrenia
- abnormal perception of reality
- lucid and actively psychotic alternating
- symptoms mid 20s
- effects 1% of population
- genes/environment, maternal-many theories about causes
Positive schizophrenia symptoms
- delusions/false beliefs
- hallucinations
- disorganized speech (echolalia, tangential speech etc)
- disorganized behavior (Catatonia)
- disorganized thought
Negative schizophrenia symptoms
- inappropriate/flat affect
- alogia
- avolition
- anhedonia
- in attention
Alogia
A poverty of speech
Avolition
Lack of motivation/apathy
-lack of personal hygiene
Anhedonia
Lack of interest in pleasurable activities
Dopamine hypothesis of schizophrenia
- too much dopamine leads to positive symptoms
- too little dopamine related to negative symptoms
Brain abnormalities in schizophrenia
Enlarged ventricles
-diffuse cortical atrophy
Gray matter loss
Schizophrenia treatments
Dopamine antagonists
- block receptors
- involuntary movements are side effects
Tardive dyskinesia
Lip smacking, involuntary movements
Atypical antipsychotics
Treatment of schizophrenia
- block dopamine receptors selectively
Neuroleptics
Used to treat schizophrenia, not clean drugs though
Affective disorders
Mood disorders
Mood disorders
Commonly co-morbid with other diseases, anxiety/depression overlap and meds overlap
Best Outcome for Mood Disorders
Medications and psychotherapy and cognitive behavioral therapy
Cognitive Behavioral Therapy
Relaxation techniques, challenging thoughts and increasing awareness, biofeedback, desensitization
Major Depressive Disorder
Reactive to trauma, seasonal effective disorder, 5+ symptoms for at least 2 weeks
Symptoms of major depressive disorder
-depressed mood, anhedonia, change in appetite, feelings of worthlessness/guilt, change in sleep, less concentration, restlessness, fatigue, suicidal ideation
Monoamine Hypothesis for major depressive disorder
Low serotonin, abnormal beta
- drugs up serotonin
Antidepressants
Serotonin reputable inhibitors, block other neurotransmitters
Prozac
Selective serotonin reuptake inhibitors
Effexor
Selective serotonin reuptake inhibitor
Bipolar disorder
Formerly manic depression, cycles of mania and depression
Treatment of bipolar disorder
Mood stabilizers- lithium, antipsychotic
- elctroconvulsant therapy
- psychotherapy
Anxiety Disorder
Frequently comorbid with depression and treated with anti anxiety and anti depressives
GABA antagonists
Treat anxiety, sedating, barbiturates
Side effects- risk of death by respiratory depression when mixed with alcohol, anti-seizure drugs etc
Beta blockers
Reduce sympathetic nervous system arousal
-used to treat anti anxiety
Generalized Anxiety Disorder
Anxiety that is not localized to a single root but rather about daily events/activities for more than 6 months
Treatment: psychotherapy, benzodiazepines, Wellbutrin. With SSRIs
Specific Anxiety
Phobias, panic disorder
Phobias
Fear of specific object or idea
-treatment: systematic desensitization
Panic disorder
Characterized by panic attacks
- sense of impending doom, sweating, chest pain
- sometimes with agoraphobia
- treatment: acute panic–> SSRIs and CBT
OCD (obsessive compulsive disorder)
- recurring thoughts
- compulsions
- ego-dystonic
Treatment: SSRIs with cognitive behavioral therapy
Obsessions
Intrusive, recurring thoughts
Compulsions
Behaviors done to stop obsession.
- excessive cleaning because believing about contamination
- doubt
- symmetry- slow methodical performance
Ego-dystonic
Have insight the unreasonable-ness of distress and time consumption
- symptom of OCD
PTSD ( post traumatic stress disorder)
- after direct threat or witnessing
Symptoms: flashback, nightmare, avoidance, social detachment, flattened affect, exaggerated startle response
Treatment: psychotherapy and SSRIs
Sites where no blood brain barrier
Pineal gland, pituitary gland, area postrema
Types of Senses
Auditory, mechanical, chemical and vision
Mechanical
Vestibular (balance), somatosensory (touch, pain, temp, pressure, body position)
Chemical
Taste, olfaction (smell), vomeronasal (detection of pheromones)
Detection of sense
Requires receptors specialized for that stimulus modality
Transduced
Changing from stimulus to language neurons can speak
Coding
Coding of senses
Transport of sensory Information
Information that goes from the periphery nervous system to the cortex (often via the thalamus)
Sound and the ear
Audition depends on ability to detect sound waves
-periodic compressions of air, water other
Amplitude
Intensity of the sound wave
Loudness
Perception of the sound wave
Frequency
The number of compressions per second, measured in hertz (related to pitch)
Outer Ear
Includes the pinna, the structure of flesh and cartilage attached to each side of the head
Pinna
Part of outer ear that’s responsible for altering the reflection of sound waves into the middle ear from the outer ear
-helps us locate the source of the sound
Middle Ear
Contains tympanic membrane (ear drum) and three tiny bones
Tympanic Membrane
Ear drum, which vibrates at the same rate when struck by sound waves
Oval Window
Membrane in the inner ear, transmits waves through the viscous fluid of the inner ear
Inner Ear
Snail shaped structure called the cochlea, which contains three fluid - filled tunnels
-hair cells
Cochlea
Part of inner ear. Contains three fluid-filled tunnels
Hair Cells
Auditory receptors that lie between basilar membrane and tectorial membrane in the cochlea
Basilar Membrane
Part of the cochlea, hairs between it and the tectorial membrane t
Tectorial Membrane
Hair cells between this and basilar membrane in the cochlea
How we hear:
Sound through auditory canal, strike drum and vibrations transmitted
Membranes caused to bend by waves, making cilia bend
Bend opens Ca+2 ion channels
Neurotransmitters released from hair cells, stimulates auditory nerve (part of 8th cranial nerve)
Neuronal impulses travel to auditory cortex
Primary Auditory cortex
Located in the superior temporal cortex
- destination for most information from auditory system
- place where auditory coding occurs
- most info comes from opposite side ear
Damage to A1
Damage to primary auditory cortex doesn’t cause deafness unless it extends to sub cortical areas
-provides tonotopic map
Tonotopic Map
In auditory correct, shows which cells in primary auditory cortex (a1) are more responsive to preferred tones
Amusia
Tone deaf? Can’t tell tones, don’t detect wrong notes
Associated with thicker auditory context in right hemisphere but fewer connections from auditory to frontal cortex
Perfect Pitch
Absolute pitch, ability to hear a note and identify it
- maybe generic
- early and extensive musical training
- more common among people who speak tonal languages
Two types of hearing loss
1) Conductive or middle ear deafness
2) nerve deafness or inner ear deafness
Conductive/middle ear deafness
When bones of middle ear fail to transmit sounds properly to cochlea
Caused by disease, infection, tumerous bone growth
-correct with surgery or hearing aids
-when normal, people hear their own voice clearly