psychiatric disorders Flashcards

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1
Q

psychiatric disorders vs. psychological disorders

A

nothing its like the two APAs

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2
Q

psychiatric disorders definition

A

disorders of the psychological function that require treatment by the mental health professional

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3
Q

neuropsychological disorders

A

a product of dysfunctional brains

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4
Q

psychiatric disorders historically

A

neuropsychological disorders-brain problem
psychiatric- mind problem
we should not think of it as a dichotomy

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5
Q

what if we don’t know what is causing the issue

A

underlying dysfunction met yet to be identified, but are suggested by the effectiveness of treatments

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6
Q

advantages and disadvantages of accepting psychiatric diagnosis

A

OHIP covers psychiatry and not psychology

internalize and use diagnosis and a clutch

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7
Q

schizophrenia

A

“splitting of psychic functions”
impaired reality
1% of population
a diverse disorder

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8
Q

symptoms of schizophrenia

A

delusions, hallucinations, odd behaviour, incoherent thought, inappropriate affect
only need one of eight

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9
Q

factors of schizophrenia

A

appears that interference with the normal development of susceptible individuals may lead to developmental of the disorder

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10
Q

antipsychotic drugs

A

chlorpromazine

reserpine

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11
Q

chlorpromazine

A

calms many agitated schizophrenics and activates man emotionally blunt
lose ability to feel full range of emotions

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12
Q

dopamine theory of schizophrenia

A

side effects of antipsychotic drugs suggests role of dopamine: drugs work by decreasing DA levels, disorder is a consequence of DA overactivity

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13
Q

DA theory in general

A

the higher the affinity a drug has for dopamine receptors, the more effective it is in treating schizophrenia

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14
Q

haloperidol

A

an exception

while most antipsychotics bind to D1 and D2, it only binds to D2

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15
Q

problems with the D2 theory

A

clozapine and atypical and effective neuroleptic
neuroleptics act quickly at the synapse but don’t alleviate symptoms for weeks
schizophrenia symptoms associated with brain damage
only effective for some

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16
Q

postive symptoms

A

presence of abnormal

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17
Q

negative symptoms

A

absence of normal

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18
Q

depression

A

normal reaction to loss, abnormal when it persists or has no cause

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19
Q

mania

A

opposite of depression

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20
Q

bipolar affective disorder

A

depression with periods of mania

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21
Q

unipolar

A

reactive and endogenous

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22
Q

reactive depression

A

triggered by a negative event

23
Q

endogenous depression

A

no apparent cause

24
Q

factors in affective disorders

A

affective disorders are very common. 6% unipolar and 1% bipolar
genetics
stressful experiences

25
antidepressant drugs
Monoamine oxidase inhibitors (MAOIs) tricyclic antidepressants selective monoamine reuptake inhibitors lithium
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MAOIs monoamine oxidase inhibitors
prevent breakdown of monoamines must avoid food high in tyramine we generally do not start with this approach
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tricyclic antidepressants
block reuptake of serotonin and norepinephrine | safer than MAOIs
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lithium
mood stabilizer | treats bipolar
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Selective serotonin reuptake inhibitors
(SSRIs) prozac, Paxil, Zoloft no more effective than tricyclics, but side effects are few and they are effective at treating other thing
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Selective norepinephrine-reuptake inhibitors (SNRIs)
also effective
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effectiveness of drug in treating affective disorders
results are comparable with MAOIs, tricycles, and SSRIs | about 50% improve, compared to 25% of controls
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what do antidepressants not do
drugs help those experiencing depression, but doe not prevent future episodes
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monoamine theory of depression
underactivity of serotonin and norepinephrine | problem is not all responses to monoamine agonists
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how do we know monoamine drugs work for some
based on autopsy
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diathesis-stress model
inherited genetic susceptivity (diathesis) + stress = depression
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depression and hormones
depressed people tend to release more stress hormones, or unable to regulate/gets stuck in the high level
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sleep deprivation
more than 50% of depressed patients improve after one night of sleep deprivation depression returns when normal sleep pattern resumes
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brain damage and unipolar depression
amygdala prefrontal cortex - both involves in perception and experience of emotion terminal structures of the mesotelencephalic dopamine system
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anxiety
fear in the absence of threat
40
anxiety disorder
when anxiety interferes with normal functioning | accompanied by physiological symptoms- tachycardia, hypertension sleep disturbances and nausea
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generalized anxiety
stress and anxiety in the absence of a causal stimulus
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phobic
similar to generalized but triggered by a stimulus, clear source of fear
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panic disorders
may occur with other disorders, but also alone
44
OCD
obsessive thought alleviated by compulsive actions, exposure therapy
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PTSD
and example of the diathesis-stress model
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treatment of anxiety disorders
benzodiazepines | serotonin agonists
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benzodiazepines
librium, valium also used as hypnotics, anticonvulsants, muscles relaxants GABAa agonists- bond to receptor and facilitate effects of GABA highly addictive
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serotonin agonists
buspirone SSRIs reduce anxiety without sedation and other side effects
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the GABA receptor
the primary inhibitory transmitters | anything that can slow this down works towards the solution
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neural bases of anxiety disorders
drugs suggest a role of serotonin and GABA in anxiety disorders amygdala due it its role in fear and defence behaviour, thought to be involved.
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tourettes syndrome
a disorder of tics, involuntary movements or vocalizations begins in childhood major genetic component signs of ADHD and/or OCD no animal models, no genes identified and imaging hard due to tics
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Tourettes treatment
usually treated with neuroleptics- although effectiveness is not well established effectiveness of D2 blockers suggests abnormal in basal ganglia-thalamus cortex feedback circuit
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phase 1
do no harm
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phase 2
works, and works better than other drugs on the market