Midterm Flashcards

1
Q

When was the birth of modern psychopharmacology?

A

1950s

NOT a medical specialty

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2
Q

Psychoactive drugs available prior to that time (birth of modern psychopharm)?

A

Morphine and Cocaine

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3
Q

Why did it take so long for lithium to get FDA approval?

A

Death due to toxicity (cardiac patients)

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4
Q

What factors have helped reduce the factionalism between the pro-medication and anti-medication groups in mental health care?

A

a. Research of efficacy of psychotropic drugs in therapy
b. Brain imaging
c. Development of new medication

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5
Q

What are the roles of the Food and Drug Administration (FDA) and Drug Enforcement Agency (DEA)?

A

a. FDA: Cannot regulate dietary supplements unless there is substantial harm to public
b. FDA: remove unsafe drugs from market, regulate safety, purity, and labeling of food drugs and cosmetics. They approve new drugs
c. DEA: Enforce laws regulating drugs with potential for abuse or addiction

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6
Q

What influences what substances are “drugs”?

A

a. Political
b. Legal
c. Financial

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7
Q

What are the six appropriate uses of psychotropic medication (you only need to know 5)?

A

a. Clearly diagnosed psych illness
b. Medication withdrawal, or discontinuation
c. Sedation during medical procedure
d. Address symptoms that have been resistant to other treatments
e. Interference of quality of life

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8
Q

What are beliefs about psychotropic medication that create bias for therapists to not learn about them, or use it as part of their treatment?

A

a. Medication should be last resort
b. Medications are addictive
c. Lacking training

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9
Q

Who prescribes medications the most?

A

a. Non-psychiatric physicians

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10
Q

What are appropriate functions of the nonmedical therapist in the management of medications?

A

a. Non suggesting specific medications or doses to prescribing doctors
b. We DO: Monitoring, collecting history, providing psychoeducation

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11
Q

Historically why has treatment of psychotropic medication failed?

A

a. Psychiatrist only focusing on meds, not therapy
b. Non psychiatrist prescribing meds
c. Therapist having little training in psychopharmacology

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12
Q

What can therapists do to improve communication with prescribing physicians?

A

a. Be concise
b. Be organized
c. Use medical terminology during conversations
d. Ask observations, valuable information from psych

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13
Q

How can a client participate in their own treatment when taking/prescribed medication?

A

a. Name of medication
b. Dosage of medication
c. Their team (dr, us) are aware of any side effects

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14
Q

What psychotropic drugs are considered to be the most addictive?

A

a. Benzodiazepines
b. Psychostimulants
c. EX: Valium, Xanax, Ritalin, Dexedrine

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15
Q

What is ethnopsychopharmacology?

A

a. Investigates ethnic, cultural differences that influence the effectiveness of psychotropic drugs
b. Seeks to develop culturally sensitive treatment and prescribing practices with psychotropic meds

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16
Q

What does the term “slow metabolizer” mean?

A

a. (African Americans, Asians)
b. Slow metabolizers are at a risk of severe side effects because they are metabolizing drugs at slower rates than Caucasian counterparts
c. Drug toxicity when standard dosages are prescribed

17
Q

What are some barriers to treatment for BIPOC communities?

A

a. Accessibility
b. Stigma
c. Mistrust
d. Cost
e. Cultural differences

18
Q

The PNS is divided into the SNS and ANS. The ANS is further divided into the sympathetic and parasympathetic, which branch is responsible for the “fight or flight” response?

A

a. Sympathetic

19
Q

Prolonged low level activation of the fight or flight response can cause what kind of long term issues?

A

a. Cardiac

b. Digestive

20
Q

What do neurons, and glial cells do?

A

a. Neurons – conduct action potentials through nervous system
b. Glial cells – provide support functions for neurons

21
Q

The CNS consists of what?

A

a. Neurons inside the brain and spinal cord

22
Q

What does cortisol do in fight or flight?

A

a. Suppresses reaction to stress, allowing body to engage in adaptive responses to danger

23
Q
  1. What is reuptake?
A

a. Process in which a transmitter in a synapse is sucked into the axon terminal that released them

24
Q

On the neuron, what receives the action potential from other neurons?

A

a. Dendrite

25
Q

what carries the electrical impulse to another neuron?

A

a. Axon

26
Q

What do glial cells do/why are they so important?

A

a. Provide physical support
b. Provide insulation
c. Assist with bringing nutrients to neurons

27
Q

What are neurotransmitters?

A

a. Chemicals that act as chemical bridge in synapse to help move electrical impulse rapidly from one neuron to the next

28
Q

Are all anxiety disorders a result of inappropriate activation of the sympathetic nervous system response?

A

a. YES

29
Q

The limbic system is responsible for what?

A

a. Mood and behavior

30
Q

Route of neurotransmitter?

A

a. Manufactured in cell body, goes down cell axon, stored in vesicle (axon terminal), waits to be released into the synapse

31
Q

Purpose of myelin sheath?

A

a. Provide insulation for axon

b. Speeds up conduction of electrical impulse

32
Q

Neurotransmitters of significance in psychopharmacology or that we as therapists focus on are?

A

a. Serotonin
b. Norepinephrine
c. Dopamine

33
Q

what percentage of the brain is our body weight and what percentage of the blood flow and oxygen supply does it consume?

A

a. 2% of body weight

b. 20% of oxygen

34
Q

How long does it take for a drug to be absorbed into the bloodstream when orally administered?

A

a. 2-3 hours

35
Q

What is the most common MH problem for which people seek treatment for?

A

a. Depression

36
Q

What are some important facts about generic names of drugs?

A

a. Never capitalized

b. Remain same wherever drug is manufactured throughout the world

37
Q

Facts about brand names?

A

a. Usually short
b. Memorable to public
c. Capitalized