Medication & Cognitive treatments Flashcards

1
Q

Psychostimulants

A

Methylphenidate (Ritalin)
- Treatment of ADHD

How?
Dopamine + Noradrenaline reputable inhibitors = INCREASE amount of D + NA (regulate attention etc)

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2
Q

Advantages and Disadvantages of Psychostimulants

A

+ Effective treating: Reduced impulsivity & Lowering activity levels

  • Short acting
  • Increase BP & HR
  • ‘The Zombie Effect’ - social withdrawal
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3
Q

Anxiolytics

A

Reduce severe anxiety

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4
Q

Benzodiazepines

A

Anxiolytic:

BZ binds to BDZ binding site = open chloride channels = INCREASE GABA (inhibits fear etc)

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5
Q

Advantages and Disadvantages of Benzodiazepine

A

+ Muscle relaxant
+ Can be used as sedative
- Highly addictive
- Withdrawal effects - tremor, twitching

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6
Q

Beta Blockers

A

Anxiolytic

Blocks effects of stress hormones

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7
Q

Advantages and Disadvantages of Beta Blockers

A

+ Side effects less severe
+ Not addictive
- Only offers symptom relief

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8
Q

Phenothiazine

A

Blocks dopamine receptors

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9
Q

Advantages and Disadvantages of Phenothiazine

A

+ Effect on + symptoms

  • No effect on - symptoms
  • Strong side effects e.g., Anticholinergic = blurred vision and low BP
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10
Q

MAIO’s

A

Monoamine oxidase inhibitors

Inhibit activity of MO’s (Enzyme that breaks down monoamines e.g., serotonin)

INCREASE activity of neurones that use Serotonin and Noradrenaline

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11
Q

Tricyclics

A

Block reputable of dopamine, serotonin and noradrenaline

  • Toxic effects on cardiovascular system
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12
Q

SSRI’s

A

Selective Serotonin are uptake Inhibitors

Inhibit reuptake of serotonin

+ Fewer side effects
+ Effective

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13
Q

What is CBA?

A

Cognitive Behavioural Approach

Aim - Cognitive restructuring & modify aspects to become more adaptive

  1. Thoughts
  2. Emotions
  3. Behaviour
  4. Physical sensations
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14
Q

Examples of cognitive bias?

A

Catastrophising

Emotional Reasoning

Tunnel-vision

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15
Q

What are vicious circles? (Beck)

A

Circles that maintain distorted thinking & dysfunctional behaviour

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16
Q

What are automatic thoughts?

A

Thoughts that combine with schemas to create cognitive biases

17
Q

What are the stages of the clinical behaviour treatments?

A
  1. Clinical interview
  2. Address cognitive distortions
  3. Employ Socratic questions
  4. Accept rational conclusion
18
Q

What are the steps of the clinical interview?

A
  1. Assessment - Assess patient
  2. Formulation EITHER:
    - Vicious cycles OR - Downward spiral formulation
19
Q

Ketamine

A

Suggests to help depression

Acts on glutamate (key in plasticity)
- suggested to restore connections between damaged synapses caused by long term depression

+ Immediate effect

  • Addictive
  • Increase blood pressure
20
Q

Research into Antidepressents (Cipriani)

A

Meta-analysis of acute studies = Benefits in all Antidepressants BUT should AD be short term only? Then CBT?

  • Effect size small