Mood Disorders Flashcards
What are tricyclic antidepressants?
Prevent the reuptake of noradrenaline and serotonin, in order to increase their activity.
What are Monoanime oxidase inhibitors?
Stop the enzyme that breaks down the neurotransmitters, this increases serotonin and noradrenalin.
Selective serotonin reuptake inhibitors
Include Prozac, allow serotonin to remain active for longer in the synapse.
What is electro convulsive treatment?
Induced brain seizure by passing an electrical current through the brain. Treat people with severe depression.
Drug used for bipolar depression?
Lithium carbonate
What is lithium carbonate?
Used to control major mood swings in bipolar depression by normalising levels of neurotransmitters.
Evaluation of trycyclics?
Side effects: dry mouth, blurred vision, erectile dysfunction, toxic - suicide risk.
MAOI eval?
Loads of side effects
Toxic
Requires dietary restrictions
Selective serotonin reuptake inhibitors evaluation?
Side effects: nausea, diarrhoea
Not fatal in overdose
Ssris may give suicidal urges
Evaluation of carbon lithium?
Low dose: blurred vision, lack of co-ord.
High doses life threatening side effects.
Evaluation antidepressants:
Reduce depression however give undesirable side effects.
Patients stop using them because side effects worse.
Don’t deal with the stressful life events that may be the root of the problem.
Drug therapies often work with other treatments.
Do not relieve mania
What do Cognitive treatments for bipolar and unipolar challenge?
Negative schemas. Maladaptive and irrational thoughts.
What are the phases in Becks cognitive therapy?
Phase 1: confidence is increased
Phase 2: automatic negative thoughts are challenged
Phase 3: negative thoughts are identified
Phase 4: key attitudes and beliefs are changed
What is rational emotive therapy in the cognitive treatments of bipolar and unipolar?
Irrational thoughts are replaced with rational thoughts by challenging or arguing the negative belief.
Hollow study, supporting cognitive approach.
Gave people with moderate depression either drug or cognitive therapy.
Relapse for cognitive therapy 40%
Relapse for drug 45%
Placebo drug 80%
Cognitive therapy is as effective as drug therapy.