Neurodevelopmental disease Flashcards
What is DSM-5 used for
To categorise different conditions in abnormal mental state such as depression and bipolar disorder
Depression categories
Minor depression includes 2-4 symptoms
Major depression includes 5 or more symptoms
What is dysthymia
Milder form of depression but is long lasting(must last for at least 2 years)
Parts of the brain involved in depression
HPA axis- Reduced energy
Attention/Cognitive impairment-prefrontal cortex
Hypothalamic pituitary adrenal axis(HPA)
Part of the brain responsible for adjusting the balance of hormones especially to stress affecting the immune system(inhibiting metabolism)
Monoamine hypothesis
Modulation problems can cause depression
Reserpine
A drug that controlled blood pressure caused depression in 20% of patients(affected serotonin and catecholamines)
Treatment for depression
Anti depressants block the re-uptake of neuropenepherine and serotonin transporters
SSRI drugs
Block serotonin transporters in depression
MAO inhibitors
Reduce degradation of serotonin in depression patients
Target for newer antidepressants
work on the CRH receptor which affects HPA axis
Stress on depression
Stress usually comes from cortisol and effects 5ht receptors and NA
The cortisol will change the structure of receptors of 5HT
CHR in depression
Stimulates secretion of ATCH increasing cortisol levels
Theureptic effects on depression
delayed 3-4 weeks but increase throughout the plasma
Moamine inhibitors for depression
Can cause seizures due to allergic reaction Cheese reaction is when foods like cheese increase NA and goes straight into the blood stream
Psychotherapy
Best at treating mild depression uses neurocortical control over activity patterns
CBT is most commonly used
Tricyclic antidepressants
enhance NE and 5HT by blocking uptake and are unselective compared to SSRI’s
What is bipolar disorder
The main symptoms of bipolar disorder are episodes of extreme highs and lows
treatment of bipolar disorder
Cannot be treated alone by anti depressant usually needs anti psychotic and is used to stabilise moods instead of going into mania and depression
What is mania in bipolar disorder
a state of mind characterized by high energy
Stress on bipolar disorder
Stress increases mania as it activates the hippocampal system
co morbility involved with bipolar
Anxiety- hyperactivation of fear in hippocampus and amygdala
OCD- inefficient CTSC for regulating behaviour
alcohol and anxiety
co mobility between alcohol and anxiety
Co mobility with depression
co mobility between anxiety, Major deppresion and panic disorder
PTSD
diagnosed after a person experiences symptoms for at least one month following a traumatic event.
Re-experiencing the trauma through intrusive distressing recollections of the event, flashbacks, and nightmares
OCD
An obsession is an unwanted and unpleasant thought, image or urge that repeatedly enters your mind, causing feelings of anxiety, disgust or unease
Anxiety on rats experiment
Conditioned to responed to stressful event via a shock and causes acrivity in the amygala
ADHD
ADHD is being more difficult to pay attention resulting in behavioural problems and peer rejection
Categories of ADHD
Inattentiveness (difficulty concentrating and focusing)
Hyperactivity and Impulsiveness
Combined
Diagnosis of ADHD
Takes a while to diagnosis it is done over 10 weeks and the use of schools
Nueroinflamation in ADHD
Nueroinflamation occurs maybe from neurotransmission imbalance
Genes in ADHD
A lot of genes affect DA transporters and serotonin are impaired-DAT1 gene
Brain structure in ADHD
Frontal lobe function is affected linked to attention
Smaller brain volume
Pre frontal cortex reduced and pre motor cortex reduced
Reduction in grey matter and cortical thinning
co mobility with ADHD
75% of ADHD have 1 or more psychiatric disorders and is more likely to miss other disorders(depression or anxiety)
Dopamine transporters in ADHD
Higher dopamine transporter in ADHD - May mean there is not enough dopamine that is why there is more transporters
Phasic phase
Phasic phase happens where there is more dopamine usually due to a reward
Treatment for ADHD
Parent training and attention training is first line then medication and CBT is last result
prefrontal cortex in ADHD treatment
extremely sensitive to its neurochemical environment, particularly dopaminergic and noradrenergic signalling
Side effects of ADHD drug treatment
Loss of appetite
Sleep disturbance
Increased blood pressure
Headache
Motor activity is reduced
Functional epilepsy
When you are so stressed it causes a seizure
Primary Motor stereotype
Seen in neurotypical children
Stabilise or regress as children age
Secondary Motor stereotype
Appears along with neurological disorder
Rett syndrome, ASD or metabolic disorders often primary cause
Kinesiogenic in Motor disorders
- Kinesiogenic (induced by movement or startle)
- Non-kinesiogenic dyskinesias are triggered by other factors (stress, fatigue, alcohol/caffeine)
Motor tics
can be simple (single area, eye blinking etc) or complex (repetitive and/or compulsive sequences)
Phonic/vocal tics:
grunting, throat clearing, whooping, sniffing etc. up to words and repetition.
Rat experiment for Tics
In between test a sequence of behaviour will occur where they were not sure which behaviour was giving them reward so sterotypies occur in the brain because if they don’t do it they wont get a reward