Exam 5 - 4/4 Flashcards
Bipolar Disorder - Genetic Studies
Different _________ are involved in depression and bipolar disorder
genes
Bipolar Disorder - Genetic Studies
Greater genetic contribution to bipolar disorder than _________
depression
Depression – Treatment
_________ hypothesis – depression involves reduced activity at norepinephrine and serotonin synapses
Monoamine
Depression – Treatment
Monoamine hypothesis – depression involves reduced activity at _________ and _________ synapses
- norepinephrine
- serotonin
Depression – Treatment
Monoamine hypothesis –
Discovered accidentally – use of _________ for tuberculosis elevated mood of patients (monoamine _________ inhibitor)
- iproniazid
- oxidase
Depression – Treatment
Monoamine hypothesis –
Most antidepressant drugs increase _________ and/or serotonin activity
norepinephrine
Depression – Treatment
Monoamine hypothesis – Monoamine oxidase (MAO) inhibitors block \_\_\_\_\_\_\_\_\_ of neurotransmitters
degradation
Depression – Treatment
Monoamine hypothesis –
_________ antidepressants block reuptake of neurotransmitters in the synapse
Tricyclic
Depression – Treatment
Monoamine hypothesis –
Tricyclic antidepressants block _________ of neurotransmitters in the synapse
reuptake
Depression – Treatment
Monoamine hypothesis –
Selective serotonin reuptake inhibitors (SSRIs) like Prozac just block _________ uptake – dissociation between time of pharmacological and _________ actions (hours vs weeks, respectively)
- serotonin
- therapeutic
Depression – Treatment
Monoamine hypothesis –
Selective serotonin reuptake inhibitors (SSRIs) like _________ just block serotonin uptake – dissociation between time of _________ and therapeutic actions (hours vs weeks, respectively)
- Prozac
- pharmacological
Depression – Treatment
Monoamine hypothesis –
_________ is common among individuals with depression
Smoking
Depression – Treatment
Monoamine hypothesis – Smoking
_________ – smoke contains monoamine oxidase _________
-Difficulty stopping smoking
- Self-medication
- inhibitors
Depression –
-Treatment issues
A substantial portion of patients are resistant to treatment (_________ %)
30 – 50
Depression –
-Treatment issues
Delay in onset of therapeutic effects an issue if patient is _________
suicidal
Depression – Treatment
_________ therapy (ECT) is an option for these patients
Electroconvulsive
Depression – Treatment
Electroconvulsive therapy (ECT)-
70 – 130 volts applied to head of anesthetized patient in brief pulses causes a _________ lasting 30 – 60 seconds
seizure
Depression – Treatment
Electroconvulsive therapy (ECT)-
Patients given muscle relaxants to prevent bone fractures caused by _________ spasms
muscle
Depression – Treatment
Electroconvulsive therapy (ECT)-
Patients wake up several minutes later confused but without any _________ of the treatment
recall
Depression – Treatment
Electroconvulsive therapy (ECT)-
Causes memory and _________ impairments but only for a few months
-If restrict shock to _________ hemisphere can get antidepressant effects _________ side effects
- cognitive
- right
- without
Depression – Treatment
Electroconvulsive therapy (ECT)-
___% efficacy though benefit does not last - after ECT some patients can be maintained on _________
- 79
- medication
Depression – Treatment
Electroconvulsive therapy (ECT)-
Suitable for patients who experience severe side effects from _________, pregnant women, in patients who are also _________, in patients who are suicidal
- medication
- psychotic
Depression – Treatment
Electroconvulsive therapy (ECT)-
Also effective on _________ and schizophrenia
-mania
Depression – Treatment
Electroconvulsive therapy (ECT)-
Transcranial magnetic stimulation of left _________ is also effective
prefrontal cortex