L21 - Primary psychiatric disorders and their biological basis Flashcards
1. Understand the distinction between the neuroses and psychoses 2. Learn about depression, its symptoms and key chemical and genetic determinants 3. Learn about schizophrenia, its symptoms and key chemical and genetic determinants
What is the distinction between neurosis and psychosis?
Neurosis - contact with reality kept
Psychosis - loss of reality
Define schizophrenia?
Changes in how a person thinks and behaves.
Symptoms of schizophrenia?
Positive
- change in behaviour or thoughts, hallucinations or delusions
Negative
- withdrawal, patients may appear emotionless and flat.
Give an example of an chemical involved in schizophrenia?
Dopamine!
There’s a belief that Schizophrenia involves excessive dopamine activity in the brain - esp. in mesolimbic areas
Describe how brain volume may differ in patients with schizophrenia?
- Larger lateral ventricles
- cortical atrophy
- reduced grey matter
Describe autoimmune encephalitis?
Group of conditions that occur when the body’s immune system attacks the brain.
- results in inflammation of brain
What is the definition of depression?
Persistent sadness for weeks or months.
Mild and severe symptoms
Compare unipolar and bipolar depression?
Individuals with bipolar disorder also have high moods known as mania, during which they may experience increased energy, feelings of euphoria, insomnia, impulse behaviours ….
What are some biological symptoms of depression?
- sleep problems
- diurnal mood variation
- reduced appetite
- weight loss
- anergia (abnormal lack of energy)
- anhedonia (inability to feel pleasure in normally pleasurable activities)
What are some psychological symptoms of depression?
- low mood
- tearfulness
- anxiety
- irritability
- thoughts of self harm