Mood disorders and psychosis Flashcards
How is someone diagnosed with depression?
At least 5 out of 9 symptoms present in the same 2-week period and represent a change from previous functioning, AND
At least 1 of the 5 symptoms is either (1) depressed mood or (2) loss of interest or pleasure (anhedonia)
anti-depressants development is based on what hypothesis?
monoamine hypothesis: concentrations of monoamines: serotonin, noradrenaline, and dopamine,
in synaptic gaps are decreased in the depressive state
Different classes of anti depressants work to…
increase serotonin , norepinephrine or dopamine in the synapse to mood and behavior
What are the two 1st line anti-depressant drug classes and list 1 drug from each…
Selective serotonin reuptake inhibitors -SSRIs - Prozac, Paxil, Zoloft, Luvox, Serzone, Celexa
and
Serotonin norepinephrine reuptake inhibitors -SNRIs-
Effexor , Pristiq, Cymbalta
List 3 SSRIs/SNRIs neurological side effects of anti-depressants
several movement disorders including: akathisia (most common), dystonia, tardive dyskinesia (can become permanent), parkinsonism, bruxism (teeth grinding)
Hypothesis for psychosis
psychotic symptoms are triggered by a dysregulation of dopaminergicactivity in the brain
2 main classes of antipsychotics
typical (Chlorpromazine, haloperidol) and atypical antipsychotics (Clozapine, olanzapine)