Neurochemistry Flashcards
how did COVID affect mental disorder prevalence?
MDD and anxiety increased a lot in young people, especially females
how did we used to think about mental disorders?
Freudian psychoanalytic theories
what suggested the biological basis of mental disorders in the 50s?
serendipitous discovery of drugs like chlorpromazine and lithium
chlorpromazine
mild tranquilizer; typical antipsychotic
lithium
anti-mania drug
DSM definition of mental disorder
clinically significant behavioural or psychological syndrome or pattern that occurs in an individual and that is associated with present distress and/or disability
what is the DSM?
a categorical classification that divides mental disorders into types based on criteria sets with defining features
not necessarily completely discrete entities
atheoretical regarding causes of mental disorders—classifies by symptoms, not cause
what is the point of the DSM?
trying to ‘standardize’ diagnoses a bit
critiques of the DSM
- genetic studies do not support the discreet classification system
- no biological basis for diagnoses
Research Domain Criteria Project (RDoC)
a new initiative that aims to guide the classification of mental disorders by underlying biology and quantifiable things
looks at genetics, imaging, cog sci, and other factors
constructs of RDoC
constructs = the parameter you’re measuring
what do you do with the RDoC constructs?
group them into domains of functioning based on vibes
domains of RDoC
negative valence systems, positive valence systems, cognitive systems, systems for social processes, and arousal/regulatory systems
valence
the value associated with a stimulus as expressed on a continuum from pleasant to unpleasant or from attractive to aversive.
how common is glutamate?
90% of neurons use glutamate; 80-90% of synapses are glutamatergice
how can glutamate signaling be precise if it’s so common?
its release is quickly terminated and transporters reuptake it so there’s no over-excitation
two flavours of GluR
iGluR; mGluR
why are NMDARs a sexy drug target?
NMDAR are involved in working memory and excitatory transmission, so good anaesthetic or learning drug!
why are NMDARs not a good drug target?
NMDAR cause psychosis when antagonized like you’d want for an anaesthetic (PCP, ketamine)
pros of ketamine as an antidepressant
fast-acting
extrasynaptic NMDARs
linked to cell death
synaptic NDMARs
linked to cell survival
norepinephrine
arousal and alertness, regulates memory formation by emotion
where are norepinephrine neurons?
locus coeruleus
locus coeruleus
area of the brainstem that contains norepinephrine; involved in memory formation
has all the NE cell bodies. project where they’re needed